The Effect of Auriculotherapy on Labor Pain, Length of Active Phase and Episiotomy Rate Among Reproductive Aged Women

  • Parvin Abedi ORCID Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Hoda Rastegar Mail Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Mahboobeh Valiani Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  • Najimeh saadati Department of Obstetrics & Gynecology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Fellowship Perinatology Ward, Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Auriculotherapy, Labor Pain, Active Phase of Labor, Episiotomy


Objective: This study aimed to evaluate the effect of auriculotherapy on labor pain, the length of the active phase, and episiotomy rate among reproductive aged Iranian women.Materials and methods: In this study, 80 women were assigned to two groups: auriculotherapy (n = 40) and control group (n = 40). Auriculotherapy was performed in the earlobe in the Zero, Shen Men, Uterus, Pelvic, Abdomen, Spleen, External genitalia, and Master cerebral regions in the cervix dilation of 4, 6, and 8 cm between uterine contractions. The control group received routine hospital care. The labor pain, duration of the active phase, and rate of episiotomy were assessed in two groups. The independent t- test and chi-square were used for statistical purposes. Results: The mean of labor pain during the active phase was 7.56 ± 0.83 in the auriculotherapy group and 8.43 ± 0.69 in the control group (p < 0.001). The length of active phase was significantly lower in the auriculotherapy than that in the control group (176.2 ± 1 min vs. 342.8±87.2 min, p < 0.001). The rate of normal vaginal delivery (without an episiotomy or perineal tears) was significantly higher in the auriculotherapy group than that in the control group (50% vs. 2.5%, p < 0.001). Conclusion: Auriculotherapy is safe, cost effective and devoid of side effects to reduce the labour pain, length of the active phase and the rate of episiotomy in nulliparous women. This method can be considered as a complementary medicine in labour.



Cambic CR, Wong C. Labor analgesia and obstetric outcome. Br J Anaesth 2010; 105 (S1):i50–i60.

Shareferad G, Fathean Z, Terane M, Mahake B. The Survey of pregnant women views about delivery and cesarean according behavioral intention model. IlamUni Med SciJ 2007; 15: 19–23. [In Persian]

Azami-Aghdash S, Ghojazadeh M, Dehdilani N, Mohammadi M, Asl Amin Abad R. Prevalence and Causes of Cesarean Section in Iran: Systematic Review and Meta-Analysis. Iran J Public Health 2014; 43: 545–55.

Nystedt A, Hildingsson I. Diverse definitions of prolonged labour and its consequences with sometimes subsequent inappropriate treatment. BMC Pregnancy and Childbirth 2014; 14:233.

Cheng YW, Shaffer BL, Bryant AS, Caughey AB. Length of the first stage of labor and associated perinatal outcomes in nulliparous women. ObstetGynecol 2010; 116:1127-35.

Ogboli-Nwasor E, Adaji S, Bature S, Shittu O. Pain relief in labor: a survey of awareness, attitude, and practice of health care providers in Zaria, Nigeria. J Pain Res 2011; 4:227–232.

Simkin, P, Bolding A. Update on Nonpharmacologic Approaches to Relieve Labor Pain and Prevent Suffering. J Midwifery Womens Health 2004; 49: 489-504.

Vakilian K, Keramat A. The effect of breathing technique with and without Aromatherapy on the length of the active phase and second stage of labor. Nursing and Midwifery Studies 2013; 1: 115-9.

Hantoushzadeh S, Alhusseini N, Lebaschi AH. The effects of acupuncture during labour on nulliparous women: a randomised controlled trial. Aust N Z J ObstetGynaecol 2007; 47:26-30.

Dabiri F, Shahi A. The Effect of LI4 Acupressure on Labor Pain Intensity and Duration of Labor: A Randomized Controlled Trial. Oman MedJ 2014; 29: 425–429.

Gori L, Firenzuoli F. Ear Acupuncture in European Traditional Medicine. Evid Based Complement Alternat Med 2007; 4: 13–16.

Helms JM. Acupuncture Energetics: A Clinical Approach for Physicians. 1stedi, Berkeley CA, USA.Thieme Medical Publishers, Incorporated, 2007.

13.Asher GN, Jonas DE, Coeytaux RR, Reilly AC, Loh YL, Motsinger-Reif AA, et al. Auriculotherapy for Pain

Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Altern Complement Med 2010; 16: 1097–1108.

Kindberg S, Klünder L, Strøm J, Henriksen TB. Ear acupuncture or local anaesthetics as pain relief during postpartum surgical repair: a randomised controlled trial. BJOG 2009; 116: 569-76.

Alimi D, Rubino C, Pichard-Léandri E, Fermand-Brulé S, Dubreuil-Lemaire ML, Hill C. Analgesic effect of auricular acupuncture for cancer pain: a randomized, blinded, controlled trial. J ClinOncol 2003; 21:4120-6.

YesilcicekCalik K, Komurcu N. Effects of SP6 Acupuncture Point Stimulation on Labor Pain and Duration of Labor. Iran Red Crescent Med J 2014; 16: e16461.

Citkovitz C, Klimenko E, Bolyai M, Applewhite L, Julliard K, Weiner Z. Effects of Acupuncture during Labor and Delivery in a U.S. Hospital Setting: A Case–Control Pilot Study. J Altern Complement Med 2009; 15: 501-5.

Borup L, Wurlitzer W, Hedegaard M, Kesmodel US, Hvidman L. Acupuncture as pain relief during delivery: a randomized controlled trial. Birth 2009; 36:5-12.

Allameh Z, Tehrani HG, Ghasemi M. Comparing the impact of acupuncture and pethidine on reducing labor pain. Adv Biomed Res 2015; 4:46.

How to Cite
Abedi P, Rastegar H, Valiani M, saadati N. The Effect of Auriculotherapy on Labor Pain, Length of Active Phase and Episiotomy Rate Among Reproductive Aged Women. J Fam Reprod Health. 11(4):185-190.
Original Articles