Correcting non cephalic presentation with moxibustion: Study protocol for a multi-centre randomised controlled trial in general practice

ISRCTN ISRCTN10634508
DOI https://doi.org/10.1186/ISRCTN10634508
Secondary identifying numbers 0053/2007
Submission date
02/04/2008
Registration date
30/04/2008
Last edited
14/08/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jorge Vas
Scientific

Centro de Salud
Unidad de Tratamiento del Dolor
C/ Segovia s/n
Dos Hermanas
41700
Spain

Email jorgef.vas.sspa@juntadeandalucia.es

Study information

Study designMulti-centre randomised controlled trial with three parallel arms.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study objectivesA sensorial stimulation with moxibustion in the outer corner of the little toenail (BL67) produce a greater proportion of version in non-cephalic presentations than the usual care.
Ethics approval(s)Clinical Trials Ethics Committee of the Andalusian Regional Government. Date of approval: 26/02/2008 (ref: acta 02/08)
Health condition(s) or problem(s) studiedNon cephalic presentation of fetus
InterventionAll the study subjects will be given various postural recommendations.

The participants will be randomly allocated to the following three arms:

Arm A: True moxibustion (TM): The first intervention will be made at the Healthcare Clinic. This session (overseen by the responsible midwife) will serve as a training session for the friend or relative who is to apply the remaining sessions at home. The mother should lie down, face up, wearing comfortable clothing and with no pressure at the waist from buttons, belt, etc. and with her legs slightly bent at the knee. Heat will be applied for 20 minutes, by means of a moxa cone (a herbal preparation with Artemisia vulgaris) at point BL67 (Zhiyin), close to the outer angle of the little toenail. The heat will be applied from a distance of 1.5-3 cm, to ensure that the subject notices a feeling of warmth in the zone, but without any pain or burning. The application site (right or left foot) will be alternated every 2 minutes, or more often if any untoward sensation of heat is felt. True moxibustion will be carried out once a day for two weeks, or until cephalic version occurs.

Arm B: False/sham moxibustion (SM): This procedure will be identical to that applied to the TM group except that the point stimulated will be a non-active one according to the principles of Traditional Chinese Medicine, point SP1 (Yinbai), close to the inner angle of the big toenail. False moxibustion will be carried out once a day for two weeks, or until cephalic version occurs.

Arm C: Control group, under observation (CG): The subjects in this group will receive the standard treatment, in accordance with the Andalusian Healthcare System Treatment Guide.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Moxibustion
Primary outcome measureRate of cephalic presentation at term.
Secondary outcome measures1. Rate of cephalic presentation at week 38 of gestation (CP38), determined by echography
2. Number of days of treatment received until version occurs
3. Rate of caesarean sections
4. Security variables:
4.1. Increased rates of foetal cardiac rhythm change, followed-up until birth
4.2. Risk of premature birth
4.3. Changes in Apgar scores at 1 minute and at 5 minutes 1. Rate of cephalic presentation at week 38 of gestation (CP38), determined by echography
2. Number of days of treatment received until version occurs
3. Rate of caesarean sections
4. Security variables:
4.1. Increased rates of foetal cardiac rhythm change
4.2. Risk of premature birth
4.3. Changes in Apgar scores at 1 minute and at 5 minutes
Overall study start date01/04/2008
Completion date01/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants492
Key inclusion criteria1. Pregnant women
2. Aged at least 18 years
3. Foetus is in a non cephalic position (diagnosed by physical examination and by echography)
4. Gestational age of 33-35 weeks (estimated by echography)
5. Normal foetal biometry
6. Those who have signed their informed consent
7. Have not previously received moxibustion treatment to correct the position of their unborn baby
Key exclusion criteria1. Twin pregnancy
2. Pelvic defect
3. Previous uterine surgery
4. Foetal malformation or chromosome disorder
5. Uterine malformation
6. Risk of premature birth (preterm uterine contractions and/or initial dilation or shortening of the cervix with a Bishop's score of 4)
7. Uterine fibromas >4 cm
8. Treatment with tocolytic drugs
9. Heart or kidney disease affecting the mother
10. Other pregnancy-related complications
11. Inability to complete the questionnaire or respond to the assessor's questions
Date of first enrolment01/04/2008
Date of final enrolment01/12/2010

Locations

Countries of recruitment

  • Spain

Study participating centre

Centro de Salud
Dos Hermanas
41700
Spain

Sponsor information

Andalusian Regional Ministry of Health (Spain)
Government

Avda de la Innovación s/n
Edif. Arena 1
Sevilla
41020
Spain

ROR logo "ROR" https://ror.org/03q4c3e69

Funders

Funder type

Government

Andalusian Regional Ministry of Health (Project No. 0053/2007)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2013 Yes No