Monash University, School of Nursing & Midwifery, Faculty of Medicine, Nursing and Health Sciences, Peninsula Campus, McMahons Road, Frankston, Victoria 3199, Australia.
Women Birth. 2012 Mar;25(1):4-12. doi: 10.1016/j.wombi.2010.12.005. Epub 2011 Jan 13.
There is evidence that the use of Complementary and Alternative Medicine by childbearing women is becoming increasingly popular in industrialised countries. The aim of this is paper is to review the research literature investigating the midwives' support for the use of these therapies.
A search for relevant research published from 2000 to 2009 was undertaken using a range of databases and by examining relevant bibliographies. A total of thirteen studies were selected for inclusion in this review.
The findings indicate that the use of Complementary and Alternative Medicine is widespread in midwifery practice. Common indications for use include; labour induction and augmentation, nausea and vomiting, relaxation, back pain, anaemia, mal-presentation, perineal discomfort, postnatal depression and lactation problems. The most popular therapies recommended by midwives are massage therapy, herbal medicines, relaxation techniques, nutritional supplements, aromatherapy, homeopathy and acupuncture. Midwives support the use Complementary and Alternative Medicine because they believe it is philosophically congruent; it provides safe alternatives to medical interventions; it supports the woman's autonomy, and; incorporating Complementary and Alternative Medicine can enhance their own professional autonomy.
There is considerable support by midwives for the use of Complementary and Alternative Medicine by expectant women. Despite this enthusiasm, currently there are few educational opportunities and only limited research evidence regarding CAM use in midwifery practice. These shortfalls need to be addressed by the profession. Midwives are encouraged to have an open dialogue with childbearing women, to document use and to base any advice on the best available evidence.
有证据表明，在工业化国家，生育期妇女越来越多地采用补充和替代医学。本文旨在综述调查助产士对这些疗法的支持的研究文献。
使用一系列数据库和查阅相关参考文献，对 2000 年至 2009 年发表的相关研究进行了检索。共选择了 13 项研究纳入本综述。
研究结果表明，补充和替代医学在助产实践中广泛应用。常见的应用指征包括：引产和催产、恶心和呕吐、放松、背痛、贫血、胎位不正、会阴不适、产后抑郁和哺乳问题。助产士推荐的最受欢迎的疗法包括按摩疗法、草药、放松技术、营养补充剂、芳香疗法、顺势疗法和针灸。助产士支持补充和替代医学的应用，因为他们认为其在哲学上是一致的；它为医疗干预提供了安全的替代方法；它支持妇女的自主权；并纳入补充和替代医学可以增强他们自己的专业自主权。
助产士对孕妇使用补充和替代医学有相当大的支持。尽管有这种热情，但目前关于 CAM 在助产实践中的应用，教育机会很少，研究证据也有限。这些不足需要由专业人士来解决。鼓励助产士与产妇进行开放的对话，记录使用情况，并根据最佳现有证据提供任何建议。
