Authors :
Himanshu Jaiswal; Dr. Swarup J. Chatterjee; Anurag Tiwari
Volume/Issue :
Volume 9 - 2024, Issue 12 - December
Google Scholar :
https://tinyurl.com/4f2s95s4
Scribd :
https://tinyurl.com/rp43v3ed
DOI :
https://doi.org/10.5281/zenodo.14550783
Abstract :
Alternative medicine includes, among others,
various types of practices, therapies, and a vast variety
of natural products alongside or in place of Western
medical treatments. Many pregnant women use
alternative medicine to either help them with common
symptoms or promote their general well-being, such as
nausea, back ache, anxiety, or for helping with sleep.
Some of these include acupuncture, herbal medicine,
chiropractic care, massage, and homeopathy. While
others, such as prenatal yoga and acupuncture, have a
history of being safely provided in a professional setting,
some alternative medicine, including some herbal
treatments, are more of a concern to both mother and
fetus because of inadequate information about their
safety and efficacy. This abstract explores the
prevalence, motivations, and safety considerations of
alternative medicine among pregnant women and why
evidence-based guidance coupled with open
communication between patients and providers is
essential. There is further need for research on these
practices to evaluate their effectiveness and safety on
pregnant women for making informed decisions.
References :
- Giovanni S. A brief history of allopathic medicine. J Tradit Chin Med Sci. 2021;8:S10–6. https://doi.org/10.1016/j.jtcms.2020.06.002. Article CAS Google Scholar
- World Health Organization. Traditional and complementary medicine in primary health care. 2018. https://www.who.int/publications/i/item/WHO-HIS-SDS-2018.37. Accessed 22 July 2021.
- National Center for Complementary and Integrative Health. Complementary, alternative, or integrative health: What’s in a name? 2021. https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name.Accessed 22 July 2021.
- Ministry of Health, Labour and Welfare. Definition of integrative medicine, Information site for evidence-based Japanese Integrative Medicine.2014. https://www.ejim.ncgg.go.jp/en/pro/about/index.html.Accessed 22 July 2021.
- Hall HG, Griffiths DL, McKenna LG. The use of complementary and alternative medicine by pregnant women: a literature review. Midwifery. 2011;27(6):817–24. https://doi.org/10.1016/j.midw.2010.08.007. Article PubMed Google Scholar
- Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev. 2015;2015(9):CD001139. https://doi.org/10.1002/14651858.CD001139.pub4. Article PubMed PubMed Central Google Scholar
- Smyth RM, Aflaifel N, Bamigboye AA. Interventions for varicose veins and leg oedema in pregnancy. Cochrane Database Syst Rev. 2015;2015(10):CD001066. https://doi.org/10.1002/14651858.CD001066.pub3. Article PubMed PubMed Central Google Scholar
- Coyle ME, Smith CA, Peat B. Cephalic version by moxibustion for breech presentation. Cochrane Database Syst Rev. 2012;5:CD003928. https://doi.org/10.1002/14651858.CD003928.pub3. Article Google Scholar
- Miranda-Garcia M, Domingo Gómez C, Molinet-Coll C, Nishishinya B, Allaoui I, Gómez Roig MD, Goberna-Tricas J. Effectiveness and safety of acupuncture and moxibustion in pregnant women with noncephalic presentation: an overview of systematic reviews. Evid Based Complement Alternat Med. 2019;2019:7036914. https://doi.org/10.1155/2019/7036914. Article PubMed PubMed Central Google Scholar
- McParlin C, O’Donnell A, Robson SC, Beyer F, Moloney E, Bryant A, Bradley J, Muirhead CR, Nelson-Piercy C, Newbury-Birch D, Norman J, Shaw C, Simpson E, Swallow B, Yates L, Vale L. Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: a systematic review. JAMA. 2016;316(13):1392–401. https://doi.org/10.1001/jama.2016.14337. Article PubMed Google Scholar
- Smith CA, Shewamene Z, Galbally M, Schmied V, Dahlen H. The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: a systematic review and meta-analysis. J Affect Disord. 2019;245:428–39. https://doi.org/10.1016/j.jad.2018.11.054. Article PubMed Google Scholar
- Steel A, Adams J, Sibbritt D, Broom A. The outcomes of complementary and alternative medicine use among pregnant and birthing women: current trends and future directions. Womens Health. 2015;11(3):309–23. https://doi.org/10.2217/whe.14.84. Article CAS Google Scholar
- Strouss L, Mackley A, Guillen U, Paul DA, Locke R. Complementary and alternative medicine use in women during pregnancy: do their healthcare providers know? BMC Complement Altern Med. 2014;14:85. https://doi.org/10.1186/1472-6882-14-85. Article PubMed PubMed Central Google Scholar
- Hall HR, Jolly K. Women’s use of complementary and alternative medicines during pregnancy: a cross-sectional study. Midwifery. 2014;30(5):499–505. https://doi.org/10.1016/j.midw.2013.06.001. Article PubMed Google Scholar
- Kalder M, Knoblauch K, Hrgovic I, Münstedt K. Use of complementary and alternative medicine during pregnancy and delivery. Arch Gynecol Obstet. 2011;283(3):475–82. https://doi.org/10.1007/s00404-010-1388-2. Article PubMed Google Scholar
- Quzmar Y, Istiatieh Z, Nabulsi H, Zyoud SH, Al-Jabi SW. The use of complementary and alternative medicine during pregnancy: a cross sectional study from Palestine. BMC Complement Med Ther. 2021;21(1):108. https://doi.org/10.1186/s12906-021-03280-8. Article PubMed PubMed Central Google Scholar
- Onyiapat J, Okafor C, Okoronkwo I, Anarado A, Chukwukelu E, Nwaneri A, et al. Complementary and alternative medicine use: Results from a descriptive study of pregnant women in Udi local government area of Enugu state, Nigeria. BMC Complement Altern Med. 2017;17(1):189. https://doi.org/10.1186/s12906-017-1689-0. Article PubMed PubMed Central Google Scholar
- Pallivalapila A, Stewart D, Shetty A, Pande B, Singh R, Mclay JS. Use of complementary and alternative medicines during the third trimester.Obstet Gynecol. 2015;125(1):204–11. https://doi.org/10.1097/AOG.0000000000000596. Article PubMed Google Scholar
- Yamamoto S, Wada Y. Awareness, use and information sources of folic acid supplementation to prevent neural tube defects in pregnant Japanese women. Public Health Nutr. 2017;21(4):732–9. https://doi.org/10.1017/S1368980017003172. Article PubMed PubMed Central Google Scholar
- 20. Sato Y, Nakanishi T, Chiba T, Yokotani K, Ishinaga K, Takimoto H, et al. Prevalence of inappropriate dietary supplement use among pregnant women in Japan. Asia Pac J ClinNutr. 2013;22(1):83–9 (https://apjcn.nhri.org.tw/server/APJCN/22/1/83.pdf). PubMed Google Scholar
- Adams J, Lui CW, Sibbritt D, Broom A, Wardle J, Homer C, Beck S. Women’s use of complementary and alternative medicine during pregnancy: a critical review of the literature. Birth. 2009;36(3):237–45. https://doi.org/10.1111/j.1523-536X.2009.00328.x. Article PubMed Google Scholar
- Pallivalappila AR, Stewart D, Shetty A, Pande B, McLay JS. Complementary and alternative medicines use during pregnancy: a systematic review of pregnant women and healthcare professional views and experiences. Evid Based Complement Alternat Med. 2013;2013. https://doi.org/10.1155/2013/205639.
- Bureau of Social Welfare and Public Health. Annual change -the number of births and birth rate (2002–2019).https://www.fukushihoken.metro.tokyo.lg.jp/kiban/chosa_tokei/jinkodotaitokei/kushityosonbetsu.html?SLANG=ja&TLANG=en&XMODE=0&XCHARSET=utf-8&XJSID=0. Accessed 14 Feb 2022.
- Raosoft. Sample size calculator.https://www.surveysystem.com/sscalc.htm.
- Rindfuss RR, Choe MK, Tsuya NO, Bumpass LL, Tamaki E. Do low survey response rates bias results? Evidence from Japan. Demographic Res. 2015;32(26):797–828. https://doi.org/10.4054/DemRes.2015.32.26. Article Google Scholar
- Hyodo I, Amano N, Eguchi K, Narabayashi M, Imanishi J, Hirai M, et al. Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J ClinOncol. 2005;23(12):2645–5 https://doi.org/10.1200/JCO.2005.04.126. Article PubMed Google Scholar
- Quandt SA, Verhoef MJ, Arcury TA, Lewith GT, Steinsbekk A, Kristoffersen AE, et al. Development of an international questionnaire to measure use of complementary and alternative medicine (I-CAM-Q). J Altern Complement Med. 2009;15(4):331–9 https://doi.org/10.1089/acm.2008.0521. Article PubMed PubMed Central Google Scholar
- Minakami H, Maeda T, Fujii T, Hamada H, Iitsuka Y, Itakura A, et al. Guidelines for obstetrical practice in Japan: Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG) 2014 edition. J ObstetGynaecol Res. 2014; 40: 1469–99. https://doi.org/10.1111/jog.12419. Article PubMed Google Scholar
- Kawaguchi R, Matsumoto K, Ishikawa T, Ishitani K, Okagaki R, Ogawa M, et al. Guideline for gynecological practice in Japan: Japan Society of Obstetrics and Gynecology and Japan Association of Obstetricians and Gynecologists 2020 edition. J ObstetGynaecol Res. 2021;47:5–25. https://doi.org/10.1111/jog.14487. Article PubMed Google Scholar
30.John LJ, Shantakumari N. Herbal medicines use during pregnancy: a review from the Middle East. Oman Med J. 2015;30(4):229–36. https://doi.org/10.5001/omj.2015.48. Article CAS PubMed PubMed Central Google Scholar
Alternative medicine includes, among others,
various types of practices, therapies, and a vast variety
of natural products alongside or in place of Western
medical treatments. Many pregnant women use
alternative medicine to either help them with common
symptoms or promote their general well-being, such as
nausea, back ache, anxiety, or for helping with sleep.
Some of these include acupuncture, herbal medicine,
chiropractic care, massage, and homeopathy. While
others, such as prenatal yoga and acupuncture, have a
history of being safely provided in a professional setting,
some alternative medicine, including some herbal
treatments, are more of a concern to both mother and
fetus because of inadequate information about their
safety and efficacy. This abstract explores the
prevalence, motivations, and safety considerations of
alternative medicine among pregnant women and why
evidence-based guidance coupled with open
communication between patients and providers is
essential. There is further need for research on these
practices to evaluate their effectiveness and safety on
pregnant women for making informed decisions.