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The Effects of Acupoint Stimulation Combined With Transcutaneous Electrical Nerve Stimulation on Labor Pain: Protocol for a Stepped Wedge Cluster Randomized Controlled Trial

The Effects of Acupoint Stimulation Combined With Transcutaneous Electrical Nerve Stimulation on Labor Pain: Protocol for a Stepped Wedge Cluster Randomized Controlled Trial

After disinfecting the ear with an alcohol swab, the midwife will apply vaccaria seeds with adhesive tape onto the selected acupoints and press them for 1-2 min per side to enhance stimulation. Timing of application: The procedure will be performed at the onset of contractions. The seeds should be pressed for 1-2 min per contraction or as tolerated until placental delivery. Postprocedure care: The seeds can remain in place for up to 1-2 days post delivery to alleviate uterine contraction pain.

Yiyun Gu, Xiaojiao Wang, Chunxiang Zhu, Hui Min, Jialu Zhang, Liping Mao, Hua Gao, Hangyun Sun, Xinli Zhu, Chunyi Gu

JMIR Res Protoc 2025;14:e63050