Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis.
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.
Vas
Jorge
J
Centro de Salud Doña Mercedes, Unidad de Tratamiento del Dolor, Dos Hermanas, Spain. jorgef.vas.sspa@juntadeandalucia.es
Aranda
Jose Manuel
JM
Nishishinya
Betina
B
Mendez
Camila
C
Martin
M Angeles
MA
Pons
Joana
J
Liu
Jian Ping
JP
Wang
Chun Yong
CY
Perea-Milla
Emilio
E
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*