Network meta-analysis of randomized controlled trials comparing the effectiveness of different treatments in reducing amniocentesis-associated pain and anxiety.
Amniocentesis
Anxiety
Network meta-analysis
Pain
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
21 Nov 2023
21 Nov 2023
Historique:
received:
19
07
2023
accepted:
30
10
2023
medline:
23
11
2023
pubmed:
22
11
2023
entrez:
22
11
2023
Statut:
epublish
Résumé
This network meta-analysis compared different methods to determine which is most efficient at lowering pain and anxiety in women undergoing amniocentesis. We looked through all published randomized controlled trials in the databases PubMed, Scopus, Web of Science, Cochrane, and EM base. Anxiety and pain were the predominant results. We used the R software version 4.2.1 to analyze the data. We included a total of 20 studies, with sample sizes ranging from 60 to 570. Virtual reality was the most effective strategy for lowering pain during AC [MD = -1.30, 95% CI (-2.11, -0.49)]. In addition, paracetamol use was the most successful approach for lowering pain following AC [MD = -1.68, 95% CI (-1.99, -1.37)]. The use of H7 acupressure, however, was the strategy that significantly reduced anxiety following AC [SMD = -15.46, 95% CI (-17.77, -13.15)]. The most effective method for reducing pain is the combination of virtual reality with paracetamol. Whereas, the most effective way to reduce anxiety is to combine an ice gel pack with H7 acupressure before applying AC.
Identifiants
pubmed: 37990174
doi: 10.1186/s12884-023-06094-3
pii: 10.1186/s12884-023-06094-3
pmc: PMC10664350
doi:
Substances chimiques
Acetaminophen
362O9ITL9D
Types de publication
Meta-Analysis
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
807Informations de copyright
© 2023. The Author(s).
Références
Croat Med J. 2010 Apr;51(2):137-43
pubmed: 20401956
Psychol Bull. 1999 May;125(3):356-66
pubmed: 10349356
J Matern Fetal Med. 2000 Sep-Oct;9(5):294-7
pubmed: 11132586
Prenat Diagn. 2013 Dec;33(12):1194-200
pubmed: 23966135
Acta Pol Pharm. 2014 Jan-Feb;71(1):11-23
pubmed: 24779190
Prenat Diagn. 2013 Dec;33(12):1158-61
pubmed: 23939867
Acta Obstet Gynecol Scand. 2019 Mar;98(3):351-358
pubmed: 30346026
Am J Obstet Gynecol. 2004 Aug;191(2):607-15
pubmed: 15343248
J Med Assoc Thai. 2007 Oct;90(10):1992-6
pubmed: 18041414
J Med Assoc Thai. 2016 Dec;99(12):1272-6
pubmed: 29952499
J Perianesth Nurs. 2012 Aug;27(4):259-66
pubmed: 22828022
J Med Assoc Thai. 2015 Aug;98(8):734-8
pubmed: 26437529
Midwifery. 2010 Feb;26(1):64-75
pubmed: 18485550
Eur J Obstet Gynecol Reprod Biol. 2021 Jun;261:134-138
pubmed: 33932684
Pain Res Treat. 2019 Mar 04;2019:2405159
pubmed: 30949366
Ann Behav Med. 2011 Apr;41(2):183-91
pubmed: 21264690
J Matern Fetal Neonatal Med. 2021 Feb;34(3):339-345
pubmed: 30983457
Arch Gynecol Obstet. 2021 May;303(5):1185-1190
pubmed: 33111167
J Pain Res. 2017 Mar 13;10:591-600
pubmed: 28331361
Prenat Diagn. 2019 Dec;39(13):1179-1183
pubmed: 31525257
Ultrasound Obstet Gynecol. 2000 Nov;16(6):536-8
pubmed: 11169347
J Chin Med Assoc. 2020 Feb;83(2):202-205
pubmed: 31714444
Prenat Diagn. 2012 Jun;32(6):562-8
pubmed: 22504861
Ann Intern Med. 2015 Jun 2;162(11):777-84
pubmed: 26030634
Prenat Diagn. 2006 Jan;26(1):35-8
pubmed: 16378331
Psychol Bull. 1984 May;95(3):516-33
pubmed: 6399756
BMJ. 2019 Aug 28;366:l4898
pubmed: 31462531
J Obstet Gynaecol Res. 2021 Aug;47(8):2623-2631
pubmed: 34028130
Women Birth. 2018 Oct;31(5):e334-e340
pubmed: 29337008
J Matern Fetal Neonatal Med. 2005 Oct;18(4):221-4
pubmed: 16318970
J Obstet Gynaecol. 2018 Nov;38(8):1078-1082
pubmed: 29884082
J Formos Med Assoc. 2019 Jul;118(7):1107-1113
pubmed: 30928186
J Nurs Res. 2013 Sep;21(3):186-94
pubmed: 23958608
Electron Physician. 2016 Aug 25;8(8):2787-2792
pubmed: 27757190
J Educ Health Promot. 2021 Jul 30;10:267
pubmed: 34485564
Am J Obstet Gynecol. 2008 Feb;198(2):178.e1-7
pubmed: 18226618
Games Health J. 2016 Jun;5(3):197-202
pubmed: 27171578
Am J Obstet Gynecol. 2007 Jan;196(1):55.e1-4
pubmed: 17240233
Arch Gynecol Obstet. 2012 Sep;286(3):563-6
pubmed: 22526448