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CME

Acupuncture May Be Helpful for Pelvic Girdle Pain During Pregnancy

  • Authors: News Author: Laurie Barclay, MD
    CME Author: Désirée Lie, MD, MSEd
  • CME Released: 3/21/2005
  • THIS ACTIVITY HAS EXPIRED
  • Valid for credit through: 3/21/2006
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Target Audience and Goal Statement

This article is intended for primary care physicians, obstetricians/gynecologists, and other specialists who treat pregnant women.

The goal of this activity is to provide the latest medical news to physicians and other healthcare professionals in order to enhance patient care.

Upon completion of this activity, participants will be able to:

  • Describe the features of pelvic girdle pain in pregnancy.
  • Compare the effect of standard treatment alone with stabilizing exercises or with acupuncture on pelvic girdle pain in pregnancy.


Disclosures

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Medscape encourages Authors to identify investigational products or off-label uses of products regulated by the U.S. Food and Drug Administration, at first mention and where appropriate in the content.


Author(s)

  • Laurie Barclay, MD

    Laurie Barclay is a freelance reviewer and writer for Medscape.

    Disclosures

    Disclosure: Laurie Barclay, MD, has disclosed no relevant financial relationships.

Reviewer(s)

  • Gary Vogin, MD

    Senior Medical Editor, Medscape

    Disclosures

    Disclosure: Gary Vogin, MD, has disclosed no relevant financial relationships.

CME Author

  • Désirée Lie, MD, MSEd

    Clinical Professor of Family Medicine; Director, Division of Faculty Development, University of California, Irvine School of Medicine, Irvine, California

    Disclosures

    Disclosure: Désirée Lie, MD, MSEd, has disclosed no relevant financial relationships.


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    Medscape designates this educational activity for 0.25 category 1 credit(s) toward the AMA Physician's Recognition Award. Each physician should claim only those credits that reflect the time he/she actually spent in the activity.

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For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


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CME

Acupuncture May Be Helpful for Pelvic Girdle Pain During Pregnancy

Authors: News Author: Laurie Barclay, MD CME Author: Désirée Lie, MD, MSEdFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED

CME Released: 3/21/2005

Valid for credit through: 3/21/2006

processing....

March 21, 2005 — Stabilizing exercises and acupuncture are helpful for pelvic girdle pain during pregnancy, according to the results of a randomized, single-blind trial published in the March 18 Online First edition of the British Medical Journal.

"Standard treatment may consist of a pelvic belt, a home exercise programme, and patient education," write Helen Elden, from the Sahlgrenska Academy, East Hospital, in Gothenburg, Sweden, and colleagues. "Current treatment increasingly includes stabilising exercises and acupuncture. However, insufficient evidence is available to give strong recommendations for or against any particular treatment modality for pelvic girdle pain."

At East Hospital and 27 maternity care centers in Sweden, 386 pregnant women with pelvic girdle pain were randomized to six weeks of standard treatment (n = 130), standard treatment plus acupuncture (n = 125), or standard treatment plus stabilizing exercises (n = 131). The primary outcome measure was pain on the visual analog scale (VAS), and the secondary outcome measure was assessment of severity of pelvic girdle pain by an independent examiner before and after treatment.

After treatment, the group receiving stabilizing exercise had less pain than the standard group in the morning (median difference, 9; 95% confidence interval [CI], 1.7 to 12.8; P = .0312) and in the evening (median difference, 13; 95% CI, 2.7 to 17.5; P = .0245).

The group receiving acupuncture had less pain in the evening than did the stabilizing exercise group (median difference, −14; 95% CI, −18.1 to −3.3; P = .0130). The acupuncture group also had less pain than the standard treatment group both in the morning (median difference, 12; 95% CI, 5.9 to 17.3; P < .001) and in the evening (median difference, 27; 95% CI, 13.3 to 29.5; P < .001). The independent examiner determined that reduction of pelvic girdle pain was greatest in the acupuncture group.

"Acupuncture and stabilizing exercises constitute efficient complements to standard treatment for the management of pelvic girdle pain during pregnancy," the authors write. "Acupuncture was superior to stabilising exercises in this study.... Each method needs to be evaluated individually, however, before combinations can be recommended for future research, and only after that should recommendations for treatment be made."

The Vardal Foundation, the Dagmar Foundation, the Trygg-Hansa Insurance Company, and the Sahlgrenska University Foundation funded this study. The authors report no competing interests.

BMJ. Published online March 18, 2005.

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