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      Acupressure and Ginger to Relieve Nausea and Vomiting in Pregnancy: a Randomized Study

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          Abstract

          Background

          Nausea and vomiting of pregnancy (NVP) is the most common medical condition of pregnancy, affecting up to 85% of expecting mothers. NVP can have serious adverse effects on the quality of a woman's life, social, and domestic functioning, and her general well-being. Therefore, it is very important to treat this condition.

          Objectives

          The effectiveness of ginger and acupressure in the treatment of NVP was compared in the present study.

          Patients and Methods

          159 eligible pregnant women with symptoms of mild to moderate nausea and/or vomiting before 16 weeks gestational age participated in a 7-day clinical trial. They were divided randomly into three groups: the acupressure, ginger, and control. Participants did not receive any intervention for three days and interventions were performed for the women in acupressure and ginger groups for four days. No intervention was performed for the control group. Data was collected by self-recorded symptoms according to the Rhodes index. Data was analyzed by ANOVA, Kruskal-Wallis, Chi-square, and Fisher exact tests for quantitative and qualitative variables.

          Results

          There were no statistical differences in the baseline demographics between the three groups. ANOVA test showed that there were significantly differences in mean difference Rhodes index scores (vomiting, nausea, retching and total score) in the three groups (P < 0.001).

          Conclusions

          Ginger is more effective than acupressure to relieve mild to moderate nausea and vomiting in symptomatic pregnant women in less than 16 weeks of gestational age.

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          Most cited references52

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          The efficacy of acupressure for symptom management: a systematic review.

          Acupressure is a noninvasive strategy used to manage various symptoms. The purpose of this article was to review randomized controlled trials that investigated the efficacy of acupressure for the management of symptoms. A literature search was conducted in the Cumulative Index to Nursing and Allied Health Literature, Medline, and PubMed using the key words acupressure, clinical trial, human, and/or randomized. Randomized clinical trials published between January 1, 2000 and January 31, 2010, which used acupressure as the sole intervention for one group, were included when they were written in English and when there were four or more studies of the efficacy of acupressure for that particular symptom. Forty-three studies were included in this review. Investigators in 16 of 23 studies concluded acupressure was effective, primarily for the management of nausea and vomiting in patients during pregnancy and during chemotherapy. Investigators in nine of 10 studies concluded that acupressure was effective for pain in patients with dysmenorrhea, during labor and after trauma. Investigators of four studies concluded that acupressure was effective in the management of dyspnea and investigators in six studies concluded that acupressure was effective in improving fatigue and reducing insomnia in a variety of populations. However, evaluation of the randomized controlled trial reports indicated a significant likelihood of bias. Acupressure may be a useful strategy for the management of multiple symptoms in a variety of patient populations, but rigorous trials are needed. Inclusion of acupressure as an intervention may improve patient outcomes. Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
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            Effects of ginger capsules on pregnancy, nausea, and vomiting.

            The aim of this study was to determine the effects of ginger in nausea and vomiting of pregnancy. This was a single blind clinical trial study. The study was conducted in a selected prenatal care clinic of Isfahan City hospitals. The subjects included 67 pregnant women who complained of nausea and vomiting from Isfahan city hospitals participated in the study. The participants were randomly assigned to two groups, an experimental group and a control group. The groups were matched according to the age, gestational age, parity, occupational status, and educational level of the participants. The experimental group received ginger 250 mg capsules for 4 days, and the control group received placebo with the same prescription form. Effects of treatment of nausea were evaluated twice daily for 4 days by a before-and-after treatment questionnaire. The mean ages of the experimental and control groups were 24.1 +/- 4.8 and 23.3 +/- 5 years, respectively. The mean gestational age was 13 +/- 3 weeks, and the mean parity was 1.6 +/- 0.8. The ginger users demonstrated a higher rate of improvement than the placebo users did (85% versus 56%; p < 0.01). The decrease in vomiting times among ginger users was also significantly greater than among the women who received the placebo (50% versus 9%; p < 0.05). A daily total of 1000 mg of ginger in a capsule preparation can be suggested by care providers as a means of decreasing pregnancy nausea and vomiting in women who tend to herbal medicines. Ginger is an effective herbal remedy for decreasing nausea and vomiting during pregnancy.
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              Comparing ginger and vitamin B6 for the treatment of nausea and vomiting in pregnancy: a randomised controlled trial.

              to compare the effectiveness of ginger and vitamin B6 for the treatment of nausea and vomiting in early pregnancy. double-blind randomised controlled trial. Pregnant women with nausea, who first attended the antenatal clinic at or before 17 weeks gestation, were invited to participate in the study. Over a 3-month period, 70 women were randomised to receive either ginger 1g/day or vitamin B6 40 mg/day for 4 days. Subjects graded the severity of their nausea using a visual analogue scale, and recorded the number of vomiting episodes in the 24 hours before treatment and during 4 consecutive days while taking treatment. At 7-day follow-up, women reported any changes in the severity of their symptoms. compared with baseline, the decrease in the visual analogue scores of post-therapy nausea in the ginger group was significantly greater than that for the vitamin B6 group (p = 0.024). The number of vomiting episodes decreased in both groups, and there was no significant difference between the groups. In the ginger group, 29/35 women reported an improvement in nausea symptoms, compared with 23/34 women in the vitamin B6 group (p = 0.52). ginger is more effective than vitamin B6 for relieving the severity of nausea, and is equally effective for decreasing the number of vomiting episodes in early pregnancy.
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                Author and article information

                Journal
                Iran Red Crescent Med J
                Iran Red Crescent Med J
                10.5812/ircmj
                Kowsar
                Iranian Red Crescent Medical Journal
                Kowsar
                2074-1804
                2074-1812
                05 September 2013
                September 2013
                : 15
                : 9
                : 854-861
                Affiliations
                [1 ]Department of Midwifery, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, IR Iran
                [2 ]Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
                [3 ]Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
                [4 ]Department of Midwifery, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran
                Author notes
                [* ]Corresponding author: Masoumeh Abedzadeh-Kalahroudi, Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-3615620634Fax: +98-3615620634, E-mail: abedzadeh@ 123456kaums.ac.ir .
                Article
                10.5812/ircmj.12984
                3929824
                24616799
                ddd3344f-5d05-473b-9376-c4a83ca79d65
                Copyright © 2013, Iranian Red Crescent Medical Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 June 2013
                : 21 July 2013
                : 10 August 2013
                Categories
                Research Article

                Medicine
                ginger,acupressure,nausea,vomiting,pregnancy
                Medicine
                ginger, acupressure, nausea, vomiting, pregnancy

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