Breech Presentation

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth so as to avoid the adverse effects of breech vaginal birth or caesarean section. Interventions such as tocolytic drugs and other methods have been used in an attempt to facilitate ECV.

Author(s): 
Cluver, Catherine
Gyte, Gillian M. L.
Sinclair, Marlene
Dowswell, Therese
Hofmeyr, G. Justus
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Moxibustion (a type of Chinese medicine which involves burning a herb close to the skin) to the acupuncture point Bladder 67 (BL67) (Chinese name Zhiyin), located at the tip of the fifth toe, has been proposed as a way of correcting breech presentation. As caesarean section is often suggested for breech babies due to the potential difficulties during labour, it is preferable to turn the baby before labour starts.

Author(s): 
Coyle, M. E.
Smith, C. A.
Peat, B.
Publication Title: 
Complementary Therapies in Medicine

OBJECTIVE: A systematic review of studies assessing the effectiveness of acupuncture-type interventions (moxibustion, acupuncture, or electro-acupuncture) on acupuncture point BL 67 to correct breech presentation compared to expectant management, based on controlled trials. DATA SOURCES: Articles published from 1980 to May 2007 in databases of Medline, EMBASE, the Cochrane Central Register of Controlled Trials, AMED, NCCAM, Midirs and reference lists.

Author(s): 
van den Berg, Ineke
Bosch, Johanna L.
Jacobs, Ben
Bouman, Irene
Duvekot, Johannes J.
Hunink, M. G. Myriam
Publication Title: 
American Journal of Obstetrics and Gynecology

We searched systematically for randomized controlled trials, comparing moxibustion with a nonmoxibustion control group or other methods such as external cephalic version, postural methods, and acupuncture in databases, both Western and Chinese, up to June 2007.

Author(s): 
Vas, Jorge
Aranda, José Manuel
Nishishinya, Betina
Méndez, Camila
Martin, M. Angeles
Pons, Joana
Liu, Jian Ping
Wang, Chun Yong
Perea-Milla, Emilio
Publication Title: 
Birth (Berkeley, Calif.)

BACKGROUND: Complementary medicine has become popular throughout many Western countries and is widely used by women across all stages of their life cycle. Acupuncture is used by women during their pregnancy, and research suggests that acupuncture may be used as an adjunct to their existing conventional care. The aim of this paper was to summarize the evidence examining the effectiveness of acupuncture during pregnancy and birthing, and to discuss its role as an adjunct treatment. METHODS: We conducted a systematic literature search using several electronic databases.

Author(s): 
Smith, Caroline A.
Cochrane, Suzanne
Publication Title: 
American Journal of Obstetrics and Gynecology

We searched systematically for randomized controlled trials, comparing moxibustion with a nonmoxibustion control group or other methods such as external cephalic version, postural methods, and acupuncture in databases, both Western and Chinese, up to June 2007.

Author(s): 
Vas, Jorge
Aranda, José Manuel
Nishishinya, Betina
Méndez, Camila
Martin, M. Angeles
Pons, Joana
Liu, Jian Ping
Wang, Chun Yong
Perea-Milla, Emilio
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Moxibustion (a type of Chinese medicine which involves burning a herb close to the skin) to the acupuncture point Bladder 67 (BL67) (Chinese name Zhiyin), located at the tip of the fifth toe, has been proposed as a way of correcting breech presentation. OBJECTIVES: To examine the effectiveness and safety of moxibustion on changing the presentation of an unborn baby in the breech position, the need for external cephalic version (ECV), mode of birth, and perinatal morbidity and mortality for breech presentation.

Author(s): 
Coyle, Meaghan E.
Smith, Caroline A.
Peat, Brian
Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

AIMS: To analyse the cost effectiveness of using the moxibustion technique to correct non-vertex presentation and to reduce the number of caesarean sections performed at term. METHOD: A deterministic model of decision analysis has been developed to analyse the cost of treatment in which heat is applied by moxibustion (the combustion of Artemisia vulgaris) at acupuncture point BL67 for pregnant women with non-vertex fetal position at 33-35?weeks' gestation. This approach was compared with conventional treatment recommendations based on the knee-chest posture technique.

Author(s): 
García-Mochón, Leticia
Martín, José J.
Aranda-Regules, José Manuel
Rivas-Ruiz, Francisco
Vas, Jorge
Publication Title: 
Archives of Family Medicine

OBJECTIVE: To evaluate the effectiveness of hypnosis to convert a breech presentation to a vertex presentation. DESIGN: Prospective case series compared with historical, matched comparison group. SUBJECTS: One hundred pregnant women whose fetuses were in breech position at 37 to 40 weeks' gestation and a matched comparison group of women with similar obstetrical and sociodemographic parameters derived from databases for other studies from the same time period and geographical areas.

Author(s): 
Mehl, L. E.
Publication Title: 
Journal De Gynécologie, Obstétrique Et Biologie De La Reproduction

Fetal breech presentation at term is more and more treated by a planned cesarean section. Considering the increased maternal morbidity and mortality in relation to abdominal delivery versus vaginal birth, natural and innocuous methods have been proposed for the promotion of a spontaneous fetal cephalic version during the last two Months of pregnancy. In order to stimulate fetal motility many techniques have been described, either advising postural methods (passive bridge, Indian version, knee-chest position) or using acupuncture (stimulation of the fifth toe and auricular points).

Author(s): 
Boog, G.

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