Effects of auriculotherapy on nausea and vomiting in pregnant women: A randomized clinical trial

IF 2.2 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary Therapies in Clinical Practice Pub Date : 2024-03-11 DOI:10.1016/j.ctcp.2024.101847
Nathaly Bianka Moraes Fróes , Priscila de Souza Aquino , Paula Renata Amorim Lessa Soares , Lorena Pinheiro Barbosa , Victórya Suéllen Maciel Abreu , Ana Izabel Oliveira Nicolau , Herla Maria Furtado Jorge , Camila Biazus Dalcin
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Abstract

Background

Pregnancy induces physiological changes, commonly marked by nausea and vomiting in the first trimester, posing risks for both mother and baby. This study evaluates the effects of auriculotherapy on nausea and vomiting during the first trimester of pregnancy.

Materials and Methods

A randomized clinical trial was conducted in two primary health care centers with 56 Brazilian pregnant women who reported nausea or vomiting in the first trimester. The participants were divided into an intervention group (auriculotherapy with seeds) and a placebo group (sham auriculotherapy). The intervention was divided into three moments: pre-intervention with assessment of nausea and vomiting and application of questionnaires, and two follow-ups conducted on the fourth and seventh day of the intervention, with reassessment of nausea and vomiting.

Results

Both groups experienced a decrease in nausea and vomiting over time, with no statistically significant differences between groups in the within-group analyses at various time points. The intervention group had a greater reduction in symptoms. Within the intervention group, symptoms were more common among ferrous sulfate users and those without reported dietary disturbances. In addition, a higher incidence of nausea and vomiting was associated with the use of analgesics, morning snacks, and low intake of protein, vegetables, and fruits.

Conclusions

The intervention did not affect the between-group differences in the incidence of nausea and vomiting and vomiting effort in the first trimester of pregnancy. However, a greater reduction was observed in the intervention group.

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耳穴疗法对孕妇恶心和呕吐的影响:随机临床试验
妊娠会引起生理变化,在妊娠头三个月通常会出现恶心和呕吐,给母婴带来风险。本研究评估了耳穴疗法对妊娠头三个月恶心和呕吐的影响。这项随机临床试验在两家初级医疗保健中心进行,共有 56 名巴西孕妇参加,她们都表示在怀孕头三个月有恶心或呕吐症状。参与者被分为干预组(种子耳穴疗法)和安慰剂组(假耳穴疗法)。干预分为三个阶段:干预前评估恶心和呕吐情况并进行问卷调查,干预后第四天和第七天进行两次随访,重新评估恶心和呕吐情况。随着时间的推移,两组的恶心和呕吐症状都有所减轻,在各时间点的组内分析中,组间差异无统计学意义。干预组的症状减轻幅度更大。在干预组中,硫酸亚铁使用者和未报告饮食紊乱者的症状更为常见。此外,恶心和呕吐发生率较高与使用镇痛剂、早上吃零食以及蛋白质、蔬菜和水果摄入量较低有关。干预措施并未影响妊娠头三个月恶心和呕吐发生率以及呕吐强度的组间差异。不过,干预组的恶心和呕吐发生率下降幅度更大。
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来源期刊
Complementary Therapies in Clinical Practice
Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.30
自引率
6.70%
发文量
157
审稿时长
40 days
期刊介绍: Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.
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