Effect of P-6 acupressure on prevention of nausea and vomiting after epidural morphine for post-cesarean section pain relief

Acta Anaesthesiol Scand. 1996 Mar;40(3):372-5. doi: 10.1111/j.1399-6576.1996.tb04448.x.

Abstract

Background: Nausea and vomiting are important side effects following administration of epidural morphine for post-Cesarean section pain relief. Stimulation of the P-6 (Neiguan) acupoint is a traditional Chinese acupuncture modality used for antiemetic purpose; it has been found to be effective. The aim of this study was to evaluate the antiemetic effect of P-6 acupressure in parturients given epidural morphine for post-Cesarean section pain relief.

Method: In a randomized, double-blind and controlled trial, sixty parturients receiving epidural morphine for post-Cesarean section pain relief were investigated. Parturients were allocated to receive the acupressure bands or placebo bands on the P-6 acupoint bilaterally before the administration of spinal anesthesia and were observed over a 48-hour study period.

Results: The incidence of nausea and vomiting was significantly decreased from 43% and 27% in the control group, to 3% and 0% in the acupressure group, respectively (P < 0.05).

Conclusion: The results demonstrate that prophylactic use of acupressure bands bilaterally on the P-6 acupoint can significantly reduce incidence of nausea and vomiting after epidural morphine for post-Cesarean section pain relief.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Acupressure*
  • Acupuncture Points
  • Adult
  • Analgesia, Epidural / adverse effects*
  • Analgesia, Obstetrical / adverse effects*
  • Analgesics, Opioid / adverse effects*
  • Anesthesia, Obstetrical
  • Anesthesia, Spinal
  • Cesarean Section* / adverse effects
  • Double-Blind Method
  • Female
  • Humans
  • Incidence
  • Morphine / adverse effects*
  • Nausea / prevention & control*
  • Pain, Postoperative / drug therapy*
  • Placebos
  • Postoperative Complications / prevention & control*
  • Pregnancy
  • Vomiting / prevention & control*

Substances

  • Analgesics, Opioid
  • Placebos
  • Morphine