Centre for Midwifery and Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, Australia; School of Nursing and Midwifery, University of Newcastle, University Dr, Callaghan, NSW 2308 Australia.
Nursing Office, Department of Health, Mitchell St, Darwin City, Northern Territory 8000 Australia.
Women Birth. 2018 Feb;31(1):44-51. doi: 10.1016/j.wombi.2017.06.014. Epub 2017 Jul 11.
Complementary and Alternative Medicine (CAM) have increasingly been used by pregnant women with a steady rise in interest by midwives. Literature describing CAM and self-help options midwives recommend to women experiencing a post-date pregnancy is sparse. This study aimed to investigate if Australian midwives' personal CAM use impacts on discussions and recommendations of CAM/Self-help strategies.
METHODOLOGY/DESIGN: A survey of a national midwifery association midwifery members (n=3,552) was undertaken at a midwifery conference (October 2015) and via e-bulletins (November 2015-March 2016). The self-administered survey included questions on what self-help and CAM strategies midwives discuss and recommend to women with a post-date pregnancy, midwives' confidence levels on discussing or recommending CAM, midwives' own personal use of CAM.
A total of 571 registered midwives completed the survey (16%). Demographics (age, years as a midwife, state of residence) reflected Australian midwives and the midwifery association membership. Most respondents discuss (91.2%) and recommend (88.6%) self-help/CAM strategies to women with a post-date pregnancy. The top five CAM recommended were Acupuncture (65.7%), Acupressure (58.1%), Raspberry Leaf (52.5%), Massage (38.9%) and Hypnosis/Calmbirthing/Hypnobirthing (35.7%). Midwives were more likely to discuss strategies if they personally used CAM (p<.001), were younger (p<.001) or had worked less years as midwives (p=.004). Midwives were more likely to recommend strategies if they used CAM in their own pregnancies (p=.001).
Midwives' personal use of CAM influenced their discussions and recommendations of CAM/self-help strategies to women experiencing a post-date pregnancy. This study has implications for inclusion of CAM in midwifery education curricula.
补充和替代医学（CAM）越来越多地被孕妇使用，助产士对此的兴趣也在稳步上升。描述 CAM 和助产士向过期妊娠女性推荐的自助选择的文献很少。本研究旨在调查澳大利亚助产士个人使用 CAM 是否会影响其对 CAM/自助策略的讨论和建议。
方法/设计：在助产士会议（2015 年 10 月）和电子公告（2015 年 11 月至 2016 年 3 月）上对全国助产士协会的助产士成员（n=3552）进行了一项调查。自我管理的调查包括询问助产士与过期妊娠女性讨论和推荐哪些自助和 CAM 策略、助产士在讨论或推荐 CAM 方面的信心水平、助产士个人使用 CAM 的情况。
共有 571 名注册助产士完成了调查（16%）。人口统计学特征（年龄、从业年限、居住州）反映了澳大利亚助产士和助产士协会的成员情况。大多数受访者与过期妊娠女性讨论（91.2%）和推荐（88.6%）自助/CAM 策略。推荐的前五种 CAM 是针灸（65.7%）、指压（58.1%）、覆盆子叶（52.5%）、按摩（38.9%）和催眠/平静分娩/催眠分娩（35.7%）。如果助产士个人使用 CAM（p<.001）、年龄较小（p<.001）或从业年限较短（p=.004），他们更有可能讨论策略。如果助产士在自己的怀孕中使用了 CAM（p=.001），他们更有可能推荐策略。
助产士个人使用 CAM 会影响他们对过期妊娠女性使用 CAM/自助策略的讨论和建议。这项研究对将 CAM 纳入助产士教育课程有一定的启示。
