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Can Acupuncture Help With Cervical Ripening?


A pregnant woman holding her belly

As expectant mothers approach their due dates, the body undergoes a series of intricate changes in preparation for childbirth. One crucial aspect of this process is cervical ripening, where the cervix softens, thins out, and begins to open, facilitating a smoother transition during labor. While medical interventions like synthetic hormones are commonly used to induce cervical ripening, an increasing number of women are turning to alternative therapies such as acupuncture to support this natural progression.


Before delving into acupuncture's role, it's important to grasp the significance of cervical ripening in the birthing process. The cervix, the lower portion of the uterus, acts as a gateway between the uterus and the birth canal. During pregnancy, the cervix remains firm and closed to support the growing fetus. However, as the body prepares for labor, hormonal changes signal the cervix to undergo ripening, a process essential for effacement (thinning) and dilation (opening) during childbirth. Cervical ripening typically occurs gradually in the weeks leading up to labor but can be stimulated or accelerated if necessary.


Harmonizing the Body's Energy Flow Acupuncture, rooted in Traditional Chinese Medicine (TCM), operates on the principle that the body's vital energy, known as Qi, flows through meridians or pathways. When Qi becomes stagnant or imbalanced, health issues may arise. Acupuncture seeks to restore harmony by stimulating specific points along these meridians, promoting the smooth flow of Qi and encouraging the body's natural healing mechanisms.


In the context of cervical ripening, acupuncturists focus on points believed to influence uterine contractions, hormone regulation, and blood flow to the pelvic area. Some commonly targeted acupuncture points for cervical ripening include:


  1. Spleen 6 (SP6): Located above the ankle, on the inner side of the lower leg.


  2. Large Intestine 4 (LI4): Found on the webbing between the thumb and index finger.


By stimulating these points with thin needles, acupuncturists aim to promote relaxation of the cervix, encourage blood flow to the pelvic region, and trigger the release of oxytocin, a hormone involved in uterine contractions.


While scientific evidence on acupuncture's effectiveness in promoting cervical ripening is still emerging, several studies have yielded promising results. A 2013 systematic review published in the Journal of Obstetrics and Gynaecology Canada concluded that acupuncture may offer benefits in cervical ripening and reducing the need for medical interventions like induction of labor.


As expectant mothers seek gentler alternatives to medical interventions for promoting cervical ripening, acupuncture emerges as a promising option rooted in centuries-old wisdom. While individual responses may vary, acupuncture offers a holistic approach to supporting the body's natural processes, fostering relaxation, and potentially facilitating a smoother birthing experience. However, it's crucial for women to consult with qualified acupuncturists and healthcare providers to determine the most appropriate approach for their unique needs. Generally, for optimal results we recommend 2 x per week starting at 36 weeks.



Kelsey Bru is a licensed acupuncturist and TCM Herbalist in the Comox Valley, British Columbia. She loves working with women's health, hormones, menopause, fertility, mental health, and beyond through her online articles and at her clinic, The Remedy Room, on Cliffe Avenue, Courtenay. Call for an appointment at 250-800-7738.

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