{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T13:10:08Z","timestamp":1752066608474,"version":"3.41.2"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cesarean rates are rising in the United States, especially for breech presentations, which complicates 3 to 4% of term pregnancies and contributes to maternal morbidity. Complementary and alternative therapies (CT) like moxibustion, chiropractic, and hypnosis have been suggested as noninvasive options to encourage fetal version. This study assessed the feasibility and acceptability of combined CT for breech management.<\/jats:p><jats:p>Women aged\u2009&gt;\u200918 with a singleton breech fetus at 34 to 37 weeks engaged in three study visits within 2 weeks. The intervention included therapies such as Spinning Babies techniques, yoga postures, mindset techniques, and chiropractic adjustments. Stress levels were assessed pre- and postintervention.<\/jats:p><jats:p>Of 24 referrals, 11 completed the study. No fetuses converted to vertex, but participants reported significantly reduced stress (p\u2009=\u20090.02). After the intervention, 54.5% opted for an external cephalic version, with a 50% success rate leading to two vaginal deliveries. All participants found the program beneficial, reporting high satisfaction with program duration, structure, and exercises.<\/jats:p><jats:p>Although fetal version was not achieved, this CT-based program significantly reduced maternal stress, suggesting its value as an emotional management tool in breech pregnancies. Larger trials are needed to evaluate its efficacy in promoting fetal version and improving maternal outcomes.<\/jats:p>","DOI":"10.1055\/a-2639-7353","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T12:32:30Z","timestamp":1752064350000},"page":"e98-e105","source":"Crossref","is-referenced-by-count":0,"title":["Combined Complementary and Alternative Therapies for the Management of a Breech Fetus: A Feasibility Study"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2179-8050","authenticated-orcid":false,"given":"Shilpa","family":"Babbar","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen B.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Bioinformatics, University of Missouri Kansas City, Kansas City, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Vawter","sequence":"additional","affiliation":[{"name":"Lisa Vawter Chiropractic Wellness for Women, Overland Park, Kansas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.ajog.2014.01.026","article-title":"Safe prevention of the primary cesarean delivery","volume":"210","author":"A B Caughey","year":"2014","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"e60","DOI":"10.1097\/AOG.0000000000002755","article-title":"ACOG Committee Opinion No. 745: Mode of Term Singleton Breech Delivery","volume":"132","author":"ACOG Committee Opinion No","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"e203","DOI":"10.1097\/AOG.0000000000003837","article-title":"External cephalic version: ACOG practice bulletin, number 221","volume":"135","author":"External Cephalic Version","year":"2020","journal-title":"Obstet Gynecol"},{"issue":"05","key":"ref4","first-page":"CD003928","article-title":"Cephalic version by moxibustion for breech presentation","author":"M E Coyle","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/AOG.0000000000000303","article-title":"Version of breech fetuses by moxibustion with acupuncture: a randomized controlled trial","volume":"124","author":"C Coulon","year":"2014","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref6","first-page":"A5199","article-title":"Moxibustion did not have an effect in a randomised clinical trial for version of breech position","volume":"63","author":"L Bue","year":"2016","journal-title":"Dan Med J"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1097\/GRF.0000000000000621","article-title":"Chiropractic care for the pregnant body","volume":"64","author":"S N Conner","year":"2021","journal-title":"Clin Obstet Gynecol"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1067\/mmt.2002.126127","article-title":"The Webster Technique: a chiropractic technique with obstetric implications","volume":"25","author":"R A Pistolese","year":"2002","journal-title":"J Manipulative Physiol Ther"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1097\/GRF.0000000000000635","article-title":"The application of hypnosis in obstetrics","volume":"64","author":"S Babbar","year":"2021","journal-title":"Clin Obstet Gynecol"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1001\/archfami.3.10.881","article-title":"Hypnosis and conversion of the breech to the vertex presentation","volume":"3","author":"L E Mehl","year":"1994","journal-title":"Arch Fam Med"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1080\/00029157.2012.665399","article-title":"Clinical hypnosis before external cephalic version","volume":"55","author":"J Reinhard","year":"2012","journal-title":"Am J Clin Hypn"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1097\/GRF.0000000000000641","article-title":"Mind-body techniques in pregnancy and postpartum","volume":"64","author":"E A Oyarzabal","year":"2021","journal-title":"Clin Obstet Gynecol"}],"container-title":["American Journal of Perinatology Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2639-7353.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T12:32:32Z","timestamp":1752064352000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2639-7353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":12,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,7,8]]},"published-print":{"date-parts":[[2025,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2639-7353","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2157-6998","2157-7005"],"issn-type":[{"value":"2157-6998","type":"print"},{"value":"2157-7005","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}