Safety of acupuncture and moxibustion for treating breech presentation
- VernacularTitle:骨盤位に対する鍼灸治療の安全性 －入院中の切迫早産妊婦における調査－
- Author:
Masaki TAKEDA
1
;
Masayo ONO
1
;
Kako HAYASHI
1
;
Ryunosuke KAJIWARA
1
;
Yoichi FURUYA
1
Author Information
- Keywords: preterm labor; Breech presentation; Acupuncture and Moxibustion; Safety Classification Description
- From:Journal of the Japan Society of Acupuncture and Moxibustion 2024;74(2):93-100
- CountryJapan
- Language:Japanese
- Abstract: [PURPOSE] To examine the safety of acupuncture treatment for breech presentation. [PARTICIPANTS AND METHODS] A retrospective study of cases in which acupuncture in the pelvic position was performed on hospitalized pregnant women with preterm labor in the pelvic position during the period March 1, 20XX-11 to December 28, 20XX was conducted. The survey items included maternal background, maternal and fetal status (including Non stress test), change in drug dosage for preterm labor, outcome of acupuncture treatment, and any adverse events due to acupuncture treatment. [RESULTS] There were 23 pregnant women who qualified for the study. All were receiving standard management of imminent preterm labor. The median number of acupuncture sessions was 7 per patient, for a total of 157 sessions. There was no significant increase in the number of uterine contractions within 24 hours of acupuncture treatment, and in no case was the fetal status assessed as non-reactive before delivery. There was no significant increase in drug dosage within 24 hours of acupuncture treatment. The rate of correction to the cephalic position was 39.1% (9/23 cases). Two adverse events (Grade 1) due to acupuncture treatment were observed, with a frequency of 1.3% (2 cases/157 sessions) per treatment. In addition, there were two cases in which ritodrine hydrochloride was increased within 24 hours of acupuncture treatment.[CONCLUSION] In our study population, there were no signs of fetal distress or worsening of uterine contractions. In the acupuncture treatment methods of our department, the possibility of adverse effects on the mother or fetus was considered low. However, there were two cases in which ritodrine hydrochloride was increased after acupuncture treatment. When providing acupuncture and moxibustion treatment to pregnant women, it is necessary to collaborate with obstetricians.
