From the Department of Gynecology and Obstetrics, Geneva's University Hospitals, and Faculty of Medicine, University of Geneva; and the University of Applied Sciences Western Switzerland, Geneva, Switzerland.
Obstet Gynecol. 2009 Nov;114(5):1034-1040. doi: 10.1097/AOG.0b013e3181bc707a.
To estimate the efficacy of moxibustion between 34 and 38 weeks of gestation to facilitate the cephalic version of fetuses in breech presentation and the acceptability of this method by women.
We conducted a randomized controlled trial in a Swiss university hospital maternity unit. We proposed to stimulate the acupoint BL 67 by moxibustion daily for 2 weeks for 212 consenting women between 34 and 36 weeks of gestation with a single fetus in breech presentation. We did the intervention three times weekly in the hospital and a teaching session and information leaflet on the technique for additional daily therapy at home. The control group received expectant management care. The availability of external cephalic version was maintained for both groups. The main outcome measure was the comparison of the proportion of women with cephalic presentation at delivery.
Baseline characteristics were similar between groups, except more nulliparous women were randomized to moxibustion. The percentage of versions was similar between groups: 18% in the moxibustion group compared with 16% in the control group (relative risk 1.12, 95% confidence interval 0.62 to 2.03). Adjustment for the imbalance in parity did not change these results. The frequency of cesarean delivery was similar (64% compared with 58% in the moxibustion group and the control group, respectively). Acceptability of the intervention and women's perceptions of moxibustion were favorable.
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.
ClinicalTrials.gov, www.clinicaltrials.gov,NCT00890474.
I.
评估孕 34 至 38 周行艾灸以促进臀位胎儿转为头位的效果，以及该方法被孕妇接受的程度。
我们在瑞士一所大学附属医院的产科进行了一项随机对照试验。我们提议对 212 名在孕 34 至 36 周、单胎臀位、同意参与研究的孕妇进行为期 2 周的艾灸，每天刺激 BL67 穴位，每周 3 次在医院进行干预，另外提供 1 次教学课程和技术信息传单，以帮助孕妇在家中进行每日治疗。对照组接受期待治疗。两组均保留行外倒转术的机会。主要结局指标是比较两组孕妇分娩时转为头位的比例。
两组基线特征相似，除了艾灸组随机分配的初产妇比例更高。两组转胎位比例相似：艾灸组为 18%，对照组为 16%（相对风险 1.12，95%置信区间 0.62 至 2.03）。调整初产妇比例失衡后，结果仍相似。剖宫产率也相似（艾灸组为 64%，对照组为 58%）。干预措施的可接受性和孕妇对艾灸的看法均良好。
我们未观察到艾灸对促进臀位胎儿转为头位有有益效果。尽管该方法尚未被证实有效，但孕妇对干预措施持积极态度。
ClinicalTrials.gov，www.clinicaltrials.gov，NCT00890474。
I。
