The influence of complementary and alternative medicine use in pregnancy on labor pain management choices: Results from a nationally representative sample of 1,835 women

Steel, Amie, Adams, Jon, Sibbritt, David, Broom, Alex, Frawley, Jane and Gallois, Cindy (2014) The influence of complementary and alternative medicine use in pregnancy on labor pain management choices: Results from a nationally representative sample of 1,835 women. Journal of Alternative and Complementary Medicine, 20 2: 87-97. doi:10.1089/acm.2013.0171


Author Steel, Amie
Adams, Jon
Sibbritt, David
Broom, Alex
Frawley, Jane
Gallois, Cindy
Title The influence of complementary and alternative medicine use in pregnancy on labor pain management choices: Results from a nationally representative sample of 1,835 women
Journal name Journal of Alternative and Complementary Medicine   Check publisher's open access policy
ISSN 1075-5535
1557-7708
Publication date 2014-02-01
Year available 2013
Sub-type Article (original research)
DOI 10.1089/acm.2013.0171
Open Access Status Not yet assessed
Volume 20
Issue 2
Start page 87
End page 97
Total pages 11
Place of publication New Rochelle, NY, United States
Publisher Mary Ann Liebert
Language eng
Formatted abstract
Objectives: This study examines involvement with a range of complementary and alternative medicine (CAM) during pregnancy on the use of pharmacologic (PPMT) and nonpharmacologic (NPMT) pain management techniques for labor and birth.

Design: Longitudinal analysis of survey data.

Participants: A substudy (n=2445) of the "young" cohort of the nationally representative Australian Longitudinal Study on Women's Health was conducted.

Outcome measures: Use of PPMT and NPMT during labor and birth.

Results: The survey was completed by 1835 women (response rate, 79.2%). Most respondents used either intrapartum PPMT (81.9%) or NPMT (74.4%). Many (60.7%) used some form of CAM during pregnancy and also used PPMT during birth. More than two thirds of women (66.7%) who used NPMT used CAM during pregnancy. There was a general trend of increased likelihood of NPMT use by women who applied CAM during pregnancy. There was an inverse effect on use of epidural analgesia for women who consumed herbal teas during pregnancy (odds ratio, 0.60).

Conclusions: Because of the study design, this paper does not confirm a causative relationship between the use of CAM during pregnancy and intrapartum pain management choices. It does, however, indicate that the use of CAM during pregnancy may not significantly affect the uptake of intrapartum PPMT, despite possible attempts to reduce PPMT by using NPMT. It also highlights the possibility of potential interactions between CAM and PPMT, given the high prevalence of concomitant use. 
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Psychology Publications
School of Social Science Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 11 times in Scopus Article | Citations
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