title: Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis.
abstract: 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. Six studies, with 1087 subjects and a high degree of heterogeneity, compared moxibustion vs observation or postural methods and reported a rate of cephalic version among the moxibustion group of 72.5% vs 53.2% in the control group (relative risk, 1.36; 95% confidence interval, 1.17-1.58); the number needed to treat was 5 (95% confidence interval, 4-7). In terms of safety, no significant differences were found in the comparison of moxibustion with other techniques. Moxibustion at acupuncture point BL67 has been shown to produce a positive effect, whether used alone or in combination with acupuncture or postural measures, in comparison with observation or postural methods alone, for the correction of nonvertex presentation, although these results should be viewed with caution, given the considerable heterogeneity found among studies.
authors.affiliation: Centro de Salud Doña Mercedes, Unidad de Tratamiento del Dolor, Dos Hermanas, Spain. jorgef.vas.sspa@juntadeandalucia.es
authors.forename: Jorge
authors.initials: J
authors.lastname: Vas
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Aranda
authors.forename: Betina
authors.initials: B
authors.lastname: Nishishinya
authors.forename: Camila
authors.initials: C
authors.lastname: Mendez
authors.forename: M Angeles
authors.initials: MA
authors.lastname: Martin
authors.forename: Joana
authors.initials: J
authors.lastname: Pons
authors.forename: Jian Ping
authors.initials: JP
authors.lastname: Liu
authors.forename: Chun Yong
authors.initials: CY
authors.lastname: Wang
authors.forename: Emilio
authors.initials: E
authors.lastname: Perea-Milla
mesh_terms: D001946:Breech Presentation / Q000628:therapy*; D005260:Female; D006801:Humans; D009071:Moxibustion / Q000379:methods; D011247:Pregnancy; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome; D014710:Version, Fetal / Q000379:methods*