Acupuncturists on Moxibustion for Breech Presentation
A study was conducted to examine what experienced
acupuncture practitioners and researchers considered key aspects of treatment
to promote cephalic version for women with a breech presentation, and to
establish a treatment protocol through consensus to guide the self administration
of moxa by pregnant women. The study used The Delphi method to seek the
opinions of key informants. Sixteen acupuncturists working in the area of
pregnancy were invited to participate in the study. Participants were given a
link to an online survey, and their views sought on treatment parameters
guiding the treatment of breech presentation within a research setting. Two
rounds of the Delphi process were undertaken, 12 participants completed round one,
and 10 completed round two. Eighty percent of participants agreed that moxa
should commence between 34 and 35 weeks gestation. Ninety percent agreed to
self administration of moxa by the woman, and use of smokeless and odourless
sticks. Seventy percent agreed moxa should be applied for a minimum of 10 days,
and be applied once a day for 30 min. Monitoring safety was identified as an
important outcome. Ninety percent agreed study clinical outcomes should assess
side effects including burns, and maternal and foetal outcomes. Findings from
the study promote the clinical validity for a future research protocol, and
highlight other areas for research to evaluate the role of acupuncture and
moxibustion with normalising birth.
Smith
CA, Betts
D. The practice of acupuncture and moxibustion
to promote cephalic version for women with a breech presentation: implications
for clinical practice and research. Complement Ther Med. 2014 Feb;22(1):75-80.
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