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Trial registered on ANZCTR
Registration number
ACTRN12607000585426
Ethics application status
Approved
Date submitted
12/11/2007
Date registered
14/11/2007
Date last updated
14/11/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
The Use of Acupressure Wristbands to Prevent Nausea and Vomiting in Labour and Delivery
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Scientific title
A Randomized, Double-Blinded, Sham-Controlled Study to Evaluate the Antiemetic Efficacy of the Pressure Right Acupressure Wristband versus Placebo Bands.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nausea and Vomiting
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Condition category
Condition code
Reproductive Health and Childbirth
2642
2642
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Acupressure Wristbands applied to Nei-Kuan (P 6) acupoint
Bands to be applied from recruitment and kept in situ until 2 hours post delivery.
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Intervention code [1]
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Prevention
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Intervention code [2]
2286
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Prevention
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Comparator / control treatment
Sham wristbands
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Incidence of Nausea and/or Vomiting
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Assessment method [1]
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Timepoint [1]
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During 2 hourly time intervals throughout the study period (start of established labour until two hours after delivery)
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Secondary outcome [1]
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Incidence of Vomiting
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Assessment method [1]
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Timepoint [1]
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during 2 hourly time periods of study period
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Secondary outcome [2]
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Episodes of vomiting
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Assessment method [2]
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Timepoint [2]
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During study period
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Secondary outcome [3]
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Incidence of nausea
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Assessment method [3]
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Timepoint [3]
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During 2 hourly time intervals during study period
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Secondary outcome [4]
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Severity of Nausea - numerical rating scale 0-10
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Assessment method [4]
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Timepoint [4]
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During 2 hourly time intervals throughout study period
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Secondary outcome [5]
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Use of Rescue antiemetics
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Assessment method [5]
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Timepoint [5]
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during study period
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Secondary outcome [6]
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Maternal Satisfaction with control of nausea assertained from brief interview with mother.
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Assessment method [6]
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Timepoint [6]
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2 - 14 hours after delivery
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Secondary outcome [7]
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Inconvenience/discomfort associated with band
Assertained from brief interview with mother
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Assessment method [7]
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Timepoint [7]
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2- 14 hours after delivery
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Eligibility
Key inclusion criteria
Term Pregnancy>/= 37 gestation
Admitted to delivery and confirmed as in the first stage of labour
American Society of Anaesthesiologists grade 1 and 2
Written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Body Mass Index > 35
Current use of acupressure techniques or drugs with antiemetic activity
Nausea and vomiting within the previous 6 hours
sensitivity or allergy to adhesive tapes
Pre-term gestation
American Society of Anaesthesiologists grade 3 or 4
Intrauterine death or foetal abnomality
Non-English Speaking
Known intravenous drug user
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Each patient eligible will be seen by a member of the research team and given information about the trial verbally and via a patient information sheet. After giving written consent each participant will be allocated a sealed opaque envelope containing two wristbands ( either active or placebo) with instructions on how to apply them - these bands will be applied by the recruiting research team member and covered in a soft bandage to conceal band type from observers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
340 subjects have been randomized in a 1:1 ratio (Active or Placebo) using a computer generated random number sequence and the appropriate band (Active or Placebo) plus application instuctions placed in numbered sealed envelopes
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
19/11/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
340
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
493
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6008
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Funding & Sponsors
Funding source category [1]
2786
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Self funded/Unfunded
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Name [1]
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Department of Anaesthetics and Pain Medicine
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Address [1]
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King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco
WA
6008
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Therapeutics: 101 Inc
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Address [2]
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Tinton Falls
New Jersey
USA
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Country [2]
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United States of America
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Primary sponsor type
Hospital
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Name
Dr Melanie Thew
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Address
Department of Anaesthetics and Pain Medicine
King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco
WA 6008
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Prof. Michael Paech
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Address [1]
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Department of Anaesthetics and Pain Medicine
King Edward Memorial Hospital for women
374 Bagot Road
Subiaco
WA 6008
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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King Edward Memorial Hospital for Women Ethics Committee
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Ethics committee address [1]
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King Edward Memorial Hospital for Women 374 Bagot Road Subiaco WA 6008
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Ethics committee country [1]
4704
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Australia
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Date submitted for ethics approval [1]
4704
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Approval date [1]
4704
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06/11/2007
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Ethics approval number [1]
4704
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1467/EW
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Summary
Brief summary
Introduction Feeling sick in labour is a common problem which can cause additional distress. These symptoms probably occur due to pain, anxiety and drug side effects. We are interested in studying the potential effect of using acupressure wrist bands to stop nausea and vomiting in this setting. This is a non-drug remedy, related to acupuncture, involving applying pressure to a point near the wrist. It has been shown to be successful in combating sickness in other situations such as post-operative nausea and vomiting, and morning sickness. Aims/Objectives/Hypotheses The study aims to look at the rates of sickness in women wearing acupressure wristbands (PressureRightTM) compared to baseline levels and those wearing dummy (placebo) bands. Study Population We will be studying women who are in good health, aged18 years or older, in full term labour admitted to the labour ward and who consent to taking part in our trial. They will receive information about the project and they will be able to withdraw from the study at any time. We will not be looking at women who are morbidly obese, known to be intravenous drug users, have an allergy to tapes, have an abnormal or dead baby, do not speak English, and/or are using acupressure techniques or medications to treat nausea already. Methods Women who have agreed and signed a written consent will be randomly assigned to one of the two groups, treatment group with the bands applied correctly and placebo group with dummy (placebo) bands. Both types of bands will be covered. We will collect baseline information such as age, weight, height, pregnancy details, smoking status, history of motion sickness, progress of labour, use of medications, presence of initial nausea and pain. Further information will be collected during the labour by way of a simple form (with midwife help). This will include sickness and pain severity. The rest of the required information including the use of any medications during labour, use of an epidural, basic observations such as blood pressure, and the level of satisfaction with their care will be collected post delivery. Ethical Issues There are no significant ethical issues in the performance of this study.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof. M. Paech
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Address
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Department of Anaesthetics and Pain Medicine
King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco
WA 6008
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Country
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Australia
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Phone
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+61 8 9340 2250
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Fax
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+61 8 9340 2260
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof. M. Paech
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Address
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Department of Anaesthetics and Pain Medicine
King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco
WA 6008
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Country
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Australia
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Phone
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+61 8 9340 2250
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Fax
2262
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+61 8 9340 2260
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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