2019 | 1 | 7-11
Article title

The effect of Hugo point pressure on postpartum pain in multiparous women

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Background. In midwifery, Hugo point pressure is one of several effective, non-pharmacological approaches to decreasing pain. Objectives. The main objective of this study was to investigate the effect of Hugo point on postpartum pain in multiparous women. Material and methods. This study was a randomized controlled trial conducted on 62 pregnant women in two groups: 31 women in the case-study (Hugo point pressure) and 31 women in the control-group (non-Hugo point pressure) groups. The block random sampling method was used. Data were collected by way of a questionnaire requesting information of delivery process, as well as a Visual Analogue Scale (VAS) for measuring pain intensity. In the postpartum ward and at least 2–24 hrs after the delivery, pain intensity and duration was measured before and 2, 4, 6 and 8 hours after intervention. Data was analyzed through independent t-test and RMANOWA tests. Results. The intensity of pain for both groups in the first two hours after delivery was significant (p = 0.005), but 4, 6 and 8 hours post- -delivery, despite a pain reduction in the intervention group more than in the control group, the difference was not significant. Moreover, no significant difference was observed between the two groups at 2, 4, 6 and 8 hours after delivery in terms of pain duration. Via the chi-square test, the frequency of painkiller use showed no significant difference statistically between the two groups. Conclusions. Hugo point pressure is a simple and cost-effective, harmless and easily applicable analgesic method for after-pain reduction – especially in the early hours of the postpartum period.
  • 1. Salehian T, Safdari F, Pirak A, et al. Effects of acupressure at the Hugo point (LI4) on labor pain and duration of delivery in nulliparous women. Journal of Ilam University of Medical Sciences 2011; 18(4): 12–19.
  • Cunningham FG, Leveno KJ, Bloom SL, et al. Williams obstetrics. 23rd ed. New York: McGraw-Hill; 2010: 189–214.
  • Yeh YC, Chen SY, Lin CJ, et al. Differential analgesic effect of tenoxicam on post-cesarean uterine cramping pain between primiparous and multiparous women. J Formos Med Assoc 2005; 104(9): 647–651.
  • Holdcroft A, Snidvongs S, Cason A, et al. Pain and uterine contractions during breast feeding in the immediate post-partum period increase with parity. Pain 2003; 104(3): 589–596.
  • Pearce EN. Thyroid disorders during pregnancy and postpartum. Best Pract Res Clin Obstet Gynaecol 2015; 29(5): 700–706.
  • Deussen AR, Ashwood P, Martis R. Analgesia for relief of pain due to uterine cramping/involution after birth. Cochrane Database Syst Rev 2011; 5: CD004908, doi: 10.1002/14651858.
  • Aghdam SK, Daryabakhsh A. Effect of acupressure at Hugo point (LI4) on the process and outcomes of labor in nulliparous women.Iranian Journal of Obstetrics, Gynecology & Infertility 2012; 15(27); 14–20.
  • Shafaei FS, Kazemzadeh R, Heshmat R, et al. Effect of acupressure at Sanyinjiao (SP6)-Hugo (LI4) points on delivery length in nulliparous women: a randomized controlled trial. Iranian Journal of Obstetrics, Gynecology & Infertility 2012; 15(25): PAGES.
  • Tournaire M, Theau-Yonneau A. Complementary and alternative approaches to pain relief during labor. Evid Based Complement Alternat Med 2007; 4(4): 409–417, doi: 10.1093/ecam/nem012.
  • Melzack R, Guité S, Gonshor A. Relief of dental pain by ice massage of the hand. Can Med Assoc J 2013; 122(2): 189–191.
  • Lee MK, Chang SB, Kang DH. Effects of SP6 acupressure on labor pain and length of delivery time in women during labor. J Altern Complement Med 2004; 10(6): 959–965.
  • Chung UL, Hung LC, Kuo SC, et al. Effects of LI4 and BL 67 acupressure on labor pain and uterine contractions in the first stage of labor.J Nurs Res 2003; 11(4): 251–260.
  • Qu F, Zhou J. Electro-acupuncture in relieving labor pain. Evid Based Complement Alternat Med 2007; 4(1): 125–130.
  • Waters BL, Raisler J. Ice massage for the reduction of labor pain. J Midwifery Womens Health 2003; 48(5): 317–321.
  • Kaviani M, Ashoori M, Azima S, et al. Comparing the effect of two methods of acupressure and ice massage on the pain, anxiety levels and labor length in the point LI-4. SSU Journals 2012; 20(2): 220–228.
  • Chao AS, Chao A, Wang TH, et al. Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: a randomized double-blind placebo-controlled trial. Pain 2007; 127(3): 214–220.
  • Rastegarzade H, Abedi P, Valiani M, et al. The effect of auriculotherapy on labor pain intensity in nulliparous women. JAP 2015; 6(1):54–63.
  • Abedi A, Zarganj A. The study of pressure medicine on vomit and nausea at the beginning. J Arak Univ Med Sci 2013; 6(3): 45–48.
  • Kazem Zadeh K, Tafazoli M, Asili J, et al. The effect of pressure on SP6 and LI4 points on the severity of pain and duration of pain in women. Int J Gynecol Obstet 2014; 107(2): 55–61
  • Abedi N, Aisto T, Kaajo R. The effect of ice massage and acupressure on severity of pain and duration of labor pain in primipara women.Med Sci Sports Exerc 2015; 11(2): 41–48.
  • Samadi P, Lamiyan M, Heshmat R, et al. The effect of acupressure at SP6 point on analgesic taking in women during labor. J Zahedan Univ Med Sci 2011; 12(5): 74–78.
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