Effects of acupuncture largly due to placebo. So what as long as it helps some women through childbirth.

April 29, 2010
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Yesterdays Guardian reports that Professor of Complementary Medicine, Ezard Ernst discovers another placebo. I am all for placebos that help people throug a crisis, must be better than drugs.

“Acupuncture does not relieve childbirth pain, says study”

Research suggests results from complementary therapy during labour may be placebo effect

Acupuncture

Pregnant women hoping to give birth without drugs have been known to adopt any number of natural remedies, from water baths to self-hypnosis and extreme screaming, to minimise the agony of labour.

But a study published today finds there is no evidence that acupuncture, another popular complementary therapy, reduces the pain of childbirth.

Experts say growing numbers of pregnant women are turning to the practice, which involves needles being inserted into the skin to relieve pain. But research suggests it does not work during labour.

The finding, which has already prompted a vigorous debate about the value of acupuncture, came from British and Korean researchers who examined previous studies of its use in labour.

“The results show that there is little convincing evidence that women who had acupuncture experienced less labour pain than those who received no pain relief, a conventional analgesia, a placebo or sham acupuncture,” researchers told BJOG: An International Journal of Obstetrics and Gynaecology. The journal is owned by the Royal College of Obstetricians and Gynaecologists, which represents most of the UK’s doctors specialising in childbirth and maternity care.

Prof Edzard Ernst, of the Peninsula medical school at Exeter and Plymouth Universities and co-author of the report, said: “The effects of acupuncture perceived by women are largely due to placebo. Acupuncture has many qualities that maximise placebo effects: it involves touch and is invasive and, psychologically, is attached to the mysticism of the east.”

Prof Philip Steer, BJOG’s editor-in-chief, said labour pain can be so intense that a women would do anything to minimise it.

“Acupuncture is a drug-free approach and that may explain why some women prefer its use during labour. This review shows that in a very small number of cases acupuncture may be of help, usually for short periods of time after treatment, and this may be down to psychological rather than a physiological effect. Generally the consensus is that the evidence does not support its use.”

The only benefits were 11% less pain in the first 30 minutes after receiving acupuncture and a need for less pharmacological pain relief, the authors say.

The researchers found that acupuncture did not seem to be any more effective than sham acupuncture, conventional drug-induced pain relief or no pain relief. When women reported the amount of pain they were feeling while using acupuncture, it was similar to the pain levels recounted by women using these other methods.

But critics said the research ignored the real benefits that women in labour felt they had received.

“As a practising acupuncturist and midwife I’ve seen very good results in the past when using acupuncture for pain relief during labour,” said Sarah Budd, a midwife and acupuncturist at the Derriford hospital in Plymouth.

“Our experience is that women are looking for alternatives to drugs and intervention such as epidurals, and certainly the women I have treated report a very high satisfaction rate from acupuncture treatment during labour with very little use of other pain relief methods.”

Siobhain Freegard, co-founder of the Netmums website, said it was more important that some women who used acupuncture found it useful than that it was scientifically proven to work.

“If acupuncture helps a women endure the pain of childbirth and feel more relaxed and more in control of what’s happening to her, then it’s worthwhile, even if those benefits are mainly psychological,” she said. “Pain is largely in the mind; it’s not something you can see and touch. Childbirth is a combination of the psychological, emotional and physical. If acupuncture works on any of those levels, it’s worthwhile.”

Freegard added that women who used acupuncture with their first birth often use it their second time.

Mike O’Farrell, chief executive of the British Acupuncture Council, said: “We’re surprised by these findings as previous trials, along with the evidence that our members see in their practices every day, suggest that acupuncture can be effective in providing pain relief in many different circumstances.

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  • http://spinaljoint.com Richard Lanigan

    Hi Eleanor,
    You are going to piss off all those dogmatic sceptics saying something like that. They say despite the Chinese using it for thousands of years for such purposes, Professor Edzard Ernst says there is no scientific evidence for what you are saying and therefore it can not happen and you must be deluded. They say the same about children I treat so you are in good company.

  • http://www.epoxyfloors.info Eleanor Simpson

    Acupuncture helps me in my allergies. I have hay fever ever since i was a kid.`:`

  • Garland Glenn

    Richard,

    Things are going very well here. I do miss living in the UK but at the present have a hard time watching what is happening to chiropractic there. It’s painful to see how small minded certain people are. As the future of health care moves from a chemistry model to a physics based model, those in power are missing the boat. Chiropractic has always worked by integrating a Newtonian approach with a quantum / energy interaction. At least Chelsea is having a good year. I watch every game on the satel ite
    Take care.

  • http://spinaljoint.com Richard Lanigan

    Hi Garland,
    Was thinking of you yesterday as I re-posted your story. Hopefully everything is easier to find now and chiropractors will have the courage of their convictions to start writing.

  • Garland Glenn

    The only person who would say it’s placebo is someone uninformed about electromagnetic fields and quantum physics. There is very good science that explains how therapies like accupuncture work. But, if your brain is stuck in a Newtonian box you’ll never get it. Of course I’ll wager he wrote his refutation on a computer which works on quantum phisics priciples. Dr.Ernst you must begin reading and thinking instead of just rambling. There was a time when intelligent men thought the world was flat! Of course we wouldn’t see them as intelligent now.

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