Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/1924
Título : Correcting non cephalic presentation with moxibustion: study protocol for a multi-centre randomised controlled trial in general practice.
Autor : Vas, Jorge
Aranda, José Manuel
Barón, Mercedes
Perea-Milla, Emilio
Méndez, Camila
Ramírez, Carmen
Aguilar, Inmaculada
Modesto, Manuela
Lara, Ana María
Martos, Francisco
García-Ruiz, Antonio J
Filiación: [Vas,J; Aguilar,I; Modesto,M] Pain Treatment Unit, Primary Healthcare Centre, Dos Hermanas, Spain. [Aranda,JM] San Andrés-Torcal Primary Healthcare Centre, Málaga, Spain. [Barón,M] El Lugar Primary Healthcare Centre, Chiclana de la Frontera, Spain. [Perea-Milla,E] Support Research Unit (Network and Cooperative Research Centres of Epidemiology CIBERESP), Costa del Sol Hospital, Marbella, Spain. [Méndez,C] Andalusian Public Health System, Sevilla, Spain. [Ramírez,C] Doña Mercedes Primary Healthcare Centre, Dos Hermanas, Spain. [Lara,AM] Gonzalo Bilbao, Primary Healthcare Centre, Sevilla, Spain. [Martos,F; García-Ruiz,AJ] Department of Pharmacology, Malaga University, Spain.
Palabras clave : Presentación de nalgas
Protocolos Clínicos
Moxibustión
Embarazo
Ensayos clínicos controlados aleatorios como asunto
Proyectos de Investigación
MeSH: Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Labor Presentation::Breech Presentation
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics as Topic::Clinical Protocols
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Complementary Therapies::Acupuncture Therapy::Moxibustion
Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy
Medical Subject Headings::Phenomena and Processes::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproductive Physiological Processes::Reproduction::Pregnancy::Pregnancy Outcome
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Methods::Research Design
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Obstetric Surgical Procedures::Delivery, Obstetric::Version, Fetal
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Obstetric Surgical Procedures::Delivery, Obstetric::Version, Fetal
Fecha de publicación : 21-May-2008
Editorial : BioMed Central
Cita Bibliográfica: Vas J, Aranda JM, Barón M, Perea-Milla E, Méndez C, Ramírez C, et al. Correcting non cephalic presentation with moxibustion: study protocol for a multi-centre randomised controlled trial in general practice. BMC Complement Altern Med; 8:22
Abstract: BACKGROUND Non cephalic presentation in childbirth involves various risks to both the mother and the foetus. The incidence in Spain is 3.8% of all full-term pregnancies. The most common technique used to end the gestation in cases of non cephalic presentation is that of caesarian section, and although it provokes a lower rate of morbi-mortality than does vaginal delivery in such situations, there remains the possibility of traumatic injury to the foetal head and neck, while maternal morbidity is also increased. The application of heat (moxibustion) to an acupuncture point, in order to correct non cephalic presentation, has been practised in China since ancient times, but as yet there is insufficient evidence of its real effectiveness. METHODS/DESIGN The experimental design consists of a multi-centre randomised controlled trial with three parallel arms, used to compare real moxibustion, sham moxibustion and the natural course of events, among pregnant women with a non cephalic presentation and a gestational duration of 33-35 weeks (estimated by echography). The participants in the trial will be blinded to both interventions. The results obtained will be analyzed by professionals, blinded with respect to the allocation to the different types of intervention. In addition, we intend to carry out a economic analysis. DISCUSSION This trial will contribute to the development of evidence concerning moxibustion in the correction of non cephalic presentations. The primary outcome variable is the proportion of cephalic presentations at term. As secondary outcomes, we will evaluate the proportion of cephalic presentations at week 38 of gestation, determined by echography, together with the safety of the technique, the specificity of moxibustion and the control of the blinding process. This study has been funded by the Health Ministry of the Andalusian Regional Government. TRIAL REGISTRATION Current Controlled Trials ISRCTN10634508.
Descripción : Journal Article; Multicenter Study; Randomized Controlled Trial;
URI: http://hdl.handle.net/10668/1924
Versión del editor : http://www.biomedcentral.com/1472-6882/8/22
DOI: 10.1186/1472-6882-8-22
ISSN : 1472-6882 (Online)
Appears in Collections:01- Artículos - DSAP Sevilla Sur
01- Artículos - DAP Sevilla
01- Artículos - APES Costa del Sol
01- Artículos - Consejería de Salud
01- Artículos - DAP Cádiz-La Janda
01- Artículos - DAP Málaga

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