RESUMO
OBJECTIVE: To compare the efficacy of acupressure for induction of labour for nulliparous women with a post-dates pregnancy. DESIGN: A single-blind randomised trial. SETTING: Antenatal and labour ward of a UK district general hospital. PARTICIPANTS: One hundred and thirty two women requiring induction of labour with a post-dates pregnancy (>41 weeks gestation) with no significant medical, obstetric or fetal condition. METHOD: Acupressure: 20 intermittent presses to stimulate each pair of acupressure points; (Large Intestine 4, followed by Spleen 6) or 'Sham" treatment: 20 intermittent presses to the patella and then to the olecranon. MAIN OUTCOME MEASURES: Treatment-to-commencement of labour interval. SECONDARY OUTCOME MEASURES: Requirements for oxytocin, mode of delivery, duration of labour, requirement for pre-labour Caesarean section, presence of meconium, neonatal intensive care admission, 5 min Apgar scores, and evaluation of maternal satisfaction. RESULTS: There were no significant differences between the two groups in treatment-to-commencement of labour interval, requirements for oxytocin or mode of delivery. Fewer inductions of labour were required in the sham treatment group (p = 0.004 CI 1-35). The incidence of meconium-stained liquor, and neonatal outcomes were similar for both groups. CONCLUSIONS: Acupressure performed at 41 weeks gestation in nulliparous women does not appear to be effective for inducing labour for post-dates pregnancy.
