Healthcare professional views and experiences of complementary and alternative medicine (CAM) use in obstetric practice in North-East Scotland

A prospective questionnaire survey

D. Stewart, A. R. Pallivalappila, A. Shetty, B. Pande, J. Mclay

Research output: Contribution to journalAbstract

Abstract

Objective
The aim of this study was to investigate the use of complementary and alternative medicines (CAMs) therapy by UK healthcare professionals involved in the care of pregnant women, and to identify key predictors of use.

Design
A prospective survey.

Setting
Maternity services in Grampian, North East Scotland.

Sample
All healthcare professionals (135) involved in the care of pregnant women (midwives, obstetricians, anaesthetists).

Methods
Questionnaire development, piloting, and distribution. Descriptive and inferential statistical analysis.

Results
A response rate of 87% was achieved. A third of respondents (32.5%) had recommended (prescribed, referred, or advised) the use of CAMs to pregnant women. The most frequently recommended CAMs modalities were: vitamins and minerals (excluding folic acid) (55%); massage (53%); homeopathy (50%); acupuncture (32%); yoga (32%); reflexology (26%); aromatherapy (24%); and herbal medicine (21%). Although univariate analysis identified that those who recommended CAMs were significantly more likely to be midwives who had been in post for more than 5 years, had received training in CAMs, were interested in CAMs, and were themselves users of CAMs, the only variable retained in bivariate logistic regression was ‘personal use of CAM’, with an odds ratio of 8.26 (95% CI 3.09–22.05; P < 0.001).

Conclusion
Despite the lack of safety or efficacy data, a wide variety of CAM therapies are recommended to pregnant women by approximately a third of healthcare professionals, with those recommending the use of CAMs being eight times more likely to be personal CAM users.
Original languageEnglish
Article numberEP9.15
Pages (from-to)186-186
Number of pages1
JournalBJOG-An International Journal of Obstetrics and Gynaecology
Volume121
Issue numberS2
Early online date26 Mar 2014
DOIs
Publication statusPublished - Apr 2014
EventRCOG World Congress 2014 - Hyderabad, India
Duration: 28 Mar 201430 Mar 2014

Cite this

@article{b35fe471b1fc432fa289d0f09d1f2d1b,
title = "Healthcare professional views and experiences of complementary and alternative medicine (CAM) use in obstetric practice in North-East Scotland: A prospective questionnaire survey",
abstract = "ObjectiveThe aim of this study was to investigate the use of complementary and alternative medicines (CAMs) therapy by UK healthcare professionals involved in the care of pregnant women, and to identify key predictors of use.DesignA prospective survey.SettingMaternity services in Grampian, North East Scotland.SampleAll healthcare professionals (135) involved in the care of pregnant women (midwives, obstetricians, anaesthetists).MethodsQuestionnaire development, piloting, and distribution. Descriptive and inferential statistical analysis.ResultsA response rate of 87{\%} was achieved. A third of respondents (32.5{\%}) had recommended (prescribed, referred, or advised) the use of CAMs to pregnant women. The most frequently recommended CAMs modalities were: vitamins and minerals (excluding folic acid) (55{\%}); massage (53{\%}); homeopathy (50{\%}); acupuncture (32{\%}); yoga (32{\%}); reflexology (26{\%}); aromatherapy (24{\%}); and herbal medicine (21{\%}). Although univariate analysis identified that those who recommended CAMs were significantly more likely to be midwives who had been in post for more than 5 years, had received training in CAMs, were interested in CAMs, and were themselves users of CAMs, the only variable retained in bivariate logistic regression was ‘personal use of CAM’, with an odds ratio of 8.26 (95{\%} CI 3.09–22.05; P < 0.001).ConclusionDespite the lack of safety or efficacy data, a wide variety of CAM therapies are recommended to pregnant women by approximately a third of healthcare professionals, with those recommending the use of CAMs being eight times more likely to be personal CAM users.",
author = "D. Stewart and Pallivalappila, {A. R.} and A. Shetty and B. Pande and J. Mclay",
year = "2014",
month = "4",
doi = "10.1111/1471-0528.12790",
language = "English",
volume = "121",
pages = "186--186",
journal = "BJOG-An International Journal of Obstetrics and Gynaecology",
issn = "1470-0328",
publisher = "John Wiley & Sons, Ltd (10.1111)",
number = "S2",

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TY - JOUR

T1 - Healthcare professional views and experiences of complementary and alternative medicine (CAM) use in obstetric practice in North-East Scotland

T2 - A prospective questionnaire survey

AU - Stewart, D.

AU - Pallivalappila, A. R.

AU - Shetty, A.

AU - Pande, B.

AU - Mclay, J.

PY - 2014/4

Y1 - 2014/4

N2 - ObjectiveThe aim of this study was to investigate the use of complementary and alternative medicines (CAMs) therapy by UK healthcare professionals involved in the care of pregnant women, and to identify key predictors of use.DesignA prospective survey.SettingMaternity services in Grampian, North East Scotland.SampleAll healthcare professionals (135) involved in the care of pregnant women (midwives, obstetricians, anaesthetists).MethodsQuestionnaire development, piloting, and distribution. Descriptive and inferential statistical analysis.ResultsA response rate of 87% was achieved. A third of respondents (32.5%) had recommended (prescribed, referred, or advised) the use of CAMs to pregnant women. The most frequently recommended CAMs modalities were: vitamins and minerals (excluding folic acid) (55%); massage (53%); homeopathy (50%); acupuncture (32%); yoga (32%); reflexology (26%); aromatherapy (24%); and herbal medicine (21%). Although univariate analysis identified that those who recommended CAMs were significantly more likely to be midwives who had been in post for more than 5 years, had received training in CAMs, were interested in CAMs, and were themselves users of CAMs, the only variable retained in bivariate logistic regression was ‘personal use of CAM’, with an odds ratio of 8.26 (95% CI 3.09–22.05; P < 0.001).ConclusionDespite the lack of safety or efficacy data, a wide variety of CAM therapies are recommended to pregnant women by approximately a third of healthcare professionals, with those recommending the use of CAMs being eight times more likely to be personal CAM users.

AB - ObjectiveThe aim of this study was to investigate the use of complementary and alternative medicines (CAMs) therapy by UK healthcare professionals involved in the care of pregnant women, and to identify key predictors of use.DesignA prospective survey.SettingMaternity services in Grampian, North East Scotland.SampleAll healthcare professionals (135) involved in the care of pregnant women (midwives, obstetricians, anaesthetists).MethodsQuestionnaire development, piloting, and distribution. Descriptive and inferential statistical analysis.ResultsA response rate of 87% was achieved. A third of respondents (32.5%) had recommended (prescribed, referred, or advised) the use of CAMs to pregnant women. The most frequently recommended CAMs modalities were: vitamins and minerals (excluding folic acid) (55%); massage (53%); homeopathy (50%); acupuncture (32%); yoga (32%); reflexology (26%); aromatherapy (24%); and herbal medicine (21%). Although univariate analysis identified that those who recommended CAMs were significantly more likely to be midwives who had been in post for more than 5 years, had received training in CAMs, were interested in CAMs, and were themselves users of CAMs, the only variable retained in bivariate logistic regression was ‘personal use of CAM’, with an odds ratio of 8.26 (95% CI 3.09–22.05; P < 0.001).ConclusionDespite the lack of safety or efficacy data, a wide variety of CAM therapies are recommended to pregnant women by approximately a third of healthcare professionals, with those recommending the use of CAMs being eight times more likely to be personal CAM users.

U2 - 10.1111/1471-0528.12790

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JO - BJOG-An International Journal of Obstetrics and Gynaecology

JF - BJOG-An International Journal of Obstetrics and Gynaecology

SN - 1470-0328

IS - S2

M1 - EP9.15

ER -