Jump to ContentJump to Main Navigation
Show Summary Details

Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Milner, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year


IMPACT FACTOR increased in 2015: 1.798
Rank 46 out of 120 in category Pediatrics in the 2015 Thomson Reuters Journal Citation Report/Science Edition

SCImago Journal Rank (SJR) 2014: 0.731
Source Normalized Impact per Paper (SNIP) 2014: 0.687
Impact per Publication (IPP) 2014: 1.483

Online
ISSN
1619-3997
See all formats and pricing
Volume 41, Issue 5 (Sep 2013)

Issues

Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial

Bodil Birgitte Andersen
  • Corresponding author
  • Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark
  • Email:
/ Birthe Knudsen
  • Department of Obstetrics and Gynecology, Roskilde University Hospital, Roskilde, Denmark
/ Jens Lyndrup
  • Department of Obstetrics and Gynecology, Roskilde University Hospital, Roskilde, Denmark
/ Anni E. Fælling
  • Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark
/ Dinni Illum
  • Department of Obstetrics and Gynecology, Hvidovre University Hospital, Copenhagen, Denmark
/ Marianne Johansen
  • Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark
/ Alice Borgen
  • Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark
/ Helle Jager
  • Department of Obstetrics and Gynecology, Roskilde University Hospital, Roskilde, Denmark
/ Charlotte Bjerre
  • Department of Obstetrics and Gynecology, Roskilde University Hospital, Roskilde, Denmark
/ Niels J. Secher
  • The Research Unit Women’s and Children’s Health, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
Published Online: 2013-04-24 | DOI: https://doi.org/10.1515/jpm-2012-0289

Abstract

Aims: To evaluate the efficacy of acupuncture, and sweeping of the fetal membranes, as methods for induction of labor.

Methods: Four hundred and seven pregnant women with normal singleton pregnancies and cephalic presentations were randomized at three delivery wards in Denmark at day 290 of gestation into groups of acupuncture, sweeping, acupuncture and sweeping and controls. The primary objective was to compare the proportion of women going into labor before induction of labor at 294 days in the four groups. The secondary objective was to compare the combined groups: with and without acupuncture, and with and without sweeping of the fetal membranes. The midwives, completing the forms for the trial at labor or induction, were blinded to group assessments.

Results: Four hundred and seventeen women were randomized. Ten were excluded after randomization. One hundred and four women were randomized to acupuncture, 103 to sweeping of the membranes, 100 to both acupuncture and sweeping, and 100 were randomized to the control group. Comparison of the four groups demonstrated no significant difference in the number of women achieving spontaneous labor before planned induction. No difference was demonstrated by comparing the combined groups treated with acupuncture with the groups not treated with acupuncture (P=0.76). However, significantly more women went into labor before planned induction (P=0.02) in the combined groups receiving sweeping, compared with the groups not treated with sweeping.

Conclusions: Acupuncture at 41+ weeks of gestation did not reduce the need for induction. The study was of a sufficient size to demonstrate, in parallel, that sweeping of the fetal membranes significantly reduced the need of induction, sparing about 15% for formal induction of labor.

Keywords: Acupuncture therapy; extraembryonic membranes; labor; induced; sweeping

References

  • [1]

    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;22:843–8.

  • [2]

    Boulvain M, Stan CM, Irion O. Membrane sweeping for induction of labour. Cochrane Database Syst Rev. [1361–6137] 2005;1:CD000451.

  • [3]

    Deadman P, Al-Khafaji M, Baker K. A manual of acupuncture. Hove: Journal of Chinese Medicine Publications; 1998.

  • [4]

    de Miranda E, van der Bom JG, Bonsel GJ, Bleker OP, Rosendaal FR. Membrane sweeping and prevention of post-term pregnancy in low-risk pregnancies: a randomised controlled trial. Br J Obstet Gynecol. 2006;113:402–8.

  • [5]

    Gaudernack LC, Forbord S, Hole E. Acupuncture administered after spontaneous rupture of membranes at term significantly reduces the length of birth and use of oxytocine. A randomized controlled trial. Acta Obstet Gynecol Scand. 2006;85:1348–53. [Crossref]

  • [6]

    Gribel GP, Coca-Velarde LG, Moreira de Sá RA. Electro acupuncture for cervical ripening prior to labor induction: a randomized clinical trial. Arch Gynecol Obstet. 2011;283:1233–8.

  • [7]

    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;19:465–70.

  • [8]

    Liao Y, Seto K, Saito H, Fujita N, Kawakami M. Effect of acupuncture on adrenocortical hormone production: I. Variation in the ability for adrenocortical hormone production in relation to the duration of acupuncture stimulation. Am J Chin Med. 1979;7:362–71. [Crossref]

  • [9]

    Lyndrup J, Legarth J, Weber T, Nickelsen C, Guldæk E. A Modified Bishop score: predictive value of pelvic scores for induction of labor by local PGE2. Eur J Obstet Reprod Biol. 1992;47:17–23. [Crossref]

  • [10]

    Modlock J, Nielsen BB, Uldbjerg N. Acupuncture for the induction of labor: a double blind randomized controlled study. Br J Obstet Gynecol. 2010;117:1255–61.

  • [11]

    Rabl M, Ahner R, Bitschnau M, Zeisler H, Husslein P. Acupuncture for cervical ripening and induction of labor at term – a randomized controlled trial. Wien Klin Wochenschr. 2001;113:942–6.

  • [12]

    Ryan D. Toward improving the reliability of clinical acupuncture trials: arguments against the validity of “sham acupuncture” as controls. Am J Acupunct. 1999;27:105–9.

  • [13]

    Selmer-Olsen T, Lydersen S, Mørkved S. Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomized controlled trial. Acta Obstet Gynecol Scand. 2007;86:1447–52. [Crossref]

  • [14]

    Smith CA, Crowther CA. Acupuncture for induction of labour. Cochrane Database Syst Rev. [1361–6137] 2004;1:CD002962.

  • [15]

    Smith CA, Crowther CA, Collins CT, Coyle ME. Acupuncture to induce labor: a randomized controlled trial. Obstet Gynecol. 2008;112:1067–74. [PubMed] [Crossref]

  • [16]

    Tan PC, Jacob R, Omar SZ. Membrane sweeping at initiation of formal labor induction: a randomized controlled trial. Obstet Gynecol. 2006;107:569–77.

  • [17]

    Tempfer C, Zeisler H, Heinzl H, Hefler L, Husslein P, Kainz CH. Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2-alpha, and beta-endorphin: a matched pair study. Obstet Gynecol. 1998;92:245–8. [Crossref]

  • [18]

    Yildirim G, Güngördük K, Karadağ OI, Aslan H, Turhan E, Ceylan Y. Membrane sweeping to induce labor in low-risk patients at term pregnancy: a randomised controlled trial. J Matern Fetal Neonatal Med. 2010;23:681–7.

About the article

Corresponding author: Bodil Birgitte Andersen, Falkoner Alle 72A, 2, 2000 Frederiksberg, Denmark, Tel.: +45-21803084


Received: 2012-12-15

Accepted: 2013-03-21

Published Online: 2013-04-24

Published in Print: 2013-09-01


Citation Information: Journal of Perinatal Medicine, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm-2012-0289. Export Citation

Comments (0)

Please log in or register to comment.
Log in