[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.

[Objective] To investigate effect on symptoms and safety of acupuncture and moxibustion for cancer-related fatigue.[Participants and methods] The subjects of the study were cancer patients hospitalized in palliative care who were treated with acupuncture for fatigue during the period from April 20XX-5 to October 20XX. Medical records were examined retrospectively. The main items investigated were changes in the symptom item of the STAS-J scores before and after the start of acupuncture treatment, and the frequency of adverse events.[Results] Thirty patients (14 women) were eligible for the study. All patients received standard palliative care. STAS-J improved within one week after the start of acupuncture treatment in 17 cases (56.7%), remained unchanged in 13 cases, and worsened in none of the cases. The number of acupuncture treatments was 14 per patient (median), for a total of 514 total treatments. No adverse events as defined by acupuncture safety guidelines were observed.[Conclusion] This report does not evaluate the impact of acupuncture alone because palliative care involves multidisciplinary care. However, the symptom item of the STAS-J improved in 56.7% of cases within one week after the start of acupuncture treatment, no cases worsened, and no adverse events were observed. Acupuncture and moxibustion is one of the methods worth trying in cases where symptoms of cancer-related fatigue do not improve with standard palliative care.