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Hum. Reprod. Advance Access originally published online on December 17, 2004
Human Reproduction 2005 20(3):728-735; doi:10.1093/humrep/deh665
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Human Reproduction Vol. 20 No. 3 © The Author 2004; all rights reserved

Electro-acupuncture versus conventional analgesia: a comparison of pain levels during oocyte aspiration and patients' experiences of well-being after surgery

Ann-Louise Gejervall1,4, Elisabet Stener-Victorin1,2, Anders Möller3, Per Olof Janson1, Charlotte Werner1 and Christina Bergh1

1 Reproductive Medicine, Department of Obstetrics and Gynecology, Institute for the Health of Women and Children, Sahlgrenska University Hospital, Göteborg University, SE-413 45 Göteborg, 2 Institute of Occupational Therapy and Physiotherapy, Sahlgrenska Academy, Göteborg University, Box 455, SE-405 30 Göteborg and 3 Nordic School of Public Health, Box 12133, SE-402 42 Göteborg, Sweden

4 To whom correspondence should be addressed. Email: ann-louise.gejervall{at}vgregion.se

BACKGROUND: The primary aims were to compare the pain-relieving effect and post-operative well-being between electro-acupuncture analgesia (EA) and conventional analgesia (CA) comprising opiates. Further aims were to compare time for mobilization, and costs for time and drug consumption. METHODS: In all, 160 women undergoing IVF were randomized, according to a computer-generated list, to EA or CA. Well-being was evaluated with the State Trait Anxiety Inventory (STAI). Pain and subjective expectations and experiences were recorded on a visual analogue scale (VAS). Time and drug consumption were recorded. RESULTS: Although VAS pain ratings were significantly higher at oocyte aspiration (P<0.0001) and after retrieval (P<0.01) in the EA than in the CA group, they were similar 60 min after surgery. Both groups had similar STAI well-being scores. The EA group was significantly less tired and confused than the CA group after oocyte aspiration. No significant differences in time and costs for drug consumption were noted. CONCLUSION: EA cannot generally be recommended as a pain-relieving method at oocyte aspiration but might be an alternative for women desiring a non-pharmacological method. An advantage of EA is less post-operative tiredness and confusion compared with CA.

Key words: alfentanil/electro-acupuncture/IVF/oocyte aspiration/pain relief


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