title: Version of breech fetuses by moxibustion with acupuncture: a randomized controlled trial.
abstract: OBJECTIVE
  To assess the efficacy of moxibustion (heating of the acupuncture needle with an igniting charcoal moxa stick) with acupuncture for version of breech presentations after 33 4/7 weeks of gestation to reduce their rate at 37 weeks of gestation and at delivery.
  
  
  METHODS
  This was a randomized placebo-controlled single-blind trial including 328 pregnant women recruited in a university hospital center between 33 4/7 and 35 4/7 weeks of gestation. Moxibustion with acupuncture or inactivated laser (placebo) treatment was applied to point BL 67 for six sessions. The principal endpoint was the percentage of fetuses in breech presentation at 37 2/7 weeks of gestation.
  
  
  RESULTS
  The study included 328 women randomized into two groups: moxibustion with acupuncture (n=164) or placebo (n=164). The percentage of fetuses in breech presentation at 37 2/7 weeks of gestation was not significantly different in both groups (72.0 in the moxibustion with acupuncture group compared with 63.4% in the placebo group, relative risk 1.13, 95% confidence interval 0.98-1.32, P=.10).
  
  
  CONCLUSIONS
  Treatment by moxibustion with acupuncture was not effective in correcting breech presentation in the third trimester of pregnancy.
  
  
  BACKGROUND
  ClinicalTrials.gov, www.clinicaltrials.gov, NCT01487590.
authors.affiliation: Hôpital Jeanne de Flandre, Université Lille II, Faculté de médecine Henri Warembourg, Université Lille 2, UPRES Lille Nord de France, and EA2694, UDSL, University Lille Nord de France, Lille, France.
authors.forename: Capucine
authors.initials: C
authors.lastname: Coulon
authors.forename: Marion
authors.initials: M
authors.lastname: Poleszczuk
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: Paty-Montaigne
authors.forename: Cécile
authors.initials: C
authors.lastname: Gascard
authors.forename: Charlotte
authors.initials: C
authors.lastname: Gay
authors.forename: Véronique
authors.initials: V
authors.lastname: Houfflin-Debarge
authors.forename: Damien
authors.initials: D
authors.lastname: Subtil
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D001946:Breech Presentation / Q000628:therapy*; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005333:Fetus; D006785:Hospitals, University; D006801:Humans; D009071:Moxibustion / Q000379:methods*; D011247:Pregnancy; D011446:Prospective Studies; D016037:Single-Blind Method; D016896:Treatment Outcome; D014710:Version, Fetal / Q000379:methods*