灸法治療胎位不正病例報告

A Case Report of Moxibustion Stimulation in Treating Breech Presentation of Unborn Baby during Third Trimester

胎位不正是產婦接受剖腹產的常見原因之一，台灣近幾年來剖腹產率名列世界前茅，過高的剖腹產率不僅耗費國家大量醫療資源，也提高了對母嬰造成傷害之風險。目前處理胎位不正的常見方式有膝胸臥式運動、外轉胎手法、剖腹產等。本文以31歲孕婦為例，產檢過程中三度發現胎位不正後，都用灸至陰穴的療法成功矯正胎位，本文將報告其治療過程及成效，並推薦中醫師在胎兒沒有先天性疾病導致胎位不正的情形下，可考慮使用此兼具安全、簡、便、廉、效特點的灸法。

Breech presentation is the most common malpresentation, with the majority discovered before labour, resulting in a high rate of planned caesarean section. In recent years, more than one in four deliveries in Taiwan was a caesarean section which rate is much higher than many developed countries in the world. There is concern about whether the current high rates of caesarean section are justified because the procedure is not without risk and the operation itself is marginally more expensive. In addition, there is insufficient evidence from well-controlled trials to support the use of postural management for breech presentation. Therefore, there are some common ways to deal with malposition: knee-to-chest position, external cephalic version, caesarean section and et cetera. In this article, we report a 31-yearold primigravida with breech presentation during 29rd, 33rd, and 35rd week of gestation changed the presentation of an unborn baby after receiving moxibustion stimulation at Zhiyin (BL-67) for 1 week. We recommend that moxibustion stimulation serves as a safe and effective modality in the management of breech presentation in daily practice.