Abstract | OBJECTIVE: 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.
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Authors | Jorge Vas, José Manuel Aranda-Regules, Manuela Modesto, María Ramos-Monserrat, Mercedes Barón, Inmaculada Aguilar, Nicolás Benítez-Parejo, Carmen Ramírez-Carmona, Francisco Rivas-Ruiz |
Journal | Acupuncture 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 |
PMID | 23249535
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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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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