Libretti Alessandro, Surico Daniela, Corsini Christian, Aquino Carmen Imma, Fracon Sara, Remorgida Valentino
Obstetrics and Gynaecology, University Hospital Maggiore della Carità, Novara, ITA.
Division of Experimental Oncology/Unit of Urology, Urological Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico, San Raffaele University Hospital, Milan, ITA.
Cureus. 2023 Feb 19;15(2):e35182. doi: 10.7759/cureus.35182. eCollection 2023 Feb.
Breech presentation is a condition that occurs in rare cases in pregnancy. Although guidelines recommend a cesarian section or an external cephalic version in case of breech, alternative procedures like acupuncture, are also available. Information on this approach is mostly found by patients through social media; we aimed to study content quality and the reliability of information present on YouTube™ (Google LLC, Mountain View, California, United States), one of the most popular.
Two gynecologists and an anesthesiologist, who was qualified as an acupuncturist, rated the reliability and the content quality of 23 of the first 100 results from YouTube. Normal data distribution was tested with the Shapiro-Wilk test. General features of videos, reliability, and content quality were compared with the Wilcoxon-Mann-Whitney test (continuous variables) and the Chi-square test (categorical variables). All tests were two-sided, and the statistical significance level was determined at p<0.05.
Concerning reliability, all videos were rated poorly while only one was judged as sufficiently high in quality content. Lower scores in terms of reliability and content quality resulted from the reviewers' evaluation with no videos reported as suggestable to patients. Two videos were considered fit to be suggested to patients by the gynecologist reviewers.
Information about the role and the success rate of acupuncture for converting breech presentation found on YouTube are poorly reliable, low-quality, and not valid for patients. It should be a physician's duty to provide correct information to patients.
臀位是孕期罕见的一种情况。尽管指南建议臀位时行剖宫产或外倒转术，但诸如针灸等替代方法也可行。患者大多通过社交媒体获取有关这种方法的信息；我们旨在研究YouTube™（谷歌有限责任公司，美国加利福尼亚州山景城）上信息的内容质量和可靠性，YouTube是最受欢迎的平台之一。
两名妇科医生和一名具备针灸师资格的麻醉师对YouTube前100条结果中的23条的可靠性和内容质量进行评分。用夏皮罗-威尔克检验测试数据的正态分布。视频的一般特征、可靠性和内容质量用威尔科克森-曼-惠特尼检验（连续变量）和卡方检验（分类变量）进行比较。所有检验均为双侧检验，统计显著性水平设定为p<0.05。
关于可靠性，所有视频的评分都很低，而只有一个在内容质量方面被判定为足够高。评审人员的评估导致可靠性和内容质量得分较低，没有视频被报告为对患者有建议价值。两名妇科医生评审人员认为有两个视频适合推荐给患者。
在YouTube上找到的关于针灸在臀位转位中的作用和成功率的信息可靠性差、质量低，对患者无效。向患者提供正确信息应是医生的职责。
