30 results on '"Sibbritt, David"'
Search Results
2. The direct and mediating effect of social support on health-related quality of life during pregnancy among Australian women
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Bedaso, Asres, Adams, Jon, Peng, Wenbo, and Sibbritt, David
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- 2023
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3. An examination of the association between marital status and prenatal mental disorders using linked health administrative data
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Bedaso, Asres, Adams, Jon, Peng, Wenbo, Xu, Fenglian, and Sibbritt, David
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- 2022
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4. The mediational role of social support in the relationship between stress and antenatal anxiety and depressive symptoms among Australian women: a mediational analysis
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Bedaso, Asres, Adams, Jon, Peng, Wenbo, and Sibbritt, David
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- 2021
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5. The relationship between social support and mental health problems during pregnancy: a systematic review and meta-analysis
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Bedaso, Asres, Adams, Jon, Peng, Wenbo, and Sibbritt, David
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- 2021
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6. Prevalence and determinants of low social support during pregnancy among Australian women: a community-based cross-sectional study
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Bedaso, Asres, Adams, Jon, Peng, Wenbo, and Sibbritt, David
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- 2021
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7. Health-care utilisation amongst pregnant women who experience sleeping problems and/or tiredness or fatigue: secondary analysis of a cross-sectional survey of 1835 pregnant women
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Lauche, Romy, Hall, Helen, Adams, Jon, Steel, Amie, Broom, Alex, and Sibbritt, David
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- 2016
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8. The association between social support and antenatal depressive and anxiety symptoms among Australian women.
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Bedaso, Asres, Adams, Jon, Peng, Wenbo, and Sibbritt, David
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PRENATAL diagnosis ,MENTAL depression ,ANXIETY ,AUSTRALIANS ,SOCIAL support - Abstract
Background: Antenatal depression and antenatal anxiety adversely affect several obstetric and foetal outcomes, and increase the rate of postnatal mental illness. Thus, to tackle these challenges the need for social support during pregnancy is vital. However, an extensive literature search failed to show a published study on the relationship between domains of social support and antenatal depressive, as well as antenatal anxiety symptoms in Australia. This study examined the association between domains of social support and antenatal depressive and anxiety symptoms among Australian women.Methods: The current study used data obtained from the 1973-78 cohort of the Australian Longitudinal Study on Women's Health (ALSWH), focusing upon women who reported being pregnant (n = 493). Depression and anxiety were assessed using the 10 item Center for Epidemiological Studies Depression (CES-D-10) scale, and the 9-item Goldberg Anxiety and Depression scale (GADS) respectively. The 19 item-Medical Outcomes Study Social Support index (MOSS) was used to assess social support. A logistic regression model was used to examine the associations between domains of social support and antenatal depressive and anxiety symptoms after adjusting for potential confounders.Result: The current study found 24.7 and 20.9% of pregnant women screened positive for depressive and anxiety symptoms respectively. After adjusting for potential confounders, our study found that the odds of antenatal depressive symptoms was about four and threefold higher among pregnant women who reported low emotional/informational support (AOR = 4.75; 95% CI: 1.45, 15.66; p = 0.010) and low social support (overall support) (AOR = 3.26; 95%CI: 1.05, 10.10, p = 0.040) respectively compared with their counterpart. In addition, the odds of antenatal anxiety symptoms was seven times higher among pregnant women who reported low affectionate support/positive social interaction (AOR = 7.43; 95%CI: 1.75, 31.55; p = 0.006).Conclusion: A considerable proportion of pregnant Australian women had depressive symptoms and/or anxiety symptoms, which poses serious health concerns. Low emotional/informational support and low affectionate support/positive social interaction have a significant association with antenatal depressive and anxiety symptoms respectively. As such, targeted screening of expectant women for social support is essential. [ABSTRACT FROM AUTHOR]- Published
- 2021
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9. Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women
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Steel Amie, Adams Jon, Sibbritt David, Broom Alex, Gallois Cindy, and Frawley Jane
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Pregnancy ,Complementary medicine ,Health services ,Interprofessional ,Integrative medicine ,Gynecology and obstetrics ,RG1-991 - Abstract
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=x2=20.5). Women who had more frequent visits to a midwife were more likely to have consulted with an acupuncturist (p=x2=18.9) or a doula (p=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.
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- 2012
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10. Utilization of complementary and alternative medicine and conventional medicine for headache or migraine during pregnancy: A cross-sectional survey of 1,835 pregnant women.
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Peng, Wenbo, Lauche, Romy, Frawley, Jane, Sibbritt, David, and Adams, Jon
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Objectives: Little is known about women's use of health services affected by headache or migraine during pregnancy. This paper directly addresses the research gap reporting on the healthcare utilization among Australian pregnant women experiencing headache or migraine.Design and Setting: In this retrospective observational study, data on 1,835 Australian pregnant women were obtained from the nationally-representative Australian Longitudinal Study on Women's Health. Information on quality of life and health seeking behaviors regarding conventional medicine and complementary and alternative medicine providers was identified among these participants. Factors associated with healthcare use were analyzed using regression analyses.Results: A total of 16% of the pregnant women surveyed experienced headache or migraine, and over 20% sought help from more than two types of healthcare practitioners for their headache or migraine. General practitioners (37.8%) were the most commonly consulted providers of pregnant women for their headache or migraine. Women with headache or migraine during pregnancy had worse health-related quality of life than those without. Education level and private health insurance status of pregnant women are the predictors of the use of healthcare practitioners for their management of headache or migraine (both p < 0.05).Conclusions: Headache or migraine during pregnancy significantly impacts upon pregnant women's quality of life. The use of multiple healthcare practitioners, including conventional medicine and complementary and alternative medicine practitioners, highlights the need for further research investigating health services utilization of pregnant women with headache or migraine in different severity and frequency to help inform effective and safe treatment. [ABSTRACT FROM AUTHOR]- Published
- 2018
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11. Health care utilisation of women who experience pregnancy-related reflux, nausea and/or vomiting.
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Frawley, Jane, Hall, Helen, Adams, Jon, and Sibbritt, David
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PREGNANCY complications ,PRENATAL care ,ABORTION ,PREGNANCY & psychology ,PREGNANT women - Abstract
Objective: Nausea, vomiting and reflux are common conditions experienced by women during pregnancy. The objective of this project was to examine women's use of health services for these conditions. Methods: The study sample was obtained via the Australian Longitudinal Study on Women's Health. A total of 2445 women who were pregnant or who had recently given birth in 2009 were invited to complete a sub-survey in 2010 about pregnancy and health service utilisation. A response rate of 79.2% was obtained. Results: During their pregnancy, 604 (32.9%) respondents experienced nausea, with 255 (42.2%) of these women seeking help from a health care practitioner. A total of 201 women (11%) reported repeated vomiting, and 637 women (34.7%) reported reflux, of which 78.6% and 59.2% sought help, respectively. There were no significant differences in the mental and physical health measures between women with nausea, vomiting and/or reflux who sought help and women who did not. Having private health insurance with obstetric cover was associated with seeking help for reflux; this was the only demographic measure significantly associated with seeking help for any condition. Conclusion: Research is required to understand why many women do not seek professional help for common gastrointestinal conditions during pregnancy. [ABSTRACT FROM AUTHOR]
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- 2017
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12. Substantial out-of-pocket expenditure on maternity care practitioner consultations and treatments during pregnancy: estimates from a nationally-representative sample of pregnant women in Australia.
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Adams, Jon, Steel, Amie, Frawley, Jane, Broom, Alex, and Sibbritt, David
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MATERNAL health services ,PREGNANT women ,UTILIZATION of maternal health services ,HEALTH insurance ,ALTERNATIVE medicine ,HUMAN services ,TREATMENT of pregnancy complications ,PREGNANCY complications ,MEDICAL care cost statistics ,GENERAL practitioners ,MEDICAL referrals ,PRENATAL care ,ECONOMICS - Abstract
Background: A wide range of health care options are utilised by pregnant women in Australia. The out-of-pocket costs of maternity care in Australia vary depending on many factors including model of care utilised, health insurance coverage, and women's decision to access health services outside of conventional maternity care provision.Methods: Women from the 1973-78 cohort of the Australian Longitudinal Study on Women's Health (ALSWH) who identified as pregnant or as recently having given birth in 2009 were invited to complete a sub-study questionnaire investigating health service utilisation during their most recent pregnancy.Results: A total of 1,835 women agreed to participate in the sub-study. The majority of women (99.8%) consulted with a conventional health care practitioner during pregnancy, 49.4% consulted with a complementary and alternative medicine practitioner at least once during pregnancy and 89.6% of the women used a complementary and alternative medicine product. Women reported an average of AUD$781.10 in out-of-pocket expenses for consultations with conventional health care practitioners, AUD$185.40 in out-of-pocket expenses for consultations with complementary and alternative medicine practitioners and AUD$179.60 in out-of-pocket expenses for complementary and alternative medicine products. From the study data we estimate Australian pregnant women spend over AUD$337 M on out-of-pocket health services.Conclusion: While the majority of pregnant women in Australia may obtain health services via the publically-funded health care system and/or private health insurance coverage, our analysis identifies substantial out-of-pocket expenditure for health care by pregnant women - a trend in public spending for maternity care of importance to policy makers, health administrators, and health professionals. [ABSTRACT FROM AUTHOR]- Published
- 2017
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13. Complementary and alternative medicine practitioner use prior to pregnancy predicts use during pregnancy.
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Frawley, Jane, Sibbritt, David, Broom, Alex, Gallois, Cindy, Steel, Amie, and Adams, Jon
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ACUPUNCTURE , *ALTERNATIVE medicine , *CHIROPRACTORS , *MENTAL depression , *HEALTH status indicators , *HERBALISTS , *INCOME , *LONGITUDINAL method , *MASSAGE therapy , *MULTIVARIATE analysis , *RURAL conditions , *SURVEYS , *URINARY tract infections , *PREDICTIVE tests , *DATA analysis software , *DESCRIPTIVE statistics , *PREGNANCY - Abstract
The objective of the authors in this study was to determine if prior visits to a complementary and alternative medicine (CAM) practitioner were associated with CAM use during pregnancy. The study sample comprised the Australian Longitudinal Study on Women’s Health. Women were surveyed prior to pregnancy in 2006, and then again in 2010 if they were pregnant or had recently given birth, and asked a range of questions relating to demographic variables, health status, and use of CAM. A multivariable analysis identified significant covariates associated with visits to specific CAM practitioner modalities during pregnancy. Of the 447 women who consulted a CAM practitioner prior to pregnancy, 62.4% (n = 279) continued this use during pregnancy. Prior use of massage therapy, acupuncture, herbalist/naturopath, or chiropractor was related to use of the same service during pregnancy. Higher income and working full-time were associated with the continued use of massage, while continued visits to a chiropractor were associated with having depressive symptoms, a urinary tract infection, and living in a rural community. Prior use of CAM was highly related to continuing use during pregnancy. Further research is required to elucidate the benefits women attain from a CAM-model of care that they do not get from their conventional maternity care providers alone. [ABSTRACT FROM PUBLISHER]
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- 2016
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14. Healthcare utilisation of pregnant women who experience sciatica, leg cramps and/or varicose veins: A cross-sectional survey of 1835 pregnant women.
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Hall, Helen, Lauche, Romy, Adams, Jon, Steel, Amie, Broom, Alex, and Sibbritt, David
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Background Common discomforts of pregnancy experienced in the lower extremity include sciatica, leg cramps and varicose veins. Whilst research attention has focused on aetiology and outcomes, the health service utilisation of pregnant women suffering from these complaints has been largely overlooked. Aim To examine the health status and health service utilisation profile of pregnant women experiencing sciatica, leg cramps or varicose veins. Methods Linear and logistic regression was applied to a cross-sectional survey of a pregnant women drawn from the 1973 to 1978 cohort (aged 31–36 years in 2009), of the Australian Longitudinal Study on Women's Health ( n = 1835). Participant's demographics, health status and health service utilisation were compared for all three complaints based upon three subgroups (yes, sought help; yes, did not seek help; no). Findings A number of women experienced sciatica (22.1%), leg cramps (18.2%) or varicose veins (9.4%). Of these, a greater proportion of women with sciatica (79.3%) or varicose veins (71.5%) sought help for their condition compared with women with leg cramps (46.7%). Comparisons between women with the conditions of interest who did seek help and those who did not only found that women with a university degree were 0.29 (95% CI: 0.10, 0.85) times less likely to seek help for their condition compared to women with a school only education. Conclusion Further research examining all health seeking behaviour and treatment use of pregnant women who experience lower extremity problems is required in order to facilitate safe, effective and coordinated maternity care to further support these women during pregnancy. [ABSTRACT FROM AUTHOR]
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- 2016
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15. Prevalence and characteristics of women who consult with osteopathic practitioners during pregnancy; a report from the Australian Longitudinal Study on Women's Health (ALSWH).
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Frawley, Jane, Sundberg, Tobias, Steel, Amie, Sibbritt, David, Broom, Alex, and Adams, Jon
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Summary Background/aim The use of complementary medicine (CM) is common during pregnancy with visits to osteopathic practitioners growing in recent years. This study was conducted to investigate the prevalence and characteristics of women who consult osteopathic practitioners during pregnancy. Method The study sample was obtained via the Australian Longitudinal Study on Women's Health (ALSWH). The women answered questions about consultations with osteopathic practitioners, pregnancy-related health concerns and attitudes to CM use. Results A total response rate of 79.2% (1835) was obtained. Of these, 104 women (6.1%) consulted with an osteopath during pregnancy for a pregnancy-related health condition. Women were more likely to consult an osteopath if they suffered from back pain, sadness, weight management issues, or had a history of retained placenta. Conclusion Women are visiting osteopaths for help with common pregnancy health complaints, highlighting the need for research to evaluate the safety, clinical and cost effectiveness of osteopathy in pregnancy. [ABSTRACT FROM AUTHOR]
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- 2016
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16. Managing the pain of labour: factors associated with the use of labour pain management for pregnant Australian women.
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Steel, Amie, Adams, Jon, Sibbritt, David, Broom, Alex, Gallois, Cindy, and Frawley, Jane
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LABOR pain (Obstetrics) - Abstract
Background: Despite high rates of women's use of intrapartum pain management techniques, little is known about the factors that influence such use. Objective: Examine the determinants associated with women's use of labour pain management. Design: Cross‐sectional survey of a substudy of women from the ‘young’ cohort of the Australian Longitudinal Study of Women's Health (ALSWH). Setting and participants: Women aged 31–35 years who identified as being pregnant or recently given birth in the 2009 ALSWH survey (n = 2445) were recruited for the substudy. The substudy survey was completed by 1835 women (RR = 79.2%). Main variables studied: Determinants examined included pregnancy health and maternity care [including complementary and alternative medicine (CAM)] for their most recent pregnancy and any previous pregnancies. Participants' attitudes and beliefs related to both CAM and maternity care were also included in the analysis. Main outcome measures: The outcome measures examined were the use of both pharmacological and non‐pharmacological pain management techniques (NPMT). Results: Differences were seen in the effects of demographics, health service utilization, health status, use of CAM, and attitudes and beliefs upon use of intrapartum pain management techniques across all categories. The only variable that was identified as a determinant for use of all types of pain management techniques was a previous caesarean section (CS). Discussion and conclusions: The effect of key determinants on women's use of pain management techniques differs significantly, and, other than CS, no one determinant is clearly influential in the use of all pain management options. [ABSTRACT FROM AUTHOR]
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- 2015
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17. The outcomes of complementary and alternative medicine use among pregnant and birthing women: current trends and future directions.
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Steel, Amie, Adams, Jon, Sibbritt, David, and Broom, Alex
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Complementary and alternative medicine is used by a substantial number of pregnant women and maternity care providers are often faced with the task of ensuring women are using safe and effective treatments while respecting a woman's right to autonomous decision-making. In the era of evidence-based medicine maternity health professionals are expected to draw upon the best available evidence when making clinical decisions and providing health advice. This review will outline the current trends in research evidence associated with the outcomes of complementary and alternative medicine use amongst pregnant and birthing women as well as highlight some potential directions for future development in this important yet largely unknown topic in contemporary maternity care. [ABSTRACT FROM AUTHOR]
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- 2015
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18. Relationship between complementary and alternative medicine use and incidence of adverse birth outcomes: An examination of a nationally representative sample of 1835 Australian women.
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Steel, Amie, Adams, Jon, Sibbritt, David, Broom, Alex, Frawley, Jane, and Gallois, Cindy
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Objective: there is evidence of high use of complementary and alternative medicine (CAM) by pregnant women. Despite debate and controversy regarding CAM use in pregnancy there has been little research focus upon the impacts of CAM use on birth outcomes. This paper reports findings outlining the incidence of adverse birth outcomes among women accessing CAM during pregnancy. Design: a survey-based cohort sub-study from the nationally-representative Australian Longitudinal Study on Women's Health (ALSWH) was undertaken in 2010. Participants: women (aged 31-36 years) who identified in 2009 as pregnant or recently given birth (n=2445) from the younger cohort (n=8012) of ALSWH were recruited for the study. Measurements and findings: participants' responses were analysed to examine the relationship between use of CAM and adverse birth outcomes from their most recent pregnancy. Of the respondents (n=1835; 79.2%), there were variations in birth outcomes for the women who used different CAM. Notably, the outcome which was most commonly associated with CAM use was emotional distress. This was found to occur more commonly in women who practised meditation/yoga at home, used flower essences, or consulted with a chiropractor. In contrast, women who consulted with a chiropractor or consumed herbal teas were less likely to report a premature birth, whilst participation in yoga classes was associated with an increased incidence of post partum/intrapartum haemorrhage. Key conclusions: the results emphasise the necessity for further research evaluating the safety and effectiveness of CAM for pregnant women, with a particular focus on birth outcomes. Implications for practice: health professionals providing care need to be aware of the potential birth outcomes associated with CAM use during pregnancy to enable the provision of accurate information to women in their care, and to assist in safely supporting women accessing CAM to assist with pregnancy, labour and birth. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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19. Majority of Women Are Influenced by Nonprofessional Information Sources When Deciding to Consult a Complementary and Alternative Medicine Practitioner During Pregnancy.
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Frawley, Jane, Adams, Jon, Broom, Alex, Steel, Amie, Gallois, Cindy, and Sibbritt, David
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ALTERNATIVE medicine ,CHI-squared test ,CONFIDENCE intervals ,FAMILIES ,FAMILY medicine ,FRIENDSHIP ,LONGITUDINAL method ,MIDWIVES ,MULTIMEDIA systems ,OBSTETRICS ,PHYSICIANS ,QUESTIONNAIRES ,REGRESSION analysis ,RESEARCH funding ,SURVEYS ,WOMEN'S health ,INFORMATION resources ,LOGISTIC regression analysis ,ALTERNATIVE medicine specialists ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio ,PREGNANCY - Abstract
Objectives: Up to 87% of women are using some form of complementary and alternative medicine (CAM) during their pregnancy, and this study was conducted to investigate the information sources that these women find influential in relation to such use. Design: The study sample was obtained via the Australian Longitudinal Study on Women's Health. This article is based on a substudy of 1835 pregnant women who were surveyed in 2010. The women answered questions about CAM use, pregnancy-related health concerns, and influential information sources in relation to CAM use. Logistic regression models were used to determine the information sources that women reported as influential in their decision making regarding CAM use. Results: Of the respondents ( n=1835, 79.2% response rate), 48.1% ( n=623) of the pregnant women consulted a CAM practitioner and 91.7% ( n=1485) used a CAM product during pregnancy. The results show that, of the women who used CAM, nearly half (48%, n=493) were influenced by their own personal experience of CAM and 43% ( n=423) by family and friends. Other popular sources of information were general practitioners 27% ( n=263), the media (television, radio, books, magazines, newspapers) 22% ( n=220), obstetricians 21% ( n=208) and midwives 19% ( n=190). Numerous statistically significant associations between influential information sources and pregnancy-related health conditions were identified. Conclusions: Women utilize a wide variety of information sources regarding their CAM use during pregnancy. Nonprofessional sources of information were found to be particularly influential, and maternity health care professionals need to have a nonjudgmental and open discussion with women about their CAM use during pregnancy in order to ensure safe and effective maternal outcomes. [ABSTRACT FROM AUTHOR]
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- 2014
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20. The self-prescribed use of aromatherapy oils by pregnant women.
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Sibbritt, David W., Catling, Christine J., Adams, Jon, Shaw, Andrea J., and Homer, Caroline S.E.
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Abstract: Background: While some studies have reported effectiveness of aromatherapy oils use during labour there is no reported evidence of efficacy or risks of aromatherapy oils use for pregnancy-related symptoms or conditions. A number of aromatherapy oils are unsafe for use by pregnant women yet there is currently no research examining the prevalence and characteristics of women who use aromatherapy oils during pregnancy. Aim: To conduct an empirical study of the prevalence and characteristics of women who use aromatherapy oils during pregnancy. Methods: The research was conducted as part of the Australian Longitudinal Study on Women's Health (ALSWH), focusing on the nationally representative sample of Australian women aged 31–36 years. Data were collected via a cross-sectional questionnaire (n =8200) conducted in 2009. Results: Self-prescribed aromatherapy oils were used by 15.2% of pregnant women. Pregnant women were 1.57 (95% CI: 1.01, 2.43) times more likely to self-prescribe use of aromatherapy oils if they have allergies or hayfever, and 2.26 (95% CI: 1.34, 3.79) times more likely to self-prescribe use of aromatherapy oils if they have a urinary tract infection (UTI). Conclusion: Our study highlights a considerable use of aromatherapy oils by pregnant women. There is a clear need for greater communication between practitioners and patients regarding the use of aromatherapy oils during pregnancy, as well a need for health care practitioners to be mindful that pregnant women in their care may be using aromatherapy oils, some of which may be unsafe. [Copyright &y& Elsevier]
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- 2014
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21. Determinants of Women Consulting with a Complementary and Alternative Medicine Practitioner for Pregnancy-Related Health Conditions.
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Steel, Amie, Adams, Jon, Sibbritt, David, Broom, Alex, Gallois, Cindy, and Frawley, Jane
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ALTERNATIVE medicine -- Evaluation ,ACUPUNCTURISTS ,ALTERNATIVE medicine ,CHIROPRACTORS ,CONFIDENCE intervals ,ECOLOGICAL research ,EPIDEMIOLOGY ,HELP-seeking behavior ,LONGITUDINAL method ,NATUROPATHS ,POISSON distribution ,QUESTIONNAIRES ,REGRESSION analysis ,SCALE analysis (Psychology) ,DATA analysis ,SECONDARY analysis ,CROSS-sectional method ,DATA analysis software ,MASSAGE therapists ,PREGNANCY - Abstract
The objective of this study was to explore the determinants that are related to women’s likelihood to consult with a complementary and alternative medicine (CAM) practitioner during pregnancy. Primary data were collected as a sub-study of the Australian Longitudinal Study on Women’s Health (ALSWH) in 2010. We completed a cross-sectional survey of 2,445 women from the ALSWH “younger” cohort (n = 8,012), who had identified as being pregnant or had recently given birth in 2009. Independent Poisson backwards stepwise regression models were applied to four CAM practitioner outcome categories: acupuncturist, chiropractor, massage therapist, and naturopath. The survey was completed by 1,835 women (79.2%). The factors associated with women’s consultation with a CAM practitioner differed by practitioner groups. A range of demographic factors were related, including employment status, financial status, and level of education. Women’s health insurance coverage, health status, and perceptions toward both conventional maternity care and CAM were also associated with their likelihood of consultations with all practitioner groups, but in diverse ways. Determinants for women’s consultations with a CAM practitioner varied across practitioner groups. Stakeholders and researchers would benefit from giving attention to specific individual modalities when considering CAM use in maternity care. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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22. The Influence of Complementary and Alternative Medicine Use in Pregnancy on Labor Pain Management Choices: Results from a Nationally Representative Sample of 1,835 Women.
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Steel, Amie, Adams, Jon, Sibbritt, David, Broom, Alex, Frawley, Jane, and Gallois, Cindy
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ISONIPECAINE ,ALTERNATIVE medicine ,CHI-squared test ,CHILDBIRTH ,COMPARATIVE studies ,CONFIDENCE intervals ,DECISION making ,EPIDEMIOLOGY ,LONGITUDINAL method ,MASSAGE therapy ,PATIENTS ,EPIDURAL anesthesia ,RESEARCH funding ,SURVEYS ,WOMEN'S health ,DATA analysis ,MULTIPLE regression analysis ,DATA analysis software ,LABOR pain (Obstetrics) ,DESCRIPTIVE statistics ,PREGNANCY ,THERAPEUTICS - Abstract
Objectives: This study examines involvement with a range of complementary and alternative medicine (CAM) during pregnancy on the use of pharmacologic (PPMT) and nonpharmacologic (NPMT) pain management techniques for labor and birth. Design: Longitudinal analysis of survey data. Participants: A substudy ( n=2445) of the 'young' cohort of the nationally representative Australian Longitudinal Study on Women's Health was conducted. Outcome measures : Use of PPMT and NPMT during labor and birth. Results: The survey was completed by 1835 women (response rate, 79.2%). Most respondents used either intrapartum PPMT (81.9%) or NPMT (74.4%). Many (60.7%) used some form of CAM during pregnancy and also used PPMT during birth. More than two thirds of women (66.7%) who used NPMT used CAM during pregnancy. There was a general trend of increased likelihood of NPMT use by women who applied CAM during pregnancy. There was an inverse effect on use of epidural analgesia for women who consumed herbal teas during pregnancy (odds ratio, 0.60). Conclusions: Because of the study design, this paper does not confirm a causative relationship between the use of CAM during pregnancy and intrapartum pain management choices. It does, however, indicate that the use of CAM during pregnancy may not significantly affect the uptake of intrapartum PPMT, despite possible attempts to reduce PPMT by using NPMT. It also highlights the possibility of potential interactions between CAM and PPMT, given the high prevalence of concomitant use. [ABSTRACT FROM AUTHOR]
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- 2014
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23. The profile of women who consult midwives in Australia.
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Sibbritt, David W., Catling-Paull, Christine J., Scarf, Vanessa L., and Homer, Caroline S.E.
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Abstract: Background: There is no Australian data on the characteristics of women who consult with midwives. Aim: To determine the profile of women who consult midwives in Australia. Methods: This cross-sectional research was conducted as part of the Australian Longitudinal Study on Women's Health (ALSWH). Participants were the younger (31–36 years) cohort of the ALSWH who completed a survey in 2009, and indicated that they were currently pregnant (n =801). The main outcome measure was consultation with a midwife. Findings: Of the 801 women who indicated that they were currently pregnant at the time of the survey, 19%, 42%, and 70% of women in the first, second and third trimesters respectively had consulted with a midwife. Women were more likely to consult a midwife if they: also consulted with a hospital doctor (OR=2.70, 95% CI: 1.66, 4.40); also consulted with a complementary and alternative medicine practitioner (OR=1.94, 95% CI: 1.25, 3.03); were depressed (OR=1.84, 95% CI: 1.03, 3.28); constipated (OR=1.80, 95% CI: 1.04, 3.13); or had been diagnosed or treated for hypertension during pregnancy (OR=2.78, 95% CI: 1.27, 6.09). Women were less likely (OR=0.34, 95% CI: 0.21, 0.56) to consult with a midwife if they had private health insurance. Conclusion: Women were more likely to consult with midwives in conjunction with consultations with hospital doctors or complementary and alternative medicine practitioners. Women with private health insurance were less likely to consult midwives. More research is necessary to determine the implications of the lack of midwifery care for these women. [Copyright &y& Elsevier]
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- 2013
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24. 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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Frawley, Jane, Adams, Jon, Sibbritt, David, Steel, Amie, Broom, Alex, and Gallois, Cindy
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TREATMENT of backaches ,TREATMENT of pregnancy complications ,ALTERNATIVE medicine ,CHI-squared test ,CONFIDENCE intervals ,EPIDEMIOLOGY ,LONGITUDINAL method ,MATERNAL health services ,PRENATAL care ,SURVEYS ,DATA analysis ,MULTIPLE regression analysis ,EDUCATIONAL attainment ,DATA analysis software ,PREGNANCY - Abstract
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 CAM consumption amongst pregnant women. Aim To examine the prevalence and determinants of CAM use 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 CAM use, 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 CAM practitioner and 52.0% ( n = 842) of women using CAM products (excluding vitamins and minerals) during pregnancy. CAM practitioner 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 CAM practitioner if they suffered with headaches/migraines. Employment was also found to be predictive of pregnant women's visits to a CAM practitioner. Significant health history and demographic predictors of CAM product use were tiredness and fatigue, embarking on preparation for labour and having a university education. Conclusion Most pregnant women are utilising CAM products 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 CAM use to help promote safe, effective coordinated maternity care. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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25. The Use of Complementary and Alternative Medicine During Pregnancy: A Longitudinal Study of Australian Women.
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Adams, Jon, Sibbritt, David, and Lui, Chi-Wai
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ALTERNATIVE medicine , *ANALYSIS of variance , *CHI-squared test , *HEALTH surveys , *MULTIVARIATE analysis , *RESEARCH funding , *STATISTICAL sampling , *T-test (Statistics) , *CROSS-sectional method - Abstract
Background: The use of complementary and alternative medicine is increasingly prevalent in contemporary Western societies. The objective of this study was to explore trends and patterns in complementary and alternative medicine practitioner consultations and the use of complementary and alternative medicine consumption before, during, and after pregnancy and between pregnancies. Methods: Analysis focused on data from 13,961 women from the younger cohort of the Australian Longitudinal Study on Women's Health collected between 1996 and 2006. Chi-square tests were employed for the cross-sectional analysis of categorical variables and t tests for continuous variables. Generalized estimating equations were used to conduct multivariate longitudinal analysis. Results: Complementary and alternative medicine use among pregnant and nonpregnant women continued to increase over the 10-year period. 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. Analysis also revealed that women used complementary and alternative treatments selectively during pregnancy. Conclusions: This study highlights the need for further research that is sensitive to the consumption of specific complementary and alternative therapies or modalities and to the wider contexts within which women perceive risk associated with their use of complementary and alternative treatments. (BIRTH 38:3 September 2011) [ABSTRACT FROM AUTHOR]
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- 2011
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26. Attitudes and referral practices of maternity care professionals with regard to complementary and alternative medicine: an integrative review.
- Author
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Adams, Jon, Chi-Wai Lui, Sibbritt, David, Broom, Alex, Wardle, Jon, and Homer, Caroline
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ALTERNATIVE medicine ,ATTITUDE (Psychology) ,CINAHL database ,MEDICAL referrals ,MEDLINE ,MIDWIVES ,PHYSICIANS ,RESEARCH funding ,SYSTEMATIC reviews - Abstract
Aim. This paper presents an integrative literature review examining the attitudes and referral practices of midwives and other maternity care professionals with regard to complementary and alternative treatment and its use by pregnant women. Background. Use of complementary and alternative medicine during pregnancy is a crucial healthcare issue. Recent discussion has identified the need to develop an integrated approach to maternity care. However, there is a lack of understanding of attitudes and behaviours of maternity care professionals towards these treatments. Data sources. A database search was conducted in MEDLINE, CINAHL, Health Source, AMED and Maternity and Infant Care for the period 1999-2009. Review methods. An integrative review method was employed. Studies were selected if they reported results from primary data collection on professional practice/referral or knowledge/attitude towards complementary and alternative medicine by obstetricians, midwives and allied maternity care providers. Results. A total of 21 papers covering 19 studies were identified. Findings from these studies were extracted, grouped and examined according to three key themes: 'prevalence of practice, recommendation and referral', 'attitudes and views' and 'professionalism and professional identity'. Conclusion. There is a need for greater respect and cooperation between conventional and alternative practitioners as well as communication between all maternity care practitioners and their patients about the use of complementary and alternative medicine. There is a need for in-depth studies on the social dimension of practice as well as the inter- and intra-professional dynamics that shape providers' decision to use or refer to complementary and alternative medicine in maternity care. [ABSTRACT FROM AUTHOR]
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- 2011
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27. Women's Use of Complementary and Alternative Medicine During Pregnancy: A Critical Review of the Literature.
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Adams, Jon, Chi-Wai Lui, Sibbritt, David, Broom, Alex, Wardle, Jon, Homer, Caroline, and Beck, Shoshannah
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MATERNAL health ,RESEARCH in alternative medicine ,MATERNAL health services ,MATERNAL & infant welfare ,HOSPITAL maternity services - Abstract
Background: The use of complementary and alternative medicine has attracted much attention and debate in recent years. The objective of this critical review is to examine the evidence base on use of complementary products and therapies during pregnancy. It examines an important but neglected issue in maternity care. Methods: A database search was conducted in MEDLINE, CINAHL, AMED, and Maternity and Infant Care. A total of 24 papers published between 1999 and 2008 met the selection criteria and were included in the review. Results: Findings of these 24 papers were extracted and reported under four themes: “user prevalence and profile,”“motivation and condition of use,”“perception and self-reported evaluation,” and “referral and information sources.” Conclusions: This review highlights four research gaps in the literature, a lack of: large representative samples; in-depth understanding of user experiences and risk perceptions; research comparing consumption patterns across cultures and over time; and work exploring the nature of the therapeutic encounter with complementary practitioners in this area of women's health care. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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28. The Association Between Women's Choice of Birth Setting and Their Use of CAM During Labor and Birth.
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Sibbritt, David, Adams, Jon, Frawley, Jane, Broom, Alex, and Gallois, Cindy
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PAIN management , *CHILDBIRTH at home , *ALTERNATIVE medicine , *ATTITUDE (Psychology) , *BIRTHING centers , *STATISTICAL correlation , *DECISION making , *EMPLOYMENT , *LONGITUDINAL method , *HOSPITAL maternity services , *SECONDARY analysis , *EDUCATIONAL attainment , *PREGNANCY - Abstract
An abstract of the article "The Association Between Women's Choice of Birth Setting and Their Use of CAM During Labor and Birth" by Amie Steel, David Sibbritt, Jon Adams, Jane Frawley, Alex Broom and Cindy Gallois is presented.
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- 2014
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29. Complementary and Alternative Medicine in Pregnancy: a Systematic Review.
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Steel, Amie, Adams, Jon, and Sibbritt, David
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DIETARY supplements , *ACUPUNCTURE , *AGE distribution , *ALTERNATIVE medicine , *AROMATHERAPY , *CINAHL database , *DECISION making , *DOULAS , *HOLISTIC medicine , *MASSAGE therapy , *MATERNAL health services , *MEDICAL referrals , *BOTANIC medicine , *MEDLINE , *PATIENTS , *SYSTEMATIC reviews , *EDUCATIONAL attainment , *PATIENTS' attitudes , *PREGNANCY , *THERAPEUTICS - Abstract
The article reports on research conducted to perform a systematic review of peer-reviewed literature exploring women's use of complementary and alternative medicine (CAM) in pregnancy, birth and postnatal care. Researchers performed a comprehensive database search to find relevant literature. They found that while the role and use of CAM in pregnancy has been gaining more interest from researchers and the body of evidence is growing, the focus of current research is not sufficiently broad.
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- 2011
30. Women's Use and Self-Prescription of Herbal Medicine during Pregnancy: An Examination of 1,835 Pregnant Women.
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Frawley, Jane, Adams, Jon, Steel, Amie, Broom, Alex, Gallois, Cindy, and Sibbritt, David
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- *
ACADEMIC medical centers , *CONFIDENCE intervals , *LONGITUDINAL method , *BOTANIC medicine , *PATIENT education , *SURVEYS , *DESCRIPTIVE statistics , *ODDS ratio , *PREGNANCY - Abstract
Background Recent research points to high levels of herbal medicine use during pregnancy. The objectives of this study were to elucidate the prevalence and understand the determinants of both the use and self-prescription of herbal medicine during pregnancy. Methods The study sample was obtained via the Australian Longitudinal Study on Women's Health. Women who were pregnant or who had recently given were invited to complete a subsurvey in 2010 about pregnancy, and complementary and alternative medicine use. Findings A response rate of 79.2% ( n = 1,835) was attained and 34.4% ( n = 588 of 1,835) of the sample were utilizing herbal medicine during pregnancy, of which 77.9% ( n = 458 of 588) were self-prescribing these products. The women in our study (aged 33–38) were more likely to use herbal medicine if they had anxiety (odds ratio [OR], 1.30; 95% CI, 1.02–1.64; p = .031), sleeping problems (OR, 1.55; 95% CI, 1.15–2.11; p = .005), or fatigue (OR, 1.32; 95% CI, 1.04–1.68; p = .025), but less likely to use herbal medicine if they had nausea (OR, 0.71; 95% CI, 0.56–0.91; p = .007). Women were more likely to self-prescribe herbal medicine if they suffered from varicose veins (OR, 2.46; 95% CI, 1.04–5.84; p = .041) and less likely to self-prescribe herbal medicine if they suffered from preeclampsia (OR, 0.23; 95% CI, 0.81–0.63; p = .005). Women who self-prescribed herbal medicine during pregnancy were also more likely to live in a rural environment (OR, 2.22; 95% CI, 1.32–3.73; p = .003). Conclusions Many Australian women are consuming herbal medicine during pregnancy. The self-prescription of herbal medicine by pregnant women is of particular concern owing to potential safety issues, and it is important that maternity health care providers have an open and nonjudgmental conversation with women about herbal medicine use during pregnancy. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
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