Evidence map›Paper›PMID 33545945›Full record

ArticleMedicine2021

The effect of pestle acupuncture for patients with lactation insufficiency after cesarean section: Study protocol for a randomized controlled trial.

Dongshuang Li, Yunlan Jiang, Xiaoqing Ma, Qing Li, Xin Chu, Wei Zhong, Xiaochun Deng, Xiaolian Yang

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Article
  3. Article
  4. Pestle Needle (Medical acupuncture · 2022
    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

8 authors at 1 institution in 1 country.

Dongshuang LiNursing School, Chengdu University of Traditional Chinese Medicine.ORCID 0000-0003-0179-2700
Yunlan JiangDepartment of Obstetrics.
Xiaoqing MaDepartment of Operation, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, PR China.
Qing LiNursing School, Chengdu University of Traditional Chinese Medicine.
Xin ChuDepartment of Obstetrics.
Wei ZhongDepartment of Obstetrics.
Xiaochun DengNursing School, Chengdu University of Traditional Chinese Medicine.
Xiaolian YangNursing School, Chengdu University of Traditional Chinese Medicine.
Chengdu University of Traditional Chinese Medicine · CN

Funding

Affiliated Hospital of Chengdu University of Traditional Chinese Medicine 19KY03
6 · The paper itself

Abstract

introductionCesarean section is a common operation in obstetrics, and the incidence of insufficient breast milk is high in parturients undergoing cesarean section. Studies have shown that acupuncture or massage at related acupoints can promote the secretion and excretion of milk. These external treatments are quick, safe, and effective. On the other hand, they can avoid the potential risk of changes in milk composition that may be caused by the use of drugs. Pestle needle therapy is a new branch of traditional acupuncture, and pestle needle operation does not need to break the skin. The pestle needle has good clinical efficacy and safety in cervical spondylosis, insomnia, fatigue, depression, and so on, but few studies have focused on the effect of pestle acupuncture for patients with lactation insufficiency after cesarean section. This study aims to determine whether pestle needle therapy is effective and safe in the treatment of postpartum milk deficiency.

methodsThis is a 2 parallel-group, assessor-blinded, randomized controlled trial.128 patients with lactation insufficient after cesarean section will be recruited and randomly divided into control group and the pestle needle group in a 1:1 ratio. The control group will receive routine nursing care of milk deficiency. In the pestle needle group, pestle needles will be used to operate on the acupoints such as bilateral Shao ze (S11), bilateral Ru gen (ST18), Dan zhong (DU14), 8 array acupoints of Shen dao (DU11) and so on. It will be operated once a day for 5 days. The primary outcomes are milk yield, degree of breastfilling, degree of milk siltation and other milk deficiency symptom, and serum prolactin. Secondary outcomes include syndrome of traditional Chinese medicine, such as facial expression, fatigue, loss of appetite, and so on. DISCUSSION: Pestle needle therapy based on acupoint and meridian theory may increase milk secretion and excretion, which will provide a new intervention means to promote breastfeeding and have great significance to guide clinical treatment. TRIAL REGISTRATION NUMBER: ChiCTR2000039752.

Indexed as

Acupuncture TherapyCesarean SectionFemaleHumansLactation DisordersPregnancyRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID33545945
PMCPMC7837947
OpenAlexW3123104554

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.