RT Journal Article
T1 Correcting non cephalic presentation with moxibustion: study protocol for a multi-centre randomised controlled trial in general practice.
A1 Vas, Jorge
A1 Aranda, José Manuel
A1 Barón, Mercedes
A1 Perea-Milla, Emilio
A1 Méndez, Camila
A1 Ramírez, Carmen
A1 Aguilar, Inmaculada
A1 Modesto, Manuela
A1 Lara, Ana María
A1 Martos, Francisco
A1 García-Ruiz, Antonio J
K1 Presentación de nalgas
K1 Protocolos Clínicos
K1 Moxibustión
K1 Embarazo
K1 Ensayos clínicos controlados aleatorios como asunto
K1 Proyectos de Investigación
AB BACKGROUNDNon cephalic presentation in childbirth involves various risks to both the mother and the foetus. The incidence in Spain is 3.8% of all full-term pregnancies. The most common technique used to end the gestation in cases of non cephalic presentation is that of caesarian section, and although it provokes a lower rate of morbi-mortality than does vaginal delivery in such situations, there remains the possibility of traumatic injury to the foetal head and neck, while maternal morbidity is also increased. The application of heat (moxibustion) to an acupuncture point, in order to correct non cephalic presentation, has been practised in China since ancient times, but as yet there is insufficient evidence of its real effectiveness.METHODS/DESIGNThe experimental design consists of a multi-centre randomised controlled trial with three parallel arms, used to compare real moxibustion, sham moxibustion and the natural course of events, among pregnant women with a non cephalic presentation and a gestational duration of 33-35 weeks (estimated by echography). The participants in the trial will be blinded to both interventions. The results obtained will be analyzed by professionals, blinded with respect to the allocation to the different types of intervention. In addition, we intend to carry out a economic analysis.DISCUSSIONThis trial will contribute to the development of evidence concerning moxibustion in the correction of non cephalic presentations. The primary outcome variable is the proportion of cephalic presentations at term. As secondary outcomes, we will evaluate the proportion of cephalic presentations at week 38 of gestation, determined by echography, together with the safety of the technique, the specificity of moxibustion and the control of the blinding process. This study has been funded by the Health Ministry of the Andalusian Regional Government.TRIAL REGISTRATIONCurrent Controlled Trials ISRCTN10634508.
PB BioMed Central
YR 2008
FD 2008-05-21
LK http://hdl.handle.net/10668/1924
UL http://hdl.handle.net/10668/1924
LA en
NO Vas J, Aranda JM, Barón M, Perea-Milla E, Méndez C, Ramírez C, et al. Correcting non cephalic presentation with moxibustion: study protocol for a multi-centre randomised controlled trial in general practice. BMC Complement Altern Med; 8:22
NO Journal Article; Multicenter Study; Randomized Controlled Trial;
DS RISalud
RD Apr 7, 2025