For example, insomnia is thought to be connected to the kidneys, liver, and stomach. Address correspondence to Sandra M. Gossler, PhD, APRN-BC, IBCLC, Assistant Professor, University of Tennessee, Knoxville, College of Nursing, 1200 Volunteer Boulevard, Office 143, Knoxville, TN 37996-4180; e-mail: firstname.lastname@example.org. 2 The Effects of Mindfulness-Based Yoga During Pregnancy on Maternal Psychological and Physical Distress Journal of Obstetric, Gynecologic & Neonatal Nursing, Vol. Many women are using alternative therapies for general depression and then continue using these same therapies for depressive symptoms that occur during the postpartum period (Weier & Beal, 2004). For many years now, the complementary and alternative medicine (CAM) movement has been driven by consumer demand, leaving midwives with the task of developing comprehensive evidence-based knowledge of the potential benefits and risks of some of the more popular therapies. Her recent publications include The Health Factor, Coach Yourself To Better Health and Positive Thinking For Kids. Some herbs and herbal formulations may have serious adverse effects or interactions with other pharmaceutical agents (Matthews, Lucier, & Fisher, 1999; Posmontier & Teitelbaum, 2009; Weier & Beal, 2004). Various resources are available for practitioners to consult to determine the efficacy and safety of herbs and herbal products. Use of herbal agents by breastfeeding women may affect infants. Warriner, D S, Bryan, K K & Brown, A 2014, 'Women's Attitude Towards the Use of Complementary and Alternative Medicines (CAM) in Pregnancy'. Because Ayurvedic medicine and TCM use herbs and herbal formulations, consumers are cautioned to obtain these products only from qualified practitioners (Posmontier & Teitelbaum, 2009). Send an e-mail to the Journal, at email@example.com. Committee opinion no. A complementary therapy means you can use it alongside your conventional medical treatment. The articles prior to January 2014 are part of the back file collection and are not available with a current paid subscription. Acupuncture is one of the most popular alternative therapies for use with low-back pain, especially during pregnancy. Dong, J.T. Hall, H, Griffiths, D & McKenna, L 2015, 'Complementary and Alternative Medicine: Interaction and Communication Between Midwives and Women'. Read the latest articles of Complementary Therapies in Nursing and Midwifery at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature The most common complementary and alternative medicine therapies used or recommended during pregnancy were herbalism, massage therapy, chiropractic, mind-body interventions (hypnosis, biofeedback, and relaxation techniques), and acupressure. This article provides a brief overview of complementary and alternative therapies that may be used by women during pregnancy and postpartum. This allows staff to be aware of their use and avoid adverse reactions or interactions with conventional care and pharmaceutical preparations. Herbal formulations are not typically regulated by the U.S. Food and Drug Administration, and thus contaminants are a significant concern (U.S. Food and Drug Administration, 2007). A secondary focus is to generate a call to action for further research in this area to improve the health of all women. Despite this, few women were asked about alternative therapies by their care team and once again, one-third of women chose not to disclose that they sought help and support outside of the traditional healthcare model. & Seely, D. (2010). Ayurvedic medicine, the traditional medicine of India, approaches health and wellness by addressing the physical, emotional, mental, and spiritual health of the person (Posmontier & Teitelbaum, 2009). The use of complementary and alternative therapies during pregnancy, postpartum, and lactation is an issue of growing interest for practitioners who care for women in these stages of life. Address correspondence to Sandra M. Gossler, PhD, APRN-BC, IBCLC, Assistant Professor, University of Tennessee, Knoxville, College of Nursing, 1200 Volunteer Boulevard, Office 143, Knoxville, TN 37996-4180; e-mail: .firstname.lastname@example.org, Tell us what you think about Healio.com », Get the latest news and education delivered to your inbox, Journal of Psychosocial Nursing and Mental Health Services, https://doi.org/10.3928/02793695-20100930-02, National Center for Complementary and Alternative Medicine [NCCAM], 2010b, MacPherson, Thorpe, Thomas, & Geddes, 2004, Xue, Zhang, Greenwood, Lin, & Story, 2010, Klier, Schäfer, Schmid-Siegel, Lenz, & Mannel, 2002, http://www.breastfeeding.com/reading_room/herbs.html, http://www.internationalbreastfeedingjournal.com/content/2/1/6, http://nccam.nih.gov/research/intramural/research_train.htm, http://nccam.nih.gov/health/whatiscam/#definingcam, http://nccam.nih.gov/health/whatiscam/#role, http://www.fda.gov/RegulatoryInformation/Guidances/ucm144657.htm, Managing Workplace Violence With Evidence-Based Interventions: A Literature Review. In complementary and alternative medicine, many therapeutic skills, i.e. The practitioner might initially recommend dietary changes, such as eating foods that are fresh and easily digested (e.g., turkey, cooked grains, fruits, nuts) and avoiding foods that are highly processed, frozen, or microwaved. Complementary therapies as adjuncts in the treatment of postpartum depression. The National Institutes of Health (NIH) consider this system of health care practices and products significant to the health of the population, and the NCCAM addresses issues related to complementary and alternative medicine. & Lee, A. et al. The use of complementary and alternative medicine (CAM) and complementary and alternative therapies (CAT) during pregnancy is increasing. A Swedish report published several years ago showed that low back pain, which affects up to three-quarters of all women during pregnancy, can be greatly relieved by acupuncture. acupuncture, moxibustion, and massage, or more therapeutic modalities, i.e. Although pregnancy status was not predictive of the use of alternative treatments, pregnant women employed these therapies or modalities for the relief of pregnancy-related complaints and symptoms. The ACOG, Committee on Obstetric Practice (2010) recently released a statement encouraging all obstetricians to screen pregnant and postpartum women for depression. Acupuncture, aromatherapy, supplements, and the like—more and more people across the nation are using these therapies. Instead, the focus is to generate an intellectual curiosity and inquiry regarding complementary and alternative therapies used during this time in a woman’s life. Prevention and treatment of postnatal depression. Due to the potential stigma of mental illness, many new mothers do not inform their obstetrician or pediatrician of their sadness, mood changes, or concerns about their feelings. (1999). Wang, J., van der Heijden, R., Spruit, S., Hankermeier, T., Chan, K. & van der Greef, J. et al. National Center for Complementary and Alternative Medicine. (2008). Many women may use these therapies during the postpartum period, considering them natural alternatives to pharmaceutical agents (Freeman, 2009). (2010c). Safety and efficacy of St. John’s wort (hypericum) during pregnancy and lactation. Women experiencing anxiety, postpartum depression, or other emotional or mental disorders often look to their health care provider for accurate information and to collaborate in managing their health care needs. Vitamins, massage therapy and relaxation techniques seemed to be the most popular choices, but just as other researchers discovered, approximately one-third of women chose not to disclose their use of CAM to their midwife. (2007). (2009). Given the rise in popularity of CAM in recent years, many midwives are now asking if knowledge of complementary therapies should be included within basic midwifery training. Additional resources that provide information on herbs and herbal formulations include Hale Publishing ( http://www.ibreastfeeding.com), the United States Breast-feeding Committee ( http://www.usbreastfeeding.org), and Breastfeeding.com ( http://www.breastfeeding.com/reading_room/herbs.html). Training programs provided by the NIH strive to incorporate complementary and alternative medicine with traditional and conventional medicine. These therapies need to be discussed so the client and practitioner can collaborate on the course of therapy for postpartum anxiety or depression. As Hall, Griffiths and McKenna (2015) suggest, although midwives are usually supportive, how they communicate with women about the safe use of alternative therapies has received little attention. The practitioner also needs to know the kind and dosage of dietary supplements, herbs, and herbal formulations (and their source), and whether the woman is consulting an alternative medicine practitioner. The phrases complementary therapy and alternative therapy are often used as if they mean the same thing. (2009). There should be more educational opportunities for midwives to become better informed, allowing them to share more information with women. Friedman, S.H. Yoga, a popular alternative therapy, requires only a mat. Often, women do not report feelings of sadness or depression to their health care providers due to stigma. (2014) suggest, with such a wide array of therapies available - each of which carries a unique set of risks and benefits - it can be difficult for maternity staff to maintain sufficient knowledge to safely guide or advise their patients. A desire to maintain a more naturalistic approach to health care and illness prevention, as well as the increasing cost of health care, has helped create an interest in complementary and alternative therapies. The authors found that ingredient analysis was conducted on only 35% of the herbs used in the studies. An Ayurvedic approach to postpartum depression. 38, No. Lack of knowledge, language barriers and workplace constraints mean that in most cases, it remains up to pregnant women themselves to initiate any CAM based conversations. (2009). Other sources identify one in seven mothers as being affected by postpartum depression (Friedman & Resnick, 2009). Freeman, M.P. Of concern, herbs of foreign origin can be shipped to and sold in other countries, including the United States. As Strouss et al. (2004). Her background includes working as a hospital midwife, Critical Care nurse, lecturer in Neonatal Intensive Care, and as a Clinical Nurse Specialist for a company making life support equipment. Traditional Ayurvedic practitioners consider different treatments depending on the person and the symptoms presented. Therapies such as herbs and herbal formulations should be used with caution because purity and strength are not always known or regulated. 2. Most midwives seemed to take an open-minded and positive approach to the use of CAM because they considered the therapies to be philosophically congruent, providing safe alternatives to medical interventions and supporting the woman's autonomy (Hall, McKenna & Griffiths 2012). 14 Participants were asked to rate their level of agreement on statements about their specific use and … Complementary and alternative therapies can be beneficial to women during pregnancy, postpartum, and lactation. Klier, C.M., Schäfer, M.R., Schmid-Siegel, B., Lenz, G. & Mannel, M. (2002). Traditional Chinese medicine: An update on clinical evidence. Alternative and Complementary Therapies is the leading Journalzine® delivering practical and evidence-based research on integrating alternative medical therapies and approaches into private practice or hospital integrative medicine programs. 3 Although it’s tempting to assume that natural is synonymous with safe, this is not necessarily true, and many of the less well-known CAM therapies have little or no evidence-based research to support their use. However, the efficacy of most of these treatments has not been proven in clinical trials and there is little reliable information on their safety if used during pregnancy. They may not be as costly as modern therapies and medications. To access the article, you may purchase it or purchase the complete back file collection here. 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