為了減輕產痛，臨床上一般以止痛藥與麻醉劑來治療，然而此治療方式對待產婦及嬰兒存有潛在副作用，因此以非藥物措施，如運用穴位按摩減輕生產疼痛及縮短產程已受到重視。本文蒐集高品質之隨機控制試驗文獻，探討穴位按壓改善待產婦產痛、產程時間以及降低剖腹產率之成效。以系統性文獻回顧與統合分析進行資料的統整，搜尋2013年3月以前的中、英文文獻，包括臺灣期刊論文索引、華藝線上圖書館、PubMed、Cochrane、Medline、CINAHL等六個資料庫，並使用Review Manager軟體進行分析。最後共得5篇隨機臨床試驗文獻，但僅3篇具完整數據進入統合分析。研究結果，穴位按摩對待產婦有立即及措施介入60分鐘後仍有減輕產痛的效果，其綜合效果量依序為-1.17（95% CI：-1.49，-0.85）及-1.51（95% CI：-2.10，-0.92）；而縮短第一及第二產程時間、及降低剖腹產機率亦達顯著意義，綜合效果量分別為-0.55（95% CI：-0.82，-0.28）、-9.26（95% CI：-15.71，-2.82）、0.36（95% CI：0.21～0.61）。本研究提供更客觀及綜合性的結果，希望鼓勵臨床醫護人員可學習穴位按壓之技巧，以改善待產婦更有品質之照護，而未來亦需持續累積此方面實證並更新統合結果。

To relieve labor pain the common treatment was administered analgesics and anesthetic agents in clinic. However, because of potential side effects on mother and fetuses, no pharmacologic interventions such as acupressure point pressing to relieve labor pain and shorten the time of delivery was considered. The present used published randomized controlled trials (RCTs) to analyze the effectiveness of acupressure point pressing on labor pain, delivery time, and caesarean section rate. The study conducted a systematic review and a meta-analysis of data. The following databases were searched: National Central Library, Airiti Library, PubMed, Cochrane Library, MEDLINE, and CINAHL. The search focused on articles published before 2013, March. Five RCTs articles met the selection criteria, and only three articles had sufficient data to compute the effect size.Results showed that point pressing was effective at relieving labor pain immediately and 60 minutes after the intervention (MD = -1.17, 95% CI:-1.49, -0.85; MD=-1.51, 95% CI:-2.10, -0.92). The first and second duration of labor were shorten (SMD: -0.55, 95% CI:-0.82, -0.28; MD:-9.26, 95% CI:-15 .71, -2.82), and caesarean section rate was also significant decrease (RR=0.36, 95% CI: 0.21~0.61) in point pressing group. The research provided more objective and synthetic result that hopes encourage clinical staff learning the skill of point pressing to improve the quality of care of expectant mother. More adequately designed RCTs with a larger number of patients are required to confirm the results of this meta-analysis.