A systematic review investigating the effectiveness of Complementary and Alternative Medicine (<scp>CAM</scp>) for the management of low back and/or pelvic pain (<scp>LBPP</scp>) in pregnancy

Close, Ciara; Sinclair, Marlene; Liddle, Dianne; Madden, Elaine; McCullough, Julie E.M.

doi:10.1111/jan.12360

Cited by 50 publications

(48 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent evidence suggests there has been growth in CAM approaches for non-medical management of various perinatal symptoms and conditions, including nonpharmacologic alternatives for nausea/vomiting, pain management, or labor induction (Close et al, 2014; Kozhimannil, Johnson, Attanasio, Gjerdingen, & McGovern, 2013; Matthews, Haas, O’Mathuna, Dowswell, & Doyle, 2014). Since many non-medical approaches to managing aspects of pregnancy and childbirth are self-prescribed, baseline information is needed to understand whether and how women are using CAM therapies in combination with or in lieu of conventional medicine for pregnancy-related conditions.…”

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine Use among Women of Reproductive Age in the United States

Johnson

Kozhimannil

Jou

et al. 2016

Women's Health Issues

View full text Add to dashboard Cite

Background The purpose of this study was to examine the prevalence of complementary and alternative medicine (CAM) use, types of CAM used, and reasons for CAM use among reproductive-age women in the United States (US). Methods Data are from the 2007 National Health Interview Survey (NHIS). We examined a nationally representative sample of US women ages 18–44 (n=5,764 respondents). Primary outcomes were past year CAM use, reasons for CAM use, and conditions treated with CAM by pregnancy status (currently pregnant, gave birth in past year, neither). Multivariate logistic regression was used to estimate the odds of CAM use by pregnancy status. Findings Overall, 67% of reproductive-age US women reported using any CAM in the past year. Excluding vitamins, 42% reported using CAM. Significant differences in use of biologic-based (P=0.03) and mind-body therapies (P=0.012) by pregnancy status were found. Back pain (17.1%), neck pain (7.7%), and anxiety (3.7%) were the most commonly reported conditions treated with CAM among reproductive-age women. However, 20% of pregnant and postpartum women used CAM for pregnancy-related reasons, making pregnancy the most common reason for CAM use among pregnant and postpartum women . Conclusions CAM use during the childbearing year is prevalent, with one-fifth of currently or recently pregnant women reporting CAM use for pregnancy-related reasons. Policymakers should consider how public resources may be used to support appropriate, effective use of alternative approaches to managing health during pregnancy and postpartum. Providers should be aware of the changing needs and personal health practices of reproductive age women.

show abstract

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine Use among Women of Reproductive Age in the United States

Johnson

Kozhimannil

Jou

et al. 2016

Women's Health Issues

View full text Add to dashboard Cite

show abstract

“…The Australian national survey found that 34 percent of women consulted massage therapists during their pregnancies (38). Osteopathic and chiropractic manipulation also had a low rate of use in our sample (10%) despite its relative safety in pregnancy (39) and evidence supporting its effectiveness for pregnancy-related back pain (26). Osteopathic and chiropractic manipulation also had a low rate of use in our sample (10%) despite its relative safety in pregnancy (39) and evidence supporting its effectiveness for pregnancy-related back pain (26).…”

Section: Discussionmentioning

confidence: 69%

“…While some therapies such as yoga and massage may be beneficial for stress, wellness, and pain reduction (25,26), other modalities may be harmful (27,28). Clinicians who provide preconception counseling or obstetrical care should be aware of the patterns of CAM use among women of childbearing age so that they may direct care toward therapies known to be safe and effective.…”

mentioning

confidence: 99%

Complementary and Alternative Medicine Use Among Women During Pregnancy and Childbearing Years

Holden

Gardiner

Birdee

et al. 2016

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

Objectives: Little is known regarding complementary and alternative medicine (CAM) use during pregnancy and the preconception period. Since half of all pregnancies in the United States are unintended, understanding the patterns of CAM use among women of childbearing age has implications for fetal and maternal health. Methods: Descriptive statistics were generated from the 2012 National Health Interview Study (NHIS) to estimate weighted prevalence and patterns of CAM use by women of childbearing age. Comparisons were made between pregnant and nonpregnant respondents. Results: In this sample of 10,002 women, 7 percent (n = 727) were recently pregnant. Over one-third of all the women used CAM during the previous year (34/38%, pregnant/nonpregnant, respectively) and only half disclosed CAM use to conventional providers (50/49%). In the adjusted model, taking multivitamins (OR 2.52 [CI 2.22-2.86]) and moderate to heavy alcohol use (OR 1.92 [CI 1.53-2.41]) were more likely associated with CAM use. The two most commonly used modalities were herbs (14/17%) and yoga (13/16%). The top reasons for CAM use were to improve general wellness or to prevent disease (33/35%) and to treat back pain (16/18%). When examining all pregnancy-related symptoms treated with CAM, no difference was found in the rates of CAM use between pregnant and nonpregnant users. Conclusions: CAM use by women of childbearing age in the United States is common, with over a third of the population using one or more therapies. However, only half disclosed their use to conventional providers despite limited evidence on safety and effectiveness. This study highlights the important need for further research in this area. (BIRTH 42:3 September 2015)

show abstract

“…The drawback of these acupuncture applications was the need for specialized personnel and the restricted access to treatment, in relation to the frequency of appearance of this condition. 2,12,13 Only one study has evaluated the results of ear acupuncture in pregnant women; this was conducted in the USA and in a hospital environment and reported that the insertion of needles in the ear over a period of 1 week reduced the pain and disability experienced by pregnant women with LBPGP. 14 The aim of the present study was to assess the efficacy of acupuncture in reducing the pain experienced by pregnant women in the lower back and/or the posterior pelvic girdle.…”

Section: Introductionmentioning

confidence: 99%

Effect of ear acupuncture on pregnancy‐related pain in the lower back and posterior pelvic girdle: A multicenter randomized clinical trial

Vas¹,

Cintado

Aranda-Regules³

et al. 2019

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

Introduction Ear acupuncture carried out in primary care by trained midwives, with no specialist training in acupuncture, may be effective in alleviating pregnancy‐related lower back and/or posterior pelvic girdle pain (LBPGP). The objective of this study was to assess the effect of ear acupuncture associated with standard obstetric care, in the primary‐care setting, on LBPGP experienced by pregnant women. Material and methods This four‐group, multicenter, randomized controlled trial was conducted at 18 public primary care centers in three regions in Spain, with the participation of 220 pregnant women at 24‐36 weeks of gestation, aged 18 years or more, diagnosed with pregnancy‐related LBPGP and who had not previously received ear acupuncture. The trial was conducted from March 2014 to December 2016. Participants were randomly assigned (1:1:1:1) to receive standard obstetric care plus two sessions (over 2 weeks) of verum ear acupuncture, or nonspecific ear acupuncture, or placebo ear acupuncture, or standard obstetric care alone. The primary outcome was change in pain intensity, assessed using a visual analog scale (0‐100 mm) from baseline to the end of treatment (T2). Secondary outcomes included change or presence of pain at 3 months (T3) and at 1 year (T4) postpartum, and changes in responses to the Roland‐Morris disability questionnaire (RMDQ) and Short Form‐12 Health Survey (SF‐12) at the end of treatment. Results A total of 55 women were randomized to each group, and 205 completed the study. With respect to baseline values, the reduction in pain intensity among the verum ear acupuncture group vs standard obstetric care was significantly greater, both at T2 (65.8%, 95%CI 56.2‐75.3 vs 25.1%, 95%CI 15.3‐34.9) and at T3 (93.8%, 95%CI 88.7‐99.0 vs 67.9%, 95%CI 55.3‐80.5). Moreover, significant changes were found in the verum ear acupuncture group vs standard obstetric care at T2, in reduced RMDQ scores (70.9%, 95%CI 61.8‐80.1 vs 21.2%, 95%CI 8.6‐33.7) and in increased SF‐12 scores on the physical scale (40.5%, 95%CI 31.5‐49.4 vs 8.1%, 95%CI 0.8‐15.5). Conclusions After 2 weeks of treatment, ear acupuncture applied by midwives and associated with standard obstetric care significantly reduces lumbar and pelvic pain in pregnant women, improves quality of life and reduces functional disability.

show abstract

A systematic review investigating the effectiveness of Complementary and Alternative Medicine (CAM) for the management of low back and/or pelvic pain (LBPP) in pregnancy

Cited by 50 publications

References 51 publications

Complementary and Alternative Medicine Use among Women of Reproductive Age in the United States

Complementary and Alternative Medicine Use among Women of Reproductive Age in the United States

Complementary and Alternative Medicine Use Among Women During Pregnancy and Childbearing Years

Effect of ear acupuncture on pregnancy‐related pain in the lower back and posterior pelvic girdle: A multicenter randomized clinical trial

Contact Info

Product

Resources

About