A systematic review of available literature provided very weak evidence for the safety of the use of St. John’s wort during pregnancy and lactation (Dugoua, Mills, Perri, & Koren, 2006). Some studies suggest acupuncture may help to reduce backache or pelvic pain in pregnant... Chiropractic and osteopathy. (2010). Some of the milder adverse reactions were headache, nausea, vomiting, diarrhea, constipation, dizziness, and abdominal pain. Read the latest articles of Complementary Therapies in Nursing and Midwifery at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature This article provides a brief overview of complementary and alternative therapies that may be used by women during pregnancy and postpartum. NCCAM is also responsible for conducting rigorous scientific research on these practices and products and disseminating the findings to professionals and the general public (NCCAM, 2010c). While alternative therapies may improve women’s well-being, they can also pose significant health risks and should be used with caution and in collaboration with a health care provider. Arsenic toxicity disrupts cellular electrolyte function, which damages the circulatory and central nervous systems. & Beal, M.W. (1999). The American College (renamed “Congress”) of Obstetricians and Gynecologists (ACOG), Committee on Obstetric Practice (2010) states that between 5% and 25% of women will experience postpartum depression at some time. Alternative and complementary therapies are based on a balance of body, mind, and spirit. Not all women have an equal interest or ability to access these therapies, however. The NCCAM conducts research on these kinds of therapies, performs clinical trials on the products and procedures, and provides training for researchers. Klier, C.M., Schäfer, M.R., Schmid-Siegel, B., Lenz, G. & Mannel, M. (2002). Send an e-mail to the Journal, at jpn@slackinc.com. Acupuncture has been shown to relieve anxiety and is considered a safe alternative as it does not adversely interact with drug therapies (Dong, 1993). Tiran, D 2006, 'Complementary Therapies in Pregnancy: Midwives’ and Obstetricians’ Appreciation of Risk'. Quality and safety of Chinese herbal medicines guided by a systems biology perspective. Complementary and alternative medicine for perinatal depression. The desire to maintain health and treat illness with natural or alternative therapies is strong in women with postpartum depression, but evidence for the effectiveness of these therapies continues to be an area of controversy. In complementary and alternative medicine, many therapeutic skills, i.e. Due to the potential stigma of mental illness, many new mothers do not inform their obstetrician or pediatrician of their sadness, mood changes, or concerns about their feelings. Postpartum depression: An update. The need for sleep and setting specific goals for achieving restorative sleep would likely be discussed. Many women are using alternative therapies for general depression and then continue using these same therapies for depressive symptoms that occur during the postpartum period (Weier & Beal, 2004). Ama consists of partially digested food in the digestive tract that slows digestion and allows toxins to form. A desire to maintain a more naturalistic approach to health care and illness prevention, as well as the increasing cost of health care, has helped create an interest in complementary and alternative therapies. (Conventional medicine is typically considered Western or allopathic medicine.) Studies have been conducted on the safety of St. John’s wort for lactating women and their infants; however, the outcomes of these studies do not provide conclusive evidence for the safety to the infant or the efficacy of the herb in the treatment of postpartum depression (Freeman, 2009; Klier, Schäfer, Schmid-Siegel, Lenz, & Mannel, 2002; Klier et al., 2006). (2009). She is a former midwife and nurse teacher with over 25 years’ experience working in the fields of healthcare, stress management and medical hypnosis. Although it’s tempting to assume that natural is synonymous with safe, this is not necessarily true, and many of the less well-known CAM therapies have little or no evidence-based research to support their use. Issues of safety and purity of the herbs and herbal formulations, as well as the potential for unsafe levels of the herb passing from the breast milk to the infant, must be considered. An alternative therapy is one that is used instead of a conventional therapy or medicine (National Center for Complementary and Alternative Medicine [NCCAM], 2010b). Research on reduction of anxiety and depression with acupuncture. The articles prior to January 2014 are part of the back file collection and are not available with a current paid subscription. Midwives are responsible for labor and delivery care: hence, their knowledge of CAM and CAT is important. Although pregnancy status was not predictive of the use of alternative treatments, pregnant women employed these therapies or modalities for the relief of pregnancy-related complaints and symptoms. After delivery, the issue may be whether the drug passes into the breast milk and affects the newborn. Massage. Klier, C.M., Schmid-Siegel, B., Schäfer, M.R., Lenz, G., Saria, A. The importance of the provider’s trust, honesty, and communication with the client cannot be overstated. 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