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    Complementary and Alternative Medicine Use Among Women During Pregnancy and Childbearing Years

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    Authors
    Holden, Selma C.
    Gardiner, Paula
    Birdee, Gurjeet
    Davis, Roger B.
    Yeh, Gloria Y.
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Center for Integrated Primary Care
    Document Type
    Journal Article
    Publication Date
    2015-09-01
    Keywords
    National Health Interview Survey
    complementary and alternative medicine
    preconception health
    pregnancy
    Alternative and Complementary Medicine
    Behavioral Medicine
    Health Psychology
    Integrative Medicine
    Maternal and Child Health
    Psychiatry and Psychology
    Women's Health
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537684/
    Abstract
    OBJECTIVES: Little is known regarding complementary and alternative medicine (CAM) use during pregnancy and the preconception period. Since half of all pregnancies in the United States are unintended, understanding the patterns of CAM use among women of childbearing age has implications for fetal and maternal health. METHODS: Descriptive statistics were generated from the 2012 National Health Interview Study (NHIS) to estimate weighted prevalence and patterns of CAM use by women of childbearing age. Comparisons were made between pregnant and nonpregnant respondents. RESULTS: In this sample of 10,002 women, 7 percent (n = 727) were recently pregnant. Over one-third of all the women used CAM during the previous year (34/38%, pregnant/nonpregnant, respectively) and only half disclosed CAM use to conventional providers (50/49%). In the adjusted model, taking multivitamins (OR 2.52 [CI 2.22-2.86]) and moderate to heavy alcohol use (OR 1.92 [CI 1.53-2.41]) were more likely associated with CAM use. The two most commonly used modalities were herbs (14/17%) and yoga (13/16%). The top reasons for CAM use were to improve general wellness or to prevent disease (33/35%) and to treat back pain (16/18%). When examining all pregnancy-related symptoms treated with CAM, no difference was found in the rates of CAM use between pregnant and nonpregnant users. CONCLUSIONS: CAM use by women of childbearing age in the United States is common, with over a third of the population using one or more therapies. However, only half disclosed their use to conventional providers despite limited evidence on safety and effectiveness. This study highlights the important need for further research in this area.
    Source

    Birth. 2015 Sep;42(3):261-9. doi: 10.1111/birt.12177. Epub 2015 Jun 25. Link to article on publisher's site

    DOI
    10.1111/birt.12177
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/26776
    PubMed ID
    26111221
    Notes

    At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1111/birt.12177
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