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Acupuncture Pre-birth treatment. An audit of its use in Midwifery practice A model of integration between CAM and mainstream midwifery care Debra Betts & Sue Lennox. Midwives in New Zealand. Midwives in the CCH region have been using acupuncture since 1997

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slide1

Acupuncture Pre-birth treatment

An audit of its use in Midwifery practice

A model of integration between CAM and mainstream midwifery care

Debra Betts & Sue Lennox

slide2

Midwives in New Zealand

  • Midwives in the CCH region have been using acupuncture since 1997
  • Acupuncture taught in workshops over a 10 month period
  • Total of 24 Midwives have undertaken specialized acupuncture training.
slide3

The use of Prebirth Acupuncture

Prebirth acupuncture a model of successful integration into midwifery practice.

Women receive a 20 minute acupuncture treatment as part of their routine antenatal visits between 37 and 40 weeks gestation.

slide4

The use of Prebirth Acupuncture

  • Feedback from midwives
  • Acupuncture in practice reduced
  • the length of time women spend in labour
  • the number of women requiring medical intervention (medical induction, epidural and caesarean section).
  • Increased normal vaginal deliveries
slide5

Acupuncture Audit

Set up to investigate midwifery feedback

*14 Midwives took part

*Audit over 4 months of their practice

*Total of 169 women received pre-birth acupuncture

women in the audit
Women in the Audit

Average Age of Women

  • Audit 30.9
  • CCH 31.3

Primiparae

  • Audit 52.7%
  • CCH 45.0%
slide7

Does pre-birth acupuncture reduce the length of labour?

Labour times of Primiparae receiving acupuncture

slide8

Does pre-birth acupuncture reduce the length of labour?

Labour times of Multiparae receiving acupuncture

duration of labour
Acupuncture Audit

Primigravid

Mean 9.0 hours

St Dev 5.0 hours

Multigravid

Mean 4.7 hours

St Dev 3.8 hours

Albers*

Primigravid

Mean 8.6 hours

St Dev 6.6 hours

Multigravid

Mean 6.0 hours

St Dev 4.3hours

Duration of labour

* Albers LL Schiff M Gordwana JG The length of active labour in normal pregnancies. Obstet Gynacol 1996 Aug 88 (2): 319-20

slide10

Does pre-birth acupuncture reduce the number of women requiring medical induction?

Induction - Primiparae & Multiparae

slide11

Does pre-birth acupuncture reduce the number of women requiring medical induction?

Induction rates by parity

conclusion
Conclusion
  • Successful integration of acupuncture into midwifery practice
  • Promising cost savings using acupuncture
  • Controlled trial needed to explore audit findings