Tuesday, February 2, 2010

Breech presentation?

Breech presentation is defined as the baby entering the birth canal with the buttocks or feet first as opposed to the normal head first presentation. It occurs in 3 to 4% of all deliveries. Though many babies will turn themselves before the onset of labor, some do not. A baby coming bottom first can have more difficulties in being born, so a cesarean section is often suggested.

In many Western countries breech presentation is treated by external version which is a process of turning the baby by pushing on the belly to get it to turn around. That can be very uncomfortable. The attempt is usually made around 36 to 37 weeks and is successful about half of the time.

Acupuncture and moxibustion have been used to help turning the baby in such circumstances for centuries in China. In order to correct the fetal presentation, the stimulation of the acupoint BL67 by moxibustion, acupuncture or both have been used. The best time to try to turn a breech baby is between 32 to 37 weeks of pregnancy. The success rate for breech presentation by acupuncture is 70 to 90% overall. Generally 7 sessions of a daily acupuncture treatment are recommended.

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