A Cochrane Database systematic review has concluded that acupuncture and acupressure may have a role in reducing pain, increasing satisfaction with pain management and reducing use of pharmacological management for women in labour. Thirteen trials with data on 1986 women were included. Nine trials reported on acupuncture and four on acupressure. Less intense pain was found with acupuncture compared with no intervention. One trial showed increased satisfaction with pain relief compared with placebo. Reduced use of pharmacological analgesia was found in one trial of acupuncture compared with placebo and one compared with standard care. Fewer instrumental deliveries were found with acupuncture compared with standard care. Pain intensity was reduced with acupressure, compared with placebo and control and a combined control. Trials showed significant heterogeneity and all showed some risk of bias. (Acupuncture or acupressure for pain management in labour. Cochrane Database Syust Rev. 2011 Jul 6;(7):CD009232).