Hall Hannah R, Jolly Kate
Good Hope Hospital, Rectory Road, Sutton Coldfield, West Midlands B75 7RR, UK.
Public Health, Epidemiology and Biostatistics, Public Health Building, School of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Midwifery. 2014 May;30(5):499-505. doi: 10.1016/j.midw.2013.06.001. Epub 2013 Jul 11.
to determine the prevalence of women's use of complementary and alternative medicines (CAM) during pregnancy in the UK, reasons for use, who recommended CAM, and the characteristics of women that are associated with use of CAM during pregnancy.
cross-sectional questionnaire.
Birmingham Women's Hospital.
315 postnatal women were surveyed while on the postnatal ward.
the questionnaire response rate was 89% (315/355). CAM use during pregnancy was reported by 180 women (57.1%). CAM users differed significantly from non-CAM users by education level, parity and previous CAM use before pregnancy. Vitamins (34.9%), massage therapy (14.0%), yoga (11.1%) and relaxation (10.2%) were the most commonly reported uses of CAM. 33.0% of women reported they did not disclose their use of CAM to a doctor or midwife, and 81.3% were not asked by their doctor or midwife about their use of CAM during pregnancy.
this study found a high prevalence of CAM use during pregnancy, which is within the range of findings of studies from Australia and Germany. It is important that health-care providers routinely ask about CAM use during pregnancy and are able to provide pregnant women with appropriate advice regarding CAM use.
确定英国孕期女性使用补充和替代医学（CAM）的流行情况、使用原因、谁推荐了CAM，以及与孕期使用CAM相关的女性特征。
横断面问卷调查。
伯明翰妇女医院。
对产后病房的315名产后女性进行了调查。
问卷回复率为89%（315/355）。180名女性（57.1%）报告在孕期使用了CAM。CAM使用者与非CAM使用者在教育水平、产次和孕前是否使用过CAM方面存在显著差异。维生素（34.9%）、按摩疗法（14.0%）、瑜伽（11.1%）和放松疗法（10.2%）是最常被报告的CAM使用方式。33.0%的女性报告她们未向医生或助产士透露其使用CAM的情况，且81.3%的女性在孕期未被医生或助产士询问过其使用CAM的情况。
本研究发现孕期使用CAM的情况很普遍，这与澳大利亚和德国的研究结果范围相符。医疗保健提供者常规询问孕期CAM的使用情况并能够就CAM的使用为孕妇提供适当建议非常重要。
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