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Cephalic version by moxibustion for breech presentation
1Department of Obstetrics and Gynaecology, University of Adelaide, Women's and Children's Hospital, 72 King William Road, North Adelaide, South Australia, Australia, 5006. meaghan.coyle@adelaide.edu.au
The Cochrane Database of Systematic Reviews
|April 23, 2005
Summary
Moxibustion at acupuncture point BL67 may reduce the need for external cephalic version (ECV) and oxytocin use in breech presentations. However, more high-quality research is needed to confirm its effectiveness and safety for correcting breech presentation.
Area of Science:
- Obstetrics and Gynecology
- Traditional Chinese Medicine
- Perinatal Care
Background:
- Breech presentation poses risks, often leading to caesarean sections.
- Moxibustion at Bladder 67 (BL67) is explored to correct breech presentation before labor.
- Alternative methods are sought to improve birth outcomes for breech babies.
Purpose of the Study:
- To evaluate moxibustion's effectiveness and safety in correcting breech presentation.
- To assess its impact on the need for external cephalic version (ECV).
- To examine effects on mode of birth and perinatal outcomes.
Main Methods:
- Searched multiple databases (Cochrane, MEDLINE, EMBASE, etc.) up to March 2004.
- Included randomized controlled trials comparing moxibustion with control or other methods.
- Assessed outcomes including presentation, ECV, mode of birth, and perinatal morbidity/mortality.
Main Results:
- Three trials with 597 women were included; meta-analysis was not feasible.
- Moxibustion significantly reduced the need for ECV (RR 0.47; 95% CI 0.33-0.66).
- Decreased oxytocin use was observed in women with vaginal deliveries (RR 0.28; 95% CI 0.13-0.60).
Conclusions:
- Insufficient evidence currently supports moxibustion for correcting breech presentation.
- Moxibustion shows potential benefits in reducing ECV and oxytocin use.
- Well-designed randomized controlled trials are necessary to confirm efficacy and safety.