Moxibustion for breech presentation: significant new evidence

Acupuncture-Pregnancy-447
Smith C, Acupunct Med 2013;31:5-6 Acupuncture in Medicine
In this editorial Caroline Smith from University of Western Sydney, discusses recent findings and analysis (Cochrane Review) of treatment for breech presentation.

 

Abstract

In this review moxibustion was not found to reduce the number of non-cephalic presentations at birth compared with no treatment (p=0.45) however it resulted in decreased use of oxytocin before or during labour for women who had vaginal deliveries compared with no treatment (risk ratio (RR) 0.28, 95% CI 0.13 to 0.60) and was found to result in fewer non-cephalic presentations at birth compared with acupuncture (RR 0.25, 95% CI 0.09 to 0.72).

When combined with acupuncture, moxibustion resulted in fewer non-cephalic presentations at birth (RR 0.73, 95% CI 0.57 to 0.94), and fewer births by caesarean section (RR 0.79, 95% CI 0.64 to 0.98) compared with no treatment.

When combined with a postural technique, it was found to result in fewer non-cephalic presentations at birth compared with the postural technique alone (RR 0.26, 95% CI 0.12 to 0.56).