Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial

Background: Postpartum subinvolution of the uterus is a more common condition after cesarean section. Auricular acupressure (AA) is widely used for the treatment of postpartum diseases. However, few studies have explored the effects of AA as a treatment of uterine involution following cesarean secti...

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Main Authors: Shu-xin Wang, Jing-chun Zeng, Ting Li, Wan-lan Zhang, Yan-fang Li, Run-jin Zhou, Zi-jun Liu, Yu-ling Liu, Xun Zhuang, Rui Zhang, Li-ming Lu, Guo-hua Lin
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Integrative Medicine Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213422021000111
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author Shu-xin Wang
Jing-chun Zeng
Ting Li
Wan-lan Zhang
Yan-fang Li
Run-jin Zhou
Zi-jun Liu
Yu-ling Liu
Xun Zhuang
Rui Zhang
Li-ming Lu
Guo-hua Lin
author_facet Shu-xin Wang
Jing-chun Zeng
Ting Li
Wan-lan Zhang
Yan-fang Li
Run-jin Zhou
Zi-jun Liu
Yu-ling Liu
Xun Zhuang
Rui Zhang
Li-ming Lu
Guo-hua Lin
author_sort Shu-xin Wang
collection DOAJ
description Background: Postpartum subinvolution of the uterus is a more common condition after cesarean section. Auricular acupressure (AA) is widely used for the treatment of postpartum diseases. However, few studies have explored the effects of AA as a treatment of uterine involution following cesarean section to date. This study aimed to assess the efficacy and safety of AA for uterine involution after cesarean section. Methods: A total of 109 women who underwent cesarean section participated in this study. They were randomly allocated to either real AA or sham AA in a 1:1 ratio by a computer program. For 3 days, the real AA and sham AA groups received treatment 3 times daily. A series of assessments at 42 days after cesarean section, namely on the uterine size, the incidence of hydrometra, the first anal exsufflation time, bleeding volume at 6 hours, bleeding volume at 6–24 hours along with other general assessments were carried out. Results: A total of 89 women completed the study. The uterine size at 42 days after a cesarean section was 6.3 cm smaller in the real AA group than in the sham AA group (P < 0.01). The incidence of hydrometra on day 42 postpartum was lower in the real AA group than in the sham AA group (P < 0.01). The lochia duration and the first anal exsufflation time after cesarean section were shorter in the real AA group than in the sham AA group (P < 0.05). Conclusion: AA improves uterine involution after cesarean section. Trial registration: ChiCTR1800015569.
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spelling doaj-art-ccbdf8f3090149799ea082333e2b0fb42025-08-20T03:48:30ZengElsevierIntegrative Medicine Research2213-42202021-09-0110310072410.1016/j.imr.2021.100724Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trialShu-xin Wang0Jing-chun Zeng1Ting Li2Wan-lan Zhang3Yan-fang Li4Run-jin Zhou5Zi-jun Liu6Yu-ling Liu7Xun Zhuang8Rui Zhang9Li-ming Lu10Guo-hua Lin11Department of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China; Corresponding authors.Department of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Rehabilitation, Long gang Orthopedics Hospital of Shenzhen, Shenzhen, ChinaDepartment of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangzhou University of Chinese Medicine, Guangzhou, ChinaGuangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, ChinaClinical Research and Data Center, South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China; Corresponding authors.Background: Postpartum subinvolution of the uterus is a more common condition after cesarean section. Auricular acupressure (AA) is widely used for the treatment of postpartum diseases. However, few studies have explored the effects of AA as a treatment of uterine involution following cesarean section to date. This study aimed to assess the efficacy and safety of AA for uterine involution after cesarean section. Methods: A total of 109 women who underwent cesarean section participated in this study. They were randomly allocated to either real AA or sham AA in a 1:1 ratio by a computer program. For 3 days, the real AA and sham AA groups received treatment 3 times daily. A series of assessments at 42 days after cesarean section, namely on the uterine size, the incidence of hydrometra, the first anal exsufflation time, bleeding volume at 6 hours, bleeding volume at 6–24 hours along with other general assessments were carried out. Results: A total of 89 women completed the study. The uterine size at 42 days after a cesarean section was 6.3 cm smaller in the real AA group than in the sham AA group (P < 0.01). The incidence of hydrometra on day 42 postpartum was lower in the real AA group than in the sham AA group (P < 0.01). The lochia duration and the first anal exsufflation time after cesarean section were shorter in the real AA group than in the sham AA group (P < 0.05). Conclusion: AA improves uterine involution after cesarean section. Trial registration: ChiCTR1800015569.http://www.sciencedirect.com/science/article/pii/S2213422021000111Auricular acupressurePostpartumUterine involutionRandomized controlled trial
spellingShingle Shu-xin Wang
Jing-chun Zeng
Ting Li
Wan-lan Zhang
Yan-fang Li
Run-jin Zhou
Zi-jun Liu
Yu-ling Liu
Xun Zhuang
Rui Zhang
Li-ming Lu
Guo-hua Lin
Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial
Integrative Medicine Research
Auricular acupressure
Postpartum
Uterine involution
Randomized controlled trial
title Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial
title_full Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial
title_fullStr Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial
title_full_unstemmed Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial
title_short Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial
title_sort auricular acupressure promotes uterine involution after cesarean section a randomized controlled trial
topic Auricular acupressure
Postpartum
Uterine involution
Randomized controlled trial
url http://www.sciencedirect.com/science/article/pii/S2213422021000111
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