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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.
- Source :
-
Journal of Alternative & Complementary Medicine . Feb2014, Vol. 20 Issue 2, p87-97. 11p. - Publication Year :
- 2014
-
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]
- Subjects :
- *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
Subjects
Details
- Language :
- English
- ISSN :
- 10755535
- Volume :
- 20
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Alternative & Complementary Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 104024541
- Full Text :
- https://doi.org/10.1089/acm.2013.0171