Index de l'article

Conclusion

 

A partir des données issues de l’acupuncture factuelle, L’EA ou la neurostimulation électrique transcutanée appliquée aux points d’acupuncture est plus efficace que l’acupuncture manuelle dans les nausées, vomissements, dans la maturation du col utérin et l’induction du travail chez la femme enceinte. Aucune complication obstétricale n’a été décelée, confirmant l’innocuité et la sécurité de l’EA. Et comme pour les algies [1], l’utilisation de l’acupuncture chez la femme enceinte peut être proposée avec un grade B de présomption scientifique de niveau 2 de preuves selon les recommandations de la Haute Autorité de Santé française (HAS) [[32]] en attendant d’avoir un ECR de très grande qualité méthodologique.  

 

Notes

 

[a]. La distension excessive de l’estomac active des récepteurs à l’étirement qui déclenchent un réflexe vaso-vagal provoquant la relaxation du sphincter inférieur de l’œsophage.

[b]. L'oxyde nitrique (NO) est le neuro-transmetteur non adrénergique et non cholinergique. Il permet la relaxation des muscles lisses de l’appareil gastro-intestinal.

[c]. Bishop EH. Pelvic scoring for elective induction. Obstet Gynecol. 1964;24:266-8.

[d]. HAS. Déclenchement artificiel du travail à partir de 37 semaines d’aménorrhée. 2008. [cité le 16/08/2016]. Available from URL : http://www.has-sante.fr/portail/upload/docs/application/pdf/declenchement_artificiel_du_travail_-_argumentaire.pdf

[d]. Acupuncture sham par aiguilles placebo de type Park

[f]. Protocole d’acupuncture utilisant 4GI, 36E, 3R (taixi), 60V (kunlun), 31V, 32V, 20VG (baihui), 6Rt.

 

Références

 

[1]. Stéphan JM. Electroacupuncture chez la femme enceinte – abord pratique et théorique dans les algies. Acupuncture & Moxibustion. 2016;15(2):130-138.

[2]. 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.

[3]. Matthews A, Haas DM, O'Mathúna DP, Dowswell T. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2015;9:CD007575.

[4]. Ezzo JM, Richardson MA, Vickers A, Allen C, Dibble SL, Issell BF, Lao L, Pearl M, Ramirez G, Roscoe J, Shen J, Shivnan JC, Streitberger K, Treish I, Zhang G. Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting. Cochrane Database Syst Rev. 2006;(2):CD002285.

[5]. Shen J, Wenger N, Glaspy J, Hays RD, Albert PS, Choi C, Shekelle PG. Electroacupuncture for control of myeloablative chemotherapy-induced emesis: A randomized controlled trial. JAMA. 2000;284(21):2755-61.

[6]. Yu Z, Cao X, Xia Y, Ren B, Feng H, Wang Y, Jiang J, Xu B. Electroacupuncture Stimulation at CV12 Inhibits Gastric Motility via TRPV1 Receptor. Evid Based Complement Alternat Med. 2013;2013:294789.

[7]. Tatewaki M, Strickland C, Fukuda H, Tsuchida D, Hoshino E, Pappas TN,Takahashi T. Effects of acupuncture on vasopressin-induced emesis in conscious dogs. Am J Physiol Regul Integr Comp Physiol. 2005;288(2):R401-8.

[8]. Shiotani A, Tatewaki M, Hoshino E, Takahashi T. Effects of electroacupuncture on gastric myoelectrical activity in healthy humans. Neurogastroenterol Motil. 2004;16(3):293-8.

[9]. Zou D, Chen WH, Iwakiri K, Rigda R, Tippett M, Holloway RH. Inhibition of transient lower esophageal sphincter relaxations by electrical acupoint stimulation. Am J Physiol Gastrointest Liver Physiol. 2005;289(2):G197-201.

[10]. Wang C, Zhou DF, Shuai XW, Liu JX, Xie PY. Effects and mechanisms of electroacupuncture at PC6 on frequency of transient lower esophageal sphincter relaxation in cats. World J Gastroenterol. 2007;13(36):4873-80.

[11]. Yang J, Wang C. [Electroacupuncture at "Zusanli"(ST 36) can inhibit frequencies of transient lower esophageal sphincter relaxation induced by gastric distention in cats]. Zhen Ci Yan Jiu. 2011;36(6):423-7.

[12]. Wang C, Chen X, Xie PY. Electroacupuncture at PC6 or ST36 Influences the Effect of Tacrine on the Motility of Esophagus. Evid Based Complement Alternat Med. 2014;2014:263489.

[13]. Smith CA, Crowther CA. Acupuncture for induction of labour. Cochrane Database of Systematic Reviews 2004, Issue 1. 

[14]. 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.

[15]. Harper TC, Coeytaux RR, Chen W, Campbell K, Kaufman JS, Moise KJ, et al. A randomized controlled trial of acupuncture for initiation of labor in nulliparous women. J Matern Fetal Neonatal Med. 2006 Aug;19(8):465-70.

[16]. Rabl M, Ahner R, Bitschnau M, Zeisler H, Husslein P. Acupuncture for cervical ripening and induction of labor at term--a randomized controlled trial. Wien Klin Wochenschr. 2001;113(23-24):942-6.

[17]. Stéphan JM. L'acupuncture autour de la naissance : bases scientifiques et état des lieux dans les versions, induction du travail et maturation du col. Acupuncture & Moxibustion. 2009;8(3):157-166.

[18]. Smith CA, Crowther CA, Grant SJ. Acupuncture for induction of labour. Cochrane Database Syst Rev. 2013;(8):CD002962.

[19]. Modlock J, Nielsen BB, Uldbjerg N. Acupuncture for the induction of labour: a  double-blind randomised controlled study. BJOG. 2010;117(10):1255-61.

[20]. Gribel GP, Coca-Velarde LG, Moreira de Sá RA. Electroacupuncture for cervical ripening prior to labor induction: a randomized clinical trial. Arch Gynecol Obstet. 2011;283(6):1233-8.

[21]. Tremeau ML, Fontanie-Ravier P, Teurnier F, Demouzon J. [Protocol of cervical maturation by acupuncture]. J Gynecol Obstet Biol Reprod (Paris). 1992;21(4):375-80.

[22]. Asher GN, Coeytaux RR, Chen W, Reilly AC, Loh YL, Harper TC. Acupuncture to initiate labor (Acumoms 2): a randomized, sham-controlled clinical trial. J Matern Fetal Neonatal Med. 2009;22(10):843-8.

[23]. Gaudet LM, Dyzak R, Aung SK, Smith GN. Effectiveness of acupuncture for the initiation of labour at term: a pilot randomized controlled trial. J Obstet Gynaecol Can. 2008;30(12):1118-23.

[24]. Mackenzie IZ, Xu J, Cusick C, Midwinter-Morten H, Meacher H, Mollison J, Brock M. Acupuncture for pain relief during induced labour in nulliparae: a randomised controlled study. BJOG. 2011;118(4):440-7.

[25]. Selmer-Olsen T, Lydersen S, Morkved 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.

[26]. Smith CA, Crowther CA, Collins CT, Coyle ME. Acupuncture to induce labor: a randomized controlled trial. Obstet Gynecol. 2008;112(5):1067-74.

[27]. Ajori L, Nazari L, Eliaspour D. Effects of acupuncture for initiation of labor: a double-blind randomized sham-controlled trial. Arch Gynecol Obstet. 2013;287(5):887-91.

[28]. Andersen BB, Knudsen B, Lyndrup J, Fælling AE, Illum D, Johansen M, Borgen A,  Jager H, Bjerre C, Secher NJ. Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial. J Perinat Med. 2013;41(5):555-60.

[29]. Neri I, Monari F, Midwife CS, Facchinetti F. Acupuncture in post-date pregnancy: a pilot study. J Matern Fetal Neonatal Med. 2014 ;27(9):874-8.

[30]. Dunn PA, Rogers D, Halford K. Transcutaneous electrical nerve stimulation at acupuncture points in the induction of uterine contractions. Obstet Gynecol. 1989;73(2):286-90.

[31]. Chen YR, Yuan HW, Shu FZ, Ren XX, Ma LX, Liu RQ, Zhu J. [Effects of electroacupuncture at points of a traditional acupuncture formula that induces labor with different parameters on uterine contractility in late-stage pregnant rats]. Zhong Xi Yi Jie He Xue Bao. 2011 Jan;9(1):91-9.

[32]. HAS. Niveau de preuve et gradation des recommandations de bonne pratique - État des lieux. 2013. [cité le 11/09/2016]. Available from URL : http://www.has-sante.fr/portail/upload/docs/application/pdf/2013-06/etat_des_lieux_niveau_preuve_gradation.pdf.