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acupuncture:evaluation:gyneco-obstetrique:10. nausees et vomissements gravidiques [30 Dec 2024 18:15]
Nguyen Johan [3.1. Sources] 		acupuncture:evaluation:gyneco-obstetrique:10. nausees et vomissements gravidiques [17 Oct 2025 13:45] (Version actuelle)
Nguyen Johan [2. Clinical Practice Guidelines]
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 ==== Special Acupuncture Techniques ==== ==== Special Acupuncture Techniques ====
  
 +=== Comparison of Acupuncture techniques ===
 +
 +== Liu 2025 ==
 +
 +
 +Liu H, Liao C, Deng J, Yang Y, Yang Y, Guo X, Liu C, Tang C. Efficacy of acupoint-related therapies for nausea and vomiting in pregnancy: a Bayesian network meta-analysis. Front Med (Lausanne). 2025 Sep 30;​12:​1589950. https://​doi.org/​10.3389/​fmed.2025.1589950
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 +^Objective|Bayesian network meta-analysis was used to compare the efficacy of different acupoint-related treatments for Nausea and Vomiting of Pregnancy (NVP).|
 +^Methods|PubMed,​ Embase, Cochrane Library, CNKI, Wan Fang, and VIP databases were systematically searched from the time of library construction to February 20, 2025, to include randomized controlled trials (RCTs) comparing acupoint-related treatments for the treatment of nausea and vomiting in pregnancy. Literature screening, data extraction and risk of bias assessment were performed independently by two investigators,​ Bayesian network Meta-analysis was performed by R4.4.1 software.|
 +^Result|A total of **38 studies containing 1,164 patients** were included, this Bayesian network meta-analysis assessed the efficacy of various treatments for NVP across multiple outcomes. Results indicated that Acupoint Application (AA), Acupressure,​ Auriculotherapy Acupoint Application (ATAA), Ginger Moxibustion Acupoint Application (GMAA), and Moxibustion Acupoint Application (Mox_AA) were significantly more effective than Press Needle (PN) in improving PUQE scores. Thunder Fire Moxibustion (TFM) ranked highest in efficacy (89.1%), followed by GMAA (74.2%) and Acupressure (70.3%). Regarding overall efficacy, AA was less effective than AA_WA (OR = 0.22) and Acupuncture (OR = 0.44), but more effective than usual care (UT) (OR = 3.76), with AA_WA ranking highest (84.7%). In terms of NVP quality of life, TCM_acupuncture showed the greatest benefit (MD = 30.43), significantly outperforming AA (MD = -42.54), Mox_AA, and UT. Overall, TCM_acupuncture emerged as the most effective treatment for both symptom relief and quality of life improvement,​ followed by Mox_AA and ATAA, while UT was the least effective across all measures.|
 +^Conclusion|Overall,​ the analyses showed that TFM may be the most effective in treating NVP, followed by GMAA and ear pressure therapy. Compared to PN, AA, auricular pressure therapy, ATAA and GMAA were more effective. AA was more effective than UT, but not as effective as AA_WA and acupuncture. In terms of quality-of-life improvement,​ TCM_acupuncture may be the most effective, followed by Mox_AA and ATAA, and UT was the least effective. Overall, acupuncture-based treatments, especially Thunder Fire Moxibustion and TCM acupuncture,​ performed better in the treatment of NVP.|
 === Acupressure === === Acupressure ===
  
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 ^Conclusion|Compared to single intravenous infusion, acupoint injection and acupoint injection plus intravenous infusion can produce a better clinical efficacy with less adverse reactions. |  ^Conclusion|Compared to single intravenous infusion, acupoint injection and acupoint injection plus intravenous infusion can produce a better clinical efficacy with less adverse reactions. | 
  
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 +===== Overviews of systematic reviews =====
 +
 +==== Choi 2025 ====
 +
 +
 +Choi SJ, Choi S, Kim DI. Acupuncture and Herbal Medicine for Nausea and Vomiting in Pregnancy: An Overview and Quality Assessment of Systematic Reviews. Int J Womens Health. 2025 May 11;​17:​1343-1361. https://​doi.org/​10.2147/​IJWH.S512247
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 +^Backgound|Up to 85% of pregnant women experience nausea and vomiting in pregnancy (NVP), which can impact both the pregnant woman and developing fetus. Traditional East Asian Medicine (TEAM) including acupuncture and herbal medicine has been used to treat NVP; however, its effectiveness remains under debate. This study aimed to systematically review the existing evidence from systematic reviews on the effectiveness of TEAM for NVP and to critically evaluate the quality of these reviews.|
 +^Methods|Nine databases were searched from their inception until January 2024. Search terms included, "​Hyperemesis gravidarum",​ "​Nausea",​ "​Vomiting",​ "​acupuncture"​ and "​herbal medicine"​. Systematic reviews (SRs) that evaluated the effect of TEAM treatment for NVP were included. We evaluated methodological quality, reporting quality, and risk of bias using the AMSTAR-2, ROBIS tool, and PRISMA guidelines.|
 +^Results|In total, 20,121 publications were retrieved from the databases. **Twenty-five SRs met the inclusion criteria**, indicating that acupuncture and related techniques, and herbal medicines are effective in alleviating NVP. Various methods including traditional acupuncture,​ acupressure,​ acupoint injection, electroacupuncture,​ herbal acupoint patching, and herbal decoctions were used. Herbs like ginger and additional aromatherapies such as lemon and cardamom have also shown beneficial effects. However, there are controversies regarding the consistency of results and the quality of methodologies. Despite low risk of bias across reviews, all were deemed low or critically low in methodological quality, with none fully adhering to PRISMA guidelines.|
 +^Conclusion|This comprehensive review underscores the potential of TEAM in managing NVP but highlights significant gaps in research quality and reporting. Future studies of higher methodological quality are essential to validate these findings and guide clinical practice.|