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Effect of acupuncture on pregnancy related low back pain and pelvic pain: a systematic review and meta-analysis
Yao X, Li C, Ge X, Wei J, Luo J, Tian F
International Journal of Clinical and Experimental Medicine 2017;10(4):5903-5912
systematic review

OBJECTIVE: Low back pain (LBP) and pelvic pain including pelvic girdle pain (PGP) are very common discomfort during pregnancy. The aim of this meta analysis was to evaluate the efficacy of acupuncture on pain relief among pregnancy and postpartum women. METHODS: Two of our current authors separately searched he PubMed, the Cochrane Library, Embase, CNKI, Wanfang database, and National Science and Technology Library for randomized controlled trails (RCTs) until May 2015. Data were processed using Review Manager. RESULTS: Ten articles with 1,094 subjects were included in this meta analysis. Acupuncture caused more VAS score reduction than control group (mean difference (MD) 22.4, 95% confidence interval (CI) 7.40 to 37.39) which was treated with physiotherapy, conventional therapy and sham acupuncture; Subgroup analysis of total efficacy between the two groups showed acupuncture was more effective than control group (odds ratio (OR) 5.45, 95% CI 2.68 to 11.09). Acupuncture tended to be more effective on late pregnancy pain and morning pain without quantified data. Incidence of side effects in the two groups were both low without detailed data. CONCLUSION: Acupuncture demonstrated advantages in treating pregnancy related low back pain and pelvic pain through quantified experimental data. Data on safety of acupuncture was too few to provide beneficial support. Insertion depth may be a new and interesting direction for acupuncture research.

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