Cochrane · systematic review · CD002962
Acupuncture or acupressure for induction of labour
Smith, CA, Armour, M, Dahlen, HG · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
5
No studies
18
Included studies
NR
No studies 18 · 72%Ungraded 2 · 8%Very low 0 · 0%Low 1 · 4%Moderate 3 · 12%High 1 · 4%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Acupuncture compared to sham control for induction of labour
Population: women due for third trimester induction of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Vaginal delivery not achieved within 24 hours ‐ not reported Acupuncture vs sham control | no estimate extracted | NR | No studies |
Uterine hyperstimulation with FHR changes ‐ not reported Acupuncture vs sham control | no estimate extracted | NR | No studies |
Caesarean section Acupuncture vs sham control | RR 0.8 [0.56, 1.15] | 8 studies · 789 participants | High |
Serious neonatal morbidity or death Acupuncture vs sham control | no estimate extracted | 1 study · 364 participants | Ungraded |
Serious maternal morbidity or death Acupuncture vs sham control | no estimate extracted | 1 study · 364 participants | Ungraded |
Acupuncture compared to usual care for induction of labour
Population: women due for third trimester induction of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Vaginal delivery not achieved within 24 hours ‐ not reported Acupuncture vs usual care | no estimate extracted | NR | No studies |
Uterine hyperstimulation with FHR changes ‐ not reported Acupuncture vs usual care | no estimate extracted | NR | No studies |
Caesarean section Acupuncture vs usual care | RR 0.77 [0.51, 1.17] | 8 studies · 760 participants | Low Downgraded: risk of bias |
Serious maternal morbidity or death ‐ not reported Acupuncture vs usual care | no estimate extracted | NR | No studies |
Serious neonatal morbidity or death ‐ not reported Acupuncture vs usual care | no estimate extracted | NR | No studies |
Acupuncture compared to sweeping of fetal membranes for induction of labour
Population: induction of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Vaginal delivery not achieved within 24 hours ‐ not reported Acupuncture vs sweeping of fetal membranes | no estimate extracted | NR | No studies |
Uterine hyperstimulation with FHR changes ‐ not reported Acupuncture vs sweeping of fetal membranes | no estimate extracted | NR | No studies |
Caesarean section Acupuncture vs sweeping of fetal membranes | RR 0.64 [0.34, 1.22] | 1 study · 207 participants | Moderate Downgraded: imprecision |
Serious maternal morbidity or death ‐ not reported Acupuncture vs sweeping of fetal membranes | no estimate extracted | NR | No studies |
Serious neonatal morbidity or death ‐ not reported Acupuncture vs sweeping of fetal membranes | no estimate extracted | NR | No studies |
Acupressure compared to sham control for induction of labour
Population: women due for third trimester induction of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Vaginal delivery not achieved within 24 hours ‐ not reported Acupressure vs sham control | no estimate extracted | NR | No studies |
Uterine hyperstimulation with FHR changes ‐ not reported Acupressure vs sham control | no estimate extracted | NR | No studies |
Caesarean section Acupressure vs sham control | RR 0.94 [0.68, 1.3] | 2 studies · 239 participants | Moderate Downgraded: imprecision |
Serious maternal morbidity or death ‐ not reported Acupressure vs sham control | no estimate extracted | NR | No studies |
Serious neonatal morbidity or death ‐ not reported Acupressure vs sham control | no estimate extracted | NR | No studies |
Acupressure compared to usual care for induction of labour
Population: women due for third trimester induction of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Vaginal delivery not achieved within 24 hours ‐ not reported Acupressure vs usual care | no estimate extracted | NR | No studies |
Uterine hyperstimulation with FHR changes ‐ not reported Acupressure vs usual care | no estimate extracted | NR | No studies |
Caesarean section Acupressure vs usual care | RR 1.02 [0.68, 1.53] | 2 studies · 151 participants | Moderate Downgraded: imprecision |
Serious maternal morbidity or death ‐ not reported Acupressure vs usual care | no estimate extracted | NR | No studies |
Serious neonatal morbidity or death ‐ not reported Acupressure vs usual care | no estimate extracted | NR | No studies |