Navigation Links
Review highlights need for more education and guidance on CAM use in midwifery
Date:2/23/2011

Complementary and alternative medicine (CAM) is increasingly popular in maternity care, but healthcare professionals need formal evidence-based education and guidance about its use, according to a review in the March issue of the Journal of Advanced Nursing.

There is also need for greater respect and cooperation between conventional and alternative practitioners and improved communication with patients about the growing use of CAM.

University-based members of the Network of Researchers in the Public Health of Complementary and Alternative Medicine (NORPHCAM) reviewed 19 studies covering the views of more than 3,000 maternity professionals from Australia, Canada, the USA, UK, Germany, New Zealand and Israel.

The studies, which were all based on interviews or surveys, were published between 1999 and 2009, 13 in the last five years.

"There is no doubt that the popularity of CAM including acupuncture, chiropractic, naturopathy, herbal medicine and yoga has grown in recent years" says lead author Dr Jon Adams, Associate Professor at the University of Queensland, Australia, and Executive Director of NORPHCAM.

"The use of CAM during pregnancy has been debated by practitioners and policy makers around the world and it is clear that there is a real need to develop an integrated approach to maternity care. However this has been hampered by a lack of understanding of the attitudes and practice of mainstream maternity care professionals towards CAM. Our review aimed to provide a clearer picture by pulling together a wide range of published studies based on interviews and surveys."

Key findings from the most recent 2008 and 2009 studies include:

  • A survey of 343 midwives from Canada and New Zealand found that 72% had recommended or offered CAM. The most common referrals were to homeopaths (51%), acupuncturists (50%), naturopaths (48%), chiropractors (36%), massage therapists (31%) and osteopaths (20%).

  • All but one of the 381 obstetric departments who took part in a German survey said they offered at least one CAM therapy, with acupuncture (97%), homeopathy (93%) and aromatherapy (77%) heading the list.

  • 78% of the 227 midwives who took part in an American study reported using CAM and 89% would refer a patient to CAM providers. The three most commonly used treatments were herbal preparations (85%), pharmacologic/biologic treatments (82%) and mind-body interventions (80%).

  • A study of 401 American obstetricians found that 98% routinely endorsed, provided or referred patients for at least one CAM treatment. Movement therapies topped the list at 86%, followed by biofeedback and acupuncture (both 80%).

"Despite the increasing popularity of CAM in maternity care, and a generally positive attitude towards it, our research review revealed very diverse attitudes towards the practice of alternative treatments between, and within, professions" says Dr Adams.

"For example, our study suggests that, in general, midwives have a more positive view of CAM than obstetricians and that understandings and perceptions of CAM appear to be closely linked with wider notions of professionalism and professional identity.

"In particular, the holistic nature of CAM has a close affinity with the philosophy, professional goals and care perspectives of many midwives."

The authors raise concerns that their research review showed that most medical professionals have no CAM training and little understanding of the pharmacological nature of alternative therapies and their possible risks to pregnant women.

"There have recently been calls for nursing and midwifery education to include CAM training" says Dr Adams. "In addition, a number of medical organisations and registration boards, including the Royal College of Midwives and Australian Nursing Federation, have issued position statements endorsing the linking of care standards to education and knowledge of CAM.

"We hope that our research review will provide a first step in developing an evidence base on this important topic and provide vital insights for those managing, practising and receiving maternity care."


'/>"/>

Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Review confirms benefits of outdoor exercise
2. American Physical Society announces Physical Review X
3. FDA Launches Review of Tobacco Products
4. Study finds problems with reviewing medical images from portable media
5. FDA Panel Calls for Safety Review of Mercury in Dental Fillings
6. Elsevier launches innovative online radiology board review product
7. FDA Advisers Renew Review on Whether to Ban Menthol Cigarettes
8. HFES announces Release of Reviews of Human Factors and Ergonomics, Volume 6
9. Lupus Kidney Disorder Treatment Improved Over Decade: Review
10. Mayo Clinic review of ethical decision making with end-of-life care
11. Medical profession needs special training to handle self-harm, says international review
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... (PRWEB) , ... February 08, 2016 , ... Discover the ... visit over 1,400 booths and 700 companies. Attendees also get to see the ... Colorado Garden & Home Show , at the Colorado Convention Center - 700 ...
(Date:2/8/2016)... ... 08, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to a ... derived from a cluster of melanin when exposed to sunlight. Although most moles are ... lifetime of embarrassment. Historically, mole removal has involved a painful, often expensive ...
(Date:2/8/2016)... CA (PRWEB) , ... February 08, 2016 , ... The ... held annually in this country. The AutismOne 2016 Conference, which is being held May ... they often won’t hear elsewhere about helpful interventions and causes of chronic illness in ...
(Date:2/7/2016)... Orion, Clarkston, Metamora, Michigan (PRWEB) , ... February 07, 2016 , ... ... Friday in recognition of National Wear Red Day. National Wear Red Day is ... and stroke in women. Heart disease and stroke cause 1 in 3 deaths among ...
(Date:2/6/2016)... ... February 06, 2016 , ... ... PERIOPERATIVE NURSES EXPECTED AT AORN SURGICAL CONFERENCE & EXPO , WHAT:     , ... with an estimated 5000 perioperative nurses in attendance to study the latest ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... , Feb. 8, 2016 Vestagen Technical ... high performance apparel for healthcare and other demanding applications, ... Chief Executive Officer. He replaces Dale Pfost , ... Chairman. Mr. Bold is also joining Vestagen,s Board of ... new class of active barrier technologies that combines fluid ...
(Date:2/8/2016)... YORK, Pa. , Feb. 8, 2016  Unilife Corporation ... developer and supplier of injectable drug delivery systems, today announced ... and six months ended December 31, 2015 after market close ... not scheduled a conference call to discuss these financial results.  ... About Unilife Corporation --> About Unilife ...
(Date:2/8/2016)... -- Astellas Pharma Inc. President and Chief Executive Officer Yoshihiko ... as president, Americas Operations, for Astellas US LLC, with ... South America , effective April 1, 2016.  Robinson previously ... in the United States -- a ... , who is retiring in June 2016.  --> ...
Breaking Medicine Technology: