Effect of Stimulating the BL67 Point on Fetal Correction from Breech to Cephalic Presentation and Natural Delivery after the 36 Weeks of Pregnancy: A Randomized Clinical Trial  

作　　者：Khatereh Sourani Abolfazl Mohammadbeigi Nasim Khademi Azadeh Asgarian Imaneh Khaki Zohreh Ahmadi 

机构地区：[1]Department of Midwifery and Nursing,Student Research Committee,Qom University of Medical Sciences,Qom,Iran [2]Neuroscience Research Center,Faculty of Health,Qom University of Medical Sciences,Qom,Iran [3]Department of Midwifery,Nursing and Midwifery Sciences Development Research Center,Najaf Abad Branch,Islamic Azad University,Najaf Abad,Iran [4]Department of Midwifery and Nursing,Health Management,Izadi Hospital,Qom University of Medical Sciences,Qom,Iran [5]Department of Midwifery and Nursing,Faculty of Nursing,Qom University of Medical Sciences,Qom,Iran [6]Department of Health Education,Student research committee,Faculty of Health,Qom University of Medical Sciences,Qom,Iran

出　　处：《Reproductive and Developmental Medicine》2020年第2期103-108,共6页生殖与发育医学（英文版）

基　　金：Qom University of Medical Sciences,Iran by grant number of 96894.

摘　　要：Objective:Various techniques are proposed for changing fetal presentation.We aimed to assess the effect of BL67 point stimulation on correcting breech presentation and natural delivery in women at 36-38 gestational weeks.Methods:A parallel single blinded randomized clinical trial was conducted on 72 eligible pregnant women with breech presentation at the 36 weeks of pregnancy.The subjects were divided into two groups-intervention(n=36)and control groups(n=36)by block randomization method.The intervention group stimulated the BL67 point by self-administration for 20 min once a day for 2 weeks.Finally,the appearance of cephalic presentation and rate of vaginal delivery was compared between the groups(n1=n2=32)using the Chi-square test and multivariate logistic regression.Results:The correction of breech to cephalic presentation occurred in 53.1% of patients in the intervention group.The adjusted relative risk(RR)for fetal correction from breech to cephalic was 1.80(RR=1.80,95%confidence interval[CI],1.13-5.17).It was shown that the stimulation of the BL67 point increased the correction of breech to cephalic presentation.In addition,the rate of vaginal delivery increased by>4-fold(RR=4.16,95%CI,2.54-6.82)by correction to cephalic presentation.Moreover,65.6%of mothers in intervention group and 90.6%in the control group underwent cesarean section.Conclusions:The stimulation of the BL67 point is a safe,inexpensive,and effective method that can be self-administered at home for fetal correction from breech to cephalic presentation in women with breech presentations during 36-38 gestational weeks.This promotes uncomplicated natural childbirth.

关 键 词：BREECH Cesarean Section Cephalic CHILDBIRTH Delivery 

分 类 号：R714.4[医药卫生—妇产科学]