Effects of San-Yin-Jiao(SP6) Acupressure on Labor Pain, Delivery Time in Women during Labor

삼음교(SP6)지압이 산부의 분만통증, 분만소요시간에 미치는 효과

  • Published : 2003.10.01

Abstract

Purpose: The study was done to examine the effects of San- Yin-Jiao(SP6) acupressure treatment on subjective labor pain, length of delivery time in women during labor. Method: The study design was a randomized controlled clinical trial study using a double-blinded method. Data were collected using a structured questionnaire, a subjective labor pain scale and measurement of delivery time. The experimental group(n=29) was received SP6 acupressure and control group(n=29), SP6 touch for the duration of each uterine contraction, during 30 minutes after 3cm dilatation of cervical os. Result: The subjective labor pain scores was significantly different between the two groups(p=0.042). The total length of delivery time in the group which had the SP6 acupressure was shorter than SP6 touch group (p=0.036). Conclusion: These findings showed that SP6 acupressure was effective related to labor pain, length of time for delivery. SP6 acupressure during labor could be applied as an effective nursing treatment.

Keywords

References

  1. Beal, M. W. (1998). Women's use of complementary and alternative therapies in reproductive health care. J Nurse-Midwifery, 43(3), 224-234
  2. Bobak, I. M., Lowdermilk, D. L., & Jensen M. D. (1995). Maternity nursing. 4th ed. Mosby
  3. Chauhan, P. A., Gasser, F. J., & Chauhan, A. M. (1998). Clinical investigation on the use of acupuncture for treatment of placental retention. Am J Acupuncture, 26(1), 19-25
  4. Choi, Y. T., & Lee, S. H. (1991). 精解 鍼灸學. Seoul : 杏林 書院
  5. Cohen, J. (1988). Statistical power analysis for behavioral sciences. New York: Academic Press
  6. Cook, A., & Wilcox, G. (1997). Pressuring pain : alternative therapies for labor pain management. AWHONN Lifelines, 1(2), 36-41
  7. Faucher, M. A., & Brucker, M. C. (2000). Intrapartum pain : Pharmacologic management. JOGNN, 29(2), 169-180
  8. Go, K. S., & Han, S. Y. (1997). 經穴指壓 小辭典. Seoul Ewha-moonwhasa
  9. Green, J. M. (1993). Expectations and experiences of pain in labor : findings from a large prospective study. Birth, 20(2), 65
  10. Han, J. S., Tang, J., Ren, M. F., et al. (1980). Central neurotransmitters and acupuncture analgesia. Am J Chinese Med, 8(4), 331-348
  11. Helms, J. M. (1987). Acupuncture for the management of primary dysmenorrhea. Obstet Gynecol, 69(1), 51-56
  12. Hyodo, M., & Gega, O. (1977). Use of acupuncture anesthesia for normal delivery. Am J acupuncture, 5, 63-69
  13. Jimenez, S. (1995). Acupressure : Pain relief at your fingertips. Int J Childbirth Education, 10(4), 7-10
  14. Jin, Y., Wu, L., & Xia, Y. (1996). Clinical study on painless labor under drugs combined with acupuncture analgesia. Chen Tzn Yen Chiu Acupuncture Res, 21(3), 9-17
  15. Kim, K. M. (2002). The effect of San-Yin-Jiao(SP6) pressure on afterpain in multiparous women. Unpublished master's dissertation, Yonsei University of Korea, Seoul
  16. Kim, S. W., Nam, S. S., Lee, S. K., Kim, K. S., & Kim, J. K. (1999). The effects of electrostimulation on acupuncture loci upon duration of labor in primipara. K. H. M, 15(2), 198-202
  17. Kim, Y. R. (1999). Effects on labor pain and duration of delivery time for primipara women treated by San-Yin-Jiao(SP6) pressure. Unpublished master's dissertation, Yonsei University of Korea, Seoul
  18. Kim, Y. R., Chang, S. B., Lee, M. K, & Maeng, W. J. (2002). Effects on labor pain and length of delivery time for primipara women treated by San-Yin-Jiao(SP6) acupressure and Hob-Gog(LI4) acupressure. Korean J Women Health Nurs, 8(2), 244-256
  19. Kim, Y. R, Lee, S. H., Kang, J. S., Jung, G. O., and Ju, Y. A. (2001). Effects on labor pain and duration of delivery time for primipara women treated by Hob-Gog(Ll4) pressure. Korean J Women Health Nurs, 7(3), 331-347
  20. Lee M. K. (2003). Effects of San-Yin-Jiao (SP6) acupressure on labor pain, delivery time, serum $\beta$-endorphin and intensity of uterine contractions in women during labor. Unpublished doctoral dissertation. Yonsei University of Korea, Seoul
  21. Lee, M. K., Chang, S. B., Lee, H. S., & Kim, H. S. (2002). Effects of treatment with San-Yin-Jiao(SP6) acupressure for labor women on labor pain, length time for delivery and anxiety -A clinical pilot study-. Korean J Women Health Nurs, 8(4), 348-358
  22. Liao, S. J. (1978). Resent advances in the understanding of acupuncture. Yale J. Bioi. Med, 51(1), 55-65
  23. Lyrenas, S., Lutsch, H., Hetta, J., & Lindberg, B. (1987). Acupuncture before delivery : Effect on labor. Gynecol Obstet Investigation, 24, 217-224
  24. Pomeranz, B. (1977). Brain's opiates at work in acupuncture?. New scientist, 6 : January, 12-13
  25. Pomeranz, B., Chiu, D. (1976). Naloxone blockade of acupuncture analgesia : endolphin implicated. Life Science, 19, 1757-1767 https://doi.org/10.1016/0024-3205(76)90084-9
  26. Reeder, S. J. Martin, L. L., & Koniak-Griffin D. (1997). Maternity nursing family, newborn and woman's health care. Philadelphia, NewYork : Lippincott
  27. Ternov, K., Nilsson, M., Lofberg, L., Algotsson, L., & Akeson, J. (1998). Acupuncture for pain relief during childbirth. Acupuncture electrotherapy Res, 23, 19-26
  28. Tempfer, C., Zeisler, H., Heinzl, H., Hefler L., Husslein, P., & Kainz, C. (1998). Influence of acupuncture on maternal serum levels of interleukin-s, prostaglandin f2 alpha, and beta-endorphin: a matched pair study. Obstet Gynecol, 92, 245-248 https://doi.org/10.1016/S0029-7844(98)00200-2
  29. Tsuei, J., & Lai. Y. F. (1977). The influence of acupuncture stimulation during pregnancy. Obstet Gynecol, 50, 479-488
  30. Wallis, L., Schnider, S.M., Palahniuk, R.J., & Spivy, H.(1974). An evaluation of acupuncture analgesia in obstetrics. Anesthesiology, 41, 596-601
  31. Wildman, K. M., Mohl, V. K., Cassel, J. H., Houston, R. E., & Allerheiligen, D. A. (1997). Intrathecal analgesia for labor. The J Family Practice, 44(6), 535-540
  32. Yanai, N., Shalev, E., Yagudin, E., & Zuckerman, H. (1987). The use of electroacupuncture during labor. Am J acupuncture, 15, 311-312
  33. Zeisler, H., Tempfer, C., Mayerhofer, K., Barrada, M., & Husslein, P. (1998). Influence of Acupuncture on Duration of Labor. Gynecol Obstet Investigation, 46, 22-25 https://doi.org/10.1159/000009990