Review Article

Complementary and Alternative Medicines Use during Pregnancy: A Systematic Review of Pregnant Women and Healthcare Professional Views and Experiences

Table 4

Data extraction relating to studies of professionals ( ).

Authors year, countryProfessional groupCAMs studied (authors’ terms)Mode of data collectionResponse rate (RR, %) Prevalence
(% recommending for patients)

Koc et al., 2012 [39], TurkeyMidwivesCAMQuestionnaire129/159 (81.1)58.9% used CAM in their practice, mostly herbal medicines, diets, and exercises (32.6%, 27.9%, and 28.7%).
Dennehy et al., 2010 [40], USA MidwivesHerbal medicinesQuestionnaire139/460 (30.2)66.9% used herbal medicines in their practice.
Hrgovic et al., 2010 [41], CroatiaHeads of obstetricsCAMQuestionnaire36/36 (100) Homeopathy, aromatherapy, massage, moxibustion, phytotherapy, acupressure, reflexology, and Reiki were not used at all (no data on herbal). Acupuncture used at two centres only.
Samuels et al., 2010 [42], IsraelMidwivesCAMQuestionnaire173/238 (72.7)70% used CAM in their practice (49.1% massage, 37.0% herbals, and 33.5% homeopathy).
Harding and Foureur, 2009 [43], New Zealand, Canada MidwivesCAMQuestionnaire343/648 (52.9)71.95% recommended or offered CAM often (31%), very frequently (28%) or always (13%). Most common homeopathy, followed by herbal medicines, aromatherapy, and acupuncture (given as frequencies for different patient numbers, e.g., 50% of midwives recommend for 70–100% of their patients).
Hastings-Tolsm and Terada, 2009 [44], USAMidwivesCAMQuestionnaire227/500 (45.0)78% used CAM in their practice mostly herbal medicines (85%), pharmacologic/biologic treatments (82%), and mind-body interventions (80%).
Münstedt et al., 2009 [45], Germany Heads of obstetricsCAMQuestionnaire138/187 (73.4)100% offered acupuncture, 95.7% homoeopathy, and 50.7% aromatherapy. Decisions to provide CAM were largely made by midwives.
Münstedt et al., 2009 [46], Germany Head of obstetricsCAMQuestionnaire381/946 (40.3)97.3% offered acupuncture, 93.4% homeopathy, and 76.6% aromatherapy. Decisions to provide CAM were largely made by midwives.
Wiebelitz et al., 2009 [47], GermanyMidwives (lecturers, students)CAMQuestionnaire309/309 (100)63.1% estimated CAM to be “applied frequently” (defined as >25% of their pregnant patients) by midwives. 50–75% estimated homeopathy used “regularly”, 20–40% phytotherapy, and 28-27% hydrotherapy.
Furlow et al., 2008 [48], USA Obstetric, gynaecology physiciansCAMQuestionnaire401/1,009 (41.0)97.6% routinely endorsed, provided or referred patients for at least one CAM modality. 86.4% movement therapies, 80.3% biofeedback etc. 61.4% herbal, and 41.7% homeopathy.