THE EFFECT OF SUPPORTIVE COUNSELING WITH ACUPRESSURE ON NAUSEA AND VOMITING IN PREGNANT WOMEN REFERRING TO HEALTH CENTERS IN HAMADAN, IRAN: A RANDOMIZED DOUBLE BLIND CONTROLLED TRIAL STUDY
Article Sidebar
Main Article Content
Abstract
Objective: To measure the effect of supportive counseling and acupressure on P6 point on nausea and vomiting.
Methodology: This study is a randomized clinical trial with two groups. And has been done in the health clinic centers of Hamadan, Iran, in 2020. A total of 60 pregnant women were randomly divided into two groups. Group 1 received three face-to-face support counseling sessions by a midwife, one session every week, and continuous follow-ups by phone or online, using a 24-hour P6 acupressure wristband for fourteen days, and group 2 had the same number of sessions with using a placebo wristband. The severity of nausea and vomiting was assessed based on PUQE-24 questionnaire item for 17 days.
Results: The mean age of pregnant women in two groups were 28.10 (5.13) and 27.93 (14.71) respectively. Nausea exacerbating variables and level of spouse information about pregnancy, appropriate verbal, sexual and emotional communication with spouse, level of domestic violence, level of information about nausea reduction methods in both groups were homogeneous (p>0.05). There was a decreasing trend in the mean scores of questions 1(duration of nausea or stomach problems), 2 (number of vomiting times during the day) and 3 (number of retching per day) after the intervention (p<0.001). But the trend of decreasing scores in the first group was more than the second group. Although there was no significant difference (p>0.05).
Conclusion: Based on the findings, acupressure on P6 combined with supportive counseling is indicated to minimize vomiting and nausea during pregnancy.
Article Details
Work published in JPMI is licensed under a
Creative Commons Attribution-NonCommercial 2.0 Generic License.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
References
World Health Organization. Access to safe abortion critical for health of women and girls. Who.int. Available from URL: http://www.who.int/news/ item/09-03-2022-access-to-safe-abortion-critical-for-health-of-women-and-girls.
Zambelli Weiner A, Via C, Yuen M, Weiner DJ, Kirby RS. First trimes¬ter ondansetron exposure and risk of structural birth defects. Reprod Toxicol. 2019;83:14-20. DOI:10.1016/j.repro¬tox.2018.10.010.
Koch KL, Hasler WL. Physiology of Nau¬sea. Nausea and Vomiting, Diagnosis and Treatment: Springer. 2017;1-13. DOI:10.1007/978-3-319-34076-0.
Isbir GG, Mete S. The effect of coun¬selling on nausea and vomiting in pregnancy in Turkey. Sex Reprod Healthc. 2016;7:38-45. DOI:10.1016/j. srhc.2015.11.005.
Jafari Dehkordi E, Sohrabvand F, Naazem E, et al. Nausea and Vomiting in Pregnancy: Revisiting their Aetiologies and Treatments in Iranian Traditional Medicine. Med Hist. 2016;5(14):33-48.
Crozier SR, Inskip HM, Godfrey KM, Cooper C, Robinson SM; SWS Study Group. Nausea and vomiting in ear¬ly pregnancy: Effects on food intake and diet quality. Matern Child Nutr. 2017;13(4):e12389. DOI:10.1111/ mcn.12389.
Bustos M, Venkataramanan R, Caritis S. Nausea and vomiting of pregnan¬cy - What's new? Auton Neurosci. 2017;202:62-72. DOI:10.1016/j.aut¬neu.2016.05.002.
Shourgashti Z, Mirzaei K, Chamanzari H, Asghari Nekah M, Dadgar S, Emami Moghaddam Z. The effect of progres¬sive muscle relaxation on nausea and vomiting in pregnant women. Iran J Ob¬stet Gynecol Infertil 2019;22(2):52-62.
Tan A, Lowe S, Henry A. Nausea and vomiting of pregnancy: Effects on quality of life and day-to-day function. Aust N Z J Obstet Gynaecol. 2018 Jun;58(3):278-90. DOI:10.1111/ ajo.12714.
Denholm L, Gallagher G. Physiology and pharmacology of nausea and vomiting. Anaesthesia & Intensive Care Medicine. 2018;19(9):513-16. DOI:10.1016/j. mpaic.2021.07.002.
Volqvartz T, Vestergaard AL, Aagaard SK, Andreasen MF, Lesnikova I, Uldb¬jerg N, et al. Use of alternative medi¬cine, ginger and licorice among Danish pregnant women - a prospective cohort study. BMC Complement Altern Med. 2019;19(1):5. DOI:10.1186/s12906- 018-2419-y.
Golmakani N, Soltani M, GhayourMo¬barhan M, Mazloom SR. The relation¬ship between nausea and vomiting in pregnant women with social support and marital satisfaction. J Torbat Hey¬dariyeh Univ Med Sci. 2016;3(4):25-31.
Adlan AS, Chooi KY, Mat Adenan NA. Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy: A dou¬ble-blind randomized controlled trial. J Obstet Gynaecol Res. 2017;43(4):662- 668. DOI:10.1111/jog.13269.
Saeedi Z, Alidoosti K, Mirzaee F, Ahmadi A, Dahesh T. The effect of combination of psychological counseling and acu¬pressure training with couple therapy approach on nausea and vomiting in pregnancy. Iran J Obstet, Gynecol Infer¬til. 2019;21(11):71-9.
Masoumi Z, Keramat A, Hajiaghaee R. Systematic review on effect of herbal medicine on pain after perineal episiot¬omy and cesarean cutting. J Medicinal Plants. 2011;10(40):1-16.
Soltani M, Golmakani N, Mazloom SR. The effect of an educational interven¬tion based on Ottawa Guideline on nausea and vomiting at first trimes¬ter of pregnancy. Payesh Health Mon. 2017;16(2):219-29.
Saberi F, Sadat Z, Abedzadeh-Kalahrou¬di M, Taebi M. Impact of acupressure on nausea and vomiting during preg¬nancy. J Kashan Univ Med Sci (FEYZ). 2012;16(3):212-8.
Yavari Kia P, Safajou F, Shahnazi M, Nazemiyeh H. The effect of lemon in¬halation aromatherapy on nausea and vomiting of pregnancy: a double-blind¬ed, randomized, controlled clinical trial. Iran Red Crescent Med J. 2014 Mar;16(3):e14360. DOI:10.5812/ircmj.
Abedian Z, Abbaszadeh N, Latifnejad Roudsari R, Shakeri MT. The effect of telephone support on the severity of nausea and vomiting in the first tri¬mester of pregnancy in the primiparous women. Iran J Obstet Gynecol Infertil 2014;17(118):18-29.
Maltepe C, Popa MV, Bertucci C, Farine D, Koren G, Nulman I. The ef¬fects of counseling and predictors of pregnancy outcomes in women with hyperemesis gravidarum [316]. Obstet Gynecol. 2015;125(Supple¬ment 1):101S. DOI:10.1097/01. aog.0000463567.44823.31.
Negarandeh R, Eghbali M, Janani L, Dastaran F, Saatchi K. Auriculothera¬py as a means of managing nausea and vomiting in pregnancy: A dou¬ble-blind randomized controlled clin¬ical trial. Complement Ther Clin Pract. 2020;40:101177. DOI:10.1016/j. ctcp.2020.101177.