Effect of acupressure therapy point HT 6 and LI 4 on post cesarean sectio’s pain

Desiyani Nani, Susio Maryati, Rizka Rahmaharyanti


Background: Stimulation at acupressure point can activate three centre of body control, there are spinal cord, midbrain, and pituitary to release neurochemical such as endorphin, serotonin, and norepinephrine effect to blockage pain. Cesarean sectio’s pain begins since decreasing of the effect from anesthetical medication. Acupressure therapy at point HT6 and LI4 can activate these three centre of body control. So it is possible to reduce pain sensation when stimulated both. This study was carried out to identify the effects of HT 6 and LI 4 acupressure on sectio cesarea’s pain in post-partum periods.

Methods: A single blind randomized clinical trial is performed on seven eligible women who are at the beginning of post-partum periods. The participants are matched duration after sectio cesarean before 24 hours, nulliparas and multiparas. There is no additional administration of analgesics during the study period. The women receive acupressure at HT 6 and LI 4 for 20 minutes. The severity of pain is measured by using the Visual Analogue Scale for pain. Intensity of pain are measured before and immediately after the intervention. Statistical analyses are perform using SPSS 20.

Results: the rate of pain intensity’s scale before and after treatment are ( 84,29 ± 15,65) and (64,57 ± 15,80). There are significant differences between both of groups. The pain intensity after the intervention was significantly decrease than pain intensity before (p = 0.04). There are significant differences between the groups in subjective pain scale before intervention and immediately after intervention. The pain intensities after the intervention are significantly decrease than pain intensities before the intervention (p = 0.04).

Conclusions: Acupressure at HT6 and LI4 point reduced the severity of pain at the beginning of post partum periods after cesarean sectio. These findings show that combination HT6 and LI4 acupressure are effective for reducing esarean sectio’s pain. HT6 and LI4 acupressure can be an effective nursing management for women in post partum periods.



Pain, Delivery, Abdominal surgery, Maternal, Childbirth

Full Text:



Zalon M. Recovery after Abdominal Surgery. Nursing Research. 2004;153(2):106-10.

Mander R. Pain in childbearing and its control. 2 nd Ed. Blackwell Publishing, Ltd, 2011.

Hakverdioğlu G, Türk G. Acupressure. Journal of Hacettepe University School of Nursing. 2006;43-7.

Tsay SL, Rong JR, Lin PF. Acupoints massage in improving the quality of sleep and quality of life in patients with end-stage renal disease. Journal of Advanced Nursing. 2003;42(2):134-42.

Tsay SL, Chen ML. Acupressure and quality of sleep in patients with end- stage renal disease-a randomized controlled trial. International Journal of Nursing Studies. 2003;40(1):1-7.

Chen HM, Chung FY, Hsu CT. Effect of acupressure on nausea, vomiting, anxiety and pain among post-cesarean section in women in Taiwan. Koohsiung J Med Sci. 2005;21.

Chang MY, Wang SY, Chen CH. Effects of massage on pain and anxiety during labour: a randomized controlled trial in Taiwan. Kaohsiung J Med Sci. 2002;18:68-73.

Carvalho B, Cohen SE, Lipman SS, Fuller A, Mathusamy AD, Macario A. Patient preferences for anesthesia outcomes associated with cesarean delivery. Anesth Analg. 2005;101:1182-7.

Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J Anaesth. 2002;89:409-23.

Kotani N, Hashimoto H, Sato Y, Sessler DI, Yoshioka H, Kitayama M, et al. Preoperative intradermal acupuncture reduces postoperative pain, nausea and vomiting, analgesic requirement, and sympathoadrenal responses. Anesthesiology. 2001;95:349-56.

Goddard G, Karibe H, McNeill C, Villafuerte E. Acupuncture and sham acupuncture reduce muscle pain in myofascial pain patients. J Orofac Pain. 2001;16:71-6.

Kalyani P. The massage connection. In: Anatomy and physiology. Philadelpia: Lippicont Williams & Wilkins. 3rd ed; 2004.

Ip VHY. The use of acupuncture for pain relief in a Chinese hospital clinic. Acupunct Med. 1999;17:101-9.

Chen GY, Huang ST. Effect of acupuncture at Neiguan P6 on heart rate variability in healthy subjects and patients with coronary artery disease. Chin J Med. 2001;19:128-44.

Hinze MLM. The Effect of therapeutic Touch and Acupressure on Experimentally-induces Pain. PhD thesis, The University of Texas at Austin. 1988:1-246.