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Related Experiment Videos

Cephalic version by moxibustion for breech presentation.

M E Coyle1, C A Smith, B Peat

  • 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
PubMed
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This summary is machine-generated.

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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.

Related Experiment Videos

  • 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.