Acupunctuur bij stuitligging

2 onderzoeken (Engels)

1. Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study.

Neri I, Airola G, Contu G, Allais G, Facchinetti F, Benedetto C.
Department of Obstetrics and Gynecology, University of Modena-Reggio Emilia, Modena, Italy.

Objectives
In many Western countries breech presentation is an indication for elective Cesarean section. In order to correct fetal presentation, the stimulation of the acupoint BL67 by moxibustion, acupuncture or both has been proposed. Since no studies had previously been carried out on Western populations, pregnant Italian women at 33-35 weeks gestational age carrying a fetus in breech presentation were enrolled in a randomized, controlled trial involving an active BL67 point stimulation and an observation group.

Methods
A total of 240 women at 33-35 weeks of gestation carrying a fetus in breech presentation were randomized to receive active treatment (acupuncture plus moxibustion) or to be assigned to the observation group. Bilateral acupuncture plus moxibustion was applied at the BL67 acupoint (Zhiyin). The primary outcome of the study was fetal presentation at delivery. Results: Fourteen cases dropped out. The final analysis was thus made on 226 cases, 114 randomized to observation and 112 to acupuncture plus moxibustion. At delivery, the proportion of cephalic version was lower in the observation group (36.7%) than in the active-treatment group (53.6 %) (p = 0.01). Hence, the proportion of Cesarean sections indicated for breech presentation was significantly lower in the treatment group than in the observation group (52.3% vs. 66.7%, p = 0.03).

Conclusions
Acupuncture plus moxibustion is more effective than observation in revolving fetuses in breech presentation. Such a method appears to be a valid option for women willing to experience a natural birth.

Publication Types
Clinical Trial
Randomized Controlled Trial
PMID: 15280133 [PubMed – indexed for MEDLINE]

2. Acupuncture conversion of fetal breech presentation.

Habek D, Cerkez Habek J, Jagust M.
Clinical Department of Obstetrics and Gynecology, Clinical Hospital Osijek, Osijek, Croatia.

Aim
The aim of this study was to assess the value of acupuncture (AP) in the conversion of fetal breech presentation into vertex presentation.

Patients and methods
A randomized prospective controlled clinical study included 67 pregnant women with fetal breech presentation: 34 women with singleton pregnancies treated with manual AP (urinary bladder 67, Zhiyin) and a control group which included 33 women with singleton pregnancies without AP treatment. The AP treatment lasted 30 min a day, and was conducted during and after 34 weeks of pregnancy with simultaneous cardiotocography.

Results
The success rate of the AP correction of fetal breech presentation is 76.4% (26 women), and spontaneous conversion without AP in vertex presentation is observed in 15 women (45.4%; p<0.001). CONCLUSIONS: We believe that AP correction of fetal malpresentation is a relatively simple, efficacious and inexpensive method associated with a lower percentage of operatively completed deliveries, which definitely reflects in improved parameters of vital and perinatal statistics. Copyright 2003 S. Karger AG, Basel

Publication Types
Clinical Trial
Randomized Controlled Trial

PMID: 14564112 [PubMed – indexed for MEDLINE]