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Title: Midwives' personal use of complementary and alternative medicine (CAM) influences their recommendations to women experiencing a post-date pregnancy.
Authors: Mollart, Lyndall
Skinner, Virginia
Adams, Jon
Foureur, Maralyn
Affiliation: Centre for Midwifery and Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, Australia; School of Nursing and Midwifery, University of Newcastle, University Dr, Callaghan, NSW 2308 Australia. Electronic address:
Nursing Office, Department of Health, Mitchell St, Darwin City, Northern Territory 8000 Australia..
Australian Research Centre in Complementary and Integrative Medicine, University of Technology, Sydney, Australia..
Centre for Midwifery and Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, Australia..
Issue Date: Feb-2018
Citation: Women and birth : journal of the Australian College of Midwives 2018-02; 31(1): 44-51
Abstract: Complementary and Alternative Medicine (CAM) have increasingly been used by pregnant women with a steady rise in interest by midwives. Literature describing CAM and self-help options midwives recommend to women experiencing a post-date pregnancy is sparse. This study aimed to investigate if Australian midwives' personal CAM use impacts on discussions and recommendations of CAM/Self-help strategies. A survey of a national midwifery association midwifery members (n=3,552) was undertaken at a midwifery conference (October 2015) and via e-bulletins (November 2015-March 2016). The self-administered survey included questions on what self-help and CAM strategies midwives discuss and recommend to women with a post-date pregnancy, midwives' confidence levels on discussing or recommending CAM, midwives' own personal use of CAM. A total of 571 registered midwives completed the survey (16%). Demographics (age, years as a midwife, state of residence) reflected Australian midwives and the midwifery association membership. Most respondents discuss (91.2%) and recommend (88.6%) self-help/CAM strategies to women with a post-date pregnancy. The top five CAM recommended were Acupuncture (65.7%), Acupressure (58.1%), Raspberry Leaf (52.5%), Massage (38.9%) and Hypnosis/Calmbirthing/Hypnobirthing (35.7%). Midwives were more likely to discuss strategies if they personally used CAM (p<.001), were younger (p<.001) or had worked less years as midwives (p=.004). Midwives were more likely to recommend strategies if they used CAM in their own pregnancies (p=.001). Midwives' personal use of CAM influenced their discussions and recommendations of CAM/self-help strategies to women experiencing a post-date pregnancy. This study has implications for inclusion of CAM in midwifery education curricula.
DOI: 10.1016/j.wombi.2017.06.014
Type: Journal Article
Subjects: Discussing/recommending CAM
Personal use
Self-help strategies
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