Recourse to Alternative Medicine During Pregnancy: Motivations of Women and Impact of Research Findings

Guittier, Marie-Julia; Pichon, Michelle; Irion, Olivier; Guillemin, Françis; Boulvain, Michel

doi:10.1089/acm.2011.0550

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…First, and not surprising, a wide variety of methods were used by pregnant women who viewed use as safe, effective, more natural and likely better for the pregnancy despite a paucity of information. Similar findings have been found on examination of CAM use during pregnancy (Guittier et al, 2012). Use during pregnancy was reported as an extension of past CAM behavior.…”

Section: Discussionsupporting

confidence: 85%

“…Numerous studies suggest substantial CAM use during pregnancy across the globe (Hastings-Tolsma and Terada, 2009;Guittier et al, 2012;Holst et al, 2009Holst et al, , 2011Eisenberg et al, 2001). Given the paucity of clinical evidence for the safety and efficacy during pregnancy of most CAM therapies (Holst et al, 2011), innovative strategies are needed in the development of decision-making methods that can fill the knowledge gap regarding effectiveness of such methods.…”

Section: Discussionmentioning

confidence: 99%

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Decision-making for use of complementary and alternative therapies by pregnant women and nurse midwives during pregnancy: An exploratory qualitative study

Hastings‐Tolsma¹

2013

Int. J. Nurs. Midwifery

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Millions of people use complementary and alternative medicine (CAM) therapies. Such therapies are used across a wide spectrum of health conditions, but the use is particularly notable during pregnancy. Despite the widespread use, little is known about the perceptions of patients and clinicians in deciding about use of varied therapies. This study describes pregnant women and obstetrical provider (nurse midwives) perceptions in decision-making for use of CAM therapies during pregnancy. Pregnant women and nurse midwives were interviewed in focus groups with transcribed data analyzed using content analysis. Four themes emerged from the session with pregnant women and 3 from the nurse midwives. Data underscore the need to dialogue with all pregnant women about CAM use, and to mainstream CAM in education programs. Given the paucity of evidence for safety and efficacy during pregnancy for most CAM therapies, decision-making strategies to fill those knowledge gaps are urgently needed.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Decision-making for use of complementary and alternative therapies by pregnant women and nurse midwives during pregnancy: An exploratory qualitative study

Hastings‐Tolsma¹

2013

Int. J. Nurs. Midwifery

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“…A UK study found that despite these high levels of use, most obstetrical providers did not ask about CAM use during pregnancy, and one-third of mothers did not disclose their CAM use to their obstetrical providers [15]. A variety of predictors of maternal CAM use have been found, including higher education, ethnicity, and income in Germany [7], parity, higher education, and CAM use before pregnancy in the UK [15], and higher education and Caucasian origin in Switzerland [14]. The most common types of CAM used during pregnancy varied amongst the countries [16].…”

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine use in women during pregnancy: do their healthcare providers know?

Strouss

Mackley

Guillén

et al. 2014

BMC Complement Altern Med

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BackgroundThe National Institutes of Health reported in 2007 that approximately 38% of United States adults have used at least one type of Complementary and Alternative Medicine (CAM). There are no studies available that assess general CAM use in US pregnant women.The objectives of our study were to determine the prevalence and type of CAM use during pregnancy at one medical center; understand who is using CAM and why they are using it; and assess the state of patients’ CAM use disclosure to their obstetrical providers.MethodsA cross-sectional survey study of post-partum women was done to assess self-reported CAM use during pregnancy. Results of this survey were compared to results from a previous survey performed by this research team in 2006. Data were analyzed using binary logistic regression.ResultsIn 2013, 153 women completed the survey, yielding a response rate of 74.3%. Seventy-two percent and 68.5% of participants reported CAM use during their pregnancies in 2006 and 2013 respectively. The percentage of participants who reported discussing CAM use with their obstetrical providers was less than 1% in 2006 and 50% in 2013. Increased use of different CAM therapies was associated with increased maternal age, primagravida, being US-born, and having a college education (p ≤ 0.05). However, these factors were poor predictors of CAM use.ConclusionsGiven the frequency of CAM use and the difficulty in predicting who is using it, obstetrical providers should consider being informed about CAM and incorporating discussions about its use into routine patient assessments.

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“…Many of the complementary therapies very popular among women, such as moxibustion, have a higher rate of success when used prior to 36 weeks (Manyande & Grabowska 2009, Tiran 2010, Guittier 2012. Additionally, recent research has suggested that teaching women to self-palpate themselves and identify their baby's position throughout the third trimester may positively influence the mother-infant relationship (Nishikawa 2013).…”

Section: Other Risks and Benefitsmentioning

confidence: 99%

Assessment of fetal presentation: Exploring a woman-centred approach

Walker¹,

Sabrosa²

2014

British Journal of Midwifery

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Abstract:This article explores the core midwifery skill of fetal presentation assessment from the perspective of women's meanings and experiences, including the social and relational aspects of antenatal palpation. Brief background information is provided, explaining the clinical purpose of determining presentation antenatally, and the key debates surrounding the available interventions applied when babies present breech, eg. external cephalic version and caesarean section. In order to make the screening process transparent, women need to know the accuracy (or rather, inaccuracy) of abdominal palpation, and what her options will be if her baby is found to be presenting breech, either before or during labour. Specialist midwifery care may help meet women's increased needs for counselling and reassurance, and provide continuity throughout the breech care pathway, which for low-risk women begins with palpation.Keywords: breech, midwives, antenatal, palpation, woman-centred, specialist Key phrases:From 33 weeks, there is almost a 3:4 chance overall that a breech baby will remain breech, and many women will want to be considering their options by this point.The clinical value of detecting breech babies antenatally, in terms of improved outcomes, is highly dependent on whether ECV is offered, accepted and performed with a high degree of success, factors known to be highly variable. 3Antenatal detection of breech presentation is associated with a significant level of anxiety for women. However, provider's ways of speaking about breech influenced women's experiences, and a more supportive stance to all three options (ECV, VBB, CS) may result in less anxiety in the final weeks of a known breech pregnancy.The UK clinical collective has remained comfortable with a certain degree of uncertainty when it comes to diagnosing all breech presentations antenatally.Whether an individual woman will be comfortable with this uncertainty is likely to depend on her general approach to pregnancy and childbirth, as well as the approach of her providers.Women reveal themselves physically for each abdominal examination, and the emotional and psychological effects of this exposure and vulnerability should not be underestimated.In woman-centred care, the core midwifery skill of palpation is used mindfully and holistically, taking into consideration what knowing her baby's position will mean for this individual woman, and how this information can help her meet her needs, aspirations and expectations for this pregnancy. 4The assessment of fetal presentation by abdominal palpation is a fundamental antenatal care skill, in which the midwife (or doctor) uses her/his hands to gently feel the position of the baby through the mother's abdomen, in order to assess which way the baby is lying in the uterus. The clinical purpose of this activity is to enable appropriate interventions to be offered and care to be planned. In their 2008

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Recourse to Alternative Medicine During Pregnancy: Motivations of Women and Impact of Research Findings

Cited by 4 publications

References 21 publications

Decision-making for use of complementary and alternative therapies by pregnant women and nurse midwives during pregnancy: An exploratory qualitative study

Decision-making for use of complementary and alternative therapies by pregnant women and nurse midwives during pregnancy: An exploratory qualitative study

Complementary and Alternative Medicine use in women during pregnancy: do their healthcare providers know?

Assessment of fetal presentation: Exploring a woman-centred approach

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