Department of Public Health, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran; Health Science Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Health Science Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran; Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Science, Sari, Iran.
Complement Ther Med. 2020 Mar;49:102323. doi: 10.1016/j.ctim.2020.102323. Epub 2020 Jan 22.
Using Complementary and Alternative Medicine (CAMs) is growing worldwide. This study determined the midwives' attitude toward CAMs in general and their view on its safety and efficacy during pregnancy. Via a random sampling method, 344 midwives working in Mazandaran primary health centers (PHC) were recruited from March to November 2017. The data were analyzed using descriptive statistics. The majority of the midwives had positive view on the usefulness of CAMs in general (74.3 %) and thought they should have more knowledge about it (76.7 %). While 50-83 % of the midwives considered some CAM-therapies safe and beneficial, a small number of them referred the patients for CAM-therapy during pregnancy (1.2-5.4 %). A minority of the midwives stated that CAM may be a threat to public health (12.7 %). The midwives' perception toward the usefulness of CAM in general was positive; although, they approved the benefit of few CAMs during pregnancy. A small minority of the midwives considered CAMs as a threat to public health, and few of them advised the patients to use CAMs during pregnancy. As most midwives are interested in learning in this field, it is recommended to run some training programs on the benefit and side effects of CAMs.
使用补充和替代医学（CAMs）在全球范围内不断增长。本研究旨在确定助产士对一般 CAMs 的态度，以及他们对妊娠期间 CAMs 的安全性和有效性的看法。2017 年 3 月至 11 月，通过随机抽样方法，从马赞达兰初级卫生保健中心（PHC）招募了 344 名助产士。使用描述性统计方法对数据进行分析。大多数助产士对 CAMs 的一般有用性持积极态度（74.3%），并认为他们应该对此有更多的了解（76.7%）。尽管 50-83%的助产士认为一些 CAM 疗法安全且有益，但也有少数人在怀孕期间建议患者接受 CAM 疗法（1.2-5.4%）。少数助产士认为 CAM 可能对公共卫生构成威胁（12.7%）。助产士普遍认为 CAM 的有用性是积极的；然而，他们只认可少数 CAM 在怀孕期间的益处。少数助产士认为 CAM 对公共卫生构成威胁，只有少数人建议患者在怀孕期间使用 CAM。由于大多数助产士对此领域感兴趣，因此建议开展一些关于 CAM 的益处和副作用的培训计划。
