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Acupressure For Expecting Moms
© 2009 http://www.inducelabornow.com
All rights reserved. No part of this book may be reproduced or transmitted in any form by any
means, electronic or mechanical, including photocopying, recording or by any information storage
or retrieval system without permission from the copyright holder.
Neither BTX Media nor the authors of this publication assume any liability for the information
contained herein. The information contained reflects only the opinion of the author and is in no
way to be considered medical advice.
Specific medical advice should be obtained from a licensed health care practitioner. The content in
this book should not be considered medical advice and is not meant to treat, cure or prevent any
disease or illness.
3
Part One: Introduction
What exactly is acupressure and how does it work?
Why should I be using acupressure for labor induction?
Why should I be using acupressure for pain relief?
Sounds great, how do I get started?
Part Two: How To
Using this book
Applying Pressure
Additional Tips
Induce labor naturally
Relieve pain
Reduce nausea and vomiting
Turn your baby
Make your contractions stronger
Improve cervical dilation
Get through the second stage of labor
Get through the third stage of labor + postpartum recovery
Sleep better
Reduce anxiety
Promote breast-feeding and lactation
Part Three: Common Questions
How can I find the right acupoints?
How hard should I press?
How frequently should I press?
Is it safe?
Does it hurt?
Should I tell my doctor or midwife about this?
Could anything prevent acupressure from working?
Can I use these techniques before week 40?
References
Introduction 4
http://www.inducelabornow.com
Part One: Introduction
In an ideal world, all women would give birth on or around their estimated delivery date and enjoy
blissful, natural births. Unfortunately, the reality is that as many as half of all births go overdue,
leaving mothers feeling heavy, uncomfortable, tired and fed up, and both medical inductions and
assisted births are on the rise. However, there are things you can do to minimize the chances of
either of these things happening, and one of the most valuable techniques you can learn is the
simple art of acupressure.
Acupressure has been successfully used for thousands of years by many mothers who wish to
naturally encourage labor to start, once their delivery date has passed. Unlike many of the
‘methods’ you may hear about, such as eating hot curries or pineapple, drinking castor oil or
having intercourse, this is a proven technique that really works.
Acupressure can also offer pain relief in labor and assist in certain problem areas of childbirth,
such as dealing with anxiety or nausea or helping to speed up a slow dilation. It is an effective,
easy to learn and risk-free method that can be used in conjunction with other pain management
options. Best of all, it is a technique which your partner or doula can use on you with very little
practice – and unlike certain other methods of alternative pain relief, it is completely free and
available at any time in the process.
Many mothers have reported that the technique was effective in achieving either induction or pain
relief, and that it was indeed surprisingly easy for their partners to administer the treatment.
Likewise, many fathers and birthing partners have expressed their keen support for acupressure,
saying it helped them take a more active role in the birthing process, rather than simply standing
back and watching events unfold, and it allows them to focus on mom and baby in a truly positive
and practical way.
This is a most natural and basic tool that is, quite literally, at your fingertips.
What exactly is acupressure and how does it work?
Acupressure is, in simple terms, a specific way of applying pressure to certain points on the body
to trigger a response in another part of the body.
To explain this in more detail: acupressure is an ancient healing art based on meridians (a term
from Traditional Chinese Medicine). These meridians are a separate system from nerves, blood
vessels and lymphatic ducts and there are more than 600 points on the body, known as
‘acupoints’. Pressure is applied to these acupoints to restore and balance the body, enabling
changes to be made to the way the body functions.
Each acupoint has a name and a ‘code’ made up of letters and numbers. The letters indicate the
name of the meridian, and the number corresponds to the position on that meridian.
If you are familiar with acupuncture, then you will recognize the similarities. Acupressure is
essentially based on the same principles, but using touch rather than needles. The person
administering acupressure uses their hands, in particular their thumbs and knuckles, to apply
pressure to specific acupoints.
Acupressure does not hurt; it may feel slightly strange and uncomfortable at first, but after a
while, the application of pressure is generally a relaxing and comforting sensation for the mother.
Don’t worry if you have no experience with acupressure, acupuncture, or anything related to it.
This book will explain everything you need to know.
Introduction 5
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Why should I be using acupressure for labor induction?
If you go several days past your due-date you could be facing medical induction. According to
some reports as many as 33% of pregnant women end up having a medically induced childbirth.
These medical inductions can have their own complications and result in the mother having a birth
via caesarean section.
There are a number of factors that can lead to this situation, including the baby not descending
into the pelvis and the cervix not dilating enough. In addition, the prostaglandins and oxytocin
which are used in medical inductions often cause the contractions to be too intense which, in turn,
increases the need for stronger pain relief and leads to other complications.
Acupressure can help in avoiding such situations. It is an all-natural method useful for all stages
of childbirth that anyone can do.
Top Reasons Why Acupressure is Great for Childbirth
* Studies have shown that acupressure can start contractions within hours for full-term pregnant
women.
* Acts as a natural pain and anxiety relief, putting you in control of your labor.
* It works with your body to prepare your cervix to ripen and dilate, and to encourage your baby
to descend into your pelvis.
* Studies have shown it will increase blood-flow, release endorphins, and prepare the body for
birth, thus encouraging the onset of natural labor.
* Promotes natural contractions and reduces need for medical intervention, complications, or c-
sections.
* Can be done by you or your partner, at home or at a hospital, with only a few minutes training
There will still be certain situations where medical induction is unavoidable. In these cases,
acupressure can still be a very useful tool. It helps to prepare your body for childbirth and you can
of course still use it to provide extra pain relief.
Why should I be using acupressure for pain relief?
Strong pain medication, such as epidurals, can cause headaches and back pain. They can slow
labor down and increase your chances of an assisted birth or a caesarean section. Sedatives can
make you feel out of control.
Acupressure, on the other hand, is a totally natural pain relief option.
Not only does it have an anesthetizing effect on the pain of contractions, but it also is completely
free of side effects and 100% safe. Unlike certain other pain relief methods, such as TENS
Machines, acupressure is also incredibly flexible. It can be used just about anytime, any place,
anywhere - and it doesn’t restrict your movements.
Acupressure can also be performed by the mother, your partner, midwife, or any other birth
assistant whenever you need it, with no side effects.
Introduction 6
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Sounds great, how do I get started?
The next section of this book will describe exactly which acupoints will need to be stimulated –
and how – to achieve your desired outcome. Each situation (labor induction, pain relief, treating
nausea, promoting breast-feeding, etc) is dealt with in separate chapters, so you can quickly
reference the relevant information as and when you need it.
The following guide on how to apply the treatments will explain everything step by step, as clearly
as possible. The technique will take a little practice, but the rewards will be more than worth it.
How To Use This Guide 7
Part 2: How To
Using This Book
This section is broken down into specific situations you can use acupressure for. For example, if
the woman is feeling nauseous, refer to the Reducing Nausea section. There you will find
information about why acupressure will help, what acupoints to stimulate, how to find them, and
step by step guides for treatment.
You might notice the same acupoint appearing in more than one place. Since most of what you
will be learning to do with acupressure involves pregnancy related scenarios, the same point can
have multiple benefits.
For your convenience we have also included the full information about each acupoint every time it
appears. This will prevent you from having to search around the book – and allows you to have all
the relevant information to help the mother, all in one place.
Applying Pressure
There are 2 main ways you can apply pressure: constant or released.
* Constant pressure is when you continually press with your knuckle or finger. Apply the same
weight throughout the press. Many people default to trying this method because it is the simplest.
* Released pressure is when you apply a quick burst of pressure, then slowly back off, then start
again. You will be continually pushing them removing your knuckle or finger. Some people
respond very well to this type of acupressure.
You can use either method when applying pressure. If one doesn't feel comfortable, try the other.
You can even mix the two up if you want to – it's really about finding what works best for the
mother, and sticking with that. If you need to do something other than these 2 techniques, the
guide will tell when it's appropriate.
Another good idea is to lean into the point – put your whole body weight into pressing. This way
you can generate more force, your fingers won't get tired as quickly, and it evens out the
pressure.
8
Induce Labor Naturally
Despite how much you want to start labor, sometimes your body is just not cooperating. In some
cases women undergo medical inductions or c-sections if labor will not start. While they can be
effective, these procedures can complicate the childbirth process making it more dangerous and
costly.
In many cases labor can be induced safely with the use of these 5 acupressure points. They have
also been proven to reduce the need for c-sections and decrease the amount of time spend in
labor.
** WARNING: Acupressure should only be used to induce labor if you are past your due date or
are going to be medically induced soon. This technique has a high degree of success, and if
applied too early can result in your baby being born prematurely! **
When To Start: When you are facing a medical induction, are at or past your due date,
or right before.
Technique: Apply firm pressure to “Three Yin Crossing” and “Joining Valley” for 3
minutes each, every 2 hours. If possible do both “Three Yin Crossings”
at the same time. Additionally, stimulate “Ci Liao” twice a day for 5
minutes.
Labor is likely to start within 2 days of starting these techniques.
Once it does, you can start applying firm pressure to “Shoulder Well”
and “High Mountain” as soon as a contraction starts. Stop when the
contraction subsides.
Alternatively keep applying light gentle pressure at all times, and then
press harder as the contraction starts.
Acupoints: After her water has broken:
“Three Yin Crossing” – SP6
“Joining Valley” - LI4
“Ci Liao” – BL32
At early contractions:
“High Mountain” – BL60
“Shoulder Well” - GB21
Inducing Labor 9
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Three Yin Crossing – after her water has broken
"Three Yin Crossing" is one of the best
acupoints for pregnant moms! It is found on
the inside of the leg, four of the mother's
finger-widths straight above the point of her
ankle bone. You will find it right behind her
shinbone, nearer to the back of the leg
approaching the calf.
Stimulating this point feels very different
than stimulating the areas or bone around it.
It could feel tender/sore in pregnant women.
How (for partners):
1. The mother can be sitting down or kneeling over a chair or on all fours.
2. Find the point as described above.
3. Use your thumbs to apply pressure like you are pushing into her leg. Grasp the outside of her
legs for support.
4. You can do both legs at the same time.
Inducing Labor 10
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How (by yourself):
1. Try to make yourself as comfortable as
possible.
2. Cross one leg over the other and bring
your shin/lower leg up as much as possible.
3. Apply pressure using your thumb or
index finger.
Joining Valley – after her water has broken
“Joining Valley” is found in the area
between the thumb and index finger. Place
the thumb next to the index finger - it will
compress the tissue between the two
fingers, causing it to rise. The Joining Valley
acupoint is on the highest spot on this
raised area.
Move the thumb back to its normal position
and squeeze where the high point was. It
should feel sore or like a dull ache.
How (for partners):
1. Hold her hand, and have her bring her
thumb next to the index finger.
2. Find the spot and have her move her
thumb back.
3. Squeeze gently, increasing pressure with
your thumb, until she says it's starting to
feel like a dull ache.
4. If she says it is too sensitive decrease the
pressure.
Inducing Labor 11
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How (by yourself):
1. Move your thumb towards your index
finger.
2. Find the spot and move your thumb back
to its normal position.
3. Squeeze gently, increasing pressure with
your thumb, until it starts to feel like a dull
ache.
4. If it gets too sensitive decrease the
pressure.
Ci Liao - after her water has broken
“Ci Liao” is an acupoint located on
the small of the back near the top
of the buttocks.
Start by finding the dimples where
the buttocks meet the back. Have
the mother straighten her back if
these are not ready visible.
Starting at the bottom of one of
the dimples, find the point halfway
between it and the spine.
From here go down slightly and
start pressing. You will find an
indentation of the pelvis bone near
here, probably located closer to
the buttocks than to the head.
Move your pressing up and down
slightly until you find the
indentation.
Ask for feedback when finding this point – pressure on it will feel very different than the bones
around.
Once found apply pressure with your knuckles as the acupoint is deep inside.
Note – as the mother goes longer into labor, you can press downwards towards the buttocks while
stimulating this point for extra effect.
Inducing Labor 12
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How (for partners):
1. Have the mother stand up, lean into a
table or wall, or straddle a chair with her
back facing forwards.
2. Start at the dimples and follow the
instructions to find the spot.
3. Use your knuckle to apply pressure while
asking for feedback from the mother about
what’s working.
4. To apply intense pressure, use a wooden
spoon or pencil, or have the mother lean
back into it.
How (by yourself):
Finding this point by yourself is very
difficult. It is best to let your partner find it
for you and apply the pressure.
If they cannot apply the pressure, have
them guide your knuckle or thumb into the
right spot. From there apply firm pressure
right into your back, as if you are pressing
towards your stomach.
High Mountain – at early contractions
“High Mountain” is located on the outside of
the ankle on each foot. Find the depression
between the anklebone and the heel tendon.
It will be right between the back edge of the
Achilles tendon and the rounded anklebone.
It will be the same height up the foot as the
middle of the anklebone is.
Inducing Labor 13
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How (for partners):
1. Have the mother sit down or kneel down
on all fours.
2. If she is sitting you will need to get your
thumb behind her heel. If she is on all fours
(or laying on her stomach) it might easier.
3. Use your thumb and index finger to
squeeze the spot like you are pinching it.
How (by yourself):
1. Self-stimulation works best if sitting down
or laying on your side.
2. You can squeeze better with the hand
that you write with, so try that side first.
3. Reach down your leg and find the spot.
4. Squeeze with your thumb on the outside
for best results.
Shoulder Well – at early contractions
"Shoulder Well" points are located in the
middle of the shoulder/neck muscles. The
easiest way to find them is to find the
location halfway between the most
prominent portion of the base of the neck,
and the area of the shoulder where it starts
to curve downwards (right above the
shoulder joint).
Another way to find them is to imagine a
line coming directly up from the nipples, and
seeing where it would intersect with the
shoulders.
Pressure applied to this area will feel much
stronger than pressure applied to nearby
places on the shoulders.
Inducing Labor 14
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How (for partners):
1. Have the mother relax her shoulders
while sitting.
2. Find the area.
3. Use your fingers, knuckles, thumbs, or
even a wooden spoon or pencil to apply firm
pressure. Press straight down - like you are
pressing towards the baby.
How (by yourself):
1. Sit down and relax as best as possible.
Keep breathing deeply.
2. Find the area.
3. You can either pinch the points, or press
down with one finger. It is often hard to use
your thumb to self-stimulate the "Shoulder
Well." Try pinching instead.
15
Relieve Pain
It is natural to be a little worried about the pain you might experience during childbirth. With
acupressure you will be able to reduce the pains associated with labor. These points have been
shown to be some of the most effective natural pain relievers during labor, especially those
related to painful contractions.
Each woman might react differently during childbirth and have their own unique experiences, so
feel free to try any combination of these, and use the ones that work the best. There is no
“wrong” answer here - do what feels the best and removes your pain.
When To Start: Anytime you need pain relief while in labor. The best bet is to start the
acupressure when your contraction starts, and stop as the contraction
stops.
Technique: There are many different acupoints that will work and should provide
immediate relief. Pick one and apply pressure for the duration of the
contraction.
For general pain relief outside of a contraction, apply medium pressure
for up to 60 seconds.
If it doesn’t look like one is working just move on to another point.
Acupoints: “Bubbling Spring” – KID1
“High Mountain” - BL60
“Shoulder Well” - GB21
“Three Yin Crossing” - SP6
“Joining Valley” - LI4
“Ci Liao” - BL32
Bubbling Spring
You will find “Bubbling Spring” on the soles
of the feet. It is very easy to find: flex the
toes upwards (towards the body). While
flexed you will see a dimple a few inches
below the toes. That’s the acupoint.
Relieve Pain 16
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How (for partners):
1. Have the mother sit in a chair, kneel
down, or lay on her stomach.
2. Grab her foot and have her flex her toes
to find the acupoint.
3. Use your knuckle to press both into the
foot and up towards the toes.
How (by yourself):
It might require lots of flexibility to stimulate
this point yourself. If you cannot get your
leg to bend properly ask your partner for
help on this one.
1. Sit in a chair and cross one leg over the
other.
2. Bring your foot up the opposite leg so
your sole is facing you.
3. Press downwards with your thumb into
the acupoint.
High Mountain
“High Mountain” is located on the outside of
the ankle on each foot. Find the depression
between the anklebone and the heel tendon.
It will be right between the back edge of the
Achilles tendon and the rounded anklebone.
It will be the same height up the foot as the
middle of the anklebone is.
Relieve Pain 17
http://www.inducelabornow.com
How (for partners):
1. Have the mother sit down or kneel down
on all fours.
2. If she is sitting you will need to get your
thumb behind her heel. If she is on all fours
(or laying on her stomach) it might easier.
3. Use your thumb and index finger to
squeeze the spot like you are pinching it.
How (by yourself):
1. Self-stimulation works best if sitting down
or laying on your side.
2. You can squeeze better with the hand
that you write with, so try that side first.
3. Reach down your leg and find the spot.
4. Squeeze with your thumb on the outside
for best results.
Shoulder Well
"Shoulder Well" points are located in the
middle of the shoulder/neck muscles. The
easiest way to find them is to find the
location halfway between the most
prominent portion of the base of the neck,
and the area of the shoulder where it starts
to curve downwards (right above the
shoulder joint).
Another way to find them is to imagine a
line coming directly up from the nipples, and
seeing where it would intersect with the
shoulders.
Pressure applied to this area will feel much
stronger than pressure applied to nearby
places on the shoulders.
Relieve Pain 18
http://www.inducelabornow.com
How (for partners):
1. Have the mother relax her shoulders
while sitting.
2. Find the area.
3. Use your fingers, knuckles, thumbs, or
even a wooden spoon or pencil to apply firm
pressure. Press straight down - like you are
pressing towards the baby.
How (by yourself):
1. Sit down and relax as best as possible.
Keep breathing deeply.
2. Find the area.
3. You can either pinch the points, or press
down with one finger. It is often hard to use
your thumb to self-stimulate the "Shoulder
Well." Try pinching instead.
Three Yin Crossing
"Three Yin Crossing" is one of the best
acupoints for pregnant moms! It is found on
the inside of the leg, four of the mother's
finger-widths straight above the point of her
ankle bone. You will find it right behind her
shinbone, nearer to the back of the leg
approaching the calf.
Stimulating this point feels very different
than stimulating the areas or bone around it.
It could feel tender/sore in pregnant women.
Relieve Pain 19
http://www.inducelabornow.com
How (for partners):
1. The mother can be sitting down or kneeling over a chair or on all fours.
2. Find the point as described above.
3. Use your thumbs to apply pressure like you are pushing into her leg. Grasp the outside of her
legs for support.
4. You can do both legs at the same time.
How (by yourself):
1. Try to make yourself as comfortable as
possible.
2. Cross one leg over the other and bring
your shin/lower leg up as much as possible.
3. Apply pressure using your thumb or index
finger.
Relieve Pain 20
http://www.inducelabornow.com
Joining Valley
“Joining Valley” is found in the area
between the thumb and index finger. Place
the thumb next to the index finger - it will
compress the tissue between the two
fingers, causing it to rise. The Joining Valley
acupoint is on the highest spot on this
raised area.
Move the thumb back to its normal position
and squeeze where the high point was. It
should feel sore or like a dull ache.
How (for partners):
1. Hold her hand, and have her bring her
thumb next to the index finger.
2. Find the spot and have her move her
thumb back.
3. Squeeze gently, increasing pressure with
your thumb, until she says it's starting to
feel like a dull ache.
4. If she says it is too sensitive decrease the
pressure.
How (by yourself):
1. Move your thumb towards your index
finger.
2. Find the spot and move your thumb back
to its normal position.
3. Squeeze gently, increasing pressure with
your thumb, until it starts to feel like a dull
ache.
4. If it gets too sensitive decrease the
pressure.
Relieve Pain 21
http://www.inducelabornow.com
Ci Liao
“Ci Liao” is an acupoint located on
the small of the back near the top
of the buttocks.
Start by finding the dimples where
the buttocks meet the back. Have
the mother straighten her back if
these are not ready visible.
Starting at the bottom of one of
the dimples, find the point halfway
between it and the spine.
From here go down slightly and
start pressing. You will find an
indentation of the pelvis bone near
here, probably located closer to
the buttocks than to the head.
Move your pressing up and down
slightly until you find the
indentation.
Ask for feedback when finding this point – pressure on it will feel very different than the bones
around.
Once found apply pressure with your knuckles as the acupoint is deep inside.
Note – as the mother goes longer into labor, you can press downwards towards the buttocks while
stimulating this point for extra effect.
How (for partners):
1. Have the mother stand up, lean into a
table or wall, or straddle a chair with her
back facing forwards.
2. Start at the dimples and follow the
instructions to find the spot.
3. Use your knuckle to apply pressure while
asking for feedback from the mother about
what’s working.
4. To apply intense pressure, use a wooden
spoon or pencil, or have the mother lean
back into it.
Relieve Pain 22
http://www.inducelabornow.com
How (by yourself):
Finding this point by yourself is very
difficult. It is best to let your partner find it
for you and apply the pressure.
If they cannot apply the pressure, have
them guide your knuckle or thumb into the
right spot. From there apply firm pressure
right into your back, as if you are pressing
towards your stomach.
23
Reduce Nausea and Vomiting
Labor can be very hard and you might feel sick. Feelings of nausea and vomiting can occur but
can be treated easily with one acupoint. This one acupoint has been shown to reduce the severity
of the nausea and vomiting to help get you through.
When To Start: Anytime you feel nauseous. Can be done before or during labor.
Technique: Apply gentle pressure to one arm for 2 minutes.
Repeat as needed.
Acupoints: “Inner Gate” – P6
Inner Gate
The "Inner Gate" acupoint is located on the
inside of the forearm. You will find it by
starting at the main crease on the wrist,
then measure three finger-widths up the
arm. At that area feel between the two
tendons - "Inner Gate" lies between them.
This acupoint will feel a little sore with
proper stimulation.
How (for partners):
1. Have the mother continue to breathe
deeply and talk her arm.
2. Find the point by using 3 of her finger-
widths to locate it.
3. Apply pressure downwards into the arm
right between the 2 tendons.
4. It is best to use your index finger to apply
the pressure, but the thumb will work too.
Reducing Nausea and Vomiting 24
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How (by yourself):
1. Keep breathing deeply and locate the
area.
2. Press downwards with your index finger.
If you get tired, you can press laterally with
both your index and middle finger.
25
Turn Your Baby
Part of a successful childbirth involves your baby sitting correctly inside you. You want your baby
facing forwards in the "anterior position." This is the most favorable position for a baby to be in,
and makes labor easier.
Sometimes an unborn child can end up in the posterior position though. This is when the baby is
facing backwards - like it’s looking to your spine. When in the posterior position labor is harder
and your cervix can’t dilate as well. The doctor or midwife might notice this or you might notice it
because of back pain.
If you have a baby presenting in the posterior position. acupressure can help flip the baby around
and reduce any pain you might feel from the positioning.
When To Start: During labor if it appears as through the baby is posterior, or if you are
experiencing pain from the baby being turned around.
Technique: Start with 3 minutes of firm pressure to “Reaching Yin”, preferably on
both sides.
Follow with 2 minutes of firm pressure on “High Mountain” and then 2
minutes of firm pressure on “Three Yin Crossing.” It is best if done to
both legs one after the other.
Wait half an hour before repeating if needed.
Acupoints: “Reaching Yin” – BL67
“Three Yin Crossing” – SP6
“High Mountain” – BL60
Reaching Yin
"Reaching Yin" is a very powerful
acupoint - don't let it's location
fool you! You will find it on the
little toe. It is located right next
to the base of the toenail on the
outside of the toe.
In some forms of Chinese
medicine this acupoint is
stimulated with a needle because
it is so small. You can use just
your finger or a pencil though - it
will work okay.
Apply the pressure downwards
into the toe.
Turning Your Baby 26
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How (for partners):
1. Have the mother sit or lay in any position
comfortable for her.
2. Find the acupoint.
3. If her foot is flat on the floor apply
pressure downwards, into the floor.
4. If her foot is elevated you will need to
support it yourself with one hand while
applying pressure with the other.
How (by yourself):
1. Sit down and try to make yourself as
comfortable as possible.
2. Find the acupoint and apply pressure
downwards.
3. If you cannot bend over while sitting, try
laying on your side. In this position you can
reach around your body to touch the
"Reaching Yin" acupoint, and support your
foot yourself.
Three Yin Crossing
"Three Yin Crossing" is one of the best
acupoints for pregnant moms! It is found on
the inside of the leg, four of the mother's
finger-widths straight above the point of her
ankle bone. You will find it right behind her
shinbone, nearer to the back of the leg
approaching the calf.
Stimulating this point feels very different
than stimulating the areas or bone around it.
It could feel tender/sore in pregnant women.
Turning Your Baby 27
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How (for partners):
1. The mother can be sitting down or kneeling over a chair or on all fours.
2. Find the point as described above.
3. Use your thumbs to apply pressure like you are pushing into her leg. Grasp the outside of her
legs for support.
4. You can do both legs at the same time.
How (by yourself):
1. Try to make yourself as comfortable as
possible.
2. Cross one leg over the other and bring
your shin/lower leg up as much as possible.
3. Apply pressure using your thumb or index
finger.
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High Mountain
“High Mountain” is located on the outside of
the ankle on each foot. Find the depression
between the anklebone and the heel tendon.
It will be right between the back edge of the
Achilles tendon and the rounded anklebone.
It will be the same height up the foot as the
middle of the anklebone is.
How (for partners):
1. Have the mother sit down or kneel down
on all fours.
2. If she is sitting you will need to get your
thumb behind her heel. If she is on all fours
(or laying on her stomach) it might easier.
3. Use your thumb and index finger to
squeeze the spot like you are pinching it.
How (by yourself):
1. Self-stimulation works best if sitting down
or laying on your side.
2. You can squeeze better with the hand
that you write with, so try that side first.
3. Reach down your leg and find the spot.
4. Squeeze with your thumb on the outside
for best results.
29
Make Your Contractions Stronger
Contractions occur when your body is pushing the baby down your birth canal. The stronger the
muscular contractions, the easier it can be for the birth to proceed. If your baby is presenting
properly but your labor seems stalled or not going as well as possible, you can try to strengthen
your contractions.
Two acupoints will make your contractions stronger. Use them in combination and it should
encourage the baby to descend better and make labor go faster.
When To Start: Anytime your contractions feel weak, irregular, or inconsistent.
Technique: Press “Joining Valley” on either hand for up to 2 minutes. Then apply
medium to firm pressure on “Three Yin Crossing” on one leg for 60
seconds, wait 10 minutes, then repeat on the other leg.
Stop when your contractions are regular.
Acupoints: “Joining Valley” - LI4
“Three Yin Crossing” – SP6
Joining Valley
“Joining Valley” is found in the area
between the thumb and index finger. Place
the thumb next to the index finger - it will
compress the tissue between the two
fingers, causing it to rise. The Joining Valley
acupoint is on the highest spot on this
raised area.
Move the thumb back to its normal position
and squeeze where the high point was. It
should feel sore or like a dull ache.
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How (for partners):
1. Hold her hand, and have her bring her
thumb next to the index finger.
2. Find the spot and have her move her
thumb back.
3. Squeeze gently, increasing pressure with
your thumb, until she says it's starting to
feel like a dull ache.
4. If she says it is too sensitive decrease the
pressure.
How (by yourself):
1. Move your thumb towards your index
finger.
2. Find the spot and move your thumb back
to its normal position.
3. Squeeze gently, increasing pressure with
your thumb, until it starts to feel like a dull
ache.
4. If it gets too sensitive decrease the
pressure.
Three Yin Crossing
"Three Yin Crossing" is one of the best
acupoints for pregnant moms! It is found on
the inside of the leg, four of the mother's
finger-widths straight above the point of her
ankle bone. You will find it right behind her
shinbone, nearer to the back of the leg
approaching the calf.
Stimulating this point feels very different
than stimulating the areas or bone around it.
It could feel tender/sore in pregnant women.
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How (for partners):
1. The mother can be sitting down or kneeling over a chair or on all fours.
2. Find the point as described above.
3. Use your thumbs to apply pressure like you are pushing into her leg. Grasp the outside of her
legs for support.
4. You can do both legs at the same time.
How (by yourself):
1. Try to make yourself as comfortable as
possible.
2. Cross one leg over the other and bring
your shin/lower leg up as much as possible.
3. Apply pressure using your thumb or index
finger.
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Improve Cervical Dilation
Your cervix should dilate enough to allow safe passage of your baby. Sometimes it does not dilate
enough but you will want to push anyway. If you are told not to push though because of improper
dilation, it is because of a condition know as "cervical lip" - a flap or portion of your cervix is in the
way. Trying to push past it can cause severe pain so it is best to not fight it, and instead work
towards increasing the cervical dilation.
When To Start: When your midwife or doctor says you are not dilated enough.
Technique: Start by applying hard pressure to Ci Liao and Three Yin Crossing,
preferably at the same time. If it isn’t possible to do them
simultaneously, do Ci Liao first then Three Yin Crossing next.
Stop after 10 minutes of total pressure or if you feel your cervix start to
dilate more. You only need to work on one side of the body.
Acupoints: “Three Yin Crossing” – SP6
“Ci Liao” – BL32
Three Yin Crossing
"Three Yin Crossing" is one of the best
acupoints for pregnant moms! It is found on
the inside of the leg, four of the mother's
finger-widths straight above the point of her
ankle bone. You will find it right behind her
shinbone, nearer to the back of the leg
approaching the calf.
Stimulating this point feels very different
than stimulating the areas or bone around it.
It could feel tender/sore in pregnant women.
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How (for partners):
1. The mother can be sitting down or kneeling over a chair or on all fours.
2. Find the point as described above.
3. Use your thumbs to apply pressure like you are pushing into her leg. Grasp the outside of her
legs for support.
4. You can do both legs at the same time.
How (by yourself):
1. Try to make yourself as comfortable as
possible.
2. Cross one leg over the other and bring
your shin/lower leg up as much as possible.
3. Apply pressure using your thumb or index
finger.
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Ci Liao
“Ci Liao” is an acupoint located on
the small of the back near the top
of the buttocks.
Start by finding the dimples where
the buttocks meet the back. Have
the mother straighten her back if
these are not ready visible.
Starting at the bottom of one of
the dimples, find the point halfway
between it and the spine.
From here go down slightly and
start pressing. You will find an
indentation of the pelvis bone near
here, probably located closer to
the buttocks than to the head.
Move your pressing up and down
slightly until you find the
indentation.
Ask for feedback when finding this point – pressure on it will feel very different than the bones
around.
Once found apply pressure with your knuckles as the acupoint is deep inside.
Note – as the mother goes longer into labor, you can press downwards towards the buttocks while
stimulating this point for extra effect.
How (for partners):
1. Have the mother stand up, lean into a
table or wall, or straddle a chair with her
back facing forwards.
2. Start at the dimples and follow the
instructions to find the spot.
3. Use your knuckle to apply pressure while
asking for feedback from the mother about
what’s working.
4. To apply intense pressure, use a wooden
spoon or pencil, or have the mother lean
back into it.
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How (by yourself):
Finding this point by yourself is very
difficult. It is best to let your partner find it
for you and apply the pressure.
If they cannot apply the pressure, have
them guide your knuckle or thumb into the
right spot. From there apply firm pressure
right into your back, as if you are pressing
towards your stomach.
36
Get Through the Second Stage of Labor
You will come to a point where you are doing well and have entered the second stage of labor -
your cervix is dilated over 10cm, the baby is presenting well, and you might be feeling an urge to
push. If you get to this stage your labor is almost over but you might need some help in finishing
to push the baby through. It is also helpful if you get tired.
When To Start: After a 10cm dilation, or when your midwife says you are second
stage.
Technique:
Firmly press “Shoulder Well” and “Joining Valley” on both sides of the
body - works best if done at the same time. Do this for at least 4
minutes, up to 10 minutes.
Acupoints:
“Shoulder Well” - GB21
“Joining Valley” - LI4
Shoulder Well "Shoulder Well" points are located in the
middle of the shoulder/neck muscles. The
easiest way to find them is to find the
location halfway between the most
prominent portion of the base of the neck,
and the area of the shoulder where it starts
to curve downwards (right above the
shoulder joint).
Another way to find them is to imagine a
line coming directly up from the nipples, and
seeing where it would intersect with the
shoulders.
Pressure applied to this area will feel much
stronger than pressure applied to nearby
places on the shoulders.
How (for partners):
1. Have the mother relax her shoulders
while sitting.
2. Find the area.
3. Use your fingers, knuckles, thumbs, or
even a wooden spoon or pencil to apply firm
pressure. Press straight down - like you are
pressing towards the baby.
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How (by yourself):
1. Sit down and relax as best as possible.
Keep breathing deeply.
2. Find the area.
3. You can either pinch the points, or press
down with one finger. It is often hard to use
your thumb to self-stimulate the "Shoulder
Well." Try pinching instead.
Joining Valley
“Joining Valley” is found in the area
between the thumb and index finger. Place
the thumb next to the index finger - it will
compress the tissue between the two
fingers, causing it to rise. The Joining Valley
acupoint is on the highest spot on this
raised area.
Move the thumb back to its normal position
and squeeze where the high point was. It
should feel sore or like a dull ache.
How (for partners):
1. Hold her hand, and have her bring her
thumb next to the index finger.
2. Find the spot and have her move her
thumb back.
3. Squeeze gently, increasing pressure with
your thumb, until she says it's starting to
feel like a dull ache.
4. If she says it is too sensitive decrease the
pressure.
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How (by yourself):
1. Move your thumb towards your index
finger.
2. Find the spot and move your thumb back
to its normal position.
3. Squeeze gently, increasing pressure with
your thumb, until it starts to feel like a dull
ache.
4. If it gets too sensitive decrease the
pressure.
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Get Through the Third Stage of Labor + Postpartum Recovery
Congratulations! You’re a mom! Now that your child is born you still need to pass the placenta
and help your pelvic muscles return to normal.
When To Start: After your child is born.
Technique:
Apply medium pressure to “High Mountain” (either side) for 2 minutes,
then medium pressure to “Shining Ocean” (same side) for 2 minutes.
Follow with 1 minute of gentle pressure to “Curved Bone” if the mother
is not too sensitive there.
Wait 15 minutes before trying it again (if needed).
Stop when the placenta is expelled.
Acupoints:
“High Mountain” – BL60
“Shining Ocean” – K6
“Curved Bone” – CV2
High Mountain
“High Mountain” is located on the outside of
the ankle on each foot. Find the depression
between the anklebone and the heel tendon.
It will be right between the back edge of the
Achilles tendon and the rounded anklebone.
It will be the same height up the foot as the
middle of the anklebone is.
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How (for partners):
1. Have the mother sit down or kneel down
on all fours.
2. If she is sitting you will need to get your
thumb behind her heel. If she is on all fours
(or laying on her stomach) it might easier.
3. Use your thumb and index finger to
squeeze the spot like you are pinching it.
How (by yourself):
1. Self-stimulation works best if sitting down
or laying on your side.
2. You can squeeze better with the hand
that you write with, so try that side first.
3. Reach down your leg and find the spot.
4. Squeeze with your thumb on the outside
for best results.
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Shining Ocean
The “Shining Ocean” point can be found on
either foot near the ankle, inside the leg.
Look 2 finger widths below the bottom of the
anklebone. There will be a fleshy indentation
there that contains this acupoint.
Apply pressure towards the heel.
How (for partners):
1. You can stimulate this point however she
is sitting.
2. Grab hold of her foot from the front and
find the spot.
3. Use your thumb to apply pressure both
into the foot and towards the heel.
How (by yourself):
1. Self-stimulation works best if sitting down
or laying on your side.
2. Reaching down to your foot, find the spot.
3. Use your thumb to apply pressure both
into your foot and towards your heel.
4. Your other 4 fingers can rest either on top
of your foot or below.
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Curved Bone
There is just one “Curved Bone” acupoint on
the body. It is found in the pubic area below
the belly button. Take the mother’s palm
and rest it on the area – it will be one of her
palm-widths below her belly button.
Apply pressure into the abdomen. This spot
can be sensitive now that the baby is out.
How (for partners):
1. Have the mother sit down, lay on her
side, or lay on her back.
2. Find the acupoint. You might need her to
place her hand on her belly for reference.
3. Gently press into her abdomen with your
index and middle finger.
4. Remind her to breath deeply and stop if it
is too sensitive.
How (by yourself):
1. You can stimulate this point in any
position except laying on your stomach.
2. Take deep breaths and find the acupoint.
3. Gently press right into your abdomen
with your index and middle finger. Start out
barely touching and increase pressure as
you go.
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Sleep Better As many women near the end of pregnancy they find sleep can be very hard to achieve. You
might feel bloated or sore, or simply not tired because of all the excitement about having a baby.
Acupressure can help relieve your insomnia due to anxiety or over-excitement.
When To Start: Any time you are having trouble sleeping at the end of your pregnancy.
Technique:
Apply firm pressure to “Spirit Gate” for 2 minutes, wait 1 minute, then
press for 2 more minutes. You only need to do one arm.
Repeat if needed. Also consider reading the section on how to Reduce
Anxiety.
Acupoints:
“Spirit Gate” – H7
Spirit Gate
"Spirit Gate" is located on the wrist, on the
inside of the arm. To find it, start by
drawing an imaginary line down from the
little pinky finger. You will the "Spirit Gate"
where this line intersects with the crease of
the wrist where the hand meets the wrist.
This acupoint might produce a deep tingle
inside your wrist when stimulated. You
should find it quite pleasant.
How (for partners):
1. The mother can be in any position for
this.
2. Find the point.
3. Apply pressure into the wrist with your
thumb while supporting her hand with your
other fingers.
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How (by yourself):
1. You can be in any position for this to
work.
2. Find the point on your wrist.
3. Support your hand with your other hand,
and apply pressure downwards with your
thumb.
4. Sleep well!
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Reduce Anxiety
It’s not uncommon for mothers to be anxious, especially if it is their first time giving birth.
Acupressure can help calm your nerves, reduce anxiety, and promote a sense of calm and
relaxation. It’s totally natural and, unlike anti-anxiety medication, does not have harmful side
effects.
When To Start: Any time the mother is anxious, stressed, or worried.
Technique:
Apply medium pressure to “Capital Bone” for 5 minutes on either leg,
followed by “Sea of Tranquility” for 2 minutes.
Repeat if needed.
Acupoints:
“Capital Bone” - BL64
“Sea of Tranquility” – CV17
Capital Bone
"Capital Bone" is another acupoint located
on the foot. It is very easy to find. On the
outside of the foot, look for the indentation
in front of the heel underneath the ankle
bone. Flexing the toes upwards can help you
see the indentation easier.
It might produce a dull sensation on
pressure.
How (for partners):
1. This acupoint can be stimulated from any
position comfortable for her.
2. Have her flex her toes upwards to help
find the point.
3. You can press with either your index
finger or thumb depending on where you
are working.
4. Apply the pressure straight into her foot.
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How (by yourself):
1. You can sit or lay however is comfortable
for you.
2. Find the point. Flex your toes upward if
you need to.
3. It will be easiest for you to use your index
finger to apply pressure.
4. Press into your foot, with your index
finger at right angles to your foot.
Sea of Tranquility
"Sea of Tranquility" is a single
point on the torso. It is right over
your sternum in the middle of your
chest. You will find it located
between the nipples, or 2 finger-
widths up from the base of the
hard sternum.
How (for partners):
1. She can be sitting or standing.
2. Stand behind her and locate the point.
3. Use your index and middle finger to apply
pressure straight into her chest, and press
slightly upwards.
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How (by yourself):
1. You can sit or stand for this to work.
2. Locate the point.
3. Use your index finger to apply pressure
straight into your chest, and press upwards.
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Promote Breast Feeding and Lactation Many women who use acupressure might prefer to breast-feed. Normally your body will produce
milk as needed, but if for some reason you are having trouble lactating try this. Acupressure can
also help reduce breast sensitivity.
When To Start: If it appears as though you are not making enough milk, or if you are
having sensitive nipples.
Technique:
Gently apply pressure to “Shoulder Well” for 1 minute right before you
are going to breast feed, then follow up with 1 minute gentle pressure
on “Sea of Tranquility.”
Do it on the side where you want to promote lactation. Repeat as
needed.
Acupoints:
“Shoulder Well” - GB21
“Sea of Tranquility” – CV17
Shoulder Well
"Shoulder Well" points are located in the
middle of the shoulder/neck muscles. The
easiest way to find them is to find the
location halfway between the most
prominent portion of the base of the neck,
and the area of the shoulder where it starts
to curve downwards (right above the
shoulder joint).
Another way to find them is to imagine a
line coming directly up from the nipples, and
seeing where it would intersect with the
shoulders.
Pressure applied to this area will feel much
stronger than pressure applied to nearby
places on the shoulders.
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How (for partners):
1. Have the mother relax her shoulders
while sitting.
2. Find the area.
3. Use your fingers, knuckles, thumbs, or
even a wooden spoon or pencil to apply firm
pressure. Press straight down - like you are
pressing towards the baby.
How (by yourself):
1. Sit down and relax as best as possible.
Keep breathing deeply.
2. Find the area.
3. You can either pinch the points, or press
down with one finger. It is often hard to use
your thumb to self-stimulate the "Shoulder
Well." Try pinching instead.
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Sea of Tranquility
"Sea of Tranquility" is a single
point on the torso. It is right over
your sternum in the middle of your
chest. You will find it located
between the nipples, or 2 finger-
widths up from the base of the
hard sternum.
How (for partners):
1. She can be sitting or standing.
2. Stand behind her and locate the point.
3. Use your index and middle finger to apply
pressure straight into her chest, and press
slightly upwards.
How (by yourself):
1. You can sit or stand for this to work.
2. Locate the point.
3. Use your index finger to apply pressure
straight into your chest, and press upwards.
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Part Three: Common Questions
How can I find the right acupoints?
We’ve provided photos and accurate descriptions earlier in this guide about how to locate each
specific acupoint. You might notice that the same acupoint is repeated in multiple places. This is
to provide an easy reference.
If you’re having trouble finding a point, don’t worry - what kind of sensations or reactions are you
getting?
Signs you’re on the right spot:
* When properly stimulated many acupoints will produce a pleasant warmth or tingling sensation.
A small portion of them, such as the one in your hand webbing, might produce a small pain or
ache but it is nothing bad.
* Correct technique for labor-induction or cervix dilation acupoints should produce a fairly fast
result. You might feel it is as a contraction or internal pressure. If so, it’s working.
* When doing the techniques to relieve pain, anxiety, or nausea the mother should experience
very fast relief. She will know what’s best at the various stages of labor, and her feedback is
useful.
Signs that say you need to adjust:
* Stabbing or sharp pains when pressure is applied. Stop the pressure, and look at the pictures
again. Sharp pains like that mean you could be pressing on a bone or an existing injury (muscle
tear, wound, etc.).
* No sensation when touched. This could mean you need to press harder, or are nearby the
correct spot. Keep trying with slightly more pressure or press the nearby areas. Once you find the
correct spot and pressure, consider taking a picture or placing a small mark on the skin with a pen
or sticker - it can help you find it easier next time.
How hard should I press?
In most cases light pressure (1-3 pounds of pressure) will be enough. Some spots that are located
deep inside require firmer pushing (10 or more pounds of pressure) to get the desired effect. Each
specific point in this guide will tell you if it needs light or heavy pressure.
One of the best tips for applying acupressure is to not just press with your fingers. They will
quickly get tired!
Instead, press using your whole body. Get your body weight into the technique and you will avoid
exhausting your fingers. Leverage your arms to get enough force, and if you need more power,
use your knuckles or thumb.
You might also use a wooden spoon or pencil to press the acupoints. Don’t laugh – these can be
very effective at producing firm pressure when you or your partner is tired!
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How frequently should I press?
It depends on what you’re trying to accomplish. Each specific situation (induce labor, turn your
baby, reduce nausea, etc) in the guide will tell you how often to press.
Every person’s body is different. If you are applying the pressure to yourself, you will be able to
feel the pain relief very quickly. Once it starts working you can do it as needed. If it feels better to
keep constant pressure applied then do that. If you respond better to infrequent pushing, then do
that. It’s really up to how well the birthing mother responds, and if using a partner to provide
acupressure, to listen to her needs.
Is it safe?
Acupressure works in harmony with the body so all you will be doing is assisting what your body
is trying to do. When used correctly, yes, it is absolutely safe.
There have been several medical studies around the world that scientifically proved the
effectiveness and safety of acupressure during childbirth. There is no evidence that acupressure
can cause any harm whatsoever to either an unborn child or its mother. In fact, acupressure
“reduced the duration and severity of pain of the active phase of labor, cesarean section rates,
and necessity and amount of oxytocin.” (Kashanian M, et al)
Additionally, a survey of midwives showed that more than half of midwives recommend
acupressure as an effective birthing aid. Because it encourages cervical dilation, stronger
contractions, and acts as a natural pain relief, acupressure can lead to a calmer and safer birth
experience.
One common concern we have found is that people could be afraid of hurting you or the baby if
the somehow “mess up” or apply pressure on the incorrect area of your body. Don’t worry about
this - if you or a caregiver press in the wrong area, nothing at all will happen. Acupressure points
are not that close to each other to cause you to stimulate the wrong one.
Remember that acupressure is going to work with your body in harmony. It will not cause it to do
anything un-natural or against your baby.
However, it is important that you listen to your doctor or midwife’s concerns about any serious
problems they notice. While acupressure will undoubtedly be useful to you, it cannot serve as a
replacement for emergency medical care.
Does it hurt?
No.
There are certain points (such as the “Three Yin Crossing” - SP6 on the lower leg) which will feel
tender when pressed, a little like touching a bruise, but the application of pressure should never
feel uncomfortably painful. When the right points are being worked on, they usually produce a
warm or tingling sensation.
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Should I tell my doctor or midwife about this?
You should always inform your doctor, midwife, and other assistants that you will be using
acupressure techniques. Many are likely to be familiar with it already and understand the
effectiveness of this practice.
If they are not already familiar, or have any more questions or, by all means show them a copy of
this ebook. It should answer their questions. If it doesn’t (or you are a medical professional
reading this for more information), please refer to the reference section at the end. There you will
find several references to recent studies about using acupressure during childbirth.
Could anything prevent acupressure from working?
As long as you or someone else can apply the pressure, acupressure will work.
Acupressure can be useful for inducing labor and managing pain even in cases of: twins, VBAC
(Vaginal Birth After Caesarean), HIV/AIDS, high blood pressure, diabetes, and existing STDs.
Medical emergencies such as preeclampsia, HELLP syndrome, or umbilical cord defects require
medical attention. The techniques in this ebook are not appropriate for them.
Can I use these techniques before week 40?
You can but you must be careful. Acupressure can induce labor too early if you start doing it too
soon!
It is not advisable to try to induce labor with these techniques until a few days before your due
date. If you are facing a medical induction anyway then it is also appropriate to start.
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References
Allaire AD, Moos MK, Wells SR. – “Complementary and alternative medicine in pregnancy: a
survey of North Carolina certified nurse-midwives.” Obstet Gynecol. 2000 Jan;95(1):19-23.
Anderson FW, Johnson CT. – “Complementary and alternative medicine in obstetrics.” Int J
Gynaecol Obstet. 2005 Nov;91(2):116-24
Brown ST, Douglas C, Flood LP. – “Women's Evaluation of Intrapartum Nonpharmacological Pain
Relief Methods Used during Labor.” J Perinat Educ. 2001 Summer;10(3):1-8.
Chang SB, Park YW, Cho JS, Lee MK, Lee BC, Lee SJ. – “Differences of cesarean section rates
according to San-Yin-Jiao(SP6) acupressure for women in labor.” Taehan Kanho Hakhoe Chi. 2004
Apr;34(2):324-32.
Harald Zeisler, Clemens Tempfer, Klaus Mayerhofer, Monir Barrada, Peter Husslein – “Influence of
Acupuncture on Duration of Labor” Gynecol Obstet Invest 1998;46:22-25
Kashanian M, Shahali S. – “Effects of acupressure at the Sanyinjiao point (SP6) on the process of
active phase of labor in nulliparas women.” J Matern Fetal Neonatal Med. 2009 Sep 15:1-4
Lee MK, Chang SB, Kang DH. – “Effects of SP6 acupressure on labor pain and length of delivery
time in women during labor.” J Altern Complement Med. 2004 Dec;10(6):959-65.