Use of complementary and alternative medicines during the third trimester

Area of Science:

• Obstetrics and Gynecology
• Integrative Medicine
• Public Health

Background:

• Complementary and alternative medicine (CAM) use is prevalent among pregnant populations globally.
• Understanding the factors influencing CAM choices during pregnancy is crucial for maternal healthcare.
• Previous research indicates varied patterns of CAM utilization in expectant mothers.

Purpose of the Study:

• To determine the prevalence of CAM use in the third trimester of pregnancy.
• To identify the primary indications and associated factors for CAM use.
• To explore pregnant women's views on the safety and efficacy of CAM.

Main Methods:

• A questionnaire survey was administered to 700 women in the postnatal unit at Royal Aberdeen Maternity Hospital.
• Data collected included types of CAM used, reasons for use, demographic factors, and personal views on CAM.
• Statistical analysis, including descriptive and inferential methods, was employed to analyze the data.

Main Results:

• A response rate of 79.6% was achieved, with 61.4% of women reporting CAM use (excluding vitamins/minerals) in the third trimester.
• Oral herbal products were the most common CAM modality. Prior CAM use, higher education, and use by friends/family were significant associated factors.
• CAM users were more likely to perceive CAM as safer and having fewer side effects than prescribed medications.

Conclusions:

• CAM modalities and products are widely utilized by pregnant women in their third trimester, despite uncertainties regarding safety and effectiveness.
• Personal history of CAM use is the strongest predictor, with social influence playing a significant role over professional recommendations.
• The reliance on social networks for CAM decisions, rather than healthcare provider advice, warrants attention in clinical practice.