Background: Moxibustion, acupuncture and other acupoint stimulations are commonly used forthe correction of breech presentation. This systematic review aims to evaluate the efficacy andsafety of moxibustion and other acupoint stimulations to treat breech presentation.Methods: We included randomized controlled trials (RCTs) and controlled clinical trials (CCTs)on moxibustion, acupuncture or any other acupoint stimulating methods for breech presentationin pregnant women. All searches in PubMed, the Cochrane Library (2008 Issue 2), China NationalKnowledge Information (CNKI), Chinese Scientific Journal Database (VIP) and WanFang Databaseended in July 2008. Two authors extracted and analyzed the data independently.Results: Ten RCTs involving 2090 participants and seven CCTs involving 1409 participants wereincluded in the present study. Meta-analysis showed significant differences between moxibustionand no treatment (RR 1.35, 95% CI 1.20 to 1.51; 3 RCTs). Comparison between moxibustion andknee-chest position did not show significant differences (RR 1.30, 95% CI 0.95 to 1.79; 3 RCTs).Moxibustion plus other therapeutic methods showed significant beneficial effects (RR 1.36, 95% CI1.21 to 1.54; 2 RCTs). Laser stimulation was more effective than assuming the knee-chest positionplus pelvis rotating. Moxibustion was more effective than no treatment (RR 1.29, 95% CI 1.17 to1.42; 2 CCTs) but was not more effective than the knee-chest position treatment (RR 1.22, 95%CI 1.11 to 1.34; 2 CCTs). Laser stimulation at Zhiyin (BL67) was more effective than the knee-chestposition treatment (RR 1.30, 95% CI 1.10 to 1.54; 2 CCTs,).Conclusion: Moxibustion, acupuncture and laser acupoint stimulation tend to be effective in thecorrection of breech presentation.
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