Evidence map›Paper›PMID 33999503›Full record

ArticleJapan journal of nursing science : JJNS2021

Smoke or smokeless moxibustion treatment for breech presentation: A three-arm pilot trial.

Akiko Higashihara, Shigeko Horiuchi

Open access · hybridAbstract read
In one paragraph

Article in Japan journal of nursing science : JJNS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Cephalic version by moxibustion for breech presentation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Akiko HigashiharaDepartment of Nursing, Saitama Prefectural University, Saitama, Japan.ORCID https://orcid.org/0000-0002-7481-298X
Shigeko HoriuchiGraduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7412-3941
Saitama Prefectural University · JPSt. Luke's International University · JP

Funding

Japan Society for the Promotion of Science (JSPS) KAKENHI 16H05589Japan Society for the Promotion of Science (JSPS) KAKENHI 17H06985The Japan Academy of Midwifery Grant-in-Aid for Encouragement of ScientistsYamaji Fumiko Nursing Research Fund
6 · The paper itself

Abstract

aimsWe conducted a pilot trial to compare the effects of smoke and smokeless moxibustion with a control as a possible supplement to external cephalic version (ECV) for converting breech to cephalic presentation and increasing adherence to cephalic position, and to assess their effects on the well-being of the mother and child.

methodsWe used a quasi-experimental design with 3 arms: a smoke moxibustion (SM) (n = 20) and smokeless moxibustion (SLM) (n = 20) groups (20-min acupoint BL67 stimulation once or twice daily for 10-14 days), and a control group (n = 20). The participants had singleton breech presentations between 33 and 35 gestation weeks. The primary outcome was cephalic presentation at the conclusion of intervention. The secondary outcomes were cephalic presentation at birth and effects on mother and child well-being.

resultsAt the conclusion of intervention, cephalic presentation was higher in the SLM (60.0%) than the control groups (25.0%), Relative Risk 2.40, 95% Confidence Interval [1.04-5.56]; there was no significant difference for SM. At birth, there were no significant differences in cephalic presentation or well-being.

conclusionSLM treatment showed an increasing trend towards cephalic presentation at the conclusion of intervention. Although significant differences were not observed at birth possibly due to the small samples and non-randomization, moxibustion was safe, and not associated with perinatal morbidity and mortality. A randomized controlled trial with a larger sample is warranted to ascertain SLM treatment as a possible ECV supplement for converting and increasing adherence to cephalic position.

Indexed as

Breech PresentationMoxibustionChildFemaleHumansInfant, NewbornLobelinePilot ProjectsPregnancySmokeLobelineSmokebreech presentationmoxibustionpilot trialquasi-experimental study

Identifiers

PMID33999503
PMCPMC8518843
OpenAlexW3162092397

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.