Evidence map›Paper›PMID 40801473›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2025

Acupuncture for induction of labor in uncomplicated term pregnancies and the role of the acupoint selection: A systematic review and meta-analysis.

An Chen, Jiawen Zhang, Du Gao, Ying Xu, Shijia Jin, Tianyi Zhou, Fan Qu, Ganesh Acharya

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

An ChenSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.ORCID 0000-0001-9419-8254
Jiawen ZhangSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Du GaoSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Ying XuSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Shijia JinSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Tianyi ZhouDepartment of Chinese Medicine, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Fan QuDepartment of Chinese Medicine, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID 0000-0003-1851-1514
Ganesh AcharyaDivision of Obstetrics & Gynecology, the Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-1997-3107

Funding

Funds for Cultivating Young Talents of Zhejiang Chinese Medical University 701100E029National Natural Science Foundation of China 82074476National Natural Science Foundation of China 82274564Open Fund Project of Zhejiang Key Laboratory of Maternal and Infant Health, Women's Hospital, School of Medicine, Zhejiang University ZDFY2024-MI-2
6 · The paper itself

Abstract

introductionAcupuncture is increasingly used for inducing labor; however, its effects on labor progression and birth outcomes remain inconclusive, and differences in acupuncture techniques are not fully considered by previous reviews. This study aims to evaluate the effects of acupuncture for induction of labor (AC-IOL) after 37 weeks of gestation on labor progression and birth outcomes, with a particular focus on comparing the combined stimulation of local and distant (L-D) acupoints with the selective use of either local or distant acupoints. MATERIAL AND

methodsFollowing PRISMA 2020 guidelines, we searched PubMed, Embase, Web of Science, and three Chinese databases for randomized controlled trials (RCTs) evaluating AC-IOL in uncomplicated pregnancies. Outcomes included onset of spontaneous labor, labor duration, use of epidural analgesia, mode of delivery, and Apgar score at 5 min. Meta-analyses were performed for each outcome, with subgroup analyses based on acupoint selection strategies. Quality assessment for the included studies was conducted using the Cochrane RoB 2 tool, and certainty of evidence using GRADEpro GDT. The protocol was registered in PROSPERO (CRD42024497859).

resultsTen studies including 1,432 participants were included. Five studies used combined L-D acupoint stimulation, and five used distant acupoints only; none used local acupoints alone. No significant differences were found between the acupuncture and control groups (sham acupuncture or usual care) in the onset of spontaneous labor, use of epidural analgesia, mode of delivery, or neonatal Apgar score ≤7 at 5 min. No significant differences in these outcomes were found in comparisons between the acupuncture group using a combination of L-D acupoints and the control group, nor between the acupuncture group using distant-only acupoints and the control group.

conclusionsModerate to very low-quality evidence suggests that AC-IOL was not associated with labor progression or birth outcomes in uncomplicated full-term pregnancies.

Indexed as

Acupuncture PointsAcupuncture TherapyLabor, InducedFemaleHumansPregnancyPregnancy OutcomeRandomized Controlled Trials as Topicacupoint selectionacupuncturebirth outcomesinduction of labormeta‐analysissystematic review

Identifiers

PMID40801473
PMCPMC12575167

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.