Dennehy Cathi, Tsourounis Candy, Bui Lindsey, King Tekoa L
Department of Clinical Pharmacy, UCSF, 521 Parnassus Ave, Suite C-152, Box 0622, San Francisco, CA 94143, USA.
J Obstet Gynecol Neonatal Nurs. 2010 Nov-Dec;39(6):684-93. doi: 10.1111/j.1552-6909.2010.01193.x.
To characterize herbal product use (prevalence, types, indications) among Certified Nurse Midwives/Certified Midwives (CNMs/CMs) and Licensed Midwives (LMs) practicing in the state of California and to describe formal education related to herbal products received by midwives during midwifery education.
DESIGN/SETTING/PARTICIPANTS: Cross-sectional survey/California/Practicing midwives.
A list of LMs and CNMs/CMs practicing in California was obtained through the California Medical Board (CMB) and the American College of Nurse Midwives (ACNM), respectively. The survey was mailed to 343 CNMs/CMs (one third of the ACNM mailing list) and 157 LMs (the complete CMB mailing list).
Of the 500 surveys mailed, 40 were undeliverable, 146 were returned, and 7 were excluded (30% response rate). Of the 139 completed surveys, 58/102 (57%) of CNMs/CMs and 35/37 (95%) of LMs used herbs, and LMs were more comfortable than CNMs/CMs in recommending herbs to their patients. A majority of LMs had >20 hours of midwifery education on herbs whereas a majority of CNMs/CMs received 0 to 5 hours. Some CNMs/CMs indicated that their practice site limited their ability to use herbs. Common conditions in which LMs and CNMs/CMs used herbs were nausea/vomiting (86% vs. 83%), labor induction (89% vs. 58%), and lactation (86% vs. 65%). Specific herbs for all indications are described.
Licensed midwives were more likely than CNMs/CMs to use herbs in clinical practice. This trend was likely a reflection of the amount of education devoted to herbs as well as herbal use limitations that may be encountered in institutional facilities.
描述在加利福尼亚州执业的认证护士助产士/认证助产士（CNMs/CMs）和持牌助产士（LMs）使用草药产品的情况（患病率、类型、适应症），并描述助产士在助产教育期间接受的与草药产品相关的正规教育。
设计/地点/参与者：横断面调查/加利福尼亚州/执业助产士。
分别通过加利福尼亚州医学委员会（CMB）和美国护士助产士学院（ACNM）获取在加利福尼亚州执业的LMs和CNMs/CMs名单。调查问卷被邮寄给343名CNMs/CMs（ACNM邮件列表的三分之一）和157名LMs（CMB完整邮件列表）。
在邮寄的500份调查问卷中，40份无法投递，146份被退回，7份被排除（回复率为30%）。在139份完成的调查问卷中，58/102（57%）的CNMs/CMs和35/37（95%）的LMs使用草药，并且LMs在向患者推荐草药方面比CNMs/CMs更自在。大多数LMs接受了超过20小时的关于草药的助产教育，而大多数CNMs/CMs接受了0至5小时的教育。一些CNMs/CMs表示他们的执业场所限制了他们使用草药的能力。LMs和CNMs/CMs使用草药的常见情况有恶心/呕吐（86%对83%）、引产（89%对58%）和泌乳（86%对65%）。描述了所有适应症的具体草药。
持牌助产士在临床实践中比CNMs/CMs更有可能使用草药。这种趋势可能反映了在草药方面投入的教育量以及在机构设施中可能遇到的草药使用限制。
