ACUPUNCTURE OR LOCAL ANAESTETICS FOR PAIN RELIEF DURING PERINEAL REPAIR AFTER VAGINAL DELIVERY: A RANDOMISED CONTROLLED TRIAL. By: Sara Kindberg. Midwife and PhD student, Sønderborg Hospital, Denmark. Objective: To evaluate acupuncture as a new method of pain relief for postpartum perineal repair compared to traditional local anaesthetics. Study design: A single blind randomised controlled trial. Setting: Sønderborg Hospital, Denmark 2006 - 2007. Participants: 206 primiparous women requiring perineal repair after vaginal delivery. Method: Individual interviews and wound healing assessments are conducted at day 1 or 2, at day 14 and 6 months after delivery. A validated tool for wound healing assessment and pain score is used. Randomisation is stratified on episiotomies and epidural is used for pain during delivery. Main outcome measures: 1. Need for additional pain relief during perineal repair. 2. Pain experienced during perineal repair reported 1 day after delivery. 3. Wound healing evaluated 1 and 14 days after delivery. 4. Patient satisfaction with the allocated pain relief during perineal repair. Results: The trial is ongoing until July 2007. Preliminary results will be presented as well as photos of the acupuncture points. Perspectives: Basic midwifery services such as providing sufficient pain relief during perineal repair still need improvement. Clinical practice should be improved continuously and thus produce reliable evidence on different pain relief methods. Website: http://www.suturprojekt.dk/ Research protocol and interview guides are available on request.
Midwives Guarding the Future. Book of Abstracts: Nordisk Jordemoder Kongres 4.-6.5.2007, Åbo, Finland, 2007
Akupunktur; Smertelindring; Lokalbedøvelse; Acupuncture; Pain relief methods; Local infiltration