Breech birth: Reviewing the evidence for external cephalic version and moxibustion

Hdl Handle:
http://hdl.handle.net/10034/48453
Title:
Breech birth: Reviewing the evidence for external cephalic version and moxibustion
Authors:
Steen, Mary; Kingdon, Carol
Abstract:
Background: Breech presentation, where a baby is buttocks or feet rather than head occurs in about 3 to 4% of singleton pregnancies at term. Worldwide, the majority of babies identified as breech are now delivered by planned caesarean section. Aim: This paper is the second of two that reviews evidence concerning breech presentation and birth mode. This review focuses specifically on women's preferences for birth mode, experiences of breech presentation and the use of external cephalic version (ECV) and moxibustion, which may be used in the third trimester of pregnancy to turn a breech baby to a cephalic presentation. Method: A structured literature review was undertaken using the Cochrane Library, CINAHL, EMBASE, MEDLINE, and AMED. Different permutations of 'breech' ('frank' or 'complete' or 'extended' or 'flexed') and 'alternative' or 'complementary therapies' or 'external cephalic version' or 'ECV' or 'moxibustion' and 'before term' and 'term' and 'singleton' in the title, key words or abstracts were used. Results: There is evidence that the majority of women would prefer a vaginal birth. There is substantial evidence that ECV can reduce the caesarean section rate by turning breech presentation to cephalic. Further research is needed to confirm or refute the clinical effectiveness and women's views of moxibustion therapy. Conclusions: As rates of caesarean section for breech presentation continue to rise, it is important that midwives and women have up-to-date evidence-based information about the alternative to proceeding straight to planned caesarean section when a breech presentation is identified.
Affiliation:
University of Chester ; University of Central Lancashire
Citation:
Evidence Based Midwifery, 2008, 6(4), pp. 126-129
Publisher:
T G Scott
Journal:
Evidence Based Midwifery
Issue Date:
Dec-2008
URI:
http://hdl.handle.net/10034/48453
Additional Links:
http://www.rcm.org.uk/magazines/ebm/
Type:
Article
Language:
en
Description:
This article is not available through ChesterRep.
ISSN:
1479-4489
Appears in Collections:
Health and Social Care

Full metadata record

DC FieldValueLanguage
dc.contributor.authorSteen, Mary-
dc.contributor.authorKingdon, Carol-
dc.date.accessioned2009-02-04T14:27:55Z-
dc.date.available2009-02-04T14:27:55Z-
dc.date.issued2008-12-
dc.identifier.citationEvidence Based Midwifery, 2008, 6(4), pp. 126-129en
dc.identifier.issn1479-4489-
dc.identifier.urihttp://hdl.handle.net/10034/48453-
dc.descriptionThis article is not available through ChesterRep.en
dc.description.abstractBackground: Breech presentation, where a baby is buttocks or feet rather than head occurs in about 3 to 4% of singleton pregnancies at term. Worldwide, the majority of babies identified as breech are now delivered by planned caesarean section. Aim: This paper is the second of two that reviews evidence concerning breech presentation and birth mode. This review focuses specifically on women's preferences for birth mode, experiences of breech presentation and the use of external cephalic version (ECV) and moxibustion, which may be used in the third trimester of pregnancy to turn a breech baby to a cephalic presentation. Method: A structured literature review was undertaken using the Cochrane Library, CINAHL, EMBASE, MEDLINE, and AMED. Different permutations of 'breech' ('frank' or 'complete' or 'extended' or 'flexed') and 'alternative' or 'complementary therapies' or 'external cephalic version' or 'ECV' or 'moxibustion' and 'before term' and 'term' and 'singleton' in the title, key words or abstracts were used. Results: There is evidence that the majority of women would prefer a vaginal birth. There is substantial evidence that ECV can reduce the caesarean section rate by turning breech presentation to cephalic. Further research is needed to confirm or refute the clinical effectiveness and women's views of moxibustion therapy. Conclusions: As rates of caesarean section for breech presentation continue to rise, it is important that midwives and women have up-to-date evidence-based information about the alternative to proceeding straight to planned caesarean section when a breech presentation is identified.en
dc.language.isoenen
dc.publisherT G Scotten
dc.relation.urlhttp://www.rcm.org.uk/magazines/ebm/en
dc.subjectbreech birthen
dc.subjectcaesarean sectionen
dc.subjectmoxibustionen
dc.subjectECVen
dc.subjectalternative therapyen
dc.subjectcomplementary therapyen
dc.subjectwomen's viewsen
dc.titleBreech birth: Reviewing the evidence for external cephalic version and moxibustionen
dc.typeArticleen
dc.contributor.departmentUniversity of Chester ; University of Central Lancashireen
dc.identifier.journalEvidence Based Midwiferyen
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