Allaire A D, Moos M K, Wells S R
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, USA.
Obstet Gynecol. 2000 Jan;95(1):19-23. doi: 10.1016/s0029-7844(99)00481-0.
To determine the prevalence and types of complementary and alternative medicine therapies used by certified nurse-midwives in North Carolina.
Surveys were sent to all 120 licensed certified nurse-midwives in North Carolina requesting information concerning their recommendations for use of complementary and alternative medicine for their pregnant or postpartum patients.
Eighty-two responses were received (68.3%). Seventy-seven (93.9%) reported recommending complementary and alternative medicine to their pregnant patients in the past year. Forty-seven (57.3%) reported recommending complementary and alternative medicine to more than 10% of patients. The percentage of nurse-midwives who recommended each type of complementary and alternative medicine was as follows: herbal therapy (73.2%), massage therapy (67.1%), chiropractic (57.3%), acupressure (52.4%), mind-body interventions (48.8%), aromatherapy (32.9%), homeopathy (30.5%), spiritual healing (23.2%), acupuncture (19.5%), and bioelectric or magnetic applications (14.6%). The 60 respondents who reported prescribing herbal therapies gave them for the following indications: nausea and vomiting, labor stimulation, perineal discomfort, lactation disorders, postpartum depression, preterm labor, postpartum hemorrhage, labor analgesia, and malpresentation.
Complementary and alternative medicine, especially herbal therapy, is commonly prescribed to pregnant women by nurse-midwives in North Carolina.
确定北卡罗来纳州认证助产士使用补充和替代医学疗法的患病率及类型。
向北卡罗来纳州所有120名持牌认证助产士发送调查问卷，询问她们对于为怀孕或产后患者使用补充和替代医学的建议相关信息。
共收到82份回复（68.3%）。77人（93.9%）报告在过去一年中向其怀孕患者推荐过补充和替代医学。47人（57.3%）报告向超过10%的患者推荐过补充和替代医学。推荐每种补充和替代医学的助产士百分比分别如下：草药疗法（73.2%）、按摩疗法（67.1%）、脊椎按摩疗法（57.3%）、指压疗法（52.4%）、身心干预（48.8%）、芳香疗法（32.9%）、顺势疗法（30.5%）、灵性治疗（23.2%）、针灸（19.5%）以及生物电或磁应用（14.6%）。报告开过草药疗法的60名受访者给出的用药指征如下：恶心和呕吐、引产、会阴不适、泌乳障碍、产后抑郁、早产、产后出血、分娩镇痛以及胎位异常。
在北卡罗来纳州，助产士通常会为孕妇开补充和替代医学疗法，尤其是草药疗法。
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