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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Related Experiment Video

Updated: Jul 31, 2025

Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
04:59

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Published on: May 30, 2025

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Cephalic version by moxibustion for breech presentation.

Meaghan E Coyle1, Caroline Smith2, Brian Peat3

  • 1School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia.

The Cochrane Database of Systematic Reviews
|May 9, 2023
PubMed
Summary
This summary is machine-generated.

Moxibustion, a traditional Chinese therapy, may help turn breech babies to a head-down position, potentially reducing the need for interventions like oxytocin. However, evidence on its effect on caesarean sections and safety is uncertain.

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Area of Science:

  • Obstetrics and Gynecology
  • Complementary and Alternative Medicine
  • Perinatal Care

Background:

  • Breech presentation at term poses risks, including increased caesarean section rates.
  • Moxibustion at acupuncture point BL67 is explored as a method to correct breech presentation.
  • This is an updated systematic review of moxibustion's effectiveness and safety.

Purpose of the Study:

  • To evaluate moxibustion's efficacy in converting breech presentation to cephalic.
  • To assess impacts on external cephalic version (ECV) necessity, birth mode, and perinatal outcomes.
  • To determine the safety profile of moxibustion for breech presentation.

Main Methods:

  • Systematic review and meta-analysis of randomized and quasi-randomized controlled trials.
  • Searched multiple databases including Cochrane, MEDLINE, Embase, and ClinicalTrials.gov.
  • Included trials compared moxibustion (alone or with other techniques) versus no moxibustion or other methods.

Main Results:

  • Moxibustion plus usual care likely reduces non-cephalic presentation at birth (moderate-certainty evidence).
  • Evidence is uncertain regarding the effect on the need for ECV and premature rupture of membranes.
  • Moxibustion likely reduces oxytocin use but has little to no effect on caesarean section rates.

Conclusions:

  • Moxibustion shows potential in correcting breech presentation, with moderate evidence for reducing non-cephalic births.
  • The impact on ECV, caesarean rates, and adverse events requires further investigation due to uncertain or limited evidence.
  • While possibly reducing oxytocin use, the overall safety and effectiveness warrant cautious interpretation.