July 30-31, 2019

INTERNATIONAL CONFERENCE ON SUSTAINABLE

INNOVATION (ICOSI) 2019
INTERNATIONAL CONFERENCE ON NURSINGS
(ICONURS) 2019

MOXIBUSTION FOR NAUSEA AND VOMITING

IN PREGNANCY
Presented by
SITI RAIHANAH
 INTRODUCTION

METHODS
PRESENSTATION
OUTLINE OF

FINDINGS

CONCLUSION

RECOMMENDATION
INTRODUCTION

Nausea and vomiting were a common symptom that

occurs in 70-80% of pregnant women. The alternative
treatments such as herbal medicine, acupressure and
moxibustion have been suggested. Moxibustion was
a heat stimulation technique at acupuncture points.

The purpose of this study was to explain the effect

of moxibustion at P6 and ST36 point on nausea
vomiting in pregnancy.
METHODS

Queasy
The inclusion criteria in this
experimental
study were;Normal pregnancy,
Willing to be respondent,
Pre- Gestational primigravida, 20-35 years old
posttest age<16
weeks
design
The analysis used T-test and P
30 two P6 and earson correlation.
pregnant ST36
group
women point

PUQE B-
endorphin
Score Level
 Moxibustion was a heat stimulation technique at acupuncture points at
P6 and ST36 point for 5 days, 7 minutes each day. The distance of moksa
with skin was about 1-2cm.

P6 point located on the inner ST36 point located 4 fingers

wrist, 2-3 fingers above the wrist below the lower limit of the
between the tendons patella.
FINDINGS

Junior High School High School

Housewife Working Mother
Characteristics Group Mean±SD
80%

73%

73%
P6 23.73±3.218

60%
Age
ST36 25.20±1.612

40%
P6 11±2.699
27%

27%
20%

Gestational Age
ST36 10.53±2.825

P6 ST36 P6 ST36
 .

Differences in PUQE Score and Levels of B-En The correlation and Differences in PUQE Score
dorphin Before and After Intervention and B-Endorphin Level in P6 and ST36 Group

Pre Post P6 ST36

Variable p-value Variable p-value
Mean±SD Mean±SD Mean±SD Mean±SD

P6 point PUQE PUQE score

score 8.51±0.07 3.98±0.11 0.000 4.47±0.834 6.67±1.988 0.000
ST36 point PUQE
7.94±0.09 7.24±0.10 0.184 B-Endorphin
score 121.838±245.7 96.87±242.6 0.021
Level
P6 B-Endorphin
level 36.30±0.59 85.11±0.57 0.045 Correlation of
PUQE Score and B
ST36 B-Endorphin r= -0.4 0.028
-Endorphin Level
level 72.44±0.68 45.70±0.68 0.304
 FINDINGS

Moxibustion stimulated B-endorphins release that

block neurokinin1,aceticolin, dopamine, and histamine
receptor impulses that bind to substances in the
vomiting center and CTZ. Blocked receptor surplus
results in decreased stimulation at the CTZ and
vomiting center, so that symptoms of nausea and
vomiting decrease.

Moxibustion on P6 point was believed to improve

vital energy which was the basic material of
human life in the stomach and digestive tract, so
that the stomach and digestive tract can work
normally.
The results of this study were
supported by Adlan, the study
which showed that P6 point
significantly decreased the
degree of nausea and vomiting
and shortened the period of care
for patients in the hospital. This
finding is also supported by Ellila
,showed significant differences
frequency of nausea-vomiting
before and after stimulation in
P6.5,8 The study by Dupuis was
not in line with the results that
shows that P6 stimulation was
safe but didn’t provide significant
changes in the reducing
symptoms of nausea-vomiting
CONCLUSION

Moxibustion at the ST36 point was less effective in reducing

symptoms of nausea and vomiting in early pregnancy. Moxibustion
at P6 point was more effective than at ST36 point in reducing
symptoms of nausea and vomiting in pregnancy.

RECOMMENDATION

The results of this study can be used to complement holistic care,

especially in pregnancy care services in overcoming discomfort in
pregnant women in the form of nausea and vomiting in pregnancy.
REFERENCE
1.Bustos M, Venkataramanan R, Caritis S. Nausea and vomiting of pregnancy - What's new? Autonomic Neuroscience. 2017;202:62-72.
2.Campbell K, Rowe H, Azzam H, Lane CA. The Management of Nausea and Vomiting of Pregnancy. Journal of Obstetrics and Gynaecology
Canada. 2016;38(12):1127-1137.
4.Austin K, Wilson K, Saha S. Hyperemesis Gravidarum. Nutrition in Clinical Practice. 2018.
5.Ellilä P, Laitinen L, Nurmi M, Rautava P, Koivisto M, Polo-Kantola P. Nausea and vomiting of pregnancy: A study with pregnancy-unique
quantification of emesis questionnaire. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018;230:60-67.
6.Xu J, Deng H, Shen X. Safety of moxibustion: a systematic review of case reports. Evidence-Based Complementary and Alternative Medicine.
2014;2014.
7.Ikhsan MN. Basic Acupressure and Moxibustion Sciences. Jakarta: Bhimaristan Publishing; 2017.
8.Adlan AS, Chooi KY, Mat Adenan NA. Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy:
A double‐blind randomized controlled trial. Journal of Obstetrics and Gynaecology Research. 2017;43(4):662-668.
9. Dupuis LL, Kelly KM, Krischer JP, et al. Acupressure bands do not improve chemotherapy‐induced nausea control in pediatric patients receiving
highly emetogenic chemotherapy: A single‐blinded, randomized controlled trial. Cancer. 2018;124(6):1188.
10.Emami-Sahebi A, Elyasi F, Yazdani-Charati J, Shahhosseini Z. Psychological interventions for nausea and vomiting of pregnancy: A systematic
review. Taiwanese Journal of Obstetrics and Gynecology. 2018;57(5):644-649.
11.Matthews A, Haas DM, O'Mathúna DP, Dowswell T. Interventions for nausea and vomiting in early pregnancy. Cochrane Database of Systematic
Reviews. 2015(9).
12.Liu Y-q, Sun S, Dong H-j, et al. Wrist-ankle acupuncture and ginger moxibustion for preventing gastrointestinal reactions to chemotherapy: A
randomized controlled trial. Chinese journal of integrative medicine. 2015;21(9):697-702.
13.Zhang ZI, Chen JI, Zhu SL: Endorphin mechanism of the regulating effect of direct moxibustion on immunity. Shanghai J Acupunct Moxibustion.
13: 223-224.
14.Forouhari S, Ghaemi SZ, Roshandel A, Moshfegh Z, Rostambeigy P, Mohaghegh Z. The effect of acupressure on nausea and vomiting during
pregnancy. Researcher. 2014;6(6):27-34.
15.Yin CY, Braz JRC, Colares WTHC, et al. A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus
Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia. Open Journal of
Anesthesiology. 2017;7(08):253.
16.Mengxue Z, Ling G, Lili W, Ying L. Effect of scar-producing moxibustion at the acupoints Zusanli (ST 36) and Feishu (BL 13) on neutrophil-to-
lymphocyte ratio and quality of life in patients with non-small-cell lung cancer: A randomized, controlled trial. Journal of Traditional Chinese
Medicine. 2018;38(3):439-446.