Utilisation of complementary and alternative medicine CAM practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant womenReportar como inadecuado




Utilisation of complementary and alternative medicine CAM practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Pregnancy and Childbirth

, 12:146

Maternity care and sociological aspects of pregnancy and childbirth

Abstract

BackgroundThere is little known about women’s concurrent use of conventional and complementary health care during pregnancy, particularly consultation patterns with complementary and alternative medicine CAM. This study examines health service utilisation among pregnant women including consultations with obstetricians, midwives, general practitioners GPs and CAM practitioners.

MethodsA sub-study of pregnant women n=2445 was undertaken from the nationally-representative Australian Longitudinal Study on Women’s Health ALSWH. Women’s consultations with conventional practitioners obstetricians, GPs and midwives and CAM practitioners for pregnancy-related health conditions were analysed. The analysis included Pearson chi-square tests to compare categorical variables.

ResultsThe survey was completed by 1835 women response rate = 79.2%. A substantial number 49.4% of respondents consulted with a CAM practitioner for pregnancy-related health conditions. Many participants consulted only with a CAM practitioner for assistance with certain conditions such as neck pain 74.6% and sciatica 40.4%. Meanwhile, women consulted both CAM practitioners and conventional maternity health professionals obstetricians, midwives and GPs for back pain 61.8% and gestational diabetes 22.2%. Women visiting a general practitioner GP 3–4 times for pregnancy care were more likely to consult with acupuncturists compared with those consulting a GP less often p=<0.001, x=20.5. Women who had more frequent visits to a midwife were more likely to have consulted with an acupuncturist p=<0.001, x=18.9 or a doula p=<0.001, x=23.2 than those visiting midwives less frequently for their pregnancy care.

ConclusionsThe results emphasise the necessity for a considered and collaborative approach to interactions between pregnant women, conventional maternity health providers and CAM practitioners to accommodate appropriate information transferral and co-ordinated maternity care. The absence of sufficient clinical evidence regarding many commonly used CAM practices during pregnancy also requires urgent attention.

KeywordsPregnancy Complementary medicine Health services Interprofessional Integrative medicine  Download fulltext PDF



Autor: Amie Steel - Jon Adams - David Sibbritt - Alex Broom - Cindy Gallois - Jane Frawley

Fuente: https://link.springer.com/







Documentos relacionados