Complementary Medicine, Peninsula Medical School, University of Exeter, Veysey Building, Salmon Pool Lane, Exeter EX2 4SG, UK.
Midwifery. 2012 Dec;28(6):772-7. doi: 10.1016/j.midw.2011.08.013. Epub 2011 Oct 19.
in recent years, several surveys have suggested that many midwives use some form of complementary/alternative therapy (CAT), often without the knowledge of obstetricians.
to systematically review all surveys of CAT use by midwives.
six electronic databases were searched using text terms and MeSH for CAT and midwifery.
surveys were included if they reported quantitative data on the prevalence of CAT use by midwives.
full-text articles of all relevant surveys were obtained. Data were extracted according to pre-defined criteria.
19 surveys met the inclusion criteria. Most were recent and from the USA. Prevalence data varied but were usually high, often close to 100%. Much use of CATs does not seem to be supported by strong evidence for efficacy.
most midwives seem to use CATs. As not all CATs are without risks, the issue should be debated openly.
近年来,多项调查显示,许多助产士会使用某种形式的补充替代疗法(CAT),且往往没有告知产科医生。
系统综述所有关于助产士使用 CAT 的调查。
使用文本术语和 MeSH 对 CAT 和助产术进行了 6 个电子数据库的检索。
如果调查报告了助产士使用 CAT 的流行率的定量数据,则将其纳入。
获取了所有相关调查的全文文章。根据预先定义的标准提取数据。
19 项调查符合纳入标准。大多数调查都是近期的,且来自美国。流行率数据各不相同,但通常很高,接近 100%。很多 CAT 的使用似乎并没有强有力的疗效证据支持。
大多数助产士似乎都在使用 CAT。由于并非所有 CAT 都没有风险,因此应该公开讨论这个问题。