Complementary and alternative medicine use during early pregnancy

Abdul Rouf Pallivalappila, Derek Stewart, Ashalatha Shetty, Binita Pande, Rajvir Singh, James S. Mclay

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

OBJECTIVE: To determine the prevalence and explore predictors of Complementary and Alternative Medicine (CAM) use during early pregnancy.

STUDY DESIGN: A questionnaire survey of pregnant women (500) attending for mid trimester scan at the maternity services in Grampian, North-East Scotland. Outcome measures included; CAM used; vitamins and minerals used; independent predictors of use; views and experiences. Descriptive and inferential statistical analysis.

RESULTS: The response rate was 66%. Two thirds of respondents (63%) reported using CAM, excluding vitamins and minerals, during early pregnancy. Respondents reported using a total of 28 different CAM modalities, of which oral herbal products were the most common (37% of respondents, 25 different products). The independent predictors of CAM use identified were: use by family and friends (OR 4.1, 95% CI 2.3-7.3, p<0.001); ethnicity (non-white British) (OR 3.4, 95% CI 1.8-6.8, p<0.001); and use prior to pregnancy (OR 2.4, 95% CI 1.2-4.8, p=0.014). In comparison to prescribed medicines, most users were uncertain if CAM were safer (63%), more effective (66%), free from possible adverse effects (46%) or drug-CAM interactions (50%).

CONCLUSIONS: Despite the majority of respondents being uncertain about their safety and effectiveness, CAM modalities and CAM products are widely used during the early stages of pregnancy in this study population. The role of family and friends rather than health professionals in the decision to use CAM may be of concern and requires further investigation.

Original languageEnglish
Pages (from-to)251-255
Number of pages5
JournalEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
Volume181
Early online date17 Aug 2014
DOIs
Publication statusPublished - Oct 2014

Fingerprint

Complementary Therapies
Pregnancy
Vitamins
Minerals
Scotland

Keywords

  • Antenatal
  • Complementary therapies
  • Herbal medicine
  • Pregnancy
  • Views and experiences

Cite this

Complementary and alternative medicine use during early pregnancy. / Pallivalappila, Abdul Rouf; Stewart, Derek; Shetty, Ashalatha; Pande, Binita; Singh, Rajvir; Mclay, James S.

In: European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 181, 10.2014, p. 251-255.

Research output: Contribution to journalArticle

Pallivalappila, Abdul Rouf ; Stewart, Derek ; Shetty, Ashalatha ; Pande, Binita ; Singh, Rajvir ; Mclay, James S. / Complementary and alternative medicine use during early pregnancy. In: European Journal of Obstetrics & Gynecology and Reproductive Biology. 2014 ; Vol. 181. pp. 251-255.
@article{310778b1cc3d4a55b5c37026274acb59,
title = "Complementary and alternative medicine use during early pregnancy",
abstract = "OBJECTIVE: To determine the prevalence and explore predictors of Complementary and Alternative Medicine (CAM) use during early pregnancy.STUDY DESIGN: A questionnaire survey of pregnant women (500) attending for mid trimester scan at the maternity services in Grampian, North-East Scotland. Outcome measures included; CAM used; vitamins and minerals used; independent predictors of use; views and experiences. Descriptive and inferential statistical analysis.RESULTS: The response rate was 66{\%}. Two thirds of respondents (63{\%}) reported using CAM, excluding vitamins and minerals, during early pregnancy. Respondents reported using a total of 28 different CAM modalities, of which oral herbal products were the most common (37{\%} of respondents, 25 different products). The independent predictors of CAM use identified were: use by family and friends (OR 4.1, 95{\%} CI 2.3-7.3, p<0.001); ethnicity (non-white British) (OR 3.4, 95{\%} CI 1.8-6.8, p<0.001); and use prior to pregnancy (OR 2.4, 95{\%} CI 1.2-4.8, p=0.014). In comparison to prescribed medicines, most users were uncertain if CAM were safer (63{\%}), more effective (66{\%}), free from possible adverse effects (46{\%}) or drug-CAM interactions (50{\%}).CONCLUSIONS: Despite the majority of respondents being uncertain about their safety and effectiveness, CAM modalities and CAM products are widely used during the early stages of pregnancy in this study population. The role of family and friends rather than health professionals in the decision to use CAM may be of concern and requires further investigation.",
keywords = "Antenatal, Complementary therapies, Herbal medicine, Pregnancy, Views and experiences",
author = "Pallivalappila, {Abdul Rouf} and Derek Stewart and Ashalatha Shetty and Binita Pande and Rajvir Singh and Mclay, {James S.}",
note = "Acknowledgements We acknowledge the support of all the staff at the antenatal clinic, Royal Aberdeen Maternity Hospital, in carrying out this project and also all the women who participated by completing and returning the questionnaire.",
year = "2014",
month = "10",
doi = "10.1016/j.ejogrb.2014.08.017",
language = "English",
volume = "181",
pages = "251--255",
journal = "European Journal of Obstetrics & Gynecology and Reproductive Biology",
issn = "0301-2115",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Complementary and alternative medicine use during early pregnancy

AU - Pallivalappila, Abdul Rouf

AU - Stewart, Derek

AU - Shetty, Ashalatha

AU - Pande, Binita

AU - Singh, Rajvir

AU - Mclay, James S.

N1 - Acknowledgements We acknowledge the support of all the staff at the antenatal clinic, Royal Aberdeen Maternity Hospital, in carrying out this project and also all the women who participated by completing and returning the questionnaire.

PY - 2014/10

Y1 - 2014/10

N2 - OBJECTIVE: To determine the prevalence and explore predictors of Complementary and Alternative Medicine (CAM) use during early pregnancy.STUDY DESIGN: A questionnaire survey of pregnant women (500) attending for mid trimester scan at the maternity services in Grampian, North-East Scotland. Outcome measures included; CAM used; vitamins and minerals used; independent predictors of use; views and experiences. Descriptive and inferential statistical analysis.RESULTS: The response rate was 66%. Two thirds of respondents (63%) reported using CAM, excluding vitamins and minerals, during early pregnancy. Respondents reported using a total of 28 different CAM modalities, of which oral herbal products were the most common (37% of respondents, 25 different products). The independent predictors of CAM use identified were: use by family and friends (OR 4.1, 95% CI 2.3-7.3, p<0.001); ethnicity (non-white British) (OR 3.4, 95% CI 1.8-6.8, p<0.001); and use prior to pregnancy (OR 2.4, 95% CI 1.2-4.8, p=0.014). In comparison to prescribed medicines, most users were uncertain if CAM were safer (63%), more effective (66%), free from possible adverse effects (46%) or drug-CAM interactions (50%).CONCLUSIONS: Despite the majority of respondents being uncertain about their safety and effectiveness, CAM modalities and CAM products are widely used during the early stages of pregnancy in this study population. The role of family and friends rather than health professionals in the decision to use CAM may be of concern and requires further investigation.

AB - OBJECTIVE: To determine the prevalence and explore predictors of Complementary and Alternative Medicine (CAM) use during early pregnancy.STUDY DESIGN: A questionnaire survey of pregnant women (500) attending for mid trimester scan at the maternity services in Grampian, North-East Scotland. Outcome measures included; CAM used; vitamins and minerals used; independent predictors of use; views and experiences. Descriptive and inferential statistical analysis.RESULTS: The response rate was 66%. Two thirds of respondents (63%) reported using CAM, excluding vitamins and minerals, during early pregnancy. Respondents reported using a total of 28 different CAM modalities, of which oral herbal products were the most common (37% of respondents, 25 different products). The independent predictors of CAM use identified were: use by family and friends (OR 4.1, 95% CI 2.3-7.3, p<0.001); ethnicity (non-white British) (OR 3.4, 95% CI 1.8-6.8, p<0.001); and use prior to pregnancy (OR 2.4, 95% CI 1.2-4.8, p=0.014). In comparison to prescribed medicines, most users were uncertain if CAM were safer (63%), more effective (66%), free from possible adverse effects (46%) or drug-CAM interactions (50%).CONCLUSIONS: Despite the majority of respondents being uncertain about their safety and effectiveness, CAM modalities and CAM products are widely used during the early stages of pregnancy in this study population. The role of family and friends rather than health professionals in the decision to use CAM may be of concern and requires further investigation.

KW - Antenatal

KW - Complementary therapies

KW - Herbal medicine

KW - Pregnancy

KW - Views and experiences

U2 - 10.1016/j.ejogrb.2014.08.017

DO - 10.1016/j.ejogrb.2014.08.017

M3 - Article

VL - 181

SP - 251

EP - 255

JO - European Journal of Obstetrics & Gynecology and Reproductive Biology

JF - European Journal of Obstetrics & Gynecology and Reproductive Biology

SN - 0301-2115

ER -