Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis

Vas, Jorge; Aranda, José Manuel Ramírez; Nishishinya, Betina; Méndez, Camila; Romero‐Martín, Macarena; Pons-Palliser, Joana; Liu, Jianping; Wang, Chun Yong; Perea-Milla, Emilio

doi:10.1016/j.ajog.2008.12.026

Cited by 47 publications

(51 citation statements)

References 18 publications

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“…Thus, it is necessary to treat eight pregnant women in order to correct one non-vertex presentation. These results are consistent with those reported both in our systematic review 11 and in other systematic reviews published previously, 11 17 18 as well as with another recent costeffectiveness study. 19 Two recent studies have reported conflicting results.…”

Section: Discussionsupporting

confidence: 94%

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Using Moxibustion in Primary Healthcare to Correct Non-Vertex Presentation: A Multicentre Randomised Controlled Trial

et al. 2013

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Objective To compare the effectiveness of additional moxibustion at point BL67 with moxibustion at a non-specific acupuncture point and with usual care alone to correct non-vertex presentation. Methods This was a multicentre randomised controlled trial in which 406 low-risk pregnant women with a fetus in ultrasound breech presentation, with a gestational age of 33-35 weeks, were assigned to (1) true moxibustion at point BL67 plus usual care; (2) moxibustion at SP1, a non-specific acupuncture point (sham moxibustion) plus usual care; or (3) usual care alone. The primary outcome was cephalic presentation at birth. Women were recruited at health centres in primary healthcare. Results In the true moxibustion group, 58.1% of the full-term presentations were cephalic compared with 43.4% in the sham moxibustion group (RR 1.34, 95% CI 1.05 to 1.70) and 44.8% of those in the usual care group (RR 1.29, 95% CI 1.02 to 1.64). The reduction in RR of the primary outcome in women allocated to the true moxibustion group compared with the usual care group was 29.7% (95% CI 3.1% to 55.2%) and the number needed to treat was 8 (95% CI 4 to 72). There were no severe adverse effects during the treatment. Conclusions Moxibustion at acupuncture point BL67 is effective and safe to correct non-vertex presentation when used between 33 and 35 weeks of gestation. We believe that moxibustion represents a treatment option that should be considered to achieve version of the non-vertex fetus.

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Section: Discussionsupporting

confidence: 94%

“…11 However, in our study the level of expectations and confidence in the technique was similar in the two groups in which moxibustion was used, and although the procedure was performed at home and the acupuncture point could have been changed, the results obtained in the sham group lead us to believe this was not so.…”

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confidence: 58%

Using Moxibustion in Primary Healthcare to Correct Non-Vertex Presentation: A Multicentre Randomised Controlled Trial

et al. 2013

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“…Tal y como defienden otros estudios [8][9][10][11][12][13]17,18,21,22 , no hubo efectos adversos con el tratamiento de acupuntura y moxibustión.…”

Section: Discussionunclassified

“…Se ha demostrado que la moxibustión en el punto de acupuntura V 67, utilizada sola o en combinación con acupuntura o medidas posturales para la corrección de presentación no cefálica, produce un efecto positivo 11 .…”

Section: Introductionunclassified

Uso de la acupuntura y moxibustión para corregir la presentación no cefálica: estudio de intervención en un centro hospitalario de tercer nivel

García

Gómez

Roig

et al. 2017

Revista Internacional de Acupuntura

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“…Acredita-se que esta técnica estimule a produção de estrogênio placentário e prostaglandinas maternas, bem como promova contrações uterinas e movimentação fetal (13) . O objetivo deste estudo é revisar a literatura a fim de identificar publicações sobre a moxabustão e acupuntura para versão de fetos em apresentação pélvica.…”

Section: Introductionunclassified

Uso Da Moxabustão E Acupuntura Em Gestantes Com Apresentação Pélvica: Revisão Integrativa

Rodrigues

Zorzim

2017

Cogitare Enferm.

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RESUMO: O objetivo deste estudo foi conduzir uma revisão integrativa a fim de identificar publicações sobre a moxabustão e acupuntura para versão de fetos em apresentação pélvica. A ferramenta de pesquisa Paciente, Intervenção, Comparação e Desfecho, disponibilizada pela base de dados da Biblioteca Nacional de Medicina dos Estados Unidos, foi utilizada para gerar uma lista de artigos. As palavras utilizadas para a busca foram os termos breech, moxibustion, acupuncture e cephalic. A busca foi realizada no mês de março de 2016. Foram encontrados 24 registros, 18 foram analisados, dentre os quais sete foram favoráveis ao uso da moxabustão, e cinco, desfavoráveis. A partir dos estudos realizados sobre o tema, há evidências de que a moxabustão seja segura e efetiva para tentar "corrigir" apresentações pélvicas, apresentando-se como uma ferramenta no complemento da assistência prestada por profissionais na área da obstetrícia. DESCRITORES: Versão fetal; Artemísia; Enfermagem obstétrica; Pontos de acupuntura. USO DA MOXABUSTÃO E ACUPUNTURA EM GESTANTES COM APRESENTAÇÃO PÉLVICA: REVISÃO INTEGRATIVA USE OF MOXIBUSTION AND ACUPUNCTURE IN PREGNANT WOMEN WITH BREECH PRESENTATION: AN INTEGRATIVE REVIEWABSTRACT: The objective in this study was to develop an integrative review to identify publications on moxibustion and acupuncture to turn fetuses in breech position. The research tool Patient, Intervention, Comparison and Outcome, available through the database of the United States National Library of Medicine, was used to produce a list of articles. The words used for the search were: breech, moxibustion, acupuncture and cephalic. The search was undertaken in March 2016. Twenty-four registers were found, 18 of which were analyzed, seven of them favorable to the use of moxibustion and five unfavorable. Based on the studies developed on the theme, there is evidence that moxibustion is safe and effective to try and "correct" breech presentations, as a tool to complement the care midwifery professionals provide. DESCRIPTORS: Version, fetal; Artemisia vulgaris; Obstetric nursing; Acupuncture points. RESUMEN: El objetivo de este estudio fue desarrollar una revisión integradora para identificar publicaciones sobre la moxibustión y acupuntura para versión de fetos en presentación de nalgas. La herramienta de investigación Paciente, Intervención, Comparación y Desfecho, publicada por la base de datos de la Biblioteca Nacional de Medicina de Estados Unidos, fue utilizada para generar un rol de artículos. Las palabras utilizadas para la búsqueda fueron: breech, moxibustion, acupuncture y cephalic. La búsqueda fue llevada a cabo en marzo del 2016. Fueron encontrados 24 registros, 18 fueron analizados, entre los cuales siete fueron favorables al uso de la moxibustión y cinco desfavorables. A partir de los estudios desarrollados sobre el tema, hay evidencias de que la moxibustión sea segura y efectiva para intentar "corregir" presentaciones de nalgas, siendo una herramienta para complementar la atención prestada por profesionales en el áre...

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Correction of nonvertex presentation with moxibustion: a systematic review and metaanalysis

Cited by 47 publications

References 18 publications

Using Moxibustion in Primary Healthcare to Correct Non-Vertex Presentation: A Multicentre Randomised Controlled Trial

Using Moxibustion in Primary Healthcare to Correct Non-Vertex Presentation: A Multicentre Randomised Controlled Trial

Uso de la acupuntura y moxibustión para corregir la presentación no cefálica: estudio de intervención en un centro hospitalario de tercer nivel

Uso Da Moxabustão E Acupuntura Em Gestantes Com Apresentação Pélvica: Revisão Integrativa

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