Main Article Content
Abstract
Background: Nausea and vomiting are common symptoms that occur for 70-80% of pregnant women. Alternative treatments such as herbal medicine, acupressure and moxibustion have been suggested to control pregnancy-induced nausea-vomiting.
Objective: This study is to observe effects of moxibustion at P6 and ST36 point on nausea and vomiting in pregnancy.
Methods: This study applied a queasy experimental study by pretest-posttest design on two groups of study. Moxibustion in this study was a heat stimulation technique at P6 and ST36 points for 5 days (7 minutes per day). The P6 point was located on the inner wrist, 2-3 fingers above the wrist between the tendons and the ST36 point was located on 4 fingers below the lower limit of the patella. A random sampling was conducted for 30 pregnant women with gestational age<16 weeks of pregnancy that randomly was divided into 2 groups, or 15 women for each group. Instruments used to measure the nausea and vomiting applied Pregnancy Unique-Quantification of Emesis (PUQE) and B-endorphin.
Results: Moxibustion at the P6 point could reduce symptoms of nausea and vomiting (p<0.05). However, Moxibustion at the ST36 point was not effective in reducing symptoms of nausea and vomiting in pregnancy (p>0.05).
Conclusion: Moxibustion can more effective at P6 point than at ST36 point in reducing symptoms of nausea and vomiting in pregnancy.
Keywords
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References
- Miao J, Liu X, Wu C, Kong H, Xie W, Liu K. Effects of acupressure on chemotherapy-induced nausea and vomiting-a systematic review with meta-analyses and trial sequential analysis of randomized controlled trials. International Journal of Nursing Studies. 2017;70:27-37.
- Austin K, Wilson K, Saha S. Hyperemesis Gravidarum. Nutrition in Clinical Practice. 2018;0(0).
- Emami-sahebi A, Elyasi F, Yazdani-charati J. Taiwanese journal of obstetrics & gynecology psychological interventions for nausea and vomiting of pregnancy?: A systematic review. Taiwanese Journal of Obstetrics and Gynecology. 2018;57(5):644-649.
- Ikhsan MN. Dasar ilmu akupresur dan moksibasi. I. (MNI, ed.). Jakarta: Bhimaristan Publishing; 2017.
- Zhang Y. Association between severe nausea and vomiting in early pregnancy and the risk of neural tube defects in Northern China. Shanghai Journal of Acupuncture and Moxibustion. 2017:1-7.
- Rithirangsriroj K, Manchana T, Akkayagorn L. Efficacy of acupuncture in prevention of delayed chemotherapy induced nausea and vomiting in gynecologic cancer patients. Gynecologic Oncology. 2015;136(1):82-6.
- Molassiotis A, Russell W. The effectiveness of acupressure for the control and management of chemotherapy-related acute and delayed nausea?: A randomized controlled trial. Journal of Pain and Symptom Management.2014;47(1):12-25.
- Yilmaz Sahin S, Iyigun E CM. Effect of acupressure application to the P6 acupoint before laparoscopic cholecystectomy on postoperative nausea-vomiting: A randomized controlled clinical study. International Journal of Nursing Studies. 2018.
- Adlan A, Chooi KY, Azmi N, Adenan M. Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy?: A double-blind randomized controlled trial. Journal of Obstetrics and Gynaecology . 2017;43(4):662-668.
- Ellilä P, Laitinen L, Nurmi M, Rautava P, Koivisto M. Nausea and vomiting of pregnancy?: A study with pregnancy-unique quanti fi cation of emesis questionnaire. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018;230:60-7.
- Dupuis LL, Kelly KM, Krischer JP, Langevin A. Acupressure bands do not improve chemotherapy-induced nausea control in pediatric patients receiving highly emetogenic chemotherapy?: a single-blinded, randomized controlled trial. Wiley Online Library. 2017:1-9. doi:10.1002/cncr.31198
- Liu Y-q, Sun S, Dong H-j et al. Clinical research?; new clinical trials and studies study findings reported from Second Military Medical University ( Wrist-ankle acupuncture and ginger moxibustion for preventing gastrointestinal reactions to chemotherapy?: A randomized controlled trial. Chinese Journal of Integrative Medicine. 2016:1-3.
- Forouhari S, Ghaemi SZ, Roshandel A, Moshfegh Z, Rostambeigy P MZ. The effect of acupressure on nausea and vomiting during pregnancy. scienepub/researcher. 2014;6(6):27-34.
- Mengxue Z, Ling G, Lili W, Ying L. Effect of scar-producing moxibustion at the acupoints Zusanli (ST 36) and Feishu (BL 13) on neutrophil-to-lymphocyte ratio and quali- ty of life in patients with non-small-cell lung cancer?: A randomized , controlled trial. Journal of Traditional Chinese Medical. 2018;38(3):439-446.
References
Miao J, Liu X, Wu C, Kong H, Xie W, Liu K. Effects of acupressure on chemotherapy-induced nausea and vomiting-a systematic review with meta-analyses and trial sequential analysis of randomized controlled trials. International Journal of Nursing Studies. 2017;70:27-37.
Austin K, Wilson K, Saha S. Hyperemesis Gravidarum. Nutrition in Clinical Practice. 2018;0(0).
Emami-sahebi A, Elyasi F, Yazdani-charati J. Taiwanese journal of obstetrics & gynecology psychological interventions for nausea and vomiting of pregnancy?: A systematic review. Taiwanese Journal of Obstetrics and Gynecology. 2018;57(5):644-649.
Ikhsan MN. Dasar ilmu akupresur dan moksibasi. I. (MNI, ed.). Jakarta: Bhimaristan Publishing; 2017.
Zhang Y. Association between severe nausea and vomiting in early pregnancy and the risk of neural tube defects in Northern China. Shanghai Journal of Acupuncture and Moxibustion. 2017:1-7.
Rithirangsriroj K, Manchana T, Akkayagorn L. Efficacy of acupuncture in prevention of delayed chemotherapy induced nausea and vomiting in gynecologic cancer patients. Gynecologic Oncology. 2015;136(1):82-6.
Molassiotis A, Russell W. The effectiveness of acupressure for the control and management of chemotherapy-related acute and delayed nausea?: A randomized controlled trial. Journal of Pain and Symptom Management.2014;47(1):12-25.
Yilmaz Sahin S, Iyigun E CM. Effect of acupressure application to the P6 acupoint before laparoscopic cholecystectomy on postoperative nausea-vomiting: A randomized controlled clinical study. International Journal of Nursing Studies. 2018.
Adlan A, Chooi KY, Azmi N, Adenan M. Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy?: A double-blind randomized controlled trial. Journal of Obstetrics and Gynaecology . 2017;43(4):662-668.
Ellilä P, Laitinen L, Nurmi M, Rautava P, Koivisto M. Nausea and vomiting of pregnancy?: A study with pregnancy-unique quanti fi cation of emesis questionnaire. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018;230:60-7.
Dupuis LL, Kelly KM, Krischer JP, Langevin A. Acupressure bands do not improve chemotherapy-induced nausea control in pediatric patients receiving highly emetogenic chemotherapy?: a single-blinded, randomized controlled trial. Wiley Online Library. 2017:1-9. doi:10.1002/cncr.31198
Liu Y-q, Sun S, Dong H-j et al. Clinical research?; new clinical trials and studies study findings reported from Second Military Medical University ( Wrist-ankle acupuncture and ginger moxibustion for preventing gastrointestinal reactions to chemotherapy?: A randomized controlled trial. Chinese Journal of Integrative Medicine. 2016:1-3.
Forouhari S, Ghaemi SZ, Roshandel A, Moshfegh Z, Rostambeigy P MZ. The effect of acupressure on nausea and vomiting during pregnancy. scienepub/researcher. 2014;6(6):27-34.
Mengxue Z, Ling G, Lili W, Ying L. Effect of scar-producing moxibustion at the acupoints Zusanli (ST 36) and Feishu (BL 13) on neutrophil-to-lymphocyte ratio and quali- ty of life in patients with non-small-cell lung cancer?: A randomized , controlled trial. Journal of Traditional Chinese Medical. 2018;38(3):439-446.