Cochrane · systematic review · CD003928

Cephalic version by moxibustion for breech presentation

Coyle, ME, Smith, C, Peat, B · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
9
No studies
4
Included studies
NR
No studies 4 · 28.6%Ungraded 1 · 7.1%Very low 1 · 7.1%Low 3 · 21.4%Moderate 5 · 35.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table ‐ Moxibustion plus usual care compared to usual care for breech presentation

Population: breech presentation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Non‐cephalic presentation at birth
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 0.87 [0.78, 0.99]7 studies · 1152 participantsModerate
Downgraded: imprecision
Need for ECV
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 0.62 [0.32, 1.21]4 studies · 692 participantsLow
Downgraded: imprecision, inconsistency
Caesarean section
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 0.94 [0.83, 1.05]6 studies · 1030 participantsModerate
Downgraded: imprecision
Premature rupture of membranes
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 1.31 [0.17, 10.21]3 studies · 402 participantsLow
Downgraded: imprecision, inconsistency
Use of oxytocin
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 0.28 [0.13, 0.6]1 study · 161 participantsModerate
Downgraded: imprecision
Cord blood pH less than 7.1
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 3 [0.32, 28.38]1 study · 212 participantsLow
Downgraded: imprecision
Adverse events
Summary of findings table ‐ Moxibustion plus usual care vs usual care
RR 48.33 [3.01, 774.86]1 study · 122 participantsVery low
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Moxibustion plus usual care compared to sham moxibustion plus usual care for breech presentation

Population: breech presentation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Non‐cephalic presentation at birth
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
RR 0.74 [0.58, 0.95]1 study · 272 participantsModerate
Downgraded: imprecision
Need for ECV ‐ not reported
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
no estimate extractedNRNo studies
Caesarean section
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
RR 0.84 [0.68, 1.04]1 study · 272 participantsModerate
Downgraded: imprecision
Premature rupture of membranes ‐ not reported
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
no estimate extractedNRNo studies
Use of oxytocin ‐ not reported
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
no estimate extractedNRNo studies
Cord blood pH < 7.1 ‐ not reported
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
no estimate extractedNRNo studies
Adverse events
Summary of findings table ‐ Moxibustion plus usual care vs sham moxibustion plus usual care
no estimate extracted1 study · 272 participantsUngraded