Warriner Sian, Bryan Karen, Brown Anna Maria
Oxford University Hospitals NHS Trust, Spires MLU, Level 7, Women's Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Midwifery. 2014 Jan;30(1):138-43. doi: 10.1016/j.midw.2013.03.004. Epub 2013 Apr 28.
the popularity of non-prescription, over-the counter (OTC) medicines, vitamins, minerals, homoeopathic remedies and herbal supplements (CAM) has grown significantly in recent years. However, we have limited knowledge relating to why pregnant women use CAM and how this may relate to the provision of maternity care. Using an interview approach this study explored the nature of over-the-counter and complementary medicines use in a sample of pregnant women.
this interview study formed part of a larger self-administered questionnaire survey on the extent of CAM use in pregnancy at large NHS Trust in England. The questionnaire provided the opportunity for women to complete a contact information reply slip if they were happy for follow-up interview. Audio recorded, face to face interviews were undertaken with a sample of 10 women.
the reasons the women who were interviewed gave for using CAM broadly fell into two areas centred essentially on the contrasting advantages of CAM and disadvantages of conventional medicine. Doctors or midwives were rarely informed about the use of CAM medicines during pregnancy.
the women saw CAM as outside of biomedicine and part of a holistic approach to health and well-being over which they are able to maintain their personal control. Non-disclosure of CAM use was common, a feature of which, appears to be some health-care professionals' lack of realisation of the importance, to women, of a holistic approach to their health, key to which is a desire to retain control over decisions associated with their well-being.
近年来，非处方、非处方药（OTC）、维生素、矿物质、顺势疗法药物和草药补充剂（补充替代医学）的使用显著增加。然而，我们对于孕妇使用补充替代医学的原因以及这与孕产护理的提供之间的关系了解有限。本研究采用访谈方法，探讨了一组孕妇使用非处方药和补充性药物的情况。
这项访谈研究是在英格兰一家大型国民保健服务信托机构进行的一项关于孕期补充替代医学使用情况的更大规模的自填式问卷调查的一部分。问卷为女性提供了一个联系信息回复单，如果她们愿意接受后续访谈，可以填写。对10名女性进行了录音的面对面访谈。
接受访谈的女性使用补充替代医学的原因大致分为两个方面，主要集中在补充替代医学的优势与传统医学的劣势的对比上。孕期使用补充替代医学药物的情况很少告知医生或助产士。
这些女性将补充替代医学视为生物医学之外的东西，是整体健康和幸福方法的一部分，她们能够对其保持个人掌控。不透露使用补充替代医学的情况很常见，其中一个特点似乎是一些医疗保健专业人员没有意识到对女性来说整体健康方法的重要性，而整体健康方法的关键在于她们希望对与自身幸福相关的决策保持掌控。
