Home Medicine The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country
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The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country

  • Sahar Saadatnia EMAIL logo , Azita Tiznobaik and Amir Saber
Published/Copyright: May 7, 2021

Abstract

Objectives

Nausea and vomiting have psychological negative effects on some pregnant women during gestation. Different strategies have been used for the treatment of nausea and vomiting during pregnancy, such as acupressure and psychological interventions. This study was conducted to evaluate the effects of psychological counseling and acupressure based on couple therapy procedures on vomiting and nausea in pregnant women in Iran.

Methods

Two hundred and eight women were divided into four groups (n=52): 1) they did not any intervention (control group), 2) they received the psychological intervention, 3) they received acupressure intervention, and 4) they received a combination of psychological + acupressure interventions. To investigate the effects of interventions on nausea and vomiting, the Rhodes index of nausea, vomiting and retching were used. The counseling period has lasted for 4 weeks. The pressure intervention on the site was conducted in clockwise form for 1 min and anticlockwise form for another 1 min.

Results

Groups did not have a significant difference for abortion and income (p>0.05). The effects of counseling, and acupressure interventions on severity and period of vomiting and nausea were not significant (p>0.05), but the intervention based on counseling and acupressure decreased severity of vomiting and nausea (p<0.05).

Conclusions

The intervention based on counseling and acupressure could not reduce nausea and vomiting during the gestation, but the intervention based on a combination of both decreased nausea and vomiting. It can be suggested to apply an intervention based on a combination of counseling and acupressure in short-time period for decreasing nausea and vomiting in women during pregnancy.


Corresponding author: Sahar Saadatnia, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran, E-mail:

Acknowledgments

The authors would like to acknowledge Prof. Dr. Ali Olfati (A.Olfati65@Gmail.Com, ORCID: https://orcid.org/0000-0003-0620-4138) for all efforts to improve the written language of the paper and the Hamadan University of Medical Sciences, Hamadan, Iran for all efforts.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: All the used procedures were approved by the Ethical Committee of the Faculty of Medicine, Hamadan University of Medical Sciences (Hamadan, Iran) and were in agreement with the Ethical Standards for Human Experimentation established by the Declaration of Helsinki of 1975, revised in 1983.

References

1. Ebrahimi, N, Maltepe, C, Einarson, A. Optimal management of nausea and vomiting of pregnancy. Int J Wom Health 2010;2:241–8. https://doi.org/10.2147/ijwh.s6794.Search in Google Scholar PubMed PubMed Central

2. Bustos, M, Venkataramanan, R, Caritis, S. Nausea and vomiting of pregnancy-what’s new? Auton Neurosci 2017;202:62–72. https://doi.org/10.1016/j.autneu.2016.05.002.Search in Google Scholar PubMed PubMed Central

3. Chortatos, A, Haugen, M, Iversen, PO, Vikanes, A, Eberhard-Gran, M, Bjelland, EK, et al.. Pregnancy complications and birth outcomes among women experiencing nausea only or nausea and vomiting during pregnancy in the Norwegian Mother and Child Cohort Study. BMC Pregnancy Childbirth 2015;15:138. https://doi.org/10.1186/s12884-015-0596-y.Search in Google Scholar PubMed PubMed Central

4. Bottomley, C, Bourne, T. Management strategies for hyperemesis. Best Pract Res Clin Obstet Gynaecol 2009;23:549–64. https://doi.org/10.1016/j.bpobgyn.2008.12.012.Search in Google Scholar PubMed

5. Moradilake, AT, Saeedi, M. Evaluating the safety and efficacy of ginger in reducing nausea and vomiting in early pregnancy, systematic review and meta-analysis. J Inst Health Sci 2008;7:10.Search in Google Scholar

6. Ezzo, J, Streitberger, K, Schneider, A. Cochrane systematic reviews examine P6 acupuncture-point stimulation for nausea and vomiting. J Alternative Compl Med 2006;12:489–95. https://doi.org/10.1089/acm.2006.12.489.Search in Google Scholar PubMed

7. Lee, EJ, Frazier, SK. The efficacy of acupressure for symptom management: a systematic review. J Pain Symptom Manag 2011;42:589–603. https://doi.org/10.1016/j.jpainsymman.2011.01.007.Search in Google Scholar PubMed PubMed Central

8. Wegrzyniak, LJ, Repke, JT, Ural, SH. Treatment of hyperemesis gravidarum. Rev Obstet Gynecol 2012;5:78.Search in Google Scholar

9. Aparnak, F, Sadr Nabavi, R, Ebrahimzadeh, S. Comparison of K-K9 and P6 points acupressure on nausea and vomiting in the first half of pregnancy. Urmia Med J 2011;22:369–78.Search in Google Scholar

10. Emami-Sahebi, A, Elyasi, F, Yazdani-Charati, J, Shahhosseini, Z. Psychological interventions for nausea and vomiting of pregnancy: a systematic review. Taiwan J Obstet Gynecol 2018;57:644–9. https://doi.org/10.1016/j.tjog.2018.08.005.Search in Google Scholar PubMed

11. Kim, DR, Connolly, K, Cristancho, P, Zappone, M, Weinrieb, RM. Psychiatric consultation of patients with hyperemesis gravidarum. Arch Wom Ment Health 2009;12:61–7. https://doi.org/10.1007/s00737-009-0064-7.Search in Google Scholar PubMed

12. Vakilian, K, Kheiri, M, Majidi, A. Effect of cognitive-behavioral sexual counseling on female sexual function during pregnancy: an interventional study. Communities. Int J Women’s Health Reprod Sci 2018;6:369–73.10.15296/ijwhr.2018.60Search in Google Scholar

13. Mazzotta, P, Stewart, D, Atanackovic, G, Koren, G, Magee, LA. Psychosocial morbidity among women with nausea and vomiting of pregnancy: prevalence and association with anti-emetic therapy. J Psychosom Obstet Gynaecol 2000;21:129–36. https://doi.org/10.3109/01674820009075620.Search in Google Scholar PubMed

14. Tan, PC, Vani, S, Lim, BK, Omar, SZ. Anxiety and depression in hyperemesis gravidarum: prevalence, risk factors and correlation with clinical severity. Eur J Obstet Gynecol Reprod Biol 2010;149:153–8. https://doi.org/10.1016/j.ejogrb.2009.12.031.Search in Google Scholar PubMed

15. Uguz, F, Gezginc, K, Kayhan, F, Cicek, E, Kantarci, AH. Is hyperemesis gravidarum associated with mood, anxiety and personality disorders: a case-control study. Gen Hosp Psychiatr 2012;34:398–402. https://doi.org/10.1016/j.genhosppsych.2012.03.021.Search in Google Scholar PubMed

16. Kuo, SH, Wang, RH, Tseng, HC, Jian, SY, Chou, FH. A comparison of different severities of nausea and vomiting during pregnancy relative to stress, social support, and maternal adaptation. J Midwifery Wom Health 2007;52:e1–7. https://doi.org/10.1016/j.jmwh.2006.10.002.Search in Google Scholar PubMed

17. Snyder, DK, Castellani, AM, Whisman, MA. Current status and future directions in couple therapy. Annu Rev Psychol 2006;57:317–44. https://doi.org/10.1146/annurev.psych.56.091103.070154.Search in Google Scholar PubMed

18. Barsoum, G, Perry, EP, Fraser, IA. Postoperative nausea is relieved by acupressure. J R Soc Med 1990;83:86–9. https://doi.org/10.1177/014107689008300209.Search in Google Scholar PubMed PubMed Central

19. Puangsricharern, A, Mahasukhon, S. Effectiveness of auricular acupressure in the treatment of nausea and vomiting in early pregnancy. J Med Assoc Thai 2008;91:1633–8.Search in Google Scholar

20. Smith, C, Crowther, C, Beilby, J. Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial. Birth 2002;29:1–9. https://doi.org/10.1046/j.1523-536x.2002.00149.x.Search in Google Scholar PubMed

21. Köken, G, Yilmazer, M, Cosar, E, Sahin, FK, Cevrioglu, S, Gecici, O. Nausea and vomiting in early pregnancy: relationship with anxiety and depression. J Psychosom Obstet Gynaecol 2008;29:91–5. https://doi.org/10.1080/01674820701733697.Search in Google Scholar PubMed

22. Kamysheva, E, Skouteris, H, Wertheim, EH, Paxton, SJ, Milgrom, J. Examination of a multi-factorial model of body-related experiences during pregnancy: the relationships among physical symptoms, sleep quality, depression, self-esteem, and negative body attitudes. Body Image 2008;5:152–63. https://doi.org/10.1016/j.bodyim.2007.12.005.Search in Google Scholar PubMed

23. Semple, RJ, Reid, EF, Miller, L. Treating anxiety with mindfulness: an open trial of mindfulness training for anxious children. J Cognit Psychother 2005;19:379. https://doi.org/10.1891/jcop.2005.19.4.379.Search in Google Scholar

24. Olfati, A, Khamisabadi, H. Ellagic acid improves testicular dysfunction via autophagy in a tamoxifen injured rat model. J Evol Biochem Physiol 2020;56:265–76. https://doi.org/10.1134/s0022093020030096.Search in Google Scholar

Received: 2020-08-31
Accepted: 2021-02-17
Published Online: 2021-05-07

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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