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Systematic Review

Correction of Breech Presentation with Moxibustion and Acupuncture: A Systematic Review and Meta-Analysis

1
Department of Traditional Chinese Medicine, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan
2
Department of Pharmacy, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan
3
School of Pharmacy, Institute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan
4
Center of Evidence-Based Medicine, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan
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Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan
6
Division of General Internal Medicine, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editors: Manoj Sharma and Kavita Batra
Healthcare 2021, 9(6), 619; https://doi.org/10.3390/healthcare9060619
Received: 12 April 2021 / Revised: 19 May 2021 / Accepted: 20 May 2021 / Published: 22 May 2021
Acupuncture-type interventions (such as moxibustion and acupuncture) at Bladder 67 (BL67, Zhiyin point) have been proposed to have positive effects on breech presentation. The aim of this systematic review and meta-analysis was to evaluate the effectiveness and safety of moxibustion and acupuncture in correcting breech presentation. We searched PubMed, MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), the Chinese Electronic Periodical Services (CEPS), and databases at ClinicalTrials.gov to identify relevant randomized controlled trials (RCTs). In this study, sixteen RCTs involving 2555 participants were included. Compared to control, moxibustion significantly increased cephalic presentation at birth (RR = 1.39; 95% CI = 1.21–1.58). Moxibustion also seemed to elicit better clinical outcomes in the Asian population (RR = 1.42; 95% CI = 1.21–1.67) than in the non-Asian population (RR = 1.20; 95% CI = 1.01–1.43). The effects of acupuncture on correcting breech presentation after sensitivity analysis were inconsistent relative to control. The effect of moxibustion plus acupuncture was synergistic for correcting breech presentation (RR = 1.53; 95% CI = 1.26–1.86) in one RCT. Our findings suggest that moxibustion therapy has positive effects on correcting breech presentation, especially in the Asian population. View Full-Text
Keywords: breech; pregnancy; maternal and prenatal health; moxibustion; acupuncture; systematic review; meta-analysis breech; pregnancy; maternal and prenatal health; moxibustion; acupuncture; systematic review; meta-analysis
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MDPI and ACS Style

Liao, J.-A.; Shao, S.-C.; Chang, C.-T.; Chai, P.Y.-C.; Owang, K.-L.; Huang, T.-H.; Yang, C.-H.; Lee, T.-J.; Chen, Y.-C. Correction of Breech Presentation with Moxibustion and Acupuncture: A Systematic Review and Meta-Analysis. Healthcare 2021, 9, 619. https://doi.org/10.3390/healthcare9060619

AMA Style

Liao J-A, Shao S-C, Chang C-T, Chai PY-C, Owang K-L, Huang T-H, Yang C-H, Lee T-J, Chen Y-C. Correction of Breech Presentation with Moxibustion and Acupuncture: A Systematic Review and Meta-Analysis. Healthcare. 2021; 9(6):619. https://doi.org/10.3390/healthcare9060619

Chicago/Turabian Style

Liao, Jian-An, Shih-Chieh Shao, Chian-Ting Chang, Pony Y.-C. Chai, Kok-Loon Owang, Tse-Hung Huang, Chung-Han Yang, Tsai-Jen Lee, and Yung-Chih Chen. 2021. "Correction of Breech Presentation with Moxibustion and Acupuncture: A Systematic Review and Meta-Analysis" Healthcare 9, no. 6: 619. https://doi.org/10.3390/healthcare9060619

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