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[Fetomaternal macrotransfusion after successful internal version from breech presentation by moxibustion]
K Engel1, G Gerke-Engel, I Gerhard
1Universitäts-Frauenklinik Heidelberg.
Geburtshilfe Und Frauenheilkunde
|April 1, 1992
Summary
Moxibustion at the Zhiyin (BL 67) acupuncture point successfully converted a breech presentation, but led to significant fetal distress and a large fetomaternal hemorrhage, necessitating an emergency Cesarean section. Self-treatment requires close medical supervision due to potential risks.
Area of Science:
- Obstetrics and Gynecology
- Traditional Chinese Medicine
- Perinatal Medicine
Background:
- Breech presentation management often involves external cephalic version.
- Moxibustion, a traditional therapy, is sometimes used to facilitate version.
- This case examines a specific instance of moxibustion use in late pregnancy.
Observation:
- A primigravida at 39 weeks gestation underwent repeated moxibustion at the Zhiyin (BL 67) acupuncture point for breech presentation.
- The external cephalic version was successful.
- However, fetal heart rate monitoring revealed a sinusoidal pattern with severe decelerations.
Findings:
- Immediate Cesarean section was performed due to fetal distress.
- A significant fetomaternal hemorrhage of approximately 300 ml was identified post-delivery.
- This suggests a potential complication associated with moxibustion therapy.
Implications:
- Moxibustion for breech version may carry risks, including fetomaternal hemorrhage.
- Close medical monitoring is crucial when moxibustion is used, especially for self-therapy.
- Further research is warranted to understand the safety and efficacy of moxibustion in obstetric practice.