Cephalic Version by Acupuncture-Moxibustion for Breech Presentation
Cephalic Version by Acupuncture-Moxibustion for Breech Presentation
For breech presentation, the cesarean section rate is decreased by external cephalic version.
 This is a painful operation, with some rare but serious complications. The aim of this trial
 is to evaluate the effectiveness of acupuncture-moxibustion, a non-invasive technique, to
 correct breech presentation before 37 weeks of gestation.
Monocentric controlled randomized trial in a simple blind fashion, comparing
 acupuncture-moxibustion versus a placebo in singleton pregnancies with breech presentation
 between 33+5 to 35+5 weeks of gestation. The intervention arm consists of
 acupuncture-moxibustion at the BL67 acupuncture point, for six seances of twenty minutes two
 days apart. In the placebo group, the cold light of an inactivated laser is to be applied in
 the same point during the same time. When cephalic version fail, a manual external cephalic
 version is to be proposed. The main outcome measure is cephalic presentation at 37+2 weeks of
 gestation.
Inclusion Criteria:

 -  breech presentation,

 -  SINGLETON

 Exclusion Criteria:

 -  maternal age between 18 ans 45,

 -  multiple gestation,

 -  fetal or uterine malformation,

 -  premature rupture of membranes