Millereau M, Branger B, Darcel F
Service d'anesthésie, centre hospitalier de Saint-Nazaire, BP 414, 44600 St-Nazaire cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2009 Oct;38(6):481-7. doi: 10.1016/j.jgyn.2009.04.013. Epub 2009 Jun 4.
Breech delivery is known to increase maternal and fetal morbidity. Several methods have been suggested to increase the rate of fetal reverse. The aim of this study was to assess the efficacity of acupuncture or more exactly moxibustion at the 34th AW to increase the rate of fetal reverse.
Clinical trial over 68 major pregnant women, adjusted on parity, whose fetus was in breech presentation at the 8th month. They were randomised to receive or not the treatment. It is the first randomised clinical trial performed on this subject in France, from January 1st 2006 to April 30th 2008.
The rate of fetal reverse is not statistically higher with moxibustion for the primipara (7/19 versus 6/19) and for the multipara (9/14 versus 11/19).
Moxibustion, such as performed in this trial, has not modified the fetal rate reverse either on primipara or on multipara.