Dutch researchers conducted a systematic review of studies assessing the effectiveness of acupuncture-type interventions (moxibustion, acupuncture or electro-acupuncture) on acupuncture point BL67 to correct breech presentation compared to expectant management, based on controlled trials. Articles published from 1980 to May 2007 were searched for in Medline, EMBASE, the Cochrane Central Register of Controlled Trials, AMED, NCCAM, MIDIRS and reference lists. Studies included were original articles; RCTs or controlled cohort studies; acupuncture-type intervention on BL67 compared with expectant management; ultrasound-confirmed breech presentation and position of the fetus after treatment confirmed with ultrasound, position at delivery, and/or the proportion of caesarean sections reported. Of 65 retrieved citations, six RCTs and three cohort studies fulfilled the inclusion criteria. Data were pooled using random-effects models. In the RCTs the pooled proportion of breech presentations was 34% (95% CI, 20 to 49) following treatment vs. 66% (95% CI, 55 to 77) in the control group (OR 0.25; 95% CI, 0.11 to 0.58). The pooled proportion in the cohort studies was 15% (95% CI, 1 to 28) vs. 36% (95% CI, 14 to 58%), (OR 0.29; 95% CI, 0.19 to 0.43). Including all studies the pooled proportion was 28% (95% CI, 16 to 40%) vs. 56% (95% CI, 43 to 70%), (OR 0.27; 95% CI, 0.15 to 0.46). Some studies were of inferior quality to others. The results suggested that acupuncture-type interventions on BL67 are effective in correcting breech presentation compared to expectant management.