Acupressure and ginger to relieve nausea and vomiting in pregnancy: a randomized study

Farzaneh Saberi, Zohreh Sadat, Masoumeh Abedzadeh-Kalahroudi, Mahboobeh Taebi, Farzaneh Saberi, Zohreh Sadat, Masoumeh Abedzadeh-Kalahroudi, Mahboobeh Taebi

Abstract

Background: Nausea and vomiting of pregnancy (NVP) is the most common medical condition of pregnancy, affecting up to 85% of expecting mothers. NVP can have serious adverse effects on the quality of a woman's life, social, and domestic functioning, and her general well-being. Therefore, it is very important to treat this condition.

Objectives: The effectiveness of ginger and acupressure in the treatment of NVP was compared in the present study.

Patients and methods: 159 eligible pregnant women with symptoms of mild to moderate nausea and/or vomiting before 16 weeks gestational age participated in a 7-day clinical trial. They were divided randomly into three groups: the acupressure, ginger, and control. Participants did not receive any intervention for three days and interventions were performed for the women in acupressure and ginger groups for four days. No intervention was performed for the control group. Data was collected by self-recorded symptoms according to the Rhodes index. Data was analyzed by ANOVA, Kruskal-Wallis, Chi-square, and Fisher exact tests for quantitative and qualitative variables.

Results: There were no statistical differences in the baseline demographics between the three groups. ANOVA test showed that there were significantly differences in mean difference Rhodes index scores (vomiting, nausea, retching and total score) in the three groups (P < 0.001).

Conclusions: Ginger is more effective than acupressure to relieve mild to moderate nausea and vomiting in symptomatic pregnant women in less than 16 weeks of gestational age.

Keywords: Acupressure; Ginger; Nausea; Pregnancy; Vomiting.

Figures

Figure 1.. Location of Acupressure Wristband
Figure 1.. Location of Acupressure Wristband
Figure 2.. Trial Profile of Recruitment and…
Figure 2.. Trial Profile of Recruitment and Randomization to Acupressure, Ginger or Control Groups
Figure 3.. Comparing the Mean Difference Rhodes…
Figure 3.. Comparing the Mean Difference Rhodes Index Scores of Vomiting (A), Nausea (B), Retching (C), and Total (D) between the Three Groups

References

    1. Madjunkova S, Maltepe C, Koren G. The Leading Concerns of American Women with Nausea and Vomiting of Pregnancy Calling Motherisk NVP Helpline. Obstet Gynecol Intl. 2013;2013:7. doi: 10.1155/2013/752980.
    1. Naeimi Rad M, Lamyian M, Heshmat R, Jaafarabadi MA, Yazdani S. A Randomized Clinical Trial of the Efficacy of KID21 Point (Youmen) Acupressure on Nausea and Vomiting of Pregnancy. Iran Red Crescent Med J. 2012;14(11):697–701. doi: 10.5812/ircmj.2153.
    1. Ebrahimi N, Maltepe C, Einarson A. Optimal management of nausea and vomiting of pregnancy. Intl J Women Health. 2010;2:241.
    1. Verberg MF, Gillott DJ, Al-Fardan N, Grudzinskas JG. Hyperemesis gravidarum, a literature review. Hum Reprod Update. 2005;11(5):527–39. doi: 10.1093/humupd/dmi021.
    1. Wegrzyniak LJ, Repke JT, Ural SH. Treatment of hyperemesis gravidarum. Rev Obstet Gynecol. 2012;5(2):78–84.
    1. Soltani A, Kajuri MD, Safavi SH, Hosseini F. Frequency and severity of nausea and vomiting in pregnancy and the related factors among pregnant women. Iran J Nursing. 2007;19(48):95–102.
    1. Jouybari L. The Quality of Pregnant Women Life with Nausea and Vomiting. Qom Uni Med Sci J. 2012;6(2)
    1. Gadsby R. Pregnancy nausea and vomiting--the role of the midwife. Pract Midwife. 2012;15(9):17–9.
    1. Wood H, McKellar LV, Lightbody M. Nausea and vomiting in pregnancy: blooming or bloomin' awful? A review of the literature. Women Birth. 2013;26(2):100–4. doi: 10.1016/j.wombi.2012.10.001.
    1. Zur E. Nausea and vomiting in pregnancy: a review of the pathology and compounding opportunities. Int J Pharm Compd. 2013;17(2):113–23.
    1. Maitre S, Neher J, Safranek S. FPIN's clinical inquiries: ginger for the treatment of nausea and vomiting in pregnancy. Am Fam Physician. 2011;84(10):1–2.
    1. Maltepe C, Koren G. Preemptive Treatment of Nausea and Vomiting of Pregnancy: Results of a Randomized Controlled Trial. Obstet Gynecol Intl. 2013;2013:8. doi: 10.1155/2013/809787.
    1. Ozgoli G, Goli M, Simbar M. Effects of ginger capsules on pregnancy, nausea, and vomiting. J Altern Complement Med. 2009;15(3):243–6. doi: 10.1089/acm.2008.0406.
    1. Basirat Z, Moghadamnia A, Kashifard M, Sarifi-Razavi A. The Effect of ginger biscuit on nausea and vomiting in early pregnancy. Acta Medica Iranica. 2009;47(1):51–6.
    1. Khavandizadeh AS, Mahfouzi B. EVALUATION OF THE EFFECTS OF ACUPRESSURE BY SEA BAND ON NAUSEA AND VOMITING OF PREGNANCY. Iran J Obstet Gynecol Infert. 2010;13(2):39–44.
    1. Ozgoli G, Shahbazzadegan S, RASAEIAN N, ALAVIMAJD H. Effect of acupressure with wristband on nausea and vomiting of pregnancy. J Ardabil Uni Med Sci (JAUMS). 2007;7(3):247–53.
    1. Dennehy C. Omega-3 fatty acids and ginger in maternal health: pharmacology, efficacy, and safety. J Midwifery Womens Health. 2011;56(6):584–90. doi: 10.1111/j.1542-2011.2011.00120.x.
    1. Ginger. .
    1. Tiran D. Ginger to reduce nausea and vomiting during pregnancy: evidence of effectiveness is not the same as proof of safety. Complement Ther Clin Pract. 2012;18(1):22–5. doi: 10.1016/j.ctcp.2011.08.007.
    1. Ensiyeh J, Sakineh MA. Comparing ginger and vitamin B6 for the treatment of nausea and vomiting in pregnancy: a randomised controlled trial. Midwifery. 2009;25(6):649–53. doi: 10.1016/j.midw.2007.10.013.
    1. Heitmann K, Nordeng H, Holst L. Safety of ginger use in pregnancy: results from a large population-based cohort study. Eur J Clin Pharmacol. 2013;69(2):269–77. doi: 10.1007/s00228-012-1331-5.
    1. Bryer E. A literature review of the effectiveness of ginger in alleviating mild-to-moderate nausea and vomiting of pregnancy. J Midwifery Womens Health. 2005;50(1):e1–3. doi: 10.1016/j.jmwh.2004.08.023.
    1. Matthews A, Dowswell T, Haas DM, Doyle M, O'Mathúna DP. Interventions for nausea and vomiting in early pregnancy. Cochrane Database System Rev. 2010;(1) doi: 10.1002/14651858.CD007575.pub2.
    1. Jamigorn M, Phupong V. Acupressure and vitamin B6 to relieve nausea and vomiting in pregnancy: a randomized study. Arch Gynecol Obstet. 2007;276(3):245–9. doi: 10.1007/s00404-007-0336-2.
    1. Fraser DM, Cooper MA. Myles' textbook for midwives. 2009.
    1. Lee EJ, Frazier SK. The efficacy of acupressure for symptom management: a systematic review. J Pain Symptom Manage. 2011;42(4):589–603. doi: 10.1016/j.jpainsymman.2011.01.007.
    1. Lowdermilk DL, Perry SE, Kitty Cashion RN, Alden KR. Maternity and Women's Health Care. 2011.
    1. Loretz L. Primary Care Tools for Clinicians: A Compendium of Forms, Questionnaires, and Rating Scales for Everyday Practice. 2005.
    1. Noorani S, Seyyed Alavi G, Kordi M. Efficacy of acupressure on reduse nasea and vomiting in the first trimester of pregnancy. Med J Mashhad Univ Med Sci. 2000;24(66):89–95.
    1. Nourani S, Aparnak F, Sadr Nabavi R, Ebrahimzadeh S. Comparison of K-K9 and P6 points acupressure on nausea and vomiting in the first half of pregnancy. Urmia Medical Journal. 2011;22(4):369–78.
    1. Modares M, Besharat S, Mahmoudi M. Effect of Ginger and Chamomile capsules on nausea and vomiting in pregnancy. J Gorgan Univ Med Sci. 2012;14(1):46–51.
    1. Nurane S. What makes nausea and vomiting worse during the first trimester of pregnancy. Iran J Nursing. 2004;17(37):1–11.
    1. Shishehgar F, Peyman A. Association of Vomiting in Pregnancy with Body Mass Index and Quality of Life. Med J Hormozgan Univ. 2010;13(4):220–76.
    1. Rosen T, de Veciana M, Miller HS, Stewart L, Rebarber A, Slotnick RN. A randomized controlled trial of nerve stimulation for relief of nausea and vomiting in pregnancy. Obstet Gynecol. 2003;102(1):129–35. doi: 10.1016/S0029-7844(03)00375-2.
    1. Puangsricharern A, Mahasukhon S. Effectiveness of auricular acupressure in the treatment of nausea and vomiting in early pregnancy. J Med Assoc Thai. 2008;91(11):1633–8.
    1. Molassiotis A, Coventry PA, Stricker CT, Clements C, Eaby B, Velders L, et al. Validation and psychometric assessment of a short clinical scale to measure chemotherapy-induced nausea and vomiting: the MASCC antiemesis tool. J Pain Symptom Manage. 2007;34(2):148–59. doi: 10.1016/j.jpainsymman.2006.10.018.
    1. Fu MR, Rhodes V, Xu B. The Chinese Translation of the Index of Nausea, Vomiting, and Retching. Cancer Nursing. 2002;25(2):134–40.
    1. Fetzer SJ, Hand MC, Bouchard PA, Smith H, Jenkins MB. Evaluation of the Rhodes Index of Nausea and Vomiting for ambulatory surgery patients. J Adv Nursing. 2004;47(1):74–80.
    1. Can Gurkan O, Arslan H. Effect of acupressure on nausea and vomiting during pregnancy. Complement Ther Clin Pract. 2008;14(1):46–52. doi: 10.1016/j.ctcp.2007.07.002.
    1. Sinha A, Paech MJ, Thew ME, Rhodes M, Luscombe K, Nathan E. A randomised, double-blinded, placebo-controlled study of acupressure wristbands for the prevention of nausea and vomiting during labour and delivery. Int J Obstet Anesth. 2011;20(2):110–7. doi: 10.1016/j.ijoa.2010.10.005.
    1. Chittumma P, Kaewkiattikun K, Wiriyasiriwach B. Comparison of the effectiveness of ginger and vitamin B6 for treatment of nausea and vomiting in early pregnancy: a randomized double-blind controlled trial. J Med Assoc Thai. 2007;90(1):15–20.

Source: PubMed

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