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Pregnancy back and pelvic pain – acupuncture and stabilising exercises

Over two-thirds of women will experience some degree of back pain during pregnancy, and nearly a fifth suffer from pelvic pain.

Researchers from Cochrane collaboration reviewed research on various therapies available to relieve back pain during pregnancy.

The researchers confirmed that stabilizing exercises and acupuncture were better than usual care alone for relieving pelvic pain. Among women with both back and pelvic pain, there was evidence that acupuncture was more effective than physical therapy.

SOURCE: Cochrane Database of Systematic Reviews 2007, Issue 2.

Acupuncture for pregnancy depression

In a study carried out at Stanford University, 61 pregnant women with major depressive disorder were randomly assigned to receive one of three treatments:

(i). Individually tailored true acupuncture designed to treat their depression,
(ii). True acupuncture, but with points not chosen to treat the depression, and
(iii). Massage treatment (included to provide control for attention, physical contact, relaxation and respite from daily stress).

Acute phase treatment was given for twelve sessions over eight weeks, with continued treatment throughout pregnancy for those who responded.

As far as possible the acupuncture treatment was double-blinded, with the treatment to be given by a treating acupuncturist determined by a different (assessing) acupuncturist. The assessment, treatment design, needle insertion, and needle stimulation were all standardised. Response rates at the end of the acute
phase were:

  • 68.8% in the depression specific acupuncture,
  • 47.4% in the non depression-specific acupuncture,
  • 31.6% in the massage group.

The study also showed that successful treatment of depression during pregnancy offers protection from postpartum depression.