Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Institute of Medical Informatics, Statistics and Epidemiology, Technische Universität München, Munich, Germany.
BMC Complement Altern Med. 2018 Jun 15;18(1):187. doi: 10.1186/s12906-018-2249-y.
Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed.
The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich. Eligible participants were women hospitalized due to pregnancy related complications and women in childbed. Descriptive statistics were generated to determine patterns of CAM use and demand for integrative therapeutic approaches. Univariate analysis was used to detect associations between patients' characteristics and their interest in the different integrative therapies. Furthermore, binary logistic regression was used to estimate the odds ratio of demand for CAM.
A total of 394 out of 503 patients participated in the survey (78%). 60% declared using CAM in general, 45% specifically in relation to their pregnancy or childbed. Most commonly used modalities were vitamins (31% of all patients), yoga (24%), and herbal supplements (23%). Most popular sources of recommendation of CAM use were midwives and gynecologists. Integrative therapy options patients would have wanted alongside conventional maternity care were CAM (64%), relaxation therapies (44%), dietary counseling (28%), and psychological counseling (15%). Furthermore, associations between patients' sociodemographic characteristics and their demand for integrative therapies were identified.
The results of this study demonstrate that there is a considerable demand for integrative medicine and widespread use of CAM among women during pregnancy and childbed in Germany. Maternity health care providers should be aware of these findings in order to be able to better address patients' needs and wishes. Our study findings should be interpreted with regard to patients in an hospital setting.
尽管整合医学越来越受到关注，并在现代医疗保健中占据越来越重要的地位，但它在常规产妇护理中的作用仍然微不足道。本研究旨在调查女性在妊娠和产褥期使用补充和替代医学（CAM）的模式，以及对整合疗法（包括 CAM、放松疗法、营养咨询和心理援助）的需求。
该调查于 2017 年 4 月至 7 月在慕尼黑工业大学 Klinikum rechts der Isar 妇产科通过伪匿名的 38 项问卷进行。合格的参与者是因妊娠相关并发症住院的女性和产褥期女性。通过描述性统计确定 CAM 使用模式和对整合治疗方法的需求。使用单变量分析检测患者特征与他们对不同整合疗法的兴趣之间的关联。此外，还使用二元逻辑回归估计对 CAM 的需求的优势比。
共有 503 名患者中的 394 名（78%）参加了调查。60%的人总体上表示使用了 CAM，45%的人专门在妊娠或产褥期使用了 CAM。最常用的方法是维生素（31%的患者）、瑜伽（24%）和草药补充剂（23%）。CAM 使用最常见的推荐来源是助产士和妇科医生。除了常规的产妇护理外，患者希望能与 CAM 一起使用的整合治疗选择包括放松疗法（44%）、饮食咨询（28%）和心理咨询（15%）。此外，还确定了患者社会人口统计学特征与对整合疗法需求之间的关联。
本研究结果表明，德国女性在妊娠和产褥期对整合医学和 CAM 的需求很大，应用广泛。产妇保健提供者应了解这些发现，以便能够更好地满足患者的需求和愿望。我们的研究结果应根据医院环境中的患者进行解释。
