The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

The effect of auriculotherapy during labor and postpartum on postpartum depression in nulliparous women: a clinical trial study

Document Type : Original Article

Authors
Mehrnoosh Ghaemmaghami 1
Katayoun Vakilian 2
Narges Sheikh Ghanbari 1
Fatemeh Shabani 1
Masoomeh Vahedi 3
1 M.Sc. of Midwifery, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
2 Associate Professor, Department of Reproductive Health, Traditional and Complementary Medicine Research Center, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
3 M.Sc. of Midwifery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
10.22038/ijogi.2021.19069
Abstract
Introduction: About 8 to 26% of women suffer from postpartum depression. Therefore, this study was performed with aim to evaluate the effect of auriculotherapy in anxiety reduction points on postpartum depression in nulliparous women.
Methods: This randomized clinical trial study was performed on 166 women who were admitted to labor ward in Kamkar hospital in 2018. The subjects were assigned to the intervention and control groups. Auriculotherapy in stress and anxiety reduction points was performed in dilatation 4-6 cm, 6-8 cm and finally 6 hours after delivery. Thus, acupuncture on ear was done between the contractions for 30 seconds in both ears at intervals of 10 minutes. Then in the second stage, depression was assessed between 10-15 days after delivery by Beck questionnaire. Data were analyzed by SPSS software (version 21) and Chi-square and Independent t-test. P<0.05 was considered statistically significant.
Results: According to the results, 72 (96%) in the intervention group and 66 (91.7%) in the Auriculotherapy group had minor depression, but mild and moderate depression in the intervention group was less than the control group (p = 0.549).
Conclusion: This study did not show a reduction in maternal depression with acupressure on the ear. It is recommended to examine other points of pressure in the ear and also this intervention should be done for a longer period in terms of performing acupressure on the ear and following more than a period of 14 days.
Keywords
Anxiety
Auricular Acupuncture
Complementary Medicine
Postpartum Depression
Reproductive Health
  1. Tokumitsu K, Sugawara N, Maruo K, Suzuki T, Shimoda K, Yasui-Furukori N. Prevalence of perinatal depression among Japanese women: a meta-analysis. Annals of general psychiatry 2020; 19(1):1-18.
  2. Małus A, Szyluk J, Galińska-Skok B, Konarzewska B. Incidence of postpartum depression and couple relationship quality. Psychiatr Pol 2016; 50(6):1135-46.
  3. Shorey S, Chee CY, Ng ED, Chan YH, San Tam WW, Chong YS. Prevalence and incidence of postpartum depression among healthy mothers: a systematic review and meta-analysis. Journal of psychiatric research 2018; 104:235-48.
  4. Fiala A, Švancara J, Klánová J, Kašpárek T. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. BMC psychiatry 2017; 17(1):104.
  5. Guintivano J, Manuck T, Meltzer-Brody S. Predictors of postpartum depression: a comprehensive review of the last decade of evidence. Clinical obstetrics and gynecology 2018; 61(3):591.
  6. Balbierz A, Bodnar-Deren S, Wang JJ, Howell EA. Maternal depressive symptoms and parenting practices 3-months postpartum. Maternal and child health journal 2015; 19(6):1212-9.
  7. Thompson KS, Fox JE. Post‐partum depression: A comprehensive approach to evaluation and treatment. Mental Health in Family Medicine 2010; 7(4):249-57.
  8. Feldman R. Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions. Journal of Child psychology and Psychiatry 2007; 48(3‐4):329-54.
  9. Poobalan AS, Aucott LS, Ross L, Smith WC, Helms PJ, Williams JH. Effects of treating postnatal depression on mother-infant interaction and child development: systematic review. The British Journal of Psychiatry 2007; 191(5):378-86.
  10. Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry research 2018; 261:298-306.
  11. Ponti L, Smorti M. Mediating role of labor on the relationship between prenatal psychopathologic symptoms and symptoms of postpartum depression in women who give birth vaginally. Journal of Obstetric, Gynecologic & Neonatal Nursing 2019; 48(6):627-34.
  12. Sutter-Dallay AL, Giaconne-Marcesche V, Glatigny-Dallay E, Verdoux H. Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort. European Psychiatry 2004; 19(8):459-63.
  13. Smith CA, Shewamene Z, Galbally M, Schmied V, Dahlen H. The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: a systematic review and meta-analysis. Journal of affective disorders 2019; 245:428-39.
  14. Kuo SY, Tsai SH, Chen SL, Tzeng YL. Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: A single-blind, randomised controlled study. International journal of nursing studies 2016; 53:17-26.
  15. Sousa FF, Sousa Júnior JF, Ventura PL. Effect of auriculotherapy on pain and sexual function of primary dysmenorrhea female patients. BrJP 2020; 3(2):127-30.
  16. Mohammadpour A. Effect of Auriculotherapy on depression in infertile women: A Randomized Clinical Trial. Iran J Obstet Gynecol Infertil 2019; 22(9):36-44.
  17. Insaf TZ, Fortner RT, Pekow P, Dole N, Markenson G, Chasan-Taber L. Prenatal stress, anxiety, and depressive symptoms as predictors of intention to breastfeed among Hispanic women. Journal of Women's Health 2011; 20(8):1183-92.
  18. Khani SH, Abedian Z, Azhari A, Shakeri MT, Talebi M. Investigating the impact of physical-mental exercises on depression after preterm delivery: a clinical trial. Journal of Birjand University of Medical Sciences 2020; 27(2):128-38.
  19. Bang YY, Park H. Effects of auricular acupressure on the quality of sleep and anxiety in patients undergoing cardiac surgery: A single-blind, randomized controlled trial. Applied Nursing Research 2020; 53:151269.
  20. Kim SH, Sung KM. The Effects of Auricular Acupressure on Depression and Fatigue among Early Postpartum Mothers. Journal of East-West Nursing Research 2019; 25(2):91-102.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 24, Issue 8
September 2021
Pages 68-74