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JIANG Hui, PENG Guangtao, HUANG Lise, LI Hongkui, CHEN Xingeai, CHEN Shuanggui

(Department of Gynaecology and Obstetrics, Guilin People's Hospital, Guilin 541002. China)

Abstract Objective To evaluate the effect of foot bath combined with acupuncture and moxibustion inpromoting vaginal delivery. Methods 180 lying in women were randomly divided into foot bath group,aeupuneture and moxibustion group and foot bath combined with acupuncture and moxibustion group , with60 cases in each group. The foot bath group were received foot bath after threatened labor, Acupunctureand moxibustion group were given acupuncture and moxibustion after parturition. In the foot bath combinedwith acupuncture and moxibustion group , foot bath was given after threatened labor, and acupuncture andmoxibustion was given after labor, Analgesic elfect , labor process time , cesarean section rate , oxytocin use rate , instrument assisted delivery rate, efective rate of promoting cervical maturity, postpartum bleedingvolume , Apgar seore of newborns and incidence of adverse events were compared among the three groupsResults 'The foot bath combined with acupuneture and moxibustion group were better than the acupunctureand moxibustion group and foot bath group in terms of analgesia effect and postpartum hemorrhage control,and the total labor process was shorter than the acupuncture and moxibustion group and foot bath group,with a statistically significant difference ( P<0.05). The use rate of oxytocin and cesarean section rate inthe foot bath combined with acupuncture and moxibustion group were lower than those in the acupunetureand moxibustion group and foot bath group, and the effective rate of promoting cervical maturity was higherthan those in the acupuneture and moxibustion group and foot bath group ( P<0.05 ). There was nostatistically significant dilference in the Apgar score and incidence of adverse events among the threegroups of newborns ( P>0.05).Conclusion Foot bath combined with acupuncture and moxibustion hasobvious analgesic effect , which can effectively shorten the duration of labor and promote natural childbirthKeywords: threatened labor; foot bath : acupuncture and moxibustion: vaginal delivery

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