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Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women.
BMC Pregnancy Childbirth. 2012 Dec 12; 12:146.BP

Abstract

BACKGROUND

There 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.

METHODS

A 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.

RESULTS

The 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, x2=20.5). Women who had more frequent visits to a midwife were more likely to have consulted with an acupuncturist (p=<0.001, x2=18.9) or a doula (p=<0.001, x2=23.2) than those visiting midwives less frequently for their pregnancy care.

CONCLUSIONS

The 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.

Authors+Show Affiliations

Faculty of Health, UTS, Level 7, Building 10, 235-253 Jones Street, Ultimo, New South Wales, 2006, Australia. amie.e.steel@student.uts.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23231765

Citation

Steel, Amie, et al. "Utilisation of Complementary and Alternative Medicine (CAM) Practitioners Within Maternity Care Provision: Results From a Nationally Representative Cohort Study of 1,835 Pregnant Women." BMC Pregnancy and Childbirth, vol. 12, 2012, p. 146.
Steel A, Adams J, Sibbritt D, et al. Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women. BMC Pregnancy Childbirth. 2012;12:146.
Steel, A., Adams, J., Sibbritt, D., Broom, A., Gallois, C., & Frawley, J. (2012). Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women. BMC Pregnancy and Childbirth, 12, 146. https://doi.org/10.1186/1471-2393-12-146
Steel A, et al. Utilisation of Complementary and Alternative Medicine (CAM) Practitioners Within Maternity Care Provision: Results From a Nationally Representative Cohort Study of 1,835 Pregnant Women. BMC Pregnancy Childbirth. 2012 Dec 12;12:146. PubMed PMID: 23231765.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women. AU - Steel,Amie, AU - Adams,Jon, AU - Sibbritt,David, AU - Broom,Alex, AU - Gallois,Cindy, AU - Frawley,Jane, Y1 - 2012/12/12/ PY - 2012/09/23/received PY - 2012/12/04/accepted PY - 2012/12/13/entrez PY - 2012/12/13/pubmed PY - 2013/5/23/medline SP - 146 EP - 146 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 12 N2 - BACKGROUND: There 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. METHODS: A 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. RESULTS: The 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, x2=20.5). Women who had more frequent visits to a midwife were more likely to have consulted with an acupuncturist (p=<0.001, x2=18.9) or a doula (p=<0.001, x2=23.2) than those visiting midwives less frequently for their pregnancy care. CONCLUSIONS: The 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. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/23231765/Utilisation_of_complementary_and_alternative_medicine__CAM__practitioners_within_maternity_care_provision:_results_from_a_nationally_representative_cohort_study_of_1835_pregnant_women_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-12-146 DB - PRIME DP - Unbound Medicine ER -