Investigating the Effects of Acupressure and Auriculotherapy on Anxiety During Labor, Neonatal Outcomes, and Maternal-fetal Attachment: A Systematic Review and Meta-analysis

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...

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Bibliographic Details
Published in:	Journal of Pediatrics Review Vol. 12; no. 2; pp. 99 - 108
Main Authors:	Mirzaei, Maryam, Hafezi Siahlarz, Vahideh, Saadat, Sara, Mirzaee, Firoozeh, Afiat Milad, Malihe, Ghazanfarpour, Masumeh
Format:	Journal Article
Language:	English
Published:	Mazandaran University of Medical Sciences 01-04-2024
Subjects:	acupressure anxiety level labor meta-analysis neonatal outcomes systematic review
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Summary:	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.
ISSN:	2322-4398 2322-4401
DOI:	10.32598/jpr.12.2.283.8