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My daughter is a migraine sufferer and is 13 weeks pregnant. Could acupuncture help her?

A:We think there are two elements to this question. The first is whether it is safe to treat someone who is thirteen weeks pregnant. The answer is that when the treatment is offered by a properly trained and qualified practitioner, as all our members are, then acupuncture in the first trimester is perfectly safe. There are a number of points which are forbidden during pregnancy as a whole and during specific stages of pregnancy, but all practitioners are well aware of these and either avoid their use or find safe alternatives which have the same function. It is fair to say that very few western-trained practitioners use needle techniques vigorous enough to cause any problems, but we have always erred on the side of caution.

There is an increasing number of members who now focus their time and practice on treating women through pregnancy and undertake postgraduate training in all aspects of fertility, conception and childbirth. We are just in the final stages of a process which will define the qualifying standard for laying claim to expertise in this area, after which we may be able to make specific recommendations. In the interim most members who have this treatment focus usually make this very clear in their website materials. The reason we say this is that while all members can safely treat migraines in pregnancy, the later stages can present some interesting energetic changes, and if treatment does continue over the nest few months, there may be some advantage in seeing a practitioner with additional expertise in this field.

As far as migraines themselves are concerned, there is now a considerable body of evidence suggesting that acupuncture treatment may have a beneficial effect. As out factsheet shows

http://www.acupuncture.org.uk/a-to-z-of-conditions/a-to-z-of-conditions/migraines.html

there have now been a large number of trials which show that acupuncture treatment does have an effect greater than no treatment or conventional treatment, and once you look at the wider picture of the treatment of all headaches even NICE has now accepted that acupuncture is in some circumstances a frontline treatment. From a Chinese medicine perspective there is actually a comprehensive list of types of headache where the headache/migraine itself will be a part of a wider picture of imbalance in the system, and this will enable the practitioner to do what we think is the real strength of Chinese medicine, treat the person with the illness rather than simply treat the illness as defined by a broad label. There are as many different headaches as there are people suffering from them.

The best advice that we can give is that you look at the websites of BAcC members local to you to see which ones have a focus in their practice on treating the pregnant woman. This may be your daughter's best option, but at this stage of the pregnancy it is highly likely that the problem will be brought under control long before the beginning of the third trimester, and any of our members will be able to offer effective treatment at this stage.

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