A form of traditional Chinese medicine called moxibustion
may not help turn breech fetuses over so that they are in a head-down position
before birth, researchers report in the journal Obstetrics & Gynecology.
During moxibustion, an herb (usually mugwort) is burned
above acupuncture points to treat medical conditions. Treatment may be applied
in the form of a cone, stick or loose herb. It may also be placed on the head
of an acupuncture needle to manipulate the temperature gradient of the needle.
Moxibustion has a long history of use for breech fetuses and
can be self-administered at home. However, the available evidence of
effectiveness has been inconsistent.
The latest study included 212 pregnant women with fetuses in
breech position at 24 to 26 weeks of pregnancy. The women were randomly
assigned to receive either moxibustion or no therapy for the remainder of the
pregnancy. A midwife trained in acupuncture used moxibustion to stimulate acupoints
on the toes three times weekly. The patients were also encouraged to
self-administer the therapy at home the other four days of the week.
The authors found that the number of fetuses that turned in
the moxibustion group (18 percent) was similar to the number in the control
group (16 percent). “We observed no beneficial effect of moxibustion to
facilitate the cephalic version of fetuses in breech presentation. Despite this
lack of proven effectiveness, women had positive opinions on the intervention,”
the authors concluded.
For more information about moxibustion, please visit Natural Standard's Health &
Wellness database.