The Science Behind Acupuncture for Breech Babies

How Does Acupuncture Work to Turn a Breech Baby?

Anyone who has worked with me knows that I am fascinated with understanding the science behind holistic modalities. The blend of modern science with ancient traditional practices has always been, and always will be, my sweet spot.
So let’s apply a Westernised perspective to scrutinise and better understand the mechanisms behind the use of acupuncture to turn a breech baby.

Acupuncture, an ancient practice rooted in Traditional Chinese Medicine, has been used for thousands of years to address various health concerns. The process involves the strategic placement of thin needles in specific points on the body. In the context of breech babies, acupuncture aims to promote optimal fetal positioning by enhancing blood flow and energy (or 'Qi') in the pelvic area and uterus, encouraging the baby to move into the correct position for birth.

Why Does Moxibustion Work for Breech Babies?

Moxibustion (moxa) is often used in conjunction with acupuncture, and involves burning dried mugwort near specific acupuncture points. This technique provides a heat/warming sensation to the areas, and leads to increased fetal activity. The warmth and energy generated by moxibustion are thought to increase the mother's circulation and the baby's movements, potentially encouraging a breech baby to turn and reposition.

“Moxibustion applied on acupoint BL67 (Zhiyin), with or without acupuncture, has long been used in Traditional Chinese Medicine. The exact mode of action of acupuncture in breech version remains unclear, but the broad principles have been established: nerve stimulation at point B67 induces the secretion of maternal adrenal hormones, increasing the secretion of oestrogens by the foetoplacental unit. This leads to an increase in the prostaglandin F2α/prostaglandin E2 ratio, increasing the tonus and contractility of the uterus and also active fetal movement, thereby increasing the probability of the fetus turning.” (N. Sananes et al., 2016)

What Is the Success Rate of Acupuncture for Breech Babies?

The success rate of acupuncture, including moxibustion, for correcting breech presentation varies. Some studies report success rates ranging from 60% to 80%, though outcomes can depend on factors like the gestational age, shape of uterus, and the specific techniques used.

“Several studies have investigated the efficacy of acupuncture on fetal cephalic version, but the results are discordant. Meta-analyses pointed out the heterogeneity of those studies and concluded that there was a need for robust, methodologically sound, randomized controlled trials of adequate statistical power” (N. Sananes et al., 2016).

It's important to note that acupuncture is not a guaranteed solution, but it is a non-invasive option for mothers seeking an alternative approach.

How Many Acupuncture Sessions Does It Take?

The number of acupuncture sessions needed can vary based on individual circumstances. Typically, a series of treatments, often ranging from 1 to 2 times per week over several weeks, is recommended. In some cases, just 1-2 sessions are necessary. The precise number of sessions and their frequency will depend on factors like how far along the pregnancy is and how the baby responds to initial treatments. Either way, part of the treatment is presented to you as something that you do daily, at home, to dramatically increase chances that baby with turn.

When Should I Get Acupuncture for My Breech Baby?

Acupuncture treatment for a breech baby is usually most effective when performed between the 32nd and 36th weeks of pregnancy. This timeframe allows enough opportunity for the baby to turn naturally while still leaving room for the treatment to encourage this process.

Consult with your midwife or obstetrician if acupuncture/moxibustion is a good option.

Studies to Back the Science

Numerous studies have investigated the efficacy of acupuncture and moxibustion for breech presentation. For instance, a randomized controlled trial published in the Journal of Maternal-Fetal & Neonatal Medicine (2004) demonstrated significant effectiveness in repositioning breech babies when moxibustion was applied. These studies offer scientific backing to a practice deeply rooted in traditional Chinese Medicine, giving expectant mothers and healthcare providers a basis for considering this treatment option.

Conclusion

Acupuncture provides a gentle, non-invasive option for those seeking alternative methods to support the natural process of childbirth, backed by both ancient practice and modern science. For more information or to schedule a consultation, visit Integrative Acupuncture and explore how acupuncture can support your pregnancy journey. 🌿🤰