Patient Information Handout
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Pregnancy
For over 3000 years Traditional Chinese Medicine has promoted specialised
treatment for women in pregnancy care and postpartum recovery. Today this care
is becoming increasingly popular and used by acupuncturists and specially
trained midwives in countries such as Denmark, England, France, Germany,
Holland, Norway, Sweden, and New Zealand where acupuncture is available in
specialised antenatal clinics and maternity hospitals. Pregnancy, childbirth and
postnatal recovery are viewed in traditional Chinese medicine as a window of
opportunity to enhance the woman’s well being. Conversely if adequate care is
not taken the resulting problems may continue long after the birth. Value is
therefore placed on promoting preventive care to strengthen the mother and baby
as well as dealing with problems as they occur during pregnancy. Acupuncture can
be used in a variety of ways to promote foetal and maternal health.
Nausea during pregnancy
Acupuncture is often very effective in reducing both the severity and incidence
of nausea and vomiting during pregnancy. Research from Australia [1] highlighted
that women receiving traditional acupuncture (where points where chosen
according to an individual diagnosis) experienced faster relief when compared to
those groups receiving routine prescribed points or “sham” acupuncture. This
research also looked at the successful pregnancy outcomes for the women
involved, concluding that “acupuncture is a safe and effective treatment for
women who experience nausea and dry retching in early pregnancy” [2]
Muscular – Skeletal Pain
Back pain, rib pain, sciatica and symphysis pubis pain are common in pregnancy
and can all be markedly reduced with acupuncture. Research from Sweden [3]
concluded that when compared to physiotherapy, acupuncture was the treatment of
choice for symphysis pubis and sacroiliac pain.
Breech and Posterior Babies
The New Zealand Evidence Based practice guidelines for care of women with Breech
presentation [4] recommends that moxibustion may be offered to women from 33
weeks gestation. This follows research from Italy [5] that demonstrated
moxibustion can have a significant effect in helping to turn breech babies.
Ideally treatment is at 34 –35 weeks, but can still be useful when used later in
the pregnancy. Techniques can also help babies that are not in the optimal
position prior to birth, such as those in a posterior position
Hypertension
Acupuncture can have an important role in assisting to reduce high blood
pressure, especially if treatment is commenced early when hypertension is first
noted. The effectiveness of acupuncture will be reflected in the improved blood
pressure readings and blood tests used by midwives and specialists to detect
possible complications. As hypertension has the potential to escalate quickly,
ongoing medical monitoring remains essential throughout pregnancy.
Labour Preparation
Three to four weeks prior to the due date a treatment to prepare the pelvis and
cervix can be commenced. This is followed by one treatment per week until labour
begins. Research from Germany [6] indicated the potential for a more efficient
active stage of labour. A New Zealand study with midwives [7] indicated a
reduction in women requiring medical intervention, including medical induction
and caesarean section.
Induction
Acupuncture can provide a gentle inducement to labour if the baby is overdue and
can be an effective alternative to a medical induction. Research from Norway [8]
on the use of acupuncture for women with premature rupture of membranes (PROM)
concluded that "Ideally acupuncture treatment should be offered to all women
with PROM and other women who wish to use this method to facilitate their birth
and keep it normal"
Pain relief during Labour
Acupuncture offers drug free alternatives for pain relief during labour [9]
Acupressure provides similar results [10] with the advantage that support people
can use it during labour. A free booklet on using acupressure can be down loaded
at
here
Other pregnancy problems
Treatment can be used to relive a variety of conditions including:
Anaemia • Anxiety • Constipation • Carpal Tunnel syndrome • Heartburn •
Haemorrhoids and Vulval varices • Insomnia • Oedema • Headaches • Sinus problems
• Threatened miscarriage • Tiredness and exhaustion • Thrush
Postnatal care
Acupuncture has techniques to promote recovery; these include “mother warming”
treatments that can be given by a partner, advice on diet and the use of
specific strengthening and blood building herbs. Other conditions that can be
helped by acupuncture include; insufficient lactation, wound healing and scar
tissue repair, postnatal depression and urinary incontinence.
Acupuncture offers a safe, effective and drug free treatment option during
pregnancy.
References
- Smith C, Crowther C, Beilby J. (2002). “Acupuncture to treat nausea and vomiting
in early pregnancy: a randomized trial”. Birth. 29(1):1-9.
- Smith C, Crowther C, Beilby J. (2002). “Pregnancy outcome following women’s
participation in a randomised controlled trial of acupuncture to treat nausea
and vomiting in early pregnancy”. Complement Ther Med. 10(2):78-83.
- Elden H, (2005) Ladfors l, Fagevik Olsen M, Ostaard H, Hagberg H. “Effects of
acupuncture and stabilising exercises as adjunct to standard treatment in
pregnant women with pelvic girdle pain: randomised single blind controlled
trail”. British Medical Journal;330(7494):761
- http://www.nzgg.org.nz/guidelines/dsp_guideline_popup.cfm?guidelineCatID=26&guidelineID=74
- Cardini F, Weixin H. (1998). “Moxibustion for correction of breech
presentation”. Journal American Medical Association. 280:1580-1584.
- Kubista E, Kucera H. (1974). On the use of acupuncture in the preparation for
delivery, Geburtshilfe Perinatol; 178(3):224-9.
- Betts D, Lenox S ( 2006) Acupuncture For Prebirth Treatment: An Observational
Study of its use in Midwifery practice. Medical Acupuncture. Vo 17 No 3
- Gaudernack L, Forbord S, Hole E. (2007) Acupuncture administered after
spontaneous rupture of membranes at term significantly reduces the length of
birth and use of oxytocin. A randomised controlled trial. Midirs Midwifery
Digest. Vol 17, No 2.
- Hantoushzadeh S. Alhusseini N. Lebaschi A. (2007) The effects of Acupuncture
during Labour on Nulliparous Women: A Randomised Controlled trial. Australian
and New Zealand Journal of Obstetrics and Gynaecology. 47:26-30
- Chung UL J.( 2003) Effects of LI 4and BL 67 Acupressure on Labour Pain and
Uterine Contractions in the First Stage of Labour. Nurs Res. 11(4):251-60