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Williams, PhD2 Lisa Vawter, DC, MS3  \n1 Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Women ’s Health, University of Minnesota, Minneapolis, Minnesota  \n2 Department of Bioinformatics, University of Missouri Kansas City, Kansas City, Missouri  \n3 Lisa Vawter Chiropractic Wellness for Women, Overland Park, Kansas  \nAJP Rep 2025;15:e98–e105 .  \nAddress for correspondence Shilpa Babbar, MD, MS, FACOG, Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Women ’s Health, University of Minnesota, 606 24th Ave S, Suite 400, Minneapolis, MN 55454 (e-mail: [Sbabbar@umn.edu](Sbabbar@umn.edu)).  \nAbstract  \nKeywords  \n► yoga  \n► breech  \n► spinning babies  \n► chiropractic care  \n► pregnancy  \nObjective 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.  \nStudy Design Women aged > 18 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.  \nResults Of 24 referrals, 11 completed the study. No fetuses converted to vertex, but participants reported significantly reduced stress (p ¼ 0.02) . 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.  \nConclusion 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.  \nKey Points  \n• Approximately 86 .9% of breech fetuses are delivered by cesarean section.  \n• Complementary therapies are often employed for a breech fetus with varying success.  \n• Combined complementary therapies for a breech fetus led a significant reduction in stress.  \nreceived  \nApril 12, 2025  \naccepted after revision June 5, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)[10.1055/a-2639-7353.](10.1055/a-2639-7353.)[ ](10.1055/a-2639-7353.)[ISSN](ISSN 2157-6998.)[ 2157-6998.](ISSN 2157-6998.)  \n© 2025 . The Author(s) .  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited.([https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/))  \nThieme Medical Publishers, Inc. , 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA  \nCombined Complementary Therapy for Breech Fetus Babbar et al. e99  \nIn the United States, there has been a recent rise in women being delivered by cesarean section (C-section) to the current rate of approximately 33%. Although a C-section can be alifesaving surgery, it comes with an increased risk of maternal morbidity when compared with a vaginal delivery. The top three reasons for performing a C-section are: arrest of labor (34%), nonreassuring fetal heart rate tracing (23%), and malpresentation (17%) .1  \nBreech presentation, the most common malpresentation, at 37 weeks onward, is estimated to complicate 3 ","cbCairNDa2zs15NV","https://ap.wps.com/l/cbCairNDa2zs15NV","pdf",224925,"English","# Abstract\n## Objective\n## Study Design\n## Results\n## Conclusion\n## Key Points","[{\"question\":\"What was the objective of the feasibility study?\",\"answer\":\"To assess the feasibility and acceptability of a combined complementary and alternative therapy program for managing a breech fetus, with attention to stress outcomes and fetal version support.\"},{\"question\":\"What interventions were included in the combined therapy program?\",\"answer\":\"The program included Spinning Babies techniques, yoga postures, mindset techniques, and chiropractic adjustments, delivered across three study visits within two weeks.\"},{\"question\":\"Did the therapy successfully convert fetuses to vertex?\",\"answer\":\"No fetuses converted to vertex in the study results. However, participants reported significantly reduced stress after the intervention.\"}]","Combined Complementary and Alternative Therapies for the Management of a Breech Fetus - A Feasibility Study | PDF",1791020815]