Gaffney Lauren, Smith Caroline A
Department of Obstetrics and Gynaecology, The University of Adelaide, South Australia, Australia.
Aust N Z J Obstet Gynaecol. 2004 Feb;44(1):24-9. doi: 10.1111/j.1479-828X.2004.00161.x.
To examine South Australian obstetricians and midwives attitude's towards the use of complementary and alternative medicines (CAM) during pregnancy, to examine their referral patterns and their views on the usefulness and safety of these therapies during pregnancy.
All members of the South Australian branch of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and a 50% sample of midwives belonging to the South Australian Branch of The Australian College of Midwives, were sent a postal self-completion questionnaire.
A response rate of 78% was obtained. Only 14% of doctors considered CAM was a threat to public health. Over 90% of midwives and obstetricians thought they should have some knowledge about CAM. A greater proportion of obstetricians (72%) held a view there needs to be an evidence base for CAM compared with 26% of midwives. The majority of obstetricians (68%) and midwives (78%) had formally referred a patient for use of one of the complementary therapies. Over 70% of obstetricians and midwives considered massage, acupuncture, vitamins, yoga, meditation and hypnosis to be useful and safe to use during pregnancy.
The majority of clinician's held positive views towards CAM and considered some complementary therapies to be useful and safe for use during pregnancy. Limited evidence exists on the safety and efficacy of these therapies and attention needs to be given to undertaking high quality randomised controlled trials.
调查南澳大利亚州产科医生和助产士对孕期使用补充和替代医学（CAM）的态度，研究他们的转诊模式以及对这些疗法在孕期的有用性和安全性的看法。
向澳大利亚和新西兰皇家妇产科医师学院南澳大利亚州分会的所有成员以及澳大利亚助产士学院南澳大利亚州分会50%的助产士样本发送了一份邮政自填问卷。
获得了78%的回复率。只有14%的医生认为补充和替代医学对公众健康构成威胁。超过90%的助产士和产科医生认为他们应该对补充和替代医学有所了解。与26%的助产士相比，更大比例的产科医生（72%）认为补充和替代医学需要有证据基础。大多数产科医生（68%）和助产士（78%）曾正式转诊患者使用其中一种补充疗法。超过70%的产科医生和助产士认为按摩、针灸、维生素、瑜伽、冥想和催眠在孕期使用是有用且安全的。
大多数临床医生对补充和替代医学持积极态度，并认为一些补充疗法在孕期使用是有用且安全的。关于这些疗法的安全性和有效性的证据有限，需要关注开展高质量的随机对照试验。
