complementary therapies in obstetric practice

In the UK, legislation in the 1990s recognised osteopaths and chiropractors as separate professions. 0000004361 00000 n 2017; Salehi et al. Chapter 32: Complementary and Alternative Therapies Test Bank MULTIPLE CHOICE 1. 0000002248 00000 n • conclusion. The classification of “natural remedies” applies to substances derived from plants and other naturally available elements. Imbalance may occur from invasion by external factors, but these are considered rarely to harm a person who is homeostatically balanced. Doctors are concerned with disease, a relatively passive reaction of the person to invasion with microbes or apparently dangerous external environmental forces. The classification of “natural remedies” applies to substances derived from plants and other naturally available elements. The former group includes acupuncture, massage and reflexology, which are thousands of years old, as well as the more recent disciplines of osteopathy and homeopathy, whereas the latter group includes many untested and, frankly, sometimes harmful treatments. Resolving the predominating symptoms or condition is seen as “fixing” the person, with little explicit awareness of associated emotional, social or spiritual issues. On the other hand, it is important to be cautious in dismissing those that have not yet been scientifically tested, since this does not mean that they are universally ineffective or harmful. It is common – and sensible – practice to advise women to drink plenty of fluids (ideally water) and to avoid stimulants such as caffeine, chocolate, alcohol, cola and other high-sugar soft drinks and to limit excessive activity for a few hours after complementary therapy treatment, to encourage the body to heal itself. An example here is that of anti-inflammatory creams that reduce skin irritation (working from the outside) rather than treating the whole person (from the inside) to eliminate the need for the skin to react, as it does in response to chronic stress. In complementary medicine, each person is seen as a unique individual with her own inner resources. 0000004281 00000 n Ongoing treatment is designed to maintain homeostatic balance throughout the body, mind and spirit. �8��B�Bn�W�7ct%�����p�ܤ���'�k���{�ۇ�]^A#;6%�ED~у$��[ǻ@w�a[��%K�`IV�1�AUI�,�85�+M��_��.�x��SƘ�$�"nd���}'2�Lz�pQ�D��8i�� ���!a"��o|֔�=��n�敊{��+W�����c*��ܞ����^�-�@I$A�Ad䑘�����k{p_��*����x�:~&Wq"���9WF��r�� #�|� For example, a woman in late pregnancy reporting a headache following treatment could be experiencing a normal healing reaction, a side effect of therapy overdose, a relatively normal stress or tiredness headache, or she could be developing pre-eclampsia. Introduction to complementary medicine An overview of systematic reviews. The questionnaire was reviewed for face and content validity by four individuals with experience in the care of pregnant women and associated research, fol- There is a dependence on materialistic interpretation of physical clinical signs with costly, highly technological and invasive methods of treatment (surgery, radiotherapy, etc.). Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary … Stewart D, Pallivalappila AR, Shetty A, Pande B, McLay JS (2014) Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: a prospective questionnaire survey. Integration into the NHS care remains sporadic, with the maternity, oncology and learning disability fields being the main specialisms to embrace the benefits, but the NHS generally takes a cautious approach in recommending or advising on complementary medicine (NHS Choices 2017). However, this author believes that, in pregnancy, the woman should be informed of the possibility of a healing reaction since lack of knowledge may lead her, in such an event, to report to the maternity unit with symptoms for which no ostensible cause can be found and which may be misinterpreted by colleagues as an obstetric complication. endstream endobj 160 0 obj<> endobj 161 0 obj<> endobj 162 0 obj<> endobj 163 0 obj<> endobj 164 0 obj<> endobj 165 0 obj<>stream Statutory regulation, in 1993 and 1994 respectively, has now given osteopathy and chiropractic the status of “professions supplementary to medicine”. Some people with cancer may consider using complementary therapy in addition to standard cancer treatment. The former group includes acupuncture, massage and reflexology, which are thousands of years old, as well as the more recent disciplines of osteopathy and homeopathy, whereas the latter group includes many untested and, frankly, sometimes harmful treatments. For example, pyrexia is the body’s response to bacterial infection, since heat kills bacteria, sneezing expels cold viruses and vomiting empties the stomach of undesirable substances. 0000012207 00000 n Methods: The MEDLINE database was searched to identify randomized controlled trials of CAM treatment and therapies in obstetrics. This, then, is not curing but healing – and healing the whole person. The scientific community opines that complementary practitioners lack the training and expertise to diagnose “correctly” – that is, in terms of a medical label – and many doctors believe that this leads to missed or inaccurate diagnoses and, by inference, inappropriate or inadequate treatment. Given that most licensed drugs originate from various plant products, this is perhaps not surprising, but unfortunately, the isolation of identified active constituents when produced synthetically for commercial medicines produces side effects that are not normally apparent in the plants (see Chapter 2, Herbal medicine). An overview of studies (a meta analysis) published in 2012 suggested that around half of people with cancer use some sort of complementary therapy at some time during their illness. ����q�d��yE'�j�0��1����qY��6��_ �p�ҼUˣ]@6�u�����*顫:��dgt͉�_�n��on��m.q[��hQo7 �zG�P��w�+�ʮ޺�GYQ|�a�iQ*� ��pc���UU,^�i�5�nC���&���Å!�����5p����v��Wp0�ђĻx���6tbu��˻ >\�Jw�˪a�m:��kH�Ņ�q���x4��#��������8���G[D ����z�&����Y� Hu~%��.L]ݦ���������m��Fiu�ipӸ���_��_"�,w�/5N&�@����X������d�?�HQtu� �m&߮�mJ6ZQ���o賽+K���n��?#F�0b�wȺ��JG��|A�m!jQ ���k4�j����. People who seek out complementary therapies tend to have an expectation that their symptoms will be resolved or lessened, but they appear also to be looking actively for practitioners offering a holistic approach that improves their quality of life and facilitates them to be involved in their own care (Richardson 2004). Does auriculotherapy have therapeutic effectiveness? A healing response is a. pathological obstetric cholestasis. ness by various practitioners using therapies such as herbal medicines, homeopathic medicines, acupuncture, aroma-therapy, chiropracty, vitamins and minerals and certain food products’. 0 0000012978 00000 n Other natural elements are also sometimes used in medicines, such as minerals, tissue salts, bacterial cultures and even animal products, particularly in homeopathy. Allopathic (conventional) medicine claims to focus on the bio-psycho-social model, yet the physio-pathological aspects of health and disease predominate in the majority of specialisms. 0000003582 00000 n a necessary distinction to be made between centuries-old practices that have a well-developed body of clinical “wisdom” embedded in the belief system of a particular society, versus practices introduced in recent years by a few well-meaning but unscientific practitioners working in isolation from their peers and without any rigorous testing. 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