To evaluate the effect of an antenatal integrative medicine education programme in addition to usual care for nulliparous women on intrapartum epidural use.Open-label, assessor blind, randomised controlled trial.2 public hospitals in Sydney, Australia.176 nulliparous women with low-risk pregnancies, attending hospital-based antenatal clinics.The Complementary Therapies for Labour and Birth protocol, based on the She Births and acupressure for labour and birth courses, incorporated 6 evidence-based complementary medicine techniques: acupressure, visualisation and relaxation, breathing, massage, yoga techniques, and facilitated partner support. Randomisation occurred at 24-36 weeks' gestation, and participants attended a 2-day antenatal education programme plus standard care, or standard care alone.Rate of analgesic epidural use. Secondary: onset of labour, augmentation, mode of birth, newborn outcomes.There was a significant difference in epidural use between the 2 groups: study group (23.9

作者：Kate M, Levett；C A, Smith；A, Bensoussan；H G, Dahlen

来源：BMJ open 2016 年 6卷 7期