Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour

Cochrane Database of Systematic Reviews, 2011

Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour - The Cochrane Library - Derry - Wiley Online Library from LOGIN Enter e-mail address Enter password REMEMBER ME > > > > DATABASE TOOLS DATABASE MENU FIND ARTICLES OTHER RESOURCES Intervention Review You have full text access to this content Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour Sheena Derry 1,* , Sebastian Straube 2 , R Andrew Moore 1 , Heather Hancock 3 , Sally L Collins 4 Editorial Group: Published Online: 18 JAN 2012 Assessed as up-to-date: 13 OCT 2011 DOI: 10.1002/14651858.CD009107.pub2 Copyright © 2012 The Cochrane Collaboration.
Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour.
Publication History Publication Status: New Published Online: 18 JAN 2012 SEARCH ARTICLE TOOLS Abstract Abstract Background Intracutaneous or subcutaneous injection of sterile water is rapidly gaining popularity as a method of pain relief in labour and it is therefore essential that it is properly evaluated.
Sterile water injection is inexpensive, requires basic equipment, and appears to have few side effects.
Objectives To determine the efficacy of sterile water injections for relief of pain (both typical contraction pain and intractable back pain) during labour compared to placebo (isotonic saline injections) or non-pharmacological interventions, and to identify any relevant effects on mode and timing of delivery, or safety of both mother and baby.
Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 May 2011), MEDLINE, and EMBASE (January 2010 to 30 May 2011), together with reference lists in retrieved studies and review articles.
Selection criteria We included randomised, double blind, controlled studies using intracutaneous or subcutaneous sterile water injections for pain relief during labour.
Data collection and analysis Two review authors independently assessed eligibility and quality of trials, and extracted data.
Primary outcome measures were at least 50% pain relief, or at least 30%, pain relief, patient global impression of change of at least 'good', mode of delivery, perinatal morbidity and mortality, maternal complications and adverse events.
Secondary outcomes were women with any pain relief, use of rescue analgesia, and treatment group average pain relief.
Main results We included seven studies, with 766 participants: four used intracutaneous injections, two subcutaneous, and one both.