Prevalence and determinants of complementary and alternative medicine use during pregnancy: Results from a nationally representative sample of Australian pregnant women
Prevalence and determinants of complementary and alternative medicine use during pregnancy: Results from a nationally representative sample of Australian pregnant women
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DOI：
10.1111/ajo.12056
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发表时间：
2013-08-01
影响因子：
1.7
通讯作者：
Gallois, Cindy
中科院分区：
文献类型：
--
作者：
Frawley, Jane;Adams, Jon;Gallois, Cindy
孕妇已被确定为补充和替代医学（CAM）的高使用者。然而，迄今为止还没有研究对孕妇服用cama的流行程度和决定因素进行了详细分析。目的利用全国代表性样本，研究孕妇CAMuse的患病率和决定因素。方法研究样本通过澳大利亚妇女健康纵向研究获得。这篇论文基于2010年对1835名孕妇进行的一项子研究。这些妇女回答了有关CAMuse、人口统计、与怀孕有关的健康问题和保健服务利用情况的问题。结果48.1% （n=623）的孕妇在妊娠期间咨询了CAMpractitioner， 52.0% （n=842）的孕妇在妊娠期间使用CAMproducts（不包括维生素和矿物质），发现补充和替代药物的使用率很高。与怀孕有关的健康问题，即背部疼痛或背痛、颈部疼痛和临产准备，更有可能是由cam医生来就诊的。患有头痛/偏头痛的女性不太可能咨询cam医生。就业也被发现是预测孕妇访问CAMpractitioner。使用camp产品的重要健康史和人口预测因素是疲劳和疲劳、开始为劳动做准备和受过大学教育。结论：大多数孕妇正在使用CAMuse产品和/或服务作为其产科护理的一部分，产科医生、全科医生和助产士需要向其护理的妇女询问可能的CAMuse，以帮助促进安全、有效、协调的产科护理。
Background Pregnant women have been identified as high users of complementary and alternative medicine (CAM). However, no research to date has provided a detailed analysis of the prevalence and determinants of CAMconsumption amongst pregnant women.Aim To examine the prevalence and determinants of CAMuse by pregnant women, utilising a national representative sample.Methods The study sample was obtained via the Australian Longitudinal Study on Women's Health. This paper is based on a sub-study of 1,835 pregnant women, administered in 2010. The women answered questions about CAMuse, demographics, pregnancy-related health concerns and health service utilisation.Results Complementary and alternative medicine use was found to be high with 48.1% (n=623) of pregnant women consulting a CAMpractitioner and 52.0% (n=842) of women using CAMproducts (excluding vitamins and minerals) during pregnancy. CAMpractitioner visits were more likely for selected pregnancy-related health concerns, namely back pain or back ache, neck pain and labour preparation. Women were less likely to consult a CAMpractitioner if they suffered with headaches/migraines. Employment was also found to be predictive of pregnant women's visits to a CAMpractitioner. Significant health history and demographic predictors of CAMproduct use were tiredness and fatigue, embarking on preparation for labour and having a university education.Conclusion Most pregnant women are utilising CAMproducts and/or services as part of their maternity care and obstetricians, general practitioners and midwives need to enquire with women in their care about possible CAMuse to help promote safe, effective coordinated maternity care.