Guittier Marie-Julia, Klein Tamara Jauch, Dong Hongguang, Andreoli Nicole, Irion Olivier, Boulvain Michel
Department of Gynecology and Obstetrics, Geneva University Hospitals, Switzerland.
J Altern Complement Med. 2008 Dec;14(10):1231-3. doi: 10.1089/acm.2008.0134.
Moxibustion, a Traditional Chinese Medicine technique related to acupuncture, was proposed to facilitate cephalic version of breech presentation. Several trials were conducted to evaluate the efficacy, but there are few reports on the safety of moxibustion. Our objective was to assess the side-effects and acceptability of this intervention.
We are conducting a randomized controlled trial to evaluate the efficacy of moxibustion for breech version. The first 12 participants randomized in the moxibustion group had additional fetal surveillance by electronic monitoring.
Pregnant women with a fetus in breech presentation are included in the trial between 34 and 36 weeks of gestation.
We performed a cardiotocogram during 10 minutes before, 20 minutes during, and 10 minutes after each session. A maximum of 9 sessions were scheduled every other day, and stopped when cephalic version was diagnosed. The recordings were assessed by 3 independent readers using the Fischer scoring system.
Fetal well-being was evaluated by the cardiotocogram; effect on the mother was evaluated by blood pressure recorded before and after each session; maternal views, contractions, and perceived changes in fetal movements were assessed using a questionnaire.
A total of 65 cardiotocograms were analyzed. All scores were considered as normal, being at 8 or more on a 0-10 scale. Acceptability for the women and compliance to the intervention were good. No significant maternal or fetal side-effect was observed.
We have not detected alterations of fetal and maternal well-being or other side-effects associated with moxibustion applied to the BL 67 for cephalic version of breech presentations. Moxibustion appears to be safe for both the mother and the fetus.
艾灸是一种与针灸相关的中医疗法，被认为有助于臀位转头位。已经进行了多项试验来评估其疗效，但关于艾灸安全性的报道较少。我们的目的是评估这种干预措施的副作用和可接受性。
我们正在进行一项随机对照试验，以评估艾灸纠正臀位的疗效。艾灸组中最初随机分组的12名参与者通过电子监测进行了额外的胎儿监护。
妊娠34至36周、胎儿为臀位的孕妇被纳入试验。
在每次艾灸前10分钟、艾灸期间20分钟和艾灸后10分钟进行胎心监护。每隔一天安排最多9次艾灸，确诊为头位后停止。记录由3名独立的阅片者使用菲舍尔评分系统进行评估。
通过胎心监护评估胎儿健康状况；通过每次艾灸前后记录的血压评估对母亲的影响；使用问卷评估母亲的观点、宫缩以及感知到的胎儿活动变化。
共分析了65份胎心监护记录。所有评分均被认为正常，在0至10分的量表上为8分或更高。女性对该干预措施的可接受性和依从性良好。未观察到明显的母体或胎儿副作用。
我们未检测到与艾灸至BL 67穴位以纠正臀位转头位相关的胎儿和母体健康状况改变或其他副作用。艾灸对母亲和胎儿似乎都是安全的。
