Rédacteurs : Olivier Goret, Johan Nguyen, Claude Pernice, Jean-Luc Gerlier
Différences
Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente Prochaine révision | Révision précédente | ||
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acupuncture:evaluation:gyneco-obstetrique:10. induction du travail [11 Dec 2020 07:53] Nguyen Johan Replacement automatique de '===== Recommandation de bonne pratique =====' par '===== Guidelines =====' |
acupuncture:evaluation:gyneco-obstetrique:10. induction du travail [14 Apr 2025 18:27] (Version actuelle) Nguyen Johan |
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| + | /*English:Induction of Labour*/ | ||
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| + | ====== induction of labour ====== | ||
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| ====== Induction du travail : évaluation de l'acupuncture ====== | ====== Induction du travail : évaluation de l'acupuncture ====== | ||
| ===== Systematic Reviews and Meta-Analysis===== | ===== Systematic Reviews and Meta-Analysis===== | ||
| - | | ☆☆☆ | Evidence for effectiveness and a specific effect of acupuncture | | ||
| - | | ☆☆ | Evidence for effectiveness of acupuncture | | ||
| - | | ☆ |Limited evidence for effectiveness of acupuncture | | ||
| - | | Ø |No evidence or insufficient evidence | | ||
| ==== Generic Acupuncture ==== | ==== Generic Acupuncture ==== | ||
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| + | === Gregolis 2024 === | ||
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| + | Gregolis TBL, Santos SDS, Silva IFD, Bessa ARDS. Influence of non-pharmacological methods on duration of labor: a systematic review. Cien Saude Colet. 2024 Jun;29(6):e19032022. https://doi.org/10.1590/1413-81232024296.19032022 | ||
| + | ^Obejctive|The article aims to verify the influence of MNFs on the duration of the birth process. | | ||
| + | ^Methods|A systematic review was carried out in the MEDLINE, Web of Science and LILACS databases, through a combination of terms that cover the topic addressed, from 1996 to 2021/April. The Excel spreadsheet was used to collect data to extract information regarding each selected article, in turn, data analysis included the evaluation and classification of quality, reliability and risk of bias, thus, the following tools were used: Cochrane RoB 2, Checklist and Newcastle-Ottawa Scale. | | ||
| + | ^Results|Warm bath, walking, exercises with a birthing ball, breathing techniques, supine position, **acupuncture, acupressure** and water birth reduced labor time. While spontaneous pushing, massage and immersion baths prolonged labor. Non-pharmacological methods capable of reducing the duration of labor were hot/warm shower, walking, birth ball exercises, breathing techniques, maternal mobility, dorsal position, **acupuncture, acupressure** and water birth, as well. associated applied techniques such as hot/warm bath, ball exercises and lumbosacral massage, as well as immersion bath, ball exercises, aromatherapy, vertical postures and maternal mobility with alternating vertical postures, shortened the birth time.| | ||
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| + | === Zamora-Brito 2023 === | ||
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| + | Zamora-Brito M, Fernández-Jané C, Pérez-Guervós R, Solans-Oliva R, Arranz-Betegón A, Palacio M. Role of acupuncture in the present approach to labor induction: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2023 Dec 25:101272. https://doi.org/10.1016/j.ajogmf.2023.101272 | ||
| + | ^Objective| To evaluate the bibliographic references available on the contribution of acupuncture as a strategy to avoid labor induction and the methodology used, explore the characteristics of the population and the results of the intervention to direct the design of future studies.| | ||
| + | ^Method| A systematic search for publications between January 2000 and September 2023 of the CENTRAL, PubMed, CINAHL, SCOPUS and ClinicalTrials.gov and EUDRACT databases was performed. Study eligibility criteria: We included randomized clinical trials of pregnant women who underwent acupuncture prior to labor induction with a filiform needle or acupressure, including at least one of the following outcomes: spontaneous labor rate, time from procedure to delivery and cesarean rate. Articles published in English or German language were included. Study appraisal and synthesis methods: Whenever possible, a meta-analysis using RevMan software was performed using a random effects model with the I2 statistic since important heterogeneity in the different acupuncture treatments was expected. When enough data were available, the effect of the participants' characteristics on the results of the interventions was explored using the following subgroups: 1-Age (≥35 vs. <35), and 2- body mass index (BMI) (≥30 vs. <30). When a meta-analysis was not possible, a narrative synthesis of the results was performed. The quality of the evidence was assessed using GRADE.| | ||
| + | ^Results| **Seventeen studies including 3262 women** fulfilled our inclusion criteria. The meta-analysis showed no statistically significant differences between groups for outcomes (relative risk [RR]: 1.00; 95% confidence interval [CI]: 0.91, 1.10; I2: 11%) comparing acupuncture versus sham acupuncture. However, there was a statistically significant increase in the spontaneous onset of labour rate favoring acupuncture VS no acupuncture (RR: 1.12; 95%CI: 1.03, 1.23; I2= 25%). Regarding the age analysis, no differences between groups were observed in the spontaneous labor rate and cesarean rate for acupuncture versus sham and acupuncture versus no-acupuncture comparisons (difference between groups, p>0.05).| | ||
| + | ^Conclusion| This study suggests that acupuncture may be beneficial in reducing the rate of induction of labor, but well-designed randomized controlled trials are necessary. Maternal age ≥ 35 and a high BMI were underrepresented, and findings may not be representative of the current population in our context.| | ||
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| + | === Smith 2017 === | ||
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| + | Smith CA, Armour M, Dahlen HG. Acupuncture or acupressure for induction of labour. Cochrane Database Syst Rev. 2017 Oct 17;10(10):CD002962. https://doi.org/10.1002/14651858.CD002962.pub4 | ||
| + | . PMID: 29036756; PMCID: PMC6953318. | ||
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| + | ^Backgound| This is one of a series of reviews of methods of cervical ripening and labour induction. The use of complementary therapies is increasing. Women may look to complementary therapies during pregnancy and childbirth to be used alongside conventional medical practice. Acupuncture involves the insertion of very fine needles into specific points of the body. Acupressure is using the thumbs or fingers to apply pressure to specific points. The limited observational studies to date suggest acupuncture for induction of labour has no known adverse effects to the fetus, and may be effective. However, the evidence regarding the clinical effectiveness of this technique is limited.| | ||
| + | ^Objectives| To determine, from the best available evidence, the effectiveness and safety of acupuncture and acupressure for third trimester cervical ripening or induction of labour. | | ||
| + | ^Methods|Search methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 November 2016), PubMed (1966 to 25 November 2016), ProQuest Dissertations & Theses (25 November 2016), CINAHL (25 November 2016), Embase (25 November 2016), the WHO International Clinical Trials Registry Portal (ICTRP) (3 October 2016), and bibliographies of relevant papers. Selection criteria: Randomised controlled trials comparing acupuncture or acupressure, used for third trimester cervical ripening or labour induction, with placebo/no treatment or other methods on a predefined list of labour induction methods. Data collection and analysis: Two review authors independently assessed trials for inclusion and risk of bias, extracted data, and checked them for accuracy. The quality of the evidence was assessed using GRADE. | | ||
| + | ^Main results| This updated review includes **22 trials, reporting on 3456 women**. The trials using manual or electro-acupuncture were compared with usual care (eight trials, 760 women), sweeping of membranes (one trial, 207 women), or sham controls (seven trials, 729 women). Trials using acupressure were compared with usual care (two trials, 151 women) or sham controls (two trials, 239 women). Many studies had a moderate risk of bias.Overall, few trials reported on primary outcomes. No trial reported vaginal delivery not achieved within 24 hours and uterine hyperstimulation with fetal heart rate (FHR) changes. Serious maternal and neonatal death or morbidity were only reported under acupuncture versus sham control. Acupuncture versus sham control There was no clear difference in caesarean sections between groups (average risk ratio (RR) 0.80, 95% confidence interval (CI) 0.56 to 1.15, eight trials, 789 women; high-quality evidence). There were no reports of maternal death or perinatal death in the one trial that reported this outcome. There was evidence of a benefit from acupuncture in improving cervical readiness for labour (mean difference (MD) 0.40, 95% CI 0.11 to 0.69, one trial, 125 women), as measured by cervical maturity within 24 hours using Bishop's score. There was no evidence of a difference between groups for oxytocin augmentation, epidural analgesia, instrumental vaginal birth, meconium-stained liquor, Apgar score < 7 at five minutes, neonatal intensive care admission, maternal infection, postpartum bleeding greater than 500 mL, time from the trial to time of birth, use of induction methods, length of labour, and spontaneous vaginal birth. Acupuncture versus usual care There was no clear difference in caesarean sections between groups (average RR 0.77, 95% CI 0.51 to 1.17, eight trials, 760 women; low-quality evidence). There was an increase in cervical maturation for the acupuncture (electro) group compared with control (MD 1.30, 95% CI 0.11 to 2.49, one trial, 67 women) and a shorter length of labour (minutes) in the usual care group compared to electro-acupuncture (MD 124.00, 95% CI 37.39 to 210.61, one trial, 67 women).There appeared be a differential effect according to type of acupuncture based on subgroup analysis. Electro-acupuncture appeared to have more of an effect than manual acupuncture for the outcomes caesarean section (CS), and instrumental vaginal and spontaneous vaginal birth. It decreased the rate of CS (average RR 0.54, 95% CI 0.37 to 0.80, 3 trials, 327 women), increased the rate of instrumental vaginal birth (average RR 2.30, 95%CI 1.15 to 4.60, two trials, 271 women), and increased the rate of spontaneous vaginal birth (average RR 2.06, 95% CI 1.20 to 3.56, one trial, 72 women). However, subgroup analyses are observational in nature and so results should be interpreted with caution.There were no clear differences between groups for other outcomes: oxytocin augmentation, use of epidural analgesia, Apgar score < 7 at 5 minutes, neonatal intensive care admission, maternal infection, perineal tear, fetal infection, maternal satisfaction, use of other induction methods, and postpartum bleeding greater than 500 mL. Acupuncture versus sweeping if fetal membranes One trial of acupuncture versus sweeping of fetal membranes showed no clear differences between groups in caesarean sections (RR 0.64, 95% CI 0.34 to 1.22, one trial, 207 women, moderate-quality evidence), need for augmentation, epidural analgesia, instrumental vaginal birth, Apgar score < 7 at 5 minutes, neonatal intensive care admission, and postpartum bleeding greater than 500 mL. Acupressure versus sham control There was no evidence of benefit from acupressure in reducing caesarean sections compared to control (RR, 0.94, 95% CI 0.68 to 1.30, two trials, 239 women, moderate-quality evidence). There was no evidence of a clear benefit in reduced oxytocin augmentation, instrumental vaginal birth, meconium-stained liquor, time from trial intervention to birth of the baby, and spontaneous vaginal birth. Acupressure versus usual care There was no evidence of benefit from acupressure in reducing caesarean sections compared to usual care (RR 1.02, 95% CI 0.68 to 1.53, two trials, 151 women, moderate-quality evidence). There was no evidence of a clear benefit in reduced epidural analgesia, Apgar score < 7 at 5 minutes, admission to neonatal intensive care, time from trial intervention to birth of the baby, use of other induction methods, and spontaneous vaginal birth.| | ||
| + | ^Authors' conclusions|Overall, there was no clear benefit from acupuncture or acupressure in reducing caesarean section rate. The quality of the evidence varied between low to high. Few trials reported on neonatal morbidity or maternal mortality outcomes. Acupuncture showed some benefit in improving cervical maturity, however, more well-designed trials are needed. Future trials could include clinically relevant safety outcomes.| | ||
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| ^Reviewer's conclusions|There is a need for a well designed randomised controlled trial to evaluate the role of acupuncture to induce labour. | | ^Reviewer's conclusions|There is a need for a well designed randomised controlled trial to evaluate the role of acupuncture to induce labour. | | ||
| - | ==== Techniques particulières ==== | + | ==== Special Acupuncture Techniques ==== |
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| - | ===== Guidelines ===== | + | ===== Clinical Practice Guidelines ===== |
| | ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation (or lack of evidence) | | | ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation (or lack of evidence) | | ||
| + | ==== Queensland Health (QH, Australia) 2022 Ø ==== | ||
| + | Induction of labour. Queensland Clinical Guidelines. 2022:37P. https://www.health.qld.gov.au/__data/assets/pdf_file/0020/641423/g-iol.pdf | ||
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| + | |Acupuncture/acupressure: Insufficient evidence | | ||
| + | ==== Association of Ontario Midwives (AOM, Canada) 2021 Ø ==== | ||
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| + | Warren R, MacDonald T. Management of the Management of the Uncomplicated Pregnancy Beyond 41+0 Weeks Gestation. Association of Ontario Midwives. 2021;30P. [219407]. | ||
| + | [[https://www.ontariomidwives.ca/sites/default/files/2021-05/CPG-Management-uncomplicated-pregnancy-beyond-41-weeks-gestation-PUB.pdf|doi]] | ||
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| + | |There is insufficient evidence to support the use of acupuncture, acupressure, evening primrose oil or homeopathy for the prevention of postdates pregnancies. Research evidence on these interventions is limited, although no harms have been noted. [2021]. No recommendation: very low certainty to moderate certainty of evidence.| | ||
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| + | ==== Japan Academy of Midwifery (JAM, Japan) 2020 ⊕ ==== | ||
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| + | Japan Academy of Midwifery [2020 evidence-based guidelines for midwifery care]. Nihon Josan GakkaiShi (J Jpn Acad Midwifery) . 2020;33(suppl) [in Japanese] . | ||
| + | //Cited by// Okawa Y, Yamashita H, Masuyama S, Fukazawa Y, Wakayama I. Quality assessment of Japanese clinical practice guidelines including recommendations for acupuncture. Integr Med Res. 2022 Sep;11(3):100838. https://doi.org/10.1016/j.imr.2022.100838 | ||
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| + | |Inform that acupuncture can be an option of accelerating labor. Recommend not to perform for induction of labor.| | ||
| ==== Queensland Health (QH, Australia) 2017 Ø ==== | ==== Queensland Health (QH, Australia) 2017 Ø ==== | ||
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| + | ==== Association of Ontario Midwives (AOM, Canada) 2010 Ø ==== | ||
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| + | Correy J, MacDonald T. Management of the Management of the Uncomplicated Pregnancy Beyond 41+0 Weeks Gestation. Association of Ontario Midwives. 2010:24P. [219719]. [[https://www.ontariomidwives.ca/sites/default/files/2021-05/CPG-Management-uncomplicated-pregnancy-beyond-41-weeks-gestation-PUB.pdf|doi]] | ||
| + | |No recommendations on either using or not using evening primrose oil, **acupuncture** or homeopathy can be made due to the absence of good quality research and subsequent lack of evidence regarding efficacy. These approaches may be offered as part of a range of alternatives, including conventional therapies, discussing the risks and benefits of each as well as any research gaps.| | ||
| ==== National Institute for Health and Clinical Excellence (NICE, UK) 2008 Ø==== | ==== National Institute for Health and Clinical Excellence (NICE, UK) 2008 Ø==== | ||
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| |Les données disponibles ne permettent pas de conclure sur l’intérêt de l’utilisation de l**’acupuncture** ou l’homéopathie pour induire le travail.| | |Les données disponibles ne permettent pas de conclure sur l’intérêt de l’utilisation de l**’acupuncture** ou l’homéopathie pour induire le travail.| | ||
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| + | ===== Randomized controlled trials ===== | ||
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| + | ==== Sources ==== | ||
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| + | Systematic reviews and guidelines for a listing of randomized control trials included: | ||
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| + | - **Acudoc2**: RCT included in the GERA Database and not cited in other sources. | ||
| + | - **Zamora-Brito 2023**: Zamora-Brito M, Fernández-Jané C, Pérez-Guervós R, Solans-Oliva R, Arranz-Betegón A, Palacio M. Role of acupuncture in the present approach to labor induction: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2023 Dec 25:101272. https://doi.org/10.1016/j.ajogmf.2023.101272 | ||
| + | - **Smith 2017**: Smith CA, Armour M, Dahlen HG. Acupuncture or acupressure for induction of labour. Cochrane Database Syst Rev. 2017 Oct 17;10(10):CD002962. https://doi.org/10.1002/14651858.CD002962.pub4 | ||
| + | ==== List ==== | ||
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| + | ^ ^ RCT ^ sources ^ | ||
| + | ^ 2024 | Zamora-Brito M, Migliorelli F, Pérez-Guervós R, Solans-Oliva R, Arranz-Betegón A, Palacio M. Acupuncture before planned admission for induction of labor (ACUPUNT study): A randomized controlled trial: AJOG at a glance. Am J Obstet Gynecol MFM. 2024 Aug 30:101477. https://doi.org/10.1016/j.ajogmf.2024.101477 | Acudoc2 | | ||
| + | ^ 2020 | He J, Jia J, Li W. [Observations on the promoting effect of acupuncture and moxibustion on cervical ripening in their application to term pregnancy]. Shanghai J Acu-mox. 2020;39(12):1587-1590. | Acudoc2 | | ||
| + | | | Ni Y. [Application of acupuncture combined with oxytocin in full-term pregnancy labor induction]. Gansu Sci Technol. 2020;36(5):114-116. | Acudoc2 | | ||
| + | ^ 2018 | Neri I, Pignatti L, Fontanesi F, Facchinetti F. Acupuncture in Postdate Pregnancy Management. J Acupunct Meridian Stud. 2018 Oct;11(5):332-336. https://doi.org/10.1016/j.jams.2018.06.001 | Zamora-Brito 2023 | | ||
| + | ^ 2017 | Torkzahrani S, Mahmoudikohani F, Saatchi K, Sefidkar R, Banaei M. The effect of acupressure on the initiation of labor: A randomized controlled trial. Women Birth. 2017 Feb;30(1):46-50. | Smith 2017 | | ||
| + | | | Yang L, Xie C, Han H, Cai L. [Comparison among Acupuncture with Moxibustion on SP6, Foley Urine Tube Water Sac and Oxytocin in Promoting Cervical Maturity and Induced Labor in Full-Term Pregnancy]. World Chin Med. 2017;(01). | Acudoc2 | | ||
| + | ^ 2016 | Mollart L, Skinner V, Foureur M. A feasibility randomised controlled trial of acupressure to assist spontaneous labour for primigravid women experiencing a post-date pregnancy. Midwifery 2016;36:21-7. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2015 | Alsharnoubi J, Khattab A, Elnoury A. Laser acupuncture effect on fetal well-being during induction of labor. Lasers in Medical Science 2015;30(1):403-6. | Zamora-Brito 2023, Smith 2017 | | ||
| + | | | Gregson S, Tiran D, Absalom J, Older L, Bassett P. Acupressure for inducing labour for nulliparous women with post-dates pregnancy. Complement Ther Clin Pract. 2015;21(4):257-61. | Smith 2017 | | ||
| + | | | Torkzahrani S, Ghobadi K, Heshmat R, Shakeri N, Jalali Aria K. Effect of Acupressure on Cervical Ripening. Iran Red Crescent Med J. 2015 Aug 24;17(8) | Smith 2017 | | ||
| + | ^ 2014 | Neri I, Monari F, Midwife CS, Facchinetti F. Acupuncture in post-date pregnancy: a pilot study. J Matern Fetal Neonatal Med. 2014 Jun;27(9):874-8. [[https://doi.org/10.3109/14767058.2013.845158]] | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2013 | Ajori L, Nazari L, Eliaspour D. Effects of acupuncture for initiation of labor: a double-blind randomized sham-controlled trial. Arch Gynecol Obstet. 2013;287(5):887-91. | Zamora-Brito 2023, Smith 2017 | | ||
| + | | | Andersen BB et al. Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial. J Perinat Med. 2013;41(5):555-60. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2011 | Gribel GP, Coca-Velarde LG, Moreira de Sá RA. Electroacupuncture for cervical ripening prior to labor induction: a randomized clinical trial. Arch Gynecol Obstet. 2011;283(6):1233-8. | Zamora-Brito 2023, Smith 2017 | | ||
| + | | | Mackenzie I, Xu J, Cusick C, Midwinter-Morten H, Meacher H, Mollison J, et al. Acupuncture for pain relief during induced labour in nulliparae: a randomised controlled study. BJOG. 2011;118(4):440-7. | Smith 2017 | | ||
| + | ^ 2010 | Modlock J, Nielsen BB, Uldbjerg N. Acupuncture for the induction of labour: a double-blind randomised controlled study. BJOG. 2010;117(10):1255-61. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2009 | Asher GN, Coeytaux RR, Chen W, Reilly AC, Loh YL, Harper TC. Acupuncture to initiate labor (Acumoms 2): a randomized, sham-controlled clinical trial. J Matern Fetal Neonatal Med. 2009;22(10):843-8. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2008 | Gaudet LM, Dyzak R, Aung SK, Smith GN. Effectiveness of acupuncture for the initiation of labour at term: a pilot randomized controlled trial. J Obstet Gynaecol Can. 2008;30(12):1118-23. | Zamora-Brito 2023, Smith 2017 | | ||
| + | | | Smith CA, Crowther CA, Collins CT, Coyle ME. Acupuncture to induce labor: a randomized controlled trial. Obstet Gynecol. 2008 Nov;112(5):1067-74. | Smith 2017 | | ||
| + | ^ 2007 | Selmer-Olsen T, Lydersen S, Morkved S. Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? Acta Obstet Gynecol Scand. 2007;86(12):1447-52. | Smith 2017 | | ||
| + | ^ 2006 | Gaudernack LC, Forbord S, Hole E. Acupuncture administered after spontaneous rupture of membranes at term significantly reduces the length of birth and use of oxytocin. Acta Obstet Gynecol Scand. 2006;85(11):1348-53. | Zamora-Brito 2023, Smith 2017 | | ||
| + | | | Harper TC, Coeytaux RR, Chen W, Campbell K, Kaufman JS, Moise KJ, et al. A randomized controlled trial of acupuncture for initiation of labor in nulliparous women. J Matern Fetal Neonatal Med. 2006;19(8):465-70. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2004 | Martinez AC, Rivera LN, Arangel CR. Acupuncture as an alternative technique for uterine contraction in term pregnant patients. 5th World Congress on Controversies in Obstetrics and Gynecology; 2004 June 3-6; Las Vegas, USA. 2004. | Smith 2017 | | ||
| + | ^ 2001 | Rabl M, Ahner R, Bitschnau M, et al. Acupuncture for cervical ripening and induction of labor at term: a randomized controlled trial. Wien Klin Wochenschr. 2001;113(23):942-6. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 2000 | Romer A, Weigel M, Zieger W, Melchart F. Prenatal acupuncture: effects on cervical maturation and duration of labour. Geburtshilfe Frauenheilkd. 2000;60(10):513-8. | Zamora-Brito 2023, Smith 2017 | | ||
| + | ^ 1994 | Long ZG. Auricular point-pressing therapy for induced labor in mid- and late pregnancy. Acupunct Res. 1994;19(1):181. | Smith 2017 | | ||
| + | ^ 1992 | Tremeau ML, Fontanie-Ravier P, Teurnier F, Demouzon J. Protocole de maturation cervicale par acupuncture. J Gynecol Obstet Biol Reprod (Paris). 1992;21:375-80. | Smith 2017 | | ||
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