| Institution: | 1. Department of Obstetrics and Gynecology, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China;2. Department of Rehabilitation and Physical Therapy, Guangdong No. 2 Provincial People''s Hospital, Guangzhou 510317, China;3. Basis of Acupuncture of Teaching and Research Section, Acupuncture and Rehabilitation Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510006, China;4. Department of Anesthesiology, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China |
| Abstract: | ObjectiveTo evaluate the effectiveness of acupuncture analgesia (AA) compared with combined spinal-epidural anesthesia (CSEA) for labor pain relief and labor outcomes.MethodsWe evaluated 131 primiparous women who received respiratory guidance during maternal uterine contractions and received either AA (n = 43), CSEA (n = 45), or no additional treatment (control, n = 43). The groups were compared regarding visual analog scale (VAS) scores for abdominal and back pain, and labor outcomes.ResultsThe abdominal VAS scores of the AA and CSEA groups were significantly lower than that of the control group. In addition, the VAS scores of the CSEA group were significantly lower than that of the AA group at 10 and 60 min after intervention. The back pain VAS scores of the AA and CSEA groups were significantly lower than that of the control group at 5, 10, and 60 min after intervention. The duration of the active phase of labor in the CSEA group was significantly longer than that of the AA and control groups. The rates of oxytocin use (4.70%), urinary retention (4.70%), and postpartum hemorrhage (273.72 ± 53.63 mL) in the AA group were significantly lower than in the CSEA group (46.70%, 24.20%, and 320.00 ± 85.60 mL, respectively).ConclusionBoth AA and CSEA were effective for labor pain relief, CSEA provided more effective pain relief, while AA was associated with a shorter duration of labor and fewer adverse effects.and each has its advantages and disadvantages. |
