Evidence map›Paper›PMID 19526433›Full record

Trial reportThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2009

Acupuncture to initiate labor (Acumoms 2): a randomized, sham-controlled clinical trial.

Gary N Asher, Remy R Coeytaux, Wunian Chen, Aimee C Reilly, Yen L Loh, Terry C Harper

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Acupuncture or acupressure for induction of labour.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Use of labour induction and risk of cesarean delivery: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014
    Pooled it
  4. Methods of induction of labour: a systematic review.BMC pregnancy and childbirth · 2011
    Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gary N AsherDepartment of Family Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Remy R Coeytaux
Wunian Chen
Aimee C Reilly
Yen L Loh
Terry C Harper

Funding

Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARGOLIS, DAVID · 1985 to 2008
$38.5M
UNC Research Fellowship in Complementary and Alternative MedicineT32AT003378 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Keturah Ruth Faurot, Susan Gaylord · 2007 to 2026
$7.8M
Acupuncture for the Treatment of HeadacheK23AT001194 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COEYTAUX, REMY R · 2002 to 2006
$625k
NCCIH NIH HHS K23 AT001194NCCIH NIH HHS K23-AT001194NCCIH NIH HHS T32 AT003378NCRR NIH HHS M01 RR000046NCRR NIH HHS RR00046
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of acupuncture for labor stimulation.

methodsNulliparous women at 38 weeks or greater were randomized to traditional Chinese medicine (TCM) acupuncture, sham acupuncture, or usual care only groups. Acupuncture points LI4, SP6, BL32, and BL54 were needled bilaterally. The primary outcome was time from enrollment to delivery. Secondary outcomes included rates of spontaneous labor and cesarean delivery. Medical records were abstracted for maternal demographic, medical, and delivery outcome data. ANOVA, Student's t-test, Chi-square, and Kaplan-Meier statistics were used to compare groups.

resultsEighty-nine women were enrolled and randomized. Maternal age, gestational age, prior acupuncture experience, tobacco, alcohol and drug use, gravida, and history of gynecological surgery were similar among the groups. There were no statistically significant differences among groups for time from enrollment to delivery (p=0.20), rates of spontaneous labor (p=0.66), or rates of cesarean delivery (p=0.37). Rates of maternal and neonatal outcomes were not significantly different.

conclusionTCM acupuncture was not effective in initiating spontaneous labor or reducing the rate of cesarean delivery compared with sham acupuncture or usual medical care.

Indexed as

Acupuncture TherapyAdultDelivery, ObstetricFemaleHumansLabor, InducedLabor OnsetMedicine, Chinese TraditionalModels, BiologicalPlacebosPregnancyTerm BirthTreatment OutcomeYoung AdultPlacebos

Identifiers

PMID19526433
PMCPMC2919333

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.