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Using moxibustion in primary healthcare to correct non-vertex presentation: a multicentre randomised controlled trial.

AbstractOBJECTIVE:
To compare the effectiveness of additional moxibustion at point BL67 with moxibustion at a non-specific acupuncture point and with usual care alone to correct non-vertex presentation.
METHODS:
This was a multicentre randomised controlled trial in which 406 low-risk pregnant women with a fetus in ultrasound breech presentation, with a gestational age of 33-35 weeks, were assigned to (1) true moxibustion at point BL67 plus usual care; (2) moxibustion at SP1, a non-specific acupuncture point (sham moxibustion) plus usual care; or (3) usual care alone. The primary outcome was cephalic presentation at birth. Women were recruited at health centres in primary healthcare.
RESULTS:
In the true moxibustion group, 58.1% of the full-term presentations were cephalic compared with 43.4% in the sham moxibustion group (RR 1.34, 95% CI 1.05 to 1.70) and 44.8% of those in the usual care group (RR 1.29, 95% CI 1.02 to 1.64). The reduction in RR of the primary outcome in women allocated to the true moxibustion group compared with the usual care group was 29.7% (95% CI 3.1% to 55.2%) and the number needed to treat was 8 (95% CI 4 to 72). There were no severe adverse effects during the treatment.
CONCLUSIONS:
Moxibustion at acupuncture point BL67 is effective and safe to correct non-vertex presentation when used between 33 and 35 weeks of gestation. We believe that moxibustion represents a treatment option that should be considered to achieve version of the non-vertex fetus.
TRIAL REGISTRATION:
Current Controlled Trials ISRCTN10634508.
AuthorsJorge Vas, José Manuel Aranda-Regules, Manuela Modesto, María Ramos-Monserrat, Mercedes Barón, Inmaculada Aguilar, Nicolás Benítez-Parejo, Carmen Ramírez-Carmona, Francisco Rivas-Ruiz
JournalAcupuncture in medicine : journal of the British Medical Acupuncture Society (Acupunct Med) Vol. 31 Issue 1 Pg. 31-8 (Mar 2013) ISSN: 1759-9873 [Electronic] England
PMID23249535 (Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Topics
  • Acupuncture Points
  • Adult
  • Breech Presentation
  • Female
  • Gestational Age
  • Humans
  • Moxibustion
  • Pregnancy
  • Standard of Care
  • Treatment Outcome
  • Version, Fetal
  • Young Adult

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