The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis

[摘要] Background: Nausea and vomiting in pregnancy is a common condition experienced by50-80% of pregnant women between 6 to 12weeks of pregnancy. Acupressure stimulationcan stimulate and increase blood circulationand vital energy, so as to maintain normal bodyfunctions. The purpose of this study was todetermine the effect of acupressure on hyperemesis gravidarum and labor pain in pregnantand childbirth women.Subjects and Method: This was a metaanalysis and systematic study. The articles usedwere obtained from PubMed, Science Directand Google Scholar. The inclusion criteria usedwere full text articles with Randomized ControlTrial (RCT) design. Research subjects are pregnant women or giving birth. The interventiongiven was acupressure with the comparison notbeing given acupressure or fake acupressure,articles published in English and Indonesian.The PICO research problems were as follows:Population= pregnant women and childbirth,Intervention= giving acupressure, Comparison= sham acupressure or without acupressure, Outcome= reduced intensity of nauseaand vomiting and labor pain. The study wasconducted using an effect size (StandardizedMean Difference). Meta-analysis was carriedout using RevMan 5.3 with a random effectmodel.Results: A total of 20 articles were reviewed ina meta-analysis in this study. Meta-analysis of9 articles showed acupressure was effective inreducing hyperemesis gravidarum. Pregnantwomen who received acupressure therapy experienced hyperemesis gravidarum 0.8 unitslower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A metaanalysis of 11 articles showed that acupressurewas effective in reducing labor pain. Pregnantwomen who received acupressure therapyexperienced labor pain 1.8 units lower thanwithout acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001).Conclusion: Acupressure can reduce theintensity of nausea and vomiting in pregnantwomen who experience hyperemesis gravidarum as well as the intensity of labor pain inpregnant women.

[学科分类] 食品科学和技术

[关键词] Acupressure;hyperemesisgravidarum;labor pain;meta analysis