Breech Presentation of baby
Baby in uterus in abdomen of pregnant woman after 32-34 weeks of pregnancy is in position of head pointing downwards. This called vertex position and is normal. It helps for normal delivery of baby. Head being largest part of baby precedes first in its delivery this in vertex position. When head gets delivered, rest of body gets easily delivered easily as it is smaller in diameter. Sometimes Baby may lead by reverse direction that is by buttocks. This is called breech presentation. It may move in course of time to normal vertex position, but if it remains in that position in latter part of pregnancy, it may get fixed. When it tries to get delivered in that breech position, risk to baby increases especially in first pregnancy. That’s the reason obstetricians advice planned caesarian section near maturity. There is no way baby can be corrected to normal position without risk by allopathic approach.
Breech presentation can be corrected by acupuncture and Moxibustion stimulating acupuncture points by heat or by needles. Electro-acupuncture and auricular plaster therapy have also been used to induce cephalic version. A recent randomised trial has shown that moxibustion is more effective in bringing about cephalic version than in controls. Moxibustion is non-invasive, painless and well tolerated by women. There were no significant adverse effects on women or their infants. A recent study of the Cooperative Research Group on Moxibustion reported that 1841 of 2041 women (90.2%) with a breech presentation given this treatment had spontaneous cephalic version. The success rate in the 880 women who were given the treatment after 34 weeks was 84.6%. Eighty-six percent of the versions were achieved after one to four applications of Moxibustion or acupuncture and the remaining 14% after five to ten applications. The success rate between pregnancy first time and pregnancy more than first time was same. The rate of version was higher in women with an average tension of the abdominal wall than in those with high or low tension.
Acupuncture plus moxibustion is more effective than observation in revolving fetuses in breech presentation. Such a method appears to be a valid option for women willing to experience a natural birth.
Acupuncture and Moxibustion causes series of biochemical reaction – like increased oestridiol production by the feto-placental unit, increased adrenocortical activity, and an increase in the ratio of prostaglandin F2a to prostaglandin E2. In turn this raises uterine basal tone and increases contractility. The increase in fetal movements and fetal heart rate is one of the most striking effects of Moxibustion; the increased movements are perceived by almost all women towards the second half of the stimulation period and persist even after the end of stimulation. This activity stimulates fetal movements and that results into vertex presentation possible. Stimulation performed in cases of intrauterine fetal death in which case there would be no fetal movements, fail to produce version. This clarifies that this type of version relies on active fetal participation and any explanation based purely on a reflex action of Moxibustion acupuncture mediated by a dermatome must be ruled out.
Dr Chandrashekhar Pardeshi who himself being qualified obstetrician has wide experience in dealing with breech presentation and their correction. Dr Pardeshi Acupuncture Pain Therapy at Nashik has success rate of 80%.. Outstation patients can take benefit of this therapy in certain conditions. Online therapy can be arranged for outstations patients with breech baby.
American Journal of Obstetrics and Gynecology concluded –
CONCLUSION: Our study suggests that acupuncture and heating on acupoint BL67 promotes fetal cephalic version. Further studies might investigate effectiveness of other protocols including stimulation of others acupoints by trained acupuncturists and self administration of moxibustion.