Pulling Down the Moon

Is Acupuncture During Pregnancy Safe?

May 06, 2024
Cassie Harrison

Written By:

Christina Livas, L.Ac

Licensed Acupuncturist

A pregnant woman is getting a massage from a acupuncturist

Pregnancy is a veritable carnival of physical and emotional sensations that can sometimes feel very overwhelming. Your efforts to support the growing life inside of you and optimize the conditions for delivering a healthy baby have led you to research holistic therapies like acupuncture, and all of us here at Pulling Down the Moon are here for you. There is considerable research that receiving acupuncture when pregnant can help relieve pregnancy aches, pains, and depression naturally. But is it actually safe? What do you need to know to make an informed decision? You’ve been poked and prodded so much in the effort to get pregnant in the first place… is it worth adding acupuncture needles to the mix? Let's take a look.


Possible Risks of Acupuncture During Pregnancy


The most extensive, global meta-study about adverse events (AE) tied to acupuncture when pregnant spanned 105 scientific studies and several countries, particularly in Asia where acupuncture is part of standard medical practice. The incidence of AEs tied to acupuncture was 1.3%, the majority of which were listed as mild pain around the needling site.¹ Any negative impacts that could be tied directly to an acupuncture treatment were exceptionally rare. The caveat in the literature stresses that women choosing to try acupuncture during pregnancy seek an experienced, licensed acupuncturist if they want to try it.


Acupuncture Points to Avoid During Pregnancy


Acupuncture has been a mainstay of Traditional Chinese Medicine (TCM), documented for nearly 3,000 years. As modern science starts to understand how and why acupuncture works, evidence suggests that needling precise, recognized points on the body may correspond to ways the nervous system operates the body’s biochemical mechanisms for self-regulation.² As explained by TCM, the body has a system of energy channels that regulate the body’s operations. When the body’s energy flow is interrupted, it causes dysfunction. TCM and acupuncture help to restore healthy energy flow by stimulating natural biochemical processes.


Traditional Chinese Medicine literature recognizes several acupuncture points that should be avoided during pregnancy, mostly to prevent pre-term contractions or pre-term labor. In fact, some points are thought to help induce labor for that reason. Licensed acupuncturists who work with pregnant women know how to avoid these points, even though a wide range of scientific studies has found little clear evidence of any harm from using them.³ Again, the key is choosing a licensed acupuncturist who is specifically experienced and trained to work with pregnant women who are before their 37th week of pregnancy to avoid these acupuncture points:


  • Sanyinjiao or SP6: The spleen channel, situated about three fingers over the bone of the inner ankle.
  • Hegu or LI4: The large intestine channel point sits in the fleshy part between the forefinger and thumb.
  • Bladder channel points BL60 and BL76
  • Gallbladder channel point GB21
  • Lung channel point LU7
  • Points CV3-CV7 in the lower abdomen: During pregnancy, the risk is inserting the needle too deeply, which could also stimulate uterine contractions.
  • Bladder Channel points BL27-BL34 in the sacral region: These points are located just above your tailbone below the lower back.


Common Acupuncture Points for Pregnancy

There are more than 2,000 acupuncture and acupressure points on the human body according to TCM, and only a few of them are traditionally considered “off limits” during pregnancy.⁴ Acupuncture is also a highly individual holistic therapy. So, your acupuncturist will ask you many questions before beginning to ensure they understand exactly what your needs are. That way, they can provide the most customized, relaxing, and therapeutic experience possible. That said, apart from the “forbidden points” to remember for acupuncture when pregnant, most of the other acupuncture points can be used as a drug-free option to treat the symptoms of nausea, back pain, headaches, depression, anxiety, sleep disturbances, and other problems experienced by many pregnant women.⁵ Some of the most commonly used points to treat a range of pregnancy discomforts include:

A pregnant person is getting acupuncture on their foot.
  • P6 or “Neiguan”: This point is measured by about two finger widths above the inner wrist. It stimulates relaxation and can help reduce nausea from morning sickness.
  • K9 or “Zhubin”: This point sits a bit above the inner ankle bone and can help reduce anxiety and sleep troubles. It is often used to reduce blood pressure as well.
  • ST36 or “Zusanli”: This point is situated along the outer side of your tibia and it can help calm gastrointestinal upset and reduce swelling.
  • BL67 or “Zhiyin” is used to help reorient a baby from a breech situation.


In addition to supporting a healthy pregnancy, acupuncture can be helpful in a variety of fertility situations. If you are a woman or a man trying to boost fertility just to get pregnant, acupuncture can help. Acupuncture can also help during the postpartum period after pregnancy in several ways, including providing relief for postpartum depression.


Benefits of Acupuncture During Pregnancy


As a drug-free, holistic, supportive therapy, many women are turning to acupuncture to find relief from the most common and troubling difficulties they experience during pregnancy and postpartum months. Acupuncture helps the body regulate itself naturally and can be especially beneficial in the following conditions:


1. Morning Sickness


Morning sickness can strike with nausea and vomiting any time of the day or night and is usually at its worst during the first trimester of pregnancy. If the morning sickness is particularly severe, it may be diagnosed as Hyperemesis Gravidarum (HG), which may require hospitalization to prevent dehydration and keep nutrients flowing. Wide-ranging studies have found that acupuncture at the P6 point on the wrist can reduce the vomiting and nausea symptoms.⁶


2. Aches and Pains


As pregnancy progresses, the hormone relaxin starts loosening the joints to prepare the body for delivery. This can cause a variety of aches and pains, but the most common complaint is pregnancy lower back pain. Extra weight from the growing baby and a shifting center of gravity also contribute to this problem. Several studies have shown that acupuncture is an effective, drug-free pain relief option.⁷


3. Breech Babies


Breech-presenting babies coming out feet-first causes dangerous complications for both babies and mothers during delivery. Sometimes a C-section is necessary if the baby can’t be adjusted. However, some studies indicate that a combination of acupuncture at point BL67 combined with moxibustion (another TCM technique) done over 30 minutes for three days in one week can trigger some babies to adjust to a safer, head-first position.⁸


4. Labor Pain

A pregnant woman is getting an acupuncture treatment at a spa.

The process of experiencing intense uterine contractions and the baby pushing its way through the pelvic floor to come into the world is a painful experience for the mom. Several studies, however, indicate that acupuncture can help naturally ease labor pain and the anxiety that comes with it.⁹‌


5. Depression


During pregnancy, a woman undergoes vast hormonal changes that can cause or exacerbate existing mental health challenges. At the same time, women are often cautioned against mental health medications during pregnancy because of adverse effects that may be passed to the baby. Fortunately, acupuncture and acupressure for depression during pregnancy can provide natural, drug-free depression relief.¹⁰

6. Sleep Problems


Between the aches and pains, anxiety, “morning sickness” that can last into the night, heartburn, and frequent trips to the bathroom, getting a good night’s sleep during pregnancy is hard. Fortunately, there is considerable evidence that acupuncture can help pregnant women optimize their sleep time, so they can have more energy and a better outlook during the day.¹¹


Schedule a Session with a Licensed Acupuncturist


Pregnancy is an exciting, but often somewhat uncomfortable time. If you want to try acupuncture when pregnant, or any of our other holistic pregnancy support services in Chicago or Highland Park, schedule a consultation with our licensed fertility and pregnancy acupuncturist today.


References


1. Park, J., Sohn, Y., White, A. R., & Lee, H. (2014). The Safety of Acupuncture during Pregnancy: A Systematic Review. Acupuncture in Medicine, 32(3), 257–266. https://doi.org/10.1136/acupmed-2013-010480

2. Moffet, H. H. (2006). How might acupuncture work? A systematic review of physiologic rationales from clinical trials. BMC Complementary and Alternative Medicine, 6(1). https://doi.org/10.1186/1472-6882-6-25

3. Levett, K. M., Sutcliffe, K. L., & Betts, D. (2019). Using Forbidden Points in Pregnancy: Adverse Outcomes and Quality of Evidence in Randomized Controlled Trials—A Systematic Narrative Review. Medical Acupuncture, 31(6). https://doi.org/10.1089/acu.2019.1391

4. John Hopkins Medicine. (2019). Acupuncture. John Hopkins Medicine. https://www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture‌

5. da Silva, J. B. G. (2015). Acupuncture in Pregnancy. Acupuncture in Medicine, 33(5), 350–352. https://doi.org/10.1136/acupmed-2015-010938

6. Lu, H., Zheng, C., Zhong, Y., Cheng, L., & Zhou, Y. (2021). Effectiveness of Acupuncture in the Treatment of Hyperemesis Gravidarum: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine: ECAM, 2021, 2731446. https://doi.org/10.1155/2021/2731446

7. Li, R., Chen, L., Lin, X., Zhen, R., Xu, Y., Huang, J., & Ren, Y. (2023). Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis. Heliyon, 9(8), e18439–e18439. https://doi.org/10.1016/j.heliyon.2023.e18439

8. Neri, I., Airola, G., Contu, G., Allais, G., Facchinetti, F., & Benedetto, C. (2004). Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study. The Journal of Maternal-Fetal & Neonatal Medicine, 15(4), 247–252. https://doi.org/10.1080/14767050410001668644

9. Shen, X., & Bagherigaleh, S. (2019). Acupuncture and Pregnancy: Classical Meets Modern. Medical Acupuncture, 31(5), 248–250. https://doi.org/10.1089/acu.2019.29125.shn

10. Affairs, img src=’/content/sm-profiles/michelle_brandt/_jcr_content/image img 620 high jpg/profileMBrandtM jpg’ alt=’Michelle B. M. B. M. B. is the associate director for digital communications and media relations for the medical school’s O. of C. & P. (2006, May 10). Acupuncture lessens depression symptoms during pregnancy, study shows. News Center. https://med.stanford.edu/news/all-news/2010/02/acupuncture-lessens-depression-symptoms-during-pregnancy-study-shows.html

11. Zhang, M., Zhao, J., Li, X., Chen, X., Xie, J., Meng, L., & Gao, X. (2019). Effectiveness and safety of acupuncture for insomnia: Protocol for a systematic review. Medicine, 98(45), e17842. https://doi.org/10.1097/MD.0000000000017842


Christina Livas

Meet Christina Livas

View Profile: Licensed Acupunturist

Christina, a highly qualified acupuncturist, specializes in infertility, pregnancy support, and holistic wellness. With extensive experience, she offers various natural modalities for relaxation and healing, including acupuncture, acupressure, and essential oils. Her compassionate approach and sense of humor provide comfort and support throughout the journey to parenthood. Outside of work, she enjoys family time, reading, traveling, and dance parties with her husband and two sons.

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