The effect of acupressure on sanyinjiao and hugo points on labor pain in nulliparous women: a randomized clinical trial

Fahimeh Sehhatie-Shafaie, Rafat Kazemzadeh, Firouz Amani, Reza Heshmat, Fahimeh Sehhatie-Shafaie, Rafat Kazemzadeh, Firouz Amani, Reza Heshmat

Abstract

Introduction: Most women have experienced child birth and its pain, which is inevitable. If this pain is not controlled it leads to prolonged labor and injury to the mother and fetus. This study was conducted to identify the effect of acupressure on sanyinjiao and hugo points on delivery pain in nulliparous women.

Methods: This was a randomized controlled clinical trial on 84 nulliparous women in hospitals of Ardebil, Iran. The participants were divided by randomized blocks of 4 and 6 into two groups. The intervention was in the form of applying pressure at sanyinjiao and hugo points based on different dilatations. The intensity of the pain before and after the intervention was recorded by visual scale of pain assessment. To determine the effect of pressure on the intensity of labor pain, analytical descriptive test was conducted in SPSS (version 13).

Results: There was a significant decrease in mean intensity of pain after each intervention in the experimental group with different dilatations (4, 6, 8, and 10 cm). Moreover, the Student's independent t-test results indicated that the mean intensity of pain in the experimental group after the intervention in all four dilatations was significantly lower than the control group. Repeated measures ANOVA test indicated that in both experimental and control groups in four time periods, there was a statistically significant difference.

Conclusion: Acupressure on sanyinjiao and hugo points decreases the labor pain. Therefore, this method can be used effectively in the labor process.

Keywords: Acupressure; Hugo; Labor pain; Nulliparous women; Sanyinjiao.

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References

    1. Simkin PP, O'hara M. Nonpharmacologic relief of pain during labor: systematic reviews of five methods. Am J Obstet Gynecol . 2002; 186(5 Suppl Nature):S131–S159.
    1. Safdari Dehcheshmaei F, Salehiyan T, Kazemeyan A, Frouzandeh N, Safarzadeh A, Hassanpour A. The effect of music on labor pain in the active phase of the first stage of labor in primiparous women. Journal of Shahrekord University of Medical Sciences. 2009;10(4):65–71. (Persian)
    1. Waters BL, Raisler J. Ice massage for the reduction of labor pain. J Midwifery Womens Health . 2003;48(5):317–21.
    1. Rezaeipour A, Idenloo F, Khakbazan Z, Kazemnejad A. The effects of Entonox on implication of painless labor and delivery satisfaction rate among pregnant women. Hayat . 2007;13(4):45–58. (Persian)
    1. Seyed Nori T. Study of reasons in choosing Cesarean section by pregnant mothers refers to a health care center of Rasht [Master thesis]. Tehran, Iran: School of Nursing and Midwifery, Tehran University of Medical Sciences; 2005. p. 121. (Persian).
    1. Esfandiari M, Nankaley A, Sanjari N, Almasi A, Karimi S. Effectiveness of entonox on severity of labor pain in women referred to maternity ward of Imam Reza hospital, Kermanshah, 2007. Journal of Ilam University of Medical Sciences. 2009;17(1):25–30. (Persian)
    1. Motaghi Z, Jafar Nejad F, Salari P, Esmaeeli H. Comparison the effects of socio economical characteristics of mothers with elective cesarean section and vaginal deliver. Journal of Nursing and Midwifery, Mashhad . 2000;2(4):49–56. (Persian)
    1. Abushaikha L, Oweis A. Labour pain experience and intensity: a Jordanian perspective. Int J Nurs Pract . 2005; 11(1):33–8.
    1. Field T. Pregnancy and labor alternative therapy research. Altern Ther Health Med . 2008;14(5):28–34.
    1. Tournaire M, Theau-Yonneau A. Complementary and alternative approaches to pain relief during labor. Evid Based Complement Alternat Med . 2007; 4(4):409–17.
    1. Cook A, Wilcox G. Pressuring pain Alternative therapies for labor pain management. AWHONN Lifelines. 1997;1(2):36–41.
    1. Beal MW. Acupuncture and acupressure Applications to women's reproductive health care. J Nurse Midwifery. 1999;44(3):217–30.
    1. Jingsheng Z. Life Cultivation and Rehabilitation of Traditional Chinese Medicine A Newly Compiled Practical English-Chinese Library of Traditional Chinese Medicine. Shanghai: Shanghai University of Traditional Chinese Medicine; 2007. p. 125
    1. Xing Nong C. Chinese Acupuncture and Moxibustion. 3rd ed. Beijing, China: Foreign Language Press; 2010.
    1. Kim YR, Chang SB, Lee MK, Maeng WJ. Effects on Labor Pain and Length of Delivery Time for Primipara Women treated by San-Yin-Jian(SP-6) Acupressure and Hob-Gog(LI-4) Acupressure. Korean J Women Health Nurs . 2002; 8(2):244–56.
    1. Park Y, Cho J, Kwon J, Ahn E, Lim J, Chang S. The effect of san-yin-Jiao (SP6) acupressure on labor progression. Am J Obstet Gynecol . 2003; 189(6 Suppl):209.
    1. Lee MK, Chang SB, Kang DH. Effects of SP6 acupressure on labor pain and length of delivery time in women during labor. J Altern Complement Med . 2004; 10(6):959–65.
    1. Salehian T, Safdari F, Pirak A, Kazemian A, Atarodi Z, Navabi-Righi SH. Effects of acupressure at the hugo point(LI4) on labor pain and duration of delivery in nulliparous women. Journal of Ilam University of Medical Sciences. 2011;18(4):12–9. (Persian)
    1. Heydari P, Mojdeh F, Mazloum SR, Tanbakuei K, Judaki K. The effect of SP6 acupressure on length of labor. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2008;11(2):15–22. (Persian)
    1. Hjelmstedt A, Shenoy ST, Stener-Victorin E, Lekander M, Bhat M, Balakumaran L. et al. Acupressure to reduce labor pain: a randomized controlled trial. Acta Obstet Gynecol Scand. 2010;89(11):1453–9.
    1. Samadi P, Lamiyan MN, Heshmat R, Faghihzadeh S. Effect of Acupressure at Sp6 Point on Labor Pain Intensity. Hormozgan Medical Journal. 2010;14(1):55–64. (Persian)
    1. Kaviani M, Ashoori M, Azima S, Rajaei Fard AR, Hadian Fard MJ. Comparing the effect of two methods of acupressure and ice massage on the pain, anxiety levels and labor length in the point LI-4. Journal of Shahid Sadoughi University of Medical Sciences. 2012;20(2):220–8. (Persian)
    1. Salehian T, Safdari Dahchechmeh F, Alavi A, Rahimi Madideh M. Effects of acupressure at the sanyinjiao point (SP6) on labor pain and duration of delivery in nulliparous women. Journal f Shahrekord University of Medical Sciences. 2010;12(4):8–14. (Persian)

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