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Gynäkologie
Ginger (Sheng Jiang) is an effective remedy for nausea and vomiting during pregnancy. A single blind clinical trial carried out in Iran randomly assigned 67 pregnant women to receive either 1000 mg ginger in capsules or placebo capsules for four days. Ginger users demonstrated a higher rate of nausea improvement than placebo users (85% versus 56%). The decrease in vomiting among ginger users was also significantly greater than among women who received the placebo (50% vs. 9%). (Effects of ginger capsules on pregnancy, nausea and vomiting. J Altern Complement Med. 2009 Mar;15(3):243-6) Quelle: www.jcm.co.uk
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A Chinese study has concluded that electroacupuncture (EA) at Sanyinjiao SP-6 is an effective way of decreasing labour pain. A total of 350 women in labour were randomised to either electroacupuncture at Sanyinjiao SP-6, sham electroacupuncture at Sanyinjiao SP-6 or a control group. Self-rated labour pain scores from women in the verum electroacupuncture group were significantly less than in the control group after 30 minutes of needle retention and at two and four hours after needle withdrawal. Other evaluated outcomes did not show significant differences among the three groups. (Effects of Sanyinjiao (SP6) with electroacupuncture on labour pain in women...
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Zusammenfassung Fragestellung Akupunktur als nicht evidenzbasierte Therapieform findet weit verbreitet Anwendung. Bisher haben nur wenige Studien die Auswirkung dieser Methode auf klassische geburtshilfliche Überwachungsparameter untersucht. Ziel der vorliegenden Untersuchung war, an definierten Akupunkturpunkten die Wirkung dieser Methode auf die Doppler-Sonographie und deren psychologische Wirkung zu überprüfen. Material und Methodik An der Frauenklinik der MH Hannover wurden 61 Low-risk-Einlingsschwangere zwischen der 30 + 0 und 39 + 6 SSW durch denselben Untersucher am Punkt LG 20 und Magen 36 beidseits akupunktiert. Vor und nach der Akupunktur erfolgte die Doppler-sonographische Darstellung der A. umbilicalis sowie anschließend die Einschätzung der Akupunkturwirkung. Überprüfte Outcomeparameter...
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ABSTRACT Introduction Dysmenorrhea constitutes one of the most frequent disorders in women of a fertile age. The present study was conducted to evaluate the efficacy of acupuncture in the management of primary dysmenorrhea. Materials and methods Sixty females aged 17–23 years were randomly assigned to either a study group or a control group. The study group received acupuncture for the duration of 20 minutes/day, for 15 days/month, for the period of 90 days. The control group did not receive acupuncture for the same period. Baseline, during, and post assessments of both the groups were taken on day 1; day 30...
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ABSTRACT Background Endometriosis is a multifactorial, oestrogen-dependent, inflammatory, gynaecological condition that can result in long-lasting visceral pelvic pain and infertility. Acupuncture could be an effective treatment for endometriosis and may relieve pain. Our aim in the present study was to determine the effectiveness of acupuncture as a treatment for endometriosis-related pain. Methods In December 2016, six databases were searched for randomised controlled trials that determined the effectiveness of acupuncture in the treatment of endometriosis-related pain. Ultimately, 10 studies involving 589 patients were included. The main outcomes assessed were variation in pain level, variation in peripheral blood CA-125 level, and clinical...
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ABSTRACT OBJECTIVE To evaluate the effectiveness of acupuncture analgesia (AA) compared with combined spinal-epidural anesthesia (CSEA) for labor pain reliefandlaboroutcomes. METHODS We evaluated 131 primiparous women who received respiratory guidance during maternal uterine contractions and received either AA (n = 43), CSEA (n = 45), or no additional treatment (control, n = 43). The groups were compared regarding visual analog scale (VAS) scores for abdominal and backpain,andlaboroutcomes. RESULTS The abdominal VAS scores of the AA and CSEA groups were significantly lower than that of the control group. In addition, theVAS scores of the CSEA group were significantly lower than that...
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ABSTRACT Background Labor pain is multifactorial, complex, and intense due to various physiologic and psychosocial changes. Pharmacologic interventions are the most effective analgesia but have significant side-effects. Acupuncture offers benefits in labor analgesia with relatively low side-effects. Battlefield acupuncture (BFA), a subset of acupuncture, has shown effectiveness in rapid pain relief. This article reports the case of a primigravid patient who received BFA for pain relief during labor. Case This is a case study of a 32-year-old patient whose labor was induced with a Foley-bulb and Pitocin® and received BFA for pain relief. She was treated at Evans Army Community...
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ABSTRACT Background Threatened miscarriage is a common complication of early pregnancy increasing the risk of miscarriage or premature labour. Currently there is limited evidence to recommend any biomedical pharmacological or self-care management, resulting in a ‘watchful waiting’ approach. The objective of this study was to examine the feasibility of offering acupuncture as a therapeutic treatment for women presenting with threatened miscarriage. Methods A mixed methods study involving a randomised controlled trial and semi structured interviews. A pragmatic acupuncture protocol including medical self-care advice was compared to an active control receiving touch intervention and medical self-care advice. Descriptive statistics were used...
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Die Autoren haben Unterschiede im Verlauf der Nachgeburtsperiode nach postpartaler Akupunktur des Foramens inductorium viscerum, R16 (huangshu) (AT) im Vergleich zur prophylaktischen Oxytocingabe untersucht. Dazu wurde bei 262 Gebärenden unmittelbar nach der Geburt der Akupunkt R16 genadelt, eine Vergleichsgruppe von 270 Frauen erhielt unmittelbar nach der Geburt intravenös 3 I.E. Syntocinon und bei einer Kontrollgruppe mit 265 Frauen, bei denen keine Zeichen einer verstärkten postpartalen Blutung aufgetreten waren, wurde auf jegliche Massnahmen verzichtet. Nach AT konnte die mittlere Plazentalösungszeit (12,2 +/- 7,3 min) gegenüber der Syntocinongruppe (14,3 +/- 8,6 min) und der nichtbehandelten Gruppe (14,6 +/- 8,8 min) schwach signifikant...
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A phase II clinical trial of a Chinese herbal decoction, Dang Gui Bu Xue Tang (DBT, Dang Gui Decoction to Tonify the Blood), has shown that it can significantly improve physical and psychological scores and significantly reduce vasomotor symptoms for post-menopausal women. A randomised, double-blind, multiple-dose escalation trial was performed in 60 post-menopausal women who were experiencing severe hot flushes and night sweats. Participants were randomised to receive DBT preparations at 1.5, 3.0, or 6.0 g/day for 12 weeks. Significant between-group differences were noted in psychological/psychosocial and somatic/physical domains of menopause scales, with the greatest improvement in the 6.0 g/day...
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