Complementary and alternative medicine in pregnancy: A survey of North Carolina certified nurse-midwives
Complementary and alternative medicine in pregnancy: A survey of North Carolina certified nurse-midwives
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DOI：
10.1016/s0029-7844(99)00481-0
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发表时间：
2000-01-01
影响因子：
7.2
通讯作者：
Wells, SR
中科院分区：
文献类型：
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作者：
Allaire, AD;Moos, MK;Wells, SR
目的：确定北卡罗来纳州经过认证的护士-助产士使用补充和替代医学疗法的流行率和类型。方法：对北卡罗来纳州所有 120 名获得执照的护士-助产士进行了调查，询问他们对怀孕或产后患者使用补充和替代医学的建议。结果：收到了 82 份答复（68.3%）。 77 名 (93.9%) 报告在过去一年中向怀孕患者推荐了补充和替代药物。 47 名 (57.3%) 报告向超过 10% 的患者推荐补充和替代医学。推荐每种补充和替代医学的护士助产士比例如下：草药疗法（73.2%）、按摩疗法（67.1%）、脊椎按摩疗法（57.3%）、穴位按摩（52.4%）、身心干预（48.8%）、芳香疗法（32.9%）、顺势疗法（30.5%）、精神治疗（23.2%）、针灸(19.5%)，以及生物电或磁应用(14.6%)。 60 名报告使用草药疗法的受访者给出了以下适应症：恶心和呕吐、临产刺激、会阴不适、哺乳期障碍、产后抑郁、早产、产后出血、临产镇痛和胎位不正。 结论：北卡罗来纳州的护士助产士通常为孕妇开出补充和替代药物，尤其是草药疗法。 （Obstet Gynecol 2000；95:19-23，(C) 2000，美国妇产科医师学会。）。
Objective: To determine the prevalence and types of complementary and alternative medicine therapies used by certified nurse-midwives in North Carolina.Methods: Surveys were sent to all 120 licensed certified nurse-midwives in North Carolina requesting information concerning their recommendations for use of complementary and alternative medicine for their pregnant or postpartum patients.Results: Eighty-two responses were received (68.3%). Seventy-seven (93.9%) reported recommending complementary and alternative medicine to their pregnant patients in the past year. Forty-seven (57.3%) reported recommending complementary and alternative medicine to more than 10% of patients. The percentage of nurse-midwives who recommended each type of complementary and alternative medicine was as follows: herbal therapy (73.2%), massage therapy (67.1%), chiropractic (57.3%), acupressure (52.4%), mind-body interventions (48.8%), aromatherapy (32.9%), homeopathy (30.5%), spiritual healing (23.2%), acupuncture (19.5%), and bioelectric or magnetic applications (14.6%). The 60 respondents who reported prescribing herbal therapies gave them for the following indications: nausea and vomiting, labor stimulation, perineal discomfort, lactation disorders, postpartum depression, preterm labor, postpartum hemorrhage, labor analgesia, and malpresentation.Conclusion: Complementary and alternative medicine, especially herbal therapy, is commonly prescribed to pregnant women by nurse-midwives in North Carolina. (Obstet Gynecol 2000;95:19-23, (C) 2000 by The American College of Obstetricians and Gynecologists.).