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Complementary medicine use by nurse midwives in the U.S
Marie Hastings-Tolsma1, Masako Terada
1University of Colorado Denver, 13120 East 19th Avenue/C-288, Aurora, CO 80045, USA. marie.hastings-tolsma@ucdenver.edu
Most certified nurse-midwives (CNMs) use complementary and alternative medicine (CAM), particularly herbal preparations and mind-body interventions. Knowledge of CAM is often gained through professional development and personal experience.
Area of Science:
- Integrative Medicine
- Nursing Research
- Complementary Therapies
Background:
- Complementary and alternative medicine (CAM) is increasingly integrated into healthcare.
- Understanding the utilization patterns of CAM by healthcare providers is crucial for evidence-based practice.
- Certified Nurse Midwives (CNMs) are key providers in maternal and women's health.
Purpose of the Study:
- To assess the prevalence of CAM utilization among CNMs.
- To identify how CNMs acquire knowledge about CAM modalities.
- To describe the characteristics of CNMs who use CAM.
Main Methods:
- A prospective descriptive study design was employed.
- A survey was distributed to a random sample of 500 CNMs from the American College of Nurse Midwives.
- Data collected included CAM treatment modalities used, knowledge acquisition, and provider characteristics.
Main Results:
- A 45% response rate (n=227) was achieved.
- 78% of responding CNMs reported using CAM.
- Herbal preparations (85%), pharmacologic/biologic treatments (82%), and mind-body interventions (80%) were the most frequently used CAM modalities.
Conclusions:
- A significant majority of CNMs utilize various CAM therapies in their practice.
- Diet and lifestyle interventions are universally adopted by CNM CAM users.
- Further research can explore the impact of CAM on midwifery outcomes.
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