Help! My Baby isn’t Upside Down!
Acupuncture has a good reputation for being able to flip head-up babies into the head-down, “locked and loaded” birth position by using moxibustion on a special point on the little toe.
Moxibustion (aka moxa) is a technique of burning medicinal herbs(without burning the skin) to stimulate acupuncture points to promote healing or shifting in the body. This method is most effective when done frequently… a minimum of 3-4 times per week until the baby rotates into a favorable position.
I have treated many pregnant mamas for breech presentation, and the while the best success is seen between 34 and 37 weeks gestation, your baby may still turn even later. “Breech” babies earlier in pregnancy are not abnormal and will most likely go head down on their own accord… Don’t forget, this birth-thing has been working successfully for a long, long time. So in the cases where baby just won’t turn the way we want ‘em, trust that this is probably for a good reason. Talk to your midwife or doctor to understand your options if your baby stays breech.
Here’s a summary of a study showing the efficacy of moxibustion to get babies head down for birth:
Moxibustion for Correction of Breech Presentation
A Randomized Controlled Trial , Francesco Cardini, MD; Huang Weixin, MD , JAMA. 1998;280:1580-1584.
ABSTRACT
Context.— Traditional Chinese medicine uses moxibustion (burning herbs to stimulate acupuncture points) of acupointBL 67 (Zhiyin, located beside the outer corner of the fifth toe nail), to promote version of fetuses in breech presentation. Its effect may be through increasing fetal activity. However, no randomized controlled trial has evaluated the efficacy of this therapy.
Objective.— To evaluate the efficacy and safety of moxibustion on acupoint BL 67 to increase fetal activity and correct breech presentation.
Design.— Randomized, controlled, open clinical trial.
Setting.— Outpatient departments of the Women’s Hospital of Jiangxi Province, Nanchang, and Jiujiang Women’s and Children’s Hospital in the People’s Republic of China.
Patients.— Primigravidas in the 33rd week of gestation with normal pregnancy and an ultrasound diagnosis of breech presentation.
Interventions.— The 130 subjects randomized to the intervention group received stimulation of acupoint BL 67 by moxa (Japanese term for Artemisia vulgaris) rolls for 7 days, with treatment for an additional 7 days if the fetus persisted in the breech presentation. The 130 subjects randomized to the control group received routine care but no interventions for breech presentation. Subjects with persistent breech presentation after 2 weeks of treatment could undergo external cephalic version anytime between 35 weeks’ gestation and delivery.
Main Outcome Measures.— Fetal movements counted by the mother during 1 hour each day for 1 week; number of cephalic presentations during the 35th week and at delivery.
Results.— The intervention group experienced a mean of48.45 fetal movements vs 35.35 in the control group (P<.001;95% confidence interval [CI] for difference, 10.56-15.60). During the 35th week of gestation, 98 (75.4%) of 130 fetuses in the intervention group were cephalic vs 62 (47.7%) of 130 fetuses in the control group (P<.001; relative risk [RR], 1.58; 95%CI, 1.29-1.94). Despite the fact that 24 subjects in the control group and 1 subject in the intervention group underwent external cephalic version, 98 (75.4%) of the 130 fetuses in the intervention group were cephalic at birth vs 81 (62.3%) of the 130 fetuses in the control group (P=.02; RR, 1.21; 95% CI, 1.02-1.43).
Conclusion.— Among primigravidas with breech presentation during the 33rd week of gestation, moxibustion for 1 to 2 weeks increased fetal activity during the treatment period and cephalic presentation after the treatment period and at delivery.