A Review of the Study on Complementary and Alternative Medicine in Obstetrics

임신 중 한의학 관련 보완대체의학 활용 연구 동향 분석을 통한 한방 산과학의 활성화 방안 연구 (2000년대 연구를 중심으로)

  • 이윤재 (강남경희한방병원 여성의학센터) ;
  • 황덕상 (강남경희한방병원 여성의학센터) ;
  • 이창훈 (강남경희한방병원 여성의학센터) ;
  • 이경섭 (강남경희한방병원 여성의학센터)
  • Published : 2009.01.30

Abstract

Objectives: Pregnant women could have various diseases, but the treatment of medication has the limitation that could cause fetal injury. So pregnant women have used complementary and alternative medicine in the world, but korean medicine had not been actively studied on obstetrics. This study is to investigate efficacy and safety of complementary and alternative medicine on obstetrics. Methods: We searched for papers which had pregnancy, obstetrics, complementary medicine, acupuncture and herb in the pubmed since 2000. Results: 41 papers were found. Acupuncture have the efficacy and safety on nausea, pelvic pain in pregnancy and breech presentation. Complementary alternative medicine had been studied as randomized controlled trial at various diseases in obstetric. But the method were without coordination, results were different from methods. So more clinical trials about complementary and alternative medicine would be needed. Massage and acupressure would be helpful for pregnant mood complaint. Conclusion: Complementary and alternative medicine has been proved as efficacy and safety in obstetrics, so complementary and alternative medicine would be helpful method in pregnant women. For making guidelines on complementary and alternative medicine treatment during pregnancy, more research will be needed.

Keywords

References

  1. 한방여성의학 편찬위원회. 한방여성의학 II. 서울: 정담, 2007:105-7.
  2. Cuunungham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstrap LC, Wenstrom KDl. Williams Obstretrics 22nd edition. U.S.A: Mcgraw-Hill Companies. 2005.
  3. WHO Traditional Medicine Strategy 2002-2005. World Health Organization; 2002.
  4. Nordeng H, Havnen GC. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemiol Drug Saf. 2004;13(6):371-80. https://doi.org/10.1002/pds.945
  5. Kim KH, Jung AR, Jung EA, Park SE. Two cases of dermatitis patients of pregnancy. The journal of oriental obstetrics & gynecology. 2007;20(1):258-67.
  6. Na HS, Baek SH, Park HJ, Kim KH, Jung EA. One case of the woman suffered from the pain due to weakened gluteus medius muscle during pregnancy treated by Hwa-acupuncture. The journal of oriental obstetrics & gynecology. 2005;17(4):211-8.
  7. Yoo YK, Bea SJ, Kim HJ, Lee DN. A case report of complaining of disturbed liver function in hyperemesis gravidarium. The journal of oriental obstetrics & gynecology. 2006;19(4):279-86.
  8. Kim ES, Lee CH, Cho JH, Jang JB, Lee KS. The one case of acute dermatitis patient during the period of pregnancy. The journal of oriental obstetrics & gynecology. 2005;18(4):196-202.
  9. Kim KJ, Cho JH, Jang JB, Lee KS. A case report from trigeminal neuralgia diagnosed weakness during pregnancy. The journal of oriental obstetrics & gynecology. 2005;18(3):234-41.
  10. Lee JA, Ban HR, Cho SH. The case study on one case of the Bell's palsy during the period of prgnancy. The journal of oriental obstetrics & gynecology. 2005;18(2):186-94.
  11. Baek SH, Na HS, Park HJ, Jung EA, Choi S. The clinical study on one case of cervical sprain patient due to traffic accident in pregnancy. The journal of oriental obstetrics & gynecology. 2005;18(1):207-17.
  12. Carlsson CP, Axemo P, Bodin A, Carstensen H, Ehrenroth B, Madegard-Lind I, Navander C. Manual acupuncture reduces hyperemesis gravidarum: a placebo-controlled randomized, singleblind, crossover study. J Pain Symptom Manage. 2000;20(4):273-9. https://doi.org/10.1016/S0885-3924(00)00185-8
  13. Knight B, Mudge C, Openshaw S, White A, Hart A. Effect of acupuncture on nausea of pregnancy: a randomized, controlled trial. Obstet Gynecol. 2001;97(2):184-8. https://doi.org/10.1016/S0029-7844(00)01152-2
  14. Smith C, Crowther C. The placebo response and effect of time in a trial of acupuncture to treat nausea and vomiting in early pregnancy. Complement Ther Med. 2002;10(4):210-6. https://doi.org/10.1016/S0965-2299(02)00072-9
  15. Smith C, Crowther C, Beilby J. Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial. Birth. 2002;29(1):1-9. https://doi.org/10.1046/j.1523-536X.2002.00149.x
  16. Smith C, Crowther C, Beilby J. Pregnancy outcome following women's participation in a randomised controlled trial of acupuncture to treat nausea and vomiting in early pregnancy. Complement Ther Med. 2002;10(2):78-83. https://doi.org/10.1054/ctim.2002.0523
  17. Steele NM, French J, Gatherer-Boyles J, Newman S, Leclaire S. Effect of acupressure by Sea-Bands on nausea and vomiting of pregnancy. J Obstet Gynecol Neonatal Nurs. 2001;30(1):61-70. https://doi.org/10.1111/j.1552-6909.2001.tb01522.x
  18. Norheim AJ, Pedersen EJ, Fønnebø V, Berge L. Acupressure treatment of morning sickness in pregnancy. A randomised, double-blind, placebocontrolled study. Scand J Prim Health Care. 2001;19(1):43-7.
  19. Rosen T, de Veciana M, Miller HS, Stewart L, Rebarber A, Slotnick RN. A randomized controlled trial of nerve stimulation for relief of nausea and vomiting in pregnancy. Obstet Gynecol. 2003;102(1):129-35. https://doi.org/10.1016/S0029-7844(03)00375-2
  20. Markose MT, Ramanathan K, Vijayakumar J. Reduction of nausea, vomiting, and dry retches with P6 acupressure during pregnancy. Int J Gynaecol Obstet. 2004;85(2):168-9. https://doi.org/10.1016/j.ijgo.2003.09.008
  21. Heazell A, Thorneycroft J, Walton V, Etherington I. Acupressure for the in-patient treatment of nausea and vomiting in early pregnancy: a randomized control trial. Am J Obstet Gynecol. 2006;194(3):815-20. https://doi.org/10.1016/j.ajog.2005.08.042
  22. Jamigorn M, Phupong V. Acupressure and vitamin B6 to relieve nausea and vomiting in pregnancy: a randomized study. Arch Gynecol Obstet. 2007;276(3):245-9. https://doi.org/10.1007/s00404-007-0336-2
  23. Shin HS, Song YA, Seo S. Effect of Nei-Guan point (P6) acupressure on ketonuria levels, nausea and vomiting in women with hyperemesis gravidarum. J Adv Nurs. 2007;59(5):510-9. https://doi.org/10.1111/j.1365-2648.2007.04342.x
  24. Werntoft E, Dykes AK. Effect of acupressure on nausea and vomiting during pregnancy. A randomized, placebo-controlled, pilot study. J Reprod Med. 2001;46(9):835-9.
  25. Kvorning N, Holmberg C, Grennert L, Aberg A, Akeson J. Acupuncture relieves pelvic and lowback pain in late pregnancy. Acta Obstet Gynecol Scand. 2004;83(3):246-50.
  26. Guerreiro da Silva JB, Nakamura MU, Cordeiro JA, Kulay L Jr. Acupuncture for low back pain in pregnancy-a prospective, quasi-randomised, controlled study. Acupunct Med. 2004;22(2):60-7. https://doi.org/10.1136/aim.22.2.60
  27. Lund I, Lundeberg T, Lonnberg L, Svensson E. Decrease of pregnant women's pelvic pain after acupuncture: a randomized controlled single-blind study. Acta Obstet Gynecol Scand. 2006;85(1):12-9. https://doi.org/10.1080/00016340500317153
  28. Elden H, Ladfors L, Olsen MF, Ostgaard HC, Hagberg H. Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial. BMJ. 2005;330(7494):761-5. https://doi.org/10.1136/bmj.38397.507014.E0
  29. Elden H, Hagberg H, Olsen MF, Ladfors L, Ostgaard HC. Regression of pelvic girdle pain after delivery: follow-up of a randomised single blind controlled trial with different treatment modalities. Acta Obstet Gynecol Scand. 2008;87(2):201-8. https://doi.org/10.1080/00016340701823959
  30. Manber R, Schnyer RN, Allen JJ, Rush AJ, Blasey CM. Acupuncture: a promising treatment for depression during pregnancy. J Affect Disord. 2004;83(1):89-95. https://doi.org/10.1016/j.jad.2004.05.009
  31. da Silva JB, Nakamura MU, Cordeiro JA, Kulay LJ. Acupuncture for insomnia in pregnancy-a prospective, quasi-randomised, controlled study. Acupunct Med. 2005;23(2):47-51. https://doi.org/10.1136/aim.23.2.47
  32. Bosco Guerreiro da Silva J. Acupuncture for mild to moderate emotional complaints in pregnancy-a prospective, quasi-randomised, controlled study. Acupunct Med. 2007;25(3):65-71. https://doi.org/10.1136/aim.25.3.65
  33. Mollart L. Single-blind trial addressing the differential effects of two reflexology techniques versus rest, on ankle and foot oedema in late pregnancy. Complement Ther Nurs Midwifery. 2003;9(4):203-8. https://doi.org/10.1016/S1353-6117(03)00054-4
  34. Field T, Diego MA, Hernandez-Reif M, Schanberg S, Kuhn C. Massage therapy effects on depressed pregnant women. J Psychosom Obstet Gynaecol. 2004;25(2):115-22. https://doi.org/10.1080/01674820412331282231
  35. Ramnero A, Hanson U, Kihlgren M. Acupuncture treatment during labour-a randomised controlled trial. BJOG. 2002;109(6):637-44.
  36. Skilnand E, Fossen D, Heiberg E. Acupuncture in the management of pain in labor. Acta Obstet Gynecol Scand. 2002;81(10):943-8. https://doi.org/10.1034/j.1600-0412.2002.811008.x
  37. Chung UL, Hung LC, Kuo SC, Huang CL. Effects of LI4 and BL 67 acupressure on labor pain and uterine contractions in the first stage of labor. J Nurs Res. 2003;11(4):251-60. https://doi.org/10.1097/01.JNR.0000347644.35251.c1
  38. Lee MK, Chang SB, Kang DH. Effects of SP6 acupressure on labor pain and length of delivery time in women during labor. J Altern Complement Med. 2004;10(6):959-65. https://doi.org/10.1089/acm.2004.10.959
  39. Ziaei S, Hajipour L. Effect of acupuncture on labor. Int J Gynaecol Obstet. 2006;92(1):71-2. https://doi.org/10.1016/j.ijgo.2005.09.008
  40. Hantoushzadeh S, Alhusseini N, Lebaschi AH. The effects of acupuncture during labour on nulliparous women: a randomised controlled trial. Aust N Z J Obstet Gynaecol. 2007;47(1): 26-30. https://doi.org/10.1111/j.1479-828X.2006.00674.x
  41. Martensson L, Stener-Victorin E, Wallin G. Acupuncture versus subcutaneous injections of sterile water as treatment for labour pain. Acta Obstet Gynecol Scand. 2008;87(2):171-7. https://doi.org/10.1080/00016340701797799
  42. Harper TC, Coeytaux RR, Chen W, Campbell K, Kaufman JS, Moise KJ, Thorp JM. A randomized controlled trial of acupuncture for initiation of labor in nulliparous women. J Matern Fetal Neonatal Med. 2006;19(8):465-70. https://doi.org/10.1080/14767050600730740
  43. Gaudernack LC, Forbord S, Hole E. Acupuncture administered after spontaneous rupture of membranes at term significantly reduces the length of birth and use of oxytocin. A randomized controlled trial. Acta Obstet Gynecol Scand. 2006;85(11):1348-53. https://doi.org/10.1080/00016340600935839
  44. Selmer-Olsen T, Lydersen S, Mørkved S. Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomised controlled trial. Acta Obstet Gynecol Scand. 2007;86(12):1447-52. https://doi.org/10.1080/00016340701645287
  45. Chang MY, Wang SY, Chen CH. Effects of massage on pain and anxiety during labour: a randomized controlled trial in Taiwan. J Adv Nurs. 2002;38(1):68-73. https://doi.org/10.1046/j.1365-2648.2002.02147.x
  46. Ingram J, Domagala C, Yates S. The effects of shiatsu on post-term pregnancy. Complement Ther Med. 2005;13(1):11-5. https://doi.org/10.1016/j.ctim.2004.12.004
  47. Harmon D, Ryan M, Kelly A, Bowen M. Acupressure and prevention of nausea and vomiting during and after spinal anaesthesia for caesarean section. Br J Anaesth. 2000;84(4):463-7. https://doi.org/10.1093/oxfordjournals.bja.a013471
  48. Habib AS, Itchon-Ramos N, Phillips-Bute BG, Gan TJ; Duke Women's Anesthesia(DWA) Research Group. Transcutaneous acupoint electrical stimulation with the ReliefBand for the prevention of nausea and vomiting during and after cesarean delivery under spinal anesthesia. Anesth Analg. 2006;102(2):581-4. https://doi.org/10.1213/01.ane.0000189217.19600.5c
  49. Ho CM, Tsai HJ, Chan KH, Tsai SK. P6 acupressure does not prevent emesis during spinal anesthesia for cesarean delivery. Anesth Analg. 2006;102(3):900-3. https://doi.org/10.1213/01.ane.0000195553.82409.00
  50. Arai YC, Kato N, Matsura M, Ito H, Kandatsu N, Kurokawa S, Mizutani M, Shibata Y, Komatsu T. Transcutaneous electrical nerve stimulation at the PC-5 and PC-6 acupoints reduced the severity of hypotension after spinal anaesthesia in patients undergoing Caesarean section. Br J Anaesth. 2008;100(1):78-81. https://doi.org/10.1093/bja/aem306
  51. Neri I, Fazzio M, Menghini S, Volpe A, Facchinetti F. Non-stress test changes during acupuncture plus moxibustion on BL67 point in breech presentation. J Soc Gynecol Investig. 2002;9(3):158-62. https://doi.org/10.1016/S1071-5576(02)00145-4
  52. Habek D, Cerkez Habek J, Jagust M. Acupuncture conversion of fetal breech presentation. Fetal Diagn Ther. 2003;18(6):418-21. https://doi.org/10.1159/000073135
  53. Neri I, Airola G, Contu G, Allais G, Facchinetti F, Benedetto C. Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study. J Matern Fetal Neonatal Med. 2004;15(4):247-52. https://doi.org/10.1080/14767050410001668644
  54. Cardini F, Lombardo P, Regalia AL, Regaldo G, Zanini A, Negri MG, Panepuccia L, Todros T. A randomised controlled trial of moxibustion for breech presentation. BJOG. 2005;112(6):743-7. https://doi.org/10.1111/j.1471-0528.2005.00634.x
  55. Neri I, De Pace V, Venturini P, Facchinetti F. Effects of three different stimulations (acupuncture, moxibustion, acupuncture plus moxibustion) of BL.67 acupoint at small toe on fetal behavior of breech presentation. Am J Chin Med. 2007;35(1):27-33. https://doi.org/10.1142/S0192415X0700459X
  56. Gallo M, Sarkar M, Au W, Pietrzak K, Comas B, Smith M, Jaeger TV, Einarson A, Koren G. Pregnancy outcome following gestational exposure to echinacea: a prospective controlled study. Arch Intern Med. 2000;160(20):3141-3. https://doi.org/10.1001/archinte.160.20.3141
  57. Simpson M, Parsons M, Greenwood J, Wade K. Raspberry leaf in pregnancy: its safety and efficacy in labor. J Midwifery Womens Health. 2001;46(2):51-9. https://doi.org/10.1016/S1526-9523(01)00095-2
  58. June Seek Choi, Moon Young Kim, Jae Hyun Yang et al. Pregnancy outcome following exposure of herbal medicine in early pregnancy. 대한산부인과학회. 2006년 학술대회 초록집 :177.
  59. Lee HH, Kim YS, Lim EM. Analysis for 23 studies of patients that used herbal medicine during pregnancy. The journal of oriental obstetrics & gynecology. 2007;20(3):185-99.
  60. 정진탁, 강효신, 송병기. 임신중 금기약물에 관한 문헌적 조사. The journal of oriental obstetrics & gynecology. 1987;1(1):47-68.
  61. Kim SJ, Choi DK, Yoo SH, Kim YS, Sohn YJ, Sohn NW. Effect of Yeosin-dan on dystocia caused by abnormal expulsive forces in Primipara. The journal of oriental obstetrics & gynecology. 2005;18(4):219-29.