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DOI: 10.1055/s-0045-1805001
Case Report

Homeopathic Management of Breech Presentation: An Evidence-Based Case Report

P.S.K.P. Manasa 
1   Department of Gynecology and Obstetrics, Devs Homeopathic Medical College, Ankireddipalli, Keesara, Telangana, India
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Abstract

The fetus continuously moves within its swimming pool, “the amniotic fluid,” until approximately 36 weeks of gestation, when the head typically engages into the maternal pelvis. Breech presentation, where the buttocks enter the pelvis first, is associated with significant complications for both the mother and the fetus. While several methods exist to convert breech presentation to cephalic presentation, homeopathy is considered a potentially painless and safer alternative. This case report describes the case of a 30-year-old woman at near term with a breech presentation diagnosed by ultrasound. Opting for homeopathy, over external cephalic version (ECV), she was prescribed Pulsatilla 200c, once daily, for 3 days. Remarkably, a follow-up ultrasound revealed a successful conversion to cephalic presentation. The fetus remained in this position until a normal, uncomplicated vaginal delivery at 40 weeks of gestation. The primal/perinatal period is critical for maternal and fetal health. Medications administered to expectant mothers during this time can prevent or treat various conditions, including malpresentations and abortions.

Keywords

breech - homeopathy - malpresentation - pulsatilla - turn breech - version

Editor's Note

This case report presents an individual clinical observation in which a change in fetal presentation occurred following the administration of a homeopathic remedy. Breech presentations may resolve spontaneously, particularly prior to term, and multiple factors—including maternal posture, uterine tone, and fetal activity—may contribute to such changes. This report is not intended to suggest a guaranteed outcome or replace evidence-based obstetric care.

The patient was advised ECV at 36 + 4 weeks for persistent breech presentation. She elected to defer the procedure and was prescribed Pulsatilla 200C, one dose to be taken once a day, on empty stomach, based on individualized totality. Within 3 days, ultrasound confirmed cephalic presentation. No ECV or physical manipulation was performed. While a spontaneous turn cannot be ruled out, the timing suggests a possible correlation with the remedy.


Patients' Consent

Appropriate written informed consent was obtained from the patient to publish the images and clinical data in the journal.




Publication History

Article published online:
01 July 2025

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