American Journal of Obstetrics & Gynecology
Volume 201, Issue 3 , Pages 241-259 , September 2009

Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis

  • Jorge Vas, MD

      Affiliations

    • Centro de Salud Doña Mercedes, Unidad de Tratamiento del Dolor, Dos Hermanas, Spain
    • Corresponding Author InformationReprints: Jorge Vas, Unidad de Tratamiento del Dolor, Centro de Salud Doña Mercedes, Calle Segovia s/n, 41700 Dos Hermanas, Spain
    • ,
  • Jose Manuel Aranda, MD, PhD

      Affiliations

    • Centro de Salud San Andrés-Torcal, Málaga, Spain
    • ,
  • Betina Nishishinya, MD

      Affiliations

    • Servicio de Reumatología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
    • ,
  • Camila Mendez, MD

      Affiliations

    • Consejería de Salud, Servicio de Información y Evaluación, Sevilla, Spain
    • ,
  • M. Angeles Martin, HLic

      Affiliations

    • Universidad de Sevilla, Sevilla, Spain
    • ,
  • Joana Pons, PhLic

      Affiliations

    • Hospital Costa del Sol, Málaga, Spain
    • ,
  • Jian Ping Liu, MD, PhD

      Affiliations

    • Beijing University of Chinese Medicine, Beijing, China
    • ,
  • Chun Yong Wang, MD

      Affiliations

    • Beijing Medical University, San Yuan Hospital, Beijing, China
    • ,
  • Emilio Perea-Milla, MD, PhD

      Affiliations

    • Hospital Costa del Sol, Unidad de Apoyo a la Investigación, and CIBER en Epidemiología y Salud Pública, Málaga, Spain

Received 7 October 2008 ,Revised 23 December 2008 ,Accepted 23 December 2008.

References 

  1. Liu GW. Clinical acupuncture and moxibustion. Tianjin (China): Tianjin Science and Technology Translation and Publishing Corp; 1996;
  2. Hou JL. Acupuncture and moxibustion therapy in gynecology and obstetrics. Beijing (China): Beijing Science and Technology Press; 1995;
  3. Cooperative Research Group of Moxibustion Version of Jiangxi Province. Further studies on the clinical effects and the mechanism of version by moxibustion (Abstracts of the Second National Symposium on Acupuncture, Moxibustion and Acupuncture Anesthesia). August 7-10, 1984 In: Beijing (China): All China Society of Acupuncture and Moxibustion; 1984;p. 150–151
  4. Coyle ME, Smith CA, Peat B. Cephalic version by moxibustion for breech presentation. Cochrane Database Syst Rev. 2005;CD003928
  5. Cooperative Research Group of Moxibustion Version of Jiangxi Province. Studies of version by moxibustion on Zhiyin points (Research on acupuncture, moxibustion and acupuncture anesthesia). In: Beijing (China): Science Press; 1980;p. 810–819
  6. Kanakura Y, Kometani K, Nagata T, et al. Moxibustion treatment of breech presentation. Am J Chin Med. 2001;29:37–45
  7. Habek D, Cerkez HJ, Jagust M. Acupuncture conversion of fetal breech presentation. Fetal Diagn Ther. 2003;18:418–421
  8. Cochrane Handbook for Systematic Reviews of Interventions 4.2.6 [updated September 2006]. Higgins JPT, Green S. The Cochrane Collaboration. http://www.cochrane-handbook.orgAccessed Feb. 2, 2006
  9. The Nordic Cochrane Centre, The Cochrane Collaboration Group. Review Manager (RevMan) (5.0). 2008;Copenhagen, Denmark
  10. Dersimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–188
  11. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]. In:  Higgins JPT,  Green S editor. The Cochrane Library. Chichester (United Kingdom): John Wiley & Sons, Ltd; 2005;p. 136–139
  12. Cardini F, Weixin H. Moxibustion for correction of breech presentation: a randomized controlled trial. JAMA. 1998;280:1580–1584
  13. Cardini F, Lombardo P, Regalia AL, et al. A randomised controlled trial of moxibustion for breech presentation. BJOG. 2005;112:743–747
  14. Neri I, Airola G, Contu G, Allais G, Facchinetti F, Benedetto C. Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study. J Matern Fetal Neonatal Med. 2004;15:247–252
  15. Neri I, De Pace V, Venturini P, Facchinetti F. Effects of three different stimulations (acupuncture, moxibustion, acupuncture plus moxibustion) of BL.67 Acupoint at small toe on fetal behavior of breech presentation. Am J Chin Med. 2007;35:27–33
  16. Lin YP, Zhang DQ, Hao YQ, Duan XW. [Combination of moxibustion at point Zhiyin and knee-chest position for correction of breech presentation in 63 cases]. Zhongguo Zhen Jiu. 2002;22:811–812
  17. Yang FQ. [The comparison of knee ches position coordinated with moxibustion on Zhiyin with knee ches position alone for correcting breech presentation]. Sichuan Zhong Yi. 2006;24:106–107
  18. Chen Y. [Moxibustion on zhiyin acupoint for treatment of 80 cases with fetal malposition]. Shaanxi Zhong Yi. 2007;28:334–335
  19. Witkop CT, Zhang J, Sun W, Troendle J. Natural history of fetal position during pregnancy and risk of nonvertex delivery. Obstet Gynecol. 2008;111:875–880
  20. Cardini F, Basevi V, Valentini A, Martellato A. Moxibustion and breech presentation: preliminary results. Am J Chin Med. 1991;19:105–114
  21. Vas J, Aranda JM, Baron M, et al. Correcting non cephalic presentation with moxibustion: study protocol for a multi-centre randomised controlled trial in general practice. BMC Complement Altern Med. 2008;8:22
  22. Anderson FW, Johnson CT. Complementary and alternative medicine in obstetrics. Int J Gynaecol Obstet. 2005;91:116–124
  23. Arai T. Is acupuncture-moxibustion effective for correction of breech presentation?. Acta Obstet Gynaecol Jpn. 2001;53:1217–1220
  24. Beer A-M, Danaei M, Keck V. Correction of breech presentation by moxibustion. Akupunktur. 1995;23:100–102
  25. Budd S. Moxibustion for breech presentation. Complement Ther Nurs Midwifery. 2000;6:176–179
  26. Cao PS, Ji HE. [300 clinic observations on correcting the baby breech position at the corner of birth by moxibustion cooperation with kneeling on knee and chest]. Zhen Jiu Lin Chuang Za Zhi. 2003;19:41–42
  27. Cardini F, Marcolongo A. Moxibustion for correction of breech presentation: a clinical study with retrospective control. Am J Chin Med. 1993;21:133–138
  28. Chen JH, Xu GF. [Moxibustion on Zhiyin plus chest-knee position for correcting abnormal fetal position in 256 cases]. Jilin Zhong Yi Za Zhi. 1999;38
  29. Chen J. [43 cases with moxibustion on Zhiyin for treatment of malposition]. Zhongguo Min Jian Liao Fa. 1999;2:11
  30. Chen YH, Zhang LC. [B-ultrasonographic study on 152 patiets with correction of fetal malposition by acupuncture and moxibustion]. Shanghai Zhen Jiu Za Zhi. 2004;23:9
  31. Dai ZA. [Combination therapy of moxa stick and salbutamol (shu chuan ling) for correcting fetal malposition]. Zhongguo Cheng Xiang Qi Ye Wei Sheng. 2000;43
  32. Fang ML. [Analyzing 154 cases corrected foetal circulation with pelvic presentation]. Hebei Yi Xue. 2006;12:257–259
  33. Gao QY. [Moxibustion on Sanyinjiao acupoint for correcting fetal position in 67 cases]. Fujian Zhong Yi Yao. 1964;36
  34. Gong MY. [Moxibustion on Zhiyin acupoint for correcting abnormal fetal position and the self nursing]. Zhongguo Ji Hua Sheng Yu Xue Za Zhi. 2002;373–374
  35. Gu ZJ, Zhou XW. [Treatment of fetal malposition 210 cases by acupuncture and moxibustion]. Zhen Jiu Lin Chuang Za Zhi. 2000;16:24–25
  36. Jiang L, Liao XX. [Clinical observation of 84 cases with moxibustion for treatment of breech presentation]. Shi Yong Zhong Yi Yao Za Zhi. 1999;15:34
  37. Lai ZJ. [Observation on curative effect of 80 cases with ginger moxibustion on Zhiyin for correction of breech presentation]. Xin Zhong Yi. 2003;35:59
  38. Li Q, Wang L. Clinical observation on correcting malposition of fetus by electro-acupuncture. J Tradit Chin Med. 1996;16:260–262
  39. Li Y. [Clinical observations on treatment of fetal malposition by suspended moxibustion over Sanyinjiao]. Shanghai Zhen Jiu Za Zhi. 2006;25:11
  40. Liang JL, Chen SR, Li YP. [Comparative analysis of moxibustion at Zhiyin acupoint and knee-chest posture in correcting breech presentation, report of 320 cases]. Hua Xia Yi Yao. 2004;11–12
  41. Liu M. [The different time on treatment of fetal malposition by acupuncture]. Zhongguo Min Jian Liao Fa. 2005;13:54–55
  42. Ma ZH, Gao JC. [Moxibustion on Zhiyin acupoints for correcting malposition: analysis of 120 cases]. Hebei Zhong Yi. 1996;5:40
  43. Ma D, Bi XH, Zhao J. [Clinical observations on 37 patients with treatment of fetal malposition by acupuncture and moxibustion]. Heilongjiang Zhong Yi Yao. 2006;44
  44. Mei YM. [Moxibustion on Zhiyin acupoint for treatment of 110 cases of abnormal fetus presentation] (Sichuan Zhong). Yi. 1998;16
  45. Neri I, Fazzio M, Menghini S, Volpe A, Facchinetti F. Non-stress test changes during acupuncture plus moxibustion on BL67 point in breech presentation. J Soc Gynecol Investig. 2002;9:158–162
  46. Qi CP, Zhou SK. [Moxibustion on Baihui acupoint for treating fetal malposition]. Zhongguo Min Jian Liao Fa. 1998;8:17
  47. Qi CP, Zhou SK. [Clinical observations on treatment of fetal malposition 130 cases by moxibustion and massage point]. Zhongguo Zhen Jiu. 2001;17:60
  48. Raben R. Treatment of breech presentation with acupuncture and moxibustion in primagravidae. Deutsche Zeitschrift fur Akupunktur. 1999;42:156–160
  49. Shu WJ, Ma RJ. [Moxibustion on Zhiyin and Qihai acupoints for correcting malposition: analysis of 32 cases]. Anhui Zhong Yi Xue Yuan Xue Bao. 1996;15:43
  50. Sun GQ, Guan JH. [Clinical observation of moxibustion on Zhiyin acupoint in 200 cases with abnormal fetal position]. Yunnan Zhong Yi Xue Yuan Xue Bao. 1995;18:39–40
  51. Tiran D. Breech presentation: increasing maternal choice. Complement Ther Nurs Midwifery. 2004;10:233–238
  52. Vukovic-Bobic M, Habek D. Unsuccessful acupuncture conversion of breech presentation. Geburtshilfe Frauenheilkd. 2006;66:400–402
  53. Wagner-Pankl T, Kubista E. Acupuncture treatment (moxibustion) and version rate in breech presentation. Deutsche Zeitschrift fur Akupunktur. 1990;33:58–60
  54. Xiong CH, Yang QL. [Controlled observation of moxibustion on Zhiyin acupoint compared with knee-chest position for correcting fetal malposition in 30 cases]. Hunan Zhong Yi Za Zhi. 1991;23–24
  55. Xu QH, Zhou MM. [Clinical brief summary of correction of fetal malposition 136 cases by moxibustion]. Jiangsu Zhong Yi. 1995;16:17
  56. Xu FL, Zhu GM, Li YM. [Clinical observation on moxibustion combined with breech self-correction method for correcting fetal breech]. Heilongjiang Zhong Yi Yao. 1998;21
  57. Xu X. [Treatment of malposition by direct moxibustion on Zhiyin]. Zhen Jiu Lin Chuang Za Zhi. 2002;18:49
  58. Yan YZ, Deng LZ. [Moxibustion for treating malposition: analysis of 22 cases]. Zhong Yi Wai Zhi Za Zhi. 1996;2:41
  59. Yao LY, Yin GR, Hou JH. [Moxibustion on Zhiyin acupoint for breech presentation: analysis of 59 cases]. Xinjiang Zhong Yi Yao. 1994;2:24
  60. Ye DX. [Moxibustion on Zhiyin combined with Zhuan Tai Fang for treatment of 100 cases with abnormal fetal position]. Fujian Zhong Yi Yao. 2004;35:24
  61. Yu BQ, Liu QM, Lang FF, Zhi JX. [Clinical analysis of moxibustion in 1088 cases with abnormal fetal position]. Mudanjiang Yi Xue Yuan Xue Bao. 1990;11:30
  62. Zhang HA. [Moxibustion on Zhiyin acupoint for correcting abnormal fetal position in 42 cases]. Fujian Zhong Yi Yao. 1964;30
  63. Zhang FR. [Preliminary exploration of acupuncture and moxibustion for correcting fetal malposition in foreign population]. Zhongguo Zhen Jiu. 1989;30
  64. Zhang YH. [Moxibustion on Zhiyin acupoint for abnormal fetal position in 50 cases]. Zhongguo Zhen Jiu. 1996;54
  65. Zhang WY. [Experience of comprehensive therapy for correcting breech presentation]. Chengde Yi Xue Yuan Xue Bao. 1999;16:135–136
  66. Zhang JJ, Lin HY. [Clinical observation of 117 cases with moxibustion on Zhiyin for treatment of breech presentation]. Hainan Yi Xue. 1999;10:58–59
  67. Zhang LW. [Early correction of fetal malposition]. Zhong Hua Shi Yong Yi Xue. 2004;6:67
  68. Zhang HZ, Zhang JZ. [Clinical observations on treatment of fetal malposition 126 cases by moxibustion over Zhiyin]. Zhongguo Min Jian Liao Fa. 2006;14:24
  69. Zhou WY. [200 cases of He-Ne laser irradiation and moxibustion on Zhiyin for changing breech presentation]. Zhongguo Min Jian Liao Fa. 1989;17:490
  70. Zhou MM, Xu QH. [136 cases treated with moxibustion with moxa stick for rotator]. Zhejiang Zhong Yi Za Zhi. 1995;301–391
  71. Zhou Y, Han YC. [Correction of 42 cases with malposition by moxibustion on Zhiyin combined with back on bed and raising buttock]. Zhen Jiu Lin Chuang Za Zhi. 2005;21:41

 This study was supported in part by a project Grant from the Andalusian Public Health System (06/367).

PII: S0002-9378(08)02432-0

doi: 10.1016/j.ajog.2008.12.026

American Journal of Obstetrics & Gynecology
Volume 201, Issue 3 , Pages 241-259 , September 2009

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