Mirzaei M, Hafezi Siahlarz V, Saadat S, Mirzaee F, Afiat Milad M, Ghazanfarpour M. Investigating the Effects of Acupressure and Auriculotherapy on Anxiety During Labor, Neonatal Outcomes, and Maternal-fetal Attachment: A Systematic Review and Meta-analysis. J. Pediatr. Rev 2024; 12 (2) :99-108
URL:
http://jpr.mazums.ac.ir/article-1-589-en.html
1- Department of Obstetrics and Gynecology, Faculty of Medicine, Jiroft University of Medical Sciences, Jiroft, Iran.
2- Department of Obstetrics and Gynaecology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
3- Division of Nephrology, Department of Pediatrics, Dr Sheikh Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Reproductive and Family Health Research Center, Kerman University of Medical Sciences, Kerman, Iran.
5- Milad Infertility Center, Mashhad University of Medical Sciences, Mashhad, Iran.
6- Reproductive and Family Health Research Center, Kerman University of Medical Sciences, Kerman, Iran. , masumeh.ghazanfarpour@yahoo.com
Abstract: (951 Views)
Background: Divergent findings reported in the literature on the impact of acupressure on improvement in mothers’ anxiety during labor and consequently on birth outcomes. However, there is no existing meta-analysis on this issue.
Objectives: This systematic review assesses the effect of acupressure and auriculotherapy on anxiety during labor, neonatal outcomes, and maternal-fetal attachment.
Methods: The Cochrane central register of controlled trials, MEDLINE/PubMed, ISI, and Scopus online databases were searched by two researchers up to January 2023. The quality of studies was assessed based on the Jade scale.
Results: Nine studies were included in the systematic review and meta-analysis. Acupressure significantly decreased anxiety compared to touching (standardized mean difference=-3.29; P<0.001; I2=8%; P=0.295; the fixed effect model) and routine care (standardized mean difference=-1.08; confidence interval=-2.46 to 0.30; P=0.12; I2=96.19%; P<0.001). Maternal-fetal attachment was higher in both groups who received acupressure and auriculotherapy compared to the control group (P<0.001). Meanwhile, auriculotherapy did not impact neonatal outcomes, such as newborns’ weight and Apgar score.
Conclusions: Acupressure was an effective tool to improve anxiety during labor and it consequently improved fetal oxygenation.
Type of Study:
Review Article |
Subject:
Psychiatry Nursing Received: 2023/12/19 | Accepted: 2024/03/27 | Published: 2024/04/1