Featured Research

from universities, journals, and other organizations

Review highlights need for more education and guidance on complementary and alternative medicine use in midwifery

Date:
February 23, 2011
Source:
Wiley - Blackwell
Summary:
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 new review.

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.

Related Articles


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."


Story Source:

The above story is based on materials provided by Wiley - Blackwell. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jon Adams, Chi-Wai Lui, David Sibbritt, Alex Broom, Jon Wardle, Caroline Homer. Attitudes and referral practices of maternity care professionals with regard to complementary and alternative medicine: an integrative review. Journal of Advanced Nursing, 2011; 67 (3): 472 DOI: 10.1111/j.1365-2648.2010.05510.x

Cite This Page:

Wiley - Blackwell. "Review highlights need for more education and guidance on complementary and alternative medicine use in midwifery." ScienceDaily. ScienceDaily, 23 February 2011. <www.sciencedaily.com/releases/2011/02/110223071258.htm>.
Wiley - Blackwell. (2011, February 23). Review highlights need for more education and guidance on complementary and alternative medicine use in midwifery. ScienceDaily. Retrieved March 29, 2015 from www.sciencedaily.com/releases/2011/02/110223071258.htm
Wiley - Blackwell. "Review highlights need for more education and guidance on complementary and alternative medicine use in midwifery." ScienceDaily. www.sciencedaily.com/releases/2011/02/110223071258.htm (accessed March 29, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, March 29, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com
These Popular Antibiotics Can Cause Permanent Nerve Damage

These Popular Antibiotics Can Cause Permanent Nerve Damage

Newsy (Mar. 27, 2015) — A popular class of antibiotic can leave patients in severe pain and even result in permanent nerve damage. Video provided by Newsy
Powered by NewsLook.com
WH Plan to Fight Antibiotic-Resistant Germs

WH Plan to Fight Antibiotic-Resistant Germs

AP (Mar. 27, 2015) — The White House on Friday announced a five-year plan to fight the threat posed by antibiotic-resistant bacteria amid fears that once-treatable germs could become deadly. (March 27) Video provided by AP
Powered by NewsLook.com
House Ready to Pass Medicare Doc Bill

House Ready to Pass Medicare Doc Bill

AP (Mar. 26, 2015) — In rare bipartisan harmony, congressional leaders pushed a $214 billion bill permanently blocking physician Medicare cuts toward House passage Thursday, moving lawmakers closer to resolving a problem that has plagued them for years. (March 26) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins