Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilisation: systematic review and meta-analysis

Manheimer, Eric; Zhang, Grant; Udoff, Laurence C.; Haramati, Aviad; Langenberg, Patricia; Berman, Brian M.; Bouter, Lex M.

doi:10.1136/bmj.39471.430451.be

Cited by 173 publications

(112 citation statements)

References 44 publications

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“…24 Conversely, other meta-analyses have suggested that acupuncture given with embryo transfer improves rates of pregnancy and live birth among women undergoing IVF. 25 In another systematic review, Cheong et al 26 suggested that acupuncture performed on the day of embryo transfer has a benefi cial effect on the live birth rate; however, with the present evidence this could be attributed to placebo effect.…”

Section: Introductioncontrasting

confidence: 54%

“…28 A recent meta-analysis evaluated the effects of acupuncture on IVF clinical outcomes and concluded that acupuncture on the embryo transfer day may improve both pregnancy and live birth rates. 25 In addition, three prospective randomised published studies recorded higher pregnancy rates in the acupuncture group than in the control group. 22 23 27 This study evaluated the effect of 25 min acupuncture sessions immediately before and immediately after embryo transfer in 208 patients undergoing ICSI cycles and no benefi t of acupuncture was observed in the clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Acupuncture on Assisted Reproduction Treatment Outcomes

et al. 2010

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Background Acupuncture has recently been used as a complementary technique in the management of infertility. It has physiological and psychological effects and may be considered an alternative for stress reduction in women undergoing infertility treatments. Objective To examine the hypothesis that acupuncture treatment may increase the pregnancy rate in patients undergoing intracytoplasmic sperm injection cycles. Methods Patients enrolled in the study were stratifi ed according to age and randomised to either a control group (n=208) or acupuncture group, (n=208). The pregnancy, implantation and abortion rates of the two groups were compared.Results No infl uence of acupuncture treatment on clinical outcomes was seen; however, when cycles in which the causes of infertility were exclusively tubaluterine or idiopathic were evaluated separately, a positive infl uence of acupuncture on pregnancy (OR=5.15, 95% CI 1.03 to 34.5; p=0.048) was noted. Moreover, trends toward an increase in implantation were seen when acupuncture was performed (regression coeffi cient: 0.645; p=0.092). ConclusionThe results suggest that acupuncture treatment had no infl uence when performed immediately before and immediately after embryo transfer, on clinical outcomes overall. In a subgroup analysis, when the embryo was not affected by an ovarian or seminal infl uence, a benefi t was noted.

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Section: Introductioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Effect of Acupuncture on Assisted Reproduction Treatment Outcomes

et al. 2010

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“…The reduction of uterine contractions might be another potential mechanism for reduction of miscarriage rates found in our study. In a systematic online review and meta-analysis of seven trials involving 1366 women undergoing IVF and IVF in conjunction with acupuncture treatments on day of embryo transfer [18] an increase in clinical pregnancy (odds ratio 1.65, 95% confidence interval 1.27 to 2.14; number needed to treat (NNT) 10 (7 to 17); seven trials), ongoing pregnancy (1.87, 1.40 to 2.49; NNT 9 (6 to 15); five trials), and live birth (1.91, 1.39 to 2.64; NNT 9 (6 to 17); four trials) was reported. While the miscarriage rates were not specified, live birth rates were determined to be higher in the acupuncture group.…”

Section: Discussionmentioning

confidence: 99%

Adjuvant acupuncture reduces first trimester pregnancy loss after IVF

Khorram¹,

Horton²,

Sahakian³

et al. 2012

OJOG

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Background: The objective of this study was to determine the effects of acupuncture treatment as an adjunctive therapy on the outcome of in vitro fertilization (IVF)/Intracytoplasmic Sperm Injection (ICSI). Material/Methods: We conducted a retrospective study of 238 patients who underwent conventional IVF/ ICSI alone or in conjunction with acupuncture over a course of 2 years. Patients in the two treatment groups were matched in terms of age and diagnosis. Acupuncture was administered in two sessions 5 to 7 days prior to and on the day of embryo transfer. Results: There were no differences between the two groups in terms of fertilization rate, pregnancy or implantation rates, and endometrial thickness. The number of oocytes retrieved (P < 0.005) and the number of first trimester miscarriages were significantly lower in the group receiving acupuncture (P < 0.001). Conclusions: Acupuncture reduces miscarriage rates in patients undergoing IVF/ICSI possibly secondary to stress relief.

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“…Dentre essas alternativas, a literatura científi-ca mostra que a acupuntura pode melhorar significativamente a taxa de nascidos vivos, sugerindo que a técnica aumenta as chances de gravidez clí-nica em 65% dos casos comparados com o grupo controle 16 . Entretanto, não são todos os trabalhos científicos que apresentam eficácia relacionando acupuntura e fertilização.…”

Section: Acupuntura Na Infertilidade Feminina E Processo De Fertilizaçãounclassified

O uso da acupuntura antes, durante e após a gestação: Uma revisão integrativa

Costa

Lopes

Córralo

et al. 2018

RFS

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Introdução: Nos últimos anos, as práticas integrativas e complementares têm sido propostas como possibilidades de intervenção sobre as intercorrências associadas à gestação. Dentre as diversas técnicas, a acupuntura tem alcançado cada vez mais respaldo no ocidente. Objetivo: Analisar as produções científicas sobre o uso da acupuntura antes, durante e após a gestação, considerando os efeitos dessa intervenção. Materiais e Métodos: Revisão integrativa sobre o uso da acupuntura no período pré, durante e pósgestacional, realizada em dezembro de 2016 nas bases de dados da Biblioteca Virtual em Saúde (BVS), através do cruzamento dos descritores: “Acupuntura” or “Medicina Tradicional Chinesa” and “Gestação” or “Gravidez” or “Obstetrícia”, nos idiomas português e inglês, publicados no período de 2000 a 2016. Resultados: Foram analisados 23 estudos que avaliaram o uso da acupuntura no tratamento da dor pélvica e lombar, infertilidade e fertilização, náuseas e vômito, ansiedade, depressão e insônia, além dos efeitos adversos como aborto e indução ao parto. Conclusão: A acupuntura é uma alternativa eficaz no tratamento de diversas afecções durante a gestação, porém são necessários mais estudos para comprovar seus potenciais efeitos.

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Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilisation: systematic review and meta-analysis

Abstract: Objective To evaluate whether acupuncture improves rates of pregnancy and live birth when used as an adjuvant treatment to embryo transfer in women undergoing in vitro fertilisation. Design Systematic review and meta-analysis.

Cited by 173 publications

References 44 publications

Effect of Acupuncture on Assisted Reproduction Treatment Outcomes

Effect of Acupuncture on Assisted Reproduction Treatment Outcomes

Adjuvant acupuncture reduces first trimester pregnancy loss after IVF

O uso da acupuntura antes, durante e após a gestação: Uma revisão integrativa

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