Labor Induction
Conditions
Keywords
Acupuncture therapy, Labor induction, Pain management, Time to delivery
Brief summary
In France, labor induction rate is above 25.8%. Labor induction with Cook's balloon is a non-hormonal mechanical method. At Roubaix's maternity, midewifes can adminitred acupuncture therapy to help to manage this labor induction. No studies where found about an effect of acupuncture therapy on delivery provoked by labor induction with Cook's balloon.
Detailed description
Investigators aim to demonstate that acupuncture therapy during labor induction with Cook's balloon can reduced delay until delivery and improved patient's experience. Investigators will use 9 acupuncture points (7C bilateral/ 34VB bilateral/ 3F bilateral, 4GI bilateral and 4VC bilateral) before the application of the balloon. A visual analog scale will be used before and after balloon insertion to collect pain level. A questionnary will be filled by patient to collect their experiences. Investigators will collect data about analgesia, failed of induction and cesarean section to see effect of acupuncture on them. Patients will be randomised.
Interventions
OTHERAcupuncture therapy
9 acupuncture points will be used to managed time delivery, pain and improved patient's experience
Sponsors
Centre Hospitalier de Roubaix
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* pregnant woman with a gestational age of 37 weeks and above * age\>=18 years old * having medical indication to be labor induced by Cook's Balloon * speaking French * agreeing to participate by signing informed consent form
Exclusion criteria
* patient having contraindication for the use of Cook's balloon * patients under curatorship and/or guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Impact of 9 acupuncture points on time to delivery | Day 1 | The primary objective will be assessed by recording the time of COOK balloon placement and the time of delivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate the impact of acupuncture on patient pain. | Day 1 | Assessment of patient pain using Visual Analogic Scale scores for 1 to 10 points : before insertion of the Cook balloon, one hour after insertion, upon transfer to the delivery room, and during pushing efforts. |
| Evaluate experiences of the patient during labor induction between the 2 groups | Day 1 | Use of a questionnary with lickert scale (Completely, Sufficiently, Insufficiently, Not at all) |
| Evaluate the consumption of analgesics between the 2 groups | Day 1 | datas of analgesics consumption will be collected in patient record |
| Comparison of cesarean section rate, balloon failure rate and induction duration between the two groups | Day 2 | percentage of Caesarean sections recorded in patients' medical records |
| Comparison of balloon failure rate between the two groups | Day 2 | percentage of ballon failed procedure recorded in patients' medical records |
| Comparison of induction duration between the two groups | Day 2 | Duration in hours between begenning of labour and delivery recorded in patients' medical records |
Countries
France
Contacts
CONTACTCamille TROUILLET
Outcome results
None listed