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Gynäkologie
ABSTRACT Introduction The incidence of vulvodynia in American women has been reported to be between 8.3% and 16%. However, there is no consistently effective standardized treatment for vulvodynia. Aim To determine the feasibility and potential effects of using a standardized acupuncture protocol for the treatment of women with vulvodynia. Main Outcome Measures The primary outcome was vulvar pain, and sexual function was the secondary outcome. Pain was assessed by the Short-Form McGill Pain Questionnaire, and function was measured by the Female Sexual Function Index (FSFI). Methods Thirty-six women with vulvodynia met inclusion criteria. The women were randomly assigned either to...
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ABSTRACT Acupuncture has been demonstrated to improve menstrual frequency and to decrease circulating testosterone in women with polycystic ovary syndrome (PCOS). Our aim was to investigate whether acupuncture affects ovulation frequency and to understand the underlying mechanisms of any such effect by analyzing LH and sex steroid secretion in women with PCOS. This prospective, randomized, controlled clinical trial was conducted between June 2009 and September 2010. Thirty-two women with PCOS were randomized to receive either acupuncture with manual and low-frequency electrical stimulation or to meetings with a physical therapist twice a week for 10–13 wk. Main outcome measures were changes...
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Fifty-six primigravid women at 39 weeks or greater with a singleton gestation and Bishop score (a system for predicting whether induction of labour will be required) of less than seven were randomised to usual medical care or usual care plus three acupuncture treatments. Each treatment consisted of eight needles applied bilaterally to Hegu L.I.-4, Sanyinjiao SP-6, Shangliao BL-31 and Ciliao BL-32. Mean time from randomisation to delivery occurred 21 hours sooner in the acupuncture group, but this difference did not reach statistical significance. Compared with controls, women in the acupuncture group tended to be more likely to labour spontaneously and...
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ABSTRACT Objectives This study was undertaken to describe under real-life conditions the effects of acupuncture on symptomatic dyspepsia during pregnancy and to compare this with a group of patients undergoing conventional treatment alone. Methods A total of 42 conventionally treated pregnant women were allocated by chance into two groups to be treated, or not, by acupuncture. They reported the severity of symptoms and the disability these were causing in daily aspects of life such as sleeping and eating, using a numerical rating scale. The study also observed the use of medications. Results Six women dropped out (one in the acupuncture...
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ABSTRACT OBJECTIVE The aim of this study was to evaluate whether acupuncture at term can influence cervical ripening, induce labor and thus reduce the need for postdates induction. METHODS On the estimated date of confinement (EDC) women were prospectively randomized to an acupuncture group (AG) or a control group (CG). Data of 45 women were evaluated (AG, n = 25; CG, n = 20). Inclusion criteria were as follows: confirmed EDC, uncomplicated course of pregnancy, singleton pregnancy in cephalic presentation. Exclusion criteria were as follows: cervical dilation > 3 cm, active labor, premature rupture of membranes, previous cesarean section, pathologies...
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One in three women suffer potentially severe and disabling pelvic girdle pain during pregnancy. Now a Swedish study has demonstrated that acupuncture is more effective than either standard or specialised exercises in relieving the pain. 386 pregnant women were assigned to a six-week treatment programme involving either standard home exercise, standard exercise plus acupuncture or specialised exercises designed to improve mobility and strength. Pain levels were assessed morning and evening. The women receiving the acupuncture showed the greatest relief in pain, which, achieved without the use of medication, is of particular benefit to pregnant women. Acupuncture treatment focused on the...
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A systematic review from Holland has concluded that acupuncture-type interventions (moxibustion, acupuncture, or electro-acupuncture) on Zhiyin BL 67 are effective in correcting breech presentation, compared with expectant management. Of 65 citations retrieved from various databases, six RCTs and three cohort studies fulfilled the reviewers’ inclusion criteria. In the RCTs the pooled proportion of breech presentations was 34% following treatment versus 66% in the control group. The pooled proportion in the cohort studies was 15% versus 36%. Including all studies, the proportion of breech presentations was 28% following treatment versus 56% for the control group. (Effectiveness of acupuncture-type interventions versus expectant...
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Acupuncture is an effective treatment for depression during pregnancy, according to a new American study. A hundred and fifty pregnant women with a diagnosis of major depression were randomised to receive 12 sessions of acupuncture consisting of a standardised point prescription specific for depression, or one of two active controls – control acupuncture or massage – over eight weeks. Women who received specific acupuncture experienced a greater rate of decrease in symptom severity compared with the combined controls or control acupuncture alone. They also showed a significantly greater response rate (63.0%) than the combined controls (44.3%) and control acupuncture alone...
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A Chinese study has shown that acupuncture at Sanyinjiao SP-6 can decrease the amount of analgesia required in the first 24 hours after caesarian section. Sixty women who had spinal anesthesia during caesarian section were randomly assigned to receive either acupuncture or electro-acupuncture at bilateral Sanyinjiao SP-6, or to a control group. Women in the acupuncture and electro-acupuncture groups delayed the time of requesting morphine up to 11 minutes later than the control group. The total dose of patient-controlled analgesia (PCA) used within the first 24 hours was 30%-35% less in the acupuncture groups compared with the control group, which...
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Researchers from Iran have found that acupuncture is significantly associated with decreased duration of labour. They randomised 63 nulliparous women to receive either verum acupuncture at Sanyinjiao SP-6 and Hegu L.I.-4, or sham acupuncture at the same points. No significant variations in pain scores or serum cortisol levels were observed between the two groups. However, the duration of labour was found to be significantly lower in the group receiving real acupuncture. Effects of LI-4 and SP-6 Acupuncture on Labor Pain, Cortisol Level and Duration of Labor. J Acupunct Meridian Stud. 2015 Oct;8(5):249-54 Quelle: www.jcm.co.uk
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