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Complementary and alternative medicine in obstetrics.

F W J Anderson1, C T Johnson

  • 1Global Initiatives Program and Division of Women's Health, Department of Obstetrics and Gynecology, University of Michigan, L4000 Women's Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109-00276, USA. fwja@med.umich.edu

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 20, 2005
PubMed
Summary

Certain complementary and alternative medicine (CAM) therapies show effectiveness in obstetrics. Evidence supports acupressure, ginger, moxibustion, sterile water injections, and perineal massage for specific conditions.

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Area of Science:

  • Obstetrics and Gynecology
  • Integrative Medicine
  • Evidence-Based Healthcare

Background:

  • Complementary and alternative medicine (CAM) encompasses a wide range of therapies used alongside conventional medical treatments.
  • There is a growing interest in evaluating the efficacy of CAM interventions in obstetric care for both treatment and health promotion.
  • A systematic review is needed to consolidate evidence on CAM use in obstetrics.

Purpose of the Study:

  • To identify, survey, and review randomized controlled studies (RCTs) evaluating CAM for obstetric treatment or health promotion.
  • To assess the level of evidence supporting various CAM modalities in obstetric practice.

Main Methods:

  • A comprehensive search of the MEDLINE database was conducted to identify relevant RCTs.

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  • Studies focusing on CAM treatments and therapies in obstetrics were selected for review.
  • Inclusion criteria focused on modalities used for treatment or improvement of health status.

    • Main Results:

    • Fifty-four articles met the inclusion criteria, covering diverse health modalities.
    • Acupressure and ginger demonstrated benefits for prenatal nausea and vomiting.
    • Moxibustion for breech presentation, sterile water injections for labor back pain, and perineal massage for trauma prevention showed positive evidence from multiple studies.
    • Evidence for other CAM interventions was limited due to fewer studies.

    Conclusions:

    • Some CAM interventions possess demonstrated effectiveness for obstetric patients.
    • Further research is required for other CAM modalities before widespread clinical adoption in obstetrics.