Acupressure in the Management of Hyperemesis Gravidarum: A Systematic Analysis
Keywords:
Acupressure, hyperemesis gravidarum, nausea, vomiting, clinical study, experimental studyAbstract
Pregnant women who experience more severe emesis gravidarum (nausea and vomiting) are known as hyperemesis gravidarum, this can affect the health of the mother and baby if not treated. To analyze and compile the latest scientific evidence to evaluate the benefits and techniques of acupressure as a method of managing emesis gravidarum, so that it does not develop into hyperemesis gravidarum. This research method is a systematic review with a systematic review based on PRISMA. Literature search based on research articles published in the last 10 years. Literature was obtained from a database of medium to high quality criteria using relevant keywords, namely "acupressure", "hyperemesis gravidarum", "nausea", "vomiting", "clinical study", "experimental study", then selected according to the inclusion and exclusion criteria of the study, appropriate research articles were continued in the PICOT table. Results: Ten studies that passed the inclusion criteria compared 5 different therapies where the most therapy used P6 acupressure and overall were considered to have a low risk of bias. The findings showed that acupressure can reduce the intensity of nausea and vomiting, reduce serum IL-6 levels, lower PUQE scores, better urine ketone results, reduce the frequency of antiemetic administration, and reduce the length of treatment. TherapyAcupressure has the potential to reduce symptoms of nausea and vomiting in pregnancy, especially to prevent the severity towards the diagnosis of Hyperemesis Gravidarum. However, further research with a validated scoring system, diagnostic criteria, clear outcome measures, and conducting larger studies is needed to confirm its effectiveness.
References
Adlan, AS., dan Chooi, KY., dan Adenan, NAM., 2017. Acupressure as Adjuvant Treatment for The Inpatient Management of Nausea and Vomiting in Early Pregnancy: A Double- Blind Randomized Controlled Trial. The Journal of Obstetrics and Gynaecology Research, 43(4): 662-668, DOI: 10.1111/jog.13269.
Boelig, R. C., Barton, S. J., Saccone, G., Kelly, A. J., Edwards, S. J., & Berghella, V. (2018). Interventions for treating hyperemesis gravidarum: a Cochrane systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 31(18), 2492- 2505.
Fejzo, M. S., Trovik, J., Grooten, I. J., Sridharan, K., Roseboom, T. J., Vikanes, Å., ... & Mullin, P. M. (2019). Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nature reviews Disease primers, 5(1), 62.
Jansen, L. A. W., Koot, M. H., Van't Hooft, J., Dean, C. R., Bossuyt, P. M. M., Ganzevoort, W.,... & Grooten, I. J. (2021). The windsor definition for hyperemesis gravidarum: A multistakeholder international consensus definition. European Journal of Obstetrics & Gynecology and Reproductive Biology, 266, 15-22.
Kemenkes.2019.Warta Litbangkes.(Online). https://repository.badankebijakan.kemkes.go.id/id/eprint/4277/1/Warta%20Litbangke s%20April-Juni%202019%20Volume%202.pdf, diakses pada 12 Maret 2024)
Mahmood, H., dan Shah, TZ., dan Rasool, S., dan Waqar, A., dan Zia-ul-Miraj, dan Maken, ZH., dan Gohar, A., dan Rauf, A., 2021. Effect of Vitamin B6 and Acupressure on Vomiting Symptoms in Pregnant Women with Hyperemesis Gravidarum. American Journal of Biomedical and Life Sciences, 9(1): 29-35, DOI: 10.11648/j.ajbls.20210901.14.
Nafiah, NAM., dan Chieng, WK., dan Zainuddin, AA., dan Chew, KT., dan Kalok, A., dan Abu, MA., dan Ng, BK., dan Ismail, NAM., dan Azurah, AGN., 2022. Effect of Acupressure at P6 on Nausea and Vomiting in Women with Hyperemesis Gravidarum: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health Article, 19(17): 1-10, DOI: https://doi.org/10.3390/ ijerph191710886.
Nurmi, M., Rautava, P., Gissler, M., Vahlberg, T., & Polo-Kantola, P. (2018). Recurrence patterns of hyperemesis gravidarum. American Journal of Obstetrics and Gynecology, 219(5), 469-e1.
Rahmanindar, N., dan Zulfiana, E., dan Harnawati, RA., 2021. Acupressure in Reducing Pregnancy Hyperemesis. Oksitosin: Jurnal Ilmiah Kebidanan, 8(1): 1-9, DOI: 10.35316/oksitosin.v8i1.
Ria, MB., dan Manek BD., 2022. The Effectiveness of Acupressure Points PC-6 and SP-3 on the Hyperemesis Gravidarum in Pregnant Women. Journal of Maternal and Child Health, 7(2): 138-147, DOI: https://doi.org/10.26911/the-jmch.2022.07.02.03.
Sari, AK., dan Setianingsih, 2024. The Influence of the Combination of Acupressure on the Meridian Point P6 and Peppermint Aromatherapy Inhalation on the Reduction of Nausea and Vomiting Frequency in First-Trimester Pregnant Women. Journal of Pharmaceutical and Health Research, 5(1): 36-44, DOI: 10.47065/jharma.v5i1.4823.
Shehmar, M.; Maclean, M.; Nelson-Piercy, C.; Gadsby, R.; O’Hara, M. (2016). The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum (Green-Top Guideline No. 69).
Tangkas, M., dan Jawi, M., dan Wiryana, M., dan Budiana, NG., 2022. Effect of Acupressure at PC6 Point on Serum IL-6 Levels and PUQE Score in Pregnant Women with Hyperemesis Gravidarum. Azerbaijan Medical Journal, 62(9): 4337-4344, ISSN: 0005-2523.
Tanjung, WW., dan Wari, Y., dan Antoni, A., 2020. Pengaruh Akupresur pada Titik Perikardium 6 terhadap Intensitas Mual Muntah pada Ibu Hamil Trimester I. Jurnal Education and Development, 8(4): 265-270, DOI: 10.37081/ed.v8i4.2160.
Yılmaz, MP., dan Yazıcı, S., dan Yılmaz, I., 2023. Effect of Acupressure at PC6 on Nausea and Vomiting During Pregnancy: a Randomized Controlled Trial. Journal of Acupuncture and Meridian Studies, 16(3): 89-94, DOI: https://doi.org/10.51507/j.jams.2023.16.3.89.
Zahra, R., dan Nurhasanah, C., dan Fitriani, 2024. Effectiveness of Acupressure on The Pericardium Point P6 And Zusanli St36 Against Nausea, Vomiting In 1st Trimester Pregnant Women. A Journal of Midwifery and Nursing, 6(1): 330-338, DOI: https://doi.org/10.35335/jmn.v6i1.4759.
