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Published in: BMC Complementary Medicine and Therapies 1/2018

Open Access 01-12-2018 | Research article

Demand for integrative medicine among women in pregnancy and childbed: a German survey on patients’ needs

Authors: Nikolas Schürger, Evelyn Klein, Alexander Hapfelmeier, Marion Kiechle, Daniela Paepke

Published in: BMC Complementary Medicine and Therapies | Issue 1/2018

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Abstract

Background

Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed.

Methods

The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich. Eligible participants were women hospitalized due to pregnancy related complications and women in childbed. Descriptive statistics were generated to determine patterns of CAM use and demand for integrative therapeutic approaches. Univariate analysis was used to detect associations between patients’ characteristics and their interest in the different integrative therapies. Furthermore, binary logistic regression was used to estimate the odds ratio of demand for CAM.

Results

A total of 394 out of 503 patients participated in the survey (78%). 60% declared using CAM in general, 45% specifically in relation to their pregnancy or childbed. Most commonly used modalities were vitamins (31% of all patients), yoga (24%), and herbal supplements (23%). Most popular sources of recommendation of CAM use were midwives and gynecologists. Integrative therapy options patients would have wanted alongside conventional maternity care were CAM (64%), relaxation therapies (44%), dietary counseling (28%), and psychological counseling (15%). Furthermore, associations between patients’ sociodemographic characteristics and their demand for integrative therapies were identified.

Conclusions

The results of this study demonstrate that there is a considerable demand for integrative medicine and widespread use of CAM among women during pregnancy and childbed in Germany. Maternity health care providers should be aware of these findings in order to be able to better address patients’ needs and wishes. Our study findings should be interpreted with regard to patients in an hospital setting.
Literature
1.
go back to reference Maizes V, Rakel D, Niemiec C. Integrative medicine and patient-centered care. Explore (New York, NY). 2009;5(5):277–89.CrossRef Maizes V, Rakel D, Niemiec C. Integrative medicine and patient-centered care. Explore (New York, NY). 2009;5(5):277–89.CrossRef
2.
go back to reference Berntson J, Patel JS, Stewart JC. Number of recent stressful life events and incident cardiovascular disease: moderation by lifetime depressive disorder. J Psychosom Res. 2017;99:149–54.CrossRefPubMedPubMedCentral Berntson J, Patel JS, Stewart JC. Number of recent stressful life events and incident cardiovascular disease: moderation by lifetime depressive disorder. J Psychosom Res. 2017;99:149–54.CrossRefPubMedPubMedCentral
3.
go back to reference Bica T, Castello R, Toussaint LL, Monteso-Curto P. Depression as a risk factor of organic diseases:an international integrative review. Journal of nursing scholarship : an official publication of sigma Theta tau international honor society of. Nursing. 2017;49(4):389–99. Bica T, Castello R, Toussaint LL, Monteso-Curto P. Depression as a risk factor of organic diseases:an international integrative review. Journal of nursing scholarship : an official publication of sigma Theta tau international honor society of. Nursing. 2017;49(4):389–99.
4.
go back to reference Low CA, Thurston RC, Matthews KA. Psychosocial factors in the development of heart disease in women: current research and future directions. Psychosom Med. 2010;72(9):842–54.CrossRefPubMedPubMedCentral Low CA, Thurston RC, Matthews KA. Psychosocial factors in the development of heart disease in women: current research and future directions. Psychosom Med. 2010;72(9):842–54.CrossRefPubMedPubMedCentral
5.
go back to reference Astin JA, Forys K. Psychosocial determinants of health and illness: integrating mind, body, and spirit. Adv Mind Body Med. 2004;20(4):14–21.PubMed Astin JA, Forys K. Psychosocial determinants of health and illness: integrating mind, body, and spirit. Adv Mind Body Med. 2004;20(4):14–21.PubMed
6.
go back to reference Coulter ID, Willis EM. The rise and rise of complementary and alternative medicine: a sociological perspective. Med J Aust. 2004;180(11):587–9.PubMed Coulter ID, Willis EM. The rise and rise of complementary and alternative medicine: a sociological perspective. Med J Aust. 2004;180(11):587–9.PubMed
9.
go back to reference Hall HG, Griffiths DL, McKenna LG. The use of complementary and alternative medicine by pregnant women: a literature review. Midwifery. 2011;27(6):817–24.CrossRefPubMed Hall HG, Griffiths DL, McKenna LG. The use of complementary and alternative medicine by pregnant women: a literature review. Midwifery. 2011;27(6):817–24.CrossRefPubMed
10.
go back to reference Sibbritt D, Adams J, Lui CW. Health service utilisation by pregnant women over a seven-year period. Midwifery. 2011;27(4):474–6.CrossRefPubMed Sibbritt D, Adams J, Lui CW. Health service utilisation by pregnant women over a seven-year period. Midwifery. 2011;27(4):474–6.CrossRefPubMed
11.
go back to reference Adams J, Lui CW, Sibbritt D, Broom A, Wardle J, Homer C, et al. Women's use of complementary and alternative medicine during pregnancy: a critical review of the literature. Birth. 2009;36(3):237–45. (Berkeley, Calif)CrossRefPubMed Adams J, Lui CW, Sibbritt D, Broom A, Wardle J, Homer C, et al. Women's use of complementary and alternative medicine during pregnancy: a critical review of the literature. Birth. 2009;36(3):237–45. (Berkeley, Calif)CrossRefPubMed
12.
go back to reference Nordeng H, Ystrom E, Einarson A. Perception of risk regarding the use of medications and other exposures during pregnancy. Eur J Clin Pharmacol. 2010;66(2):207–14.CrossRefPubMed Nordeng H, Ystrom E, Einarson A. Perception of risk regarding the use of medications and other exposures during pregnancy. Eur J Clin Pharmacol. 2010;66(2):207–14.CrossRefPubMed
13.
go back to reference Sanz E, Gomez-Lopez T, Martinez-Quintas MJ. Perception of teratogenic risk of common medicines. Eur J Obstet Gynecol Reprod Biol. 2001;95(1):127–31.CrossRefPubMed Sanz E, Gomez-Lopez T, Martinez-Quintas MJ. Perception of teratogenic risk of common medicines. Eur J Obstet Gynecol Reprod Biol. 2001;95(1):127–31.CrossRefPubMed
14.
go back to reference Low Dog T. The use of botanicals during pregnancy and lactation. Altern Ther Health Med. 2009;15(1):54–8.PubMed Low Dog T. The use of botanicals during pregnancy and lactation. Altern Ther Health Med. 2009;15(1):54–8.PubMed
15.
go back to reference Nordeng H, Koren G, Einarson A. Pregnant women's beliefs about medications--a study among 866 Norwegian women. Ann Pharmacother. 2010;44(9):1478–84.CrossRefPubMed Nordeng H, Koren G, Einarson A. Pregnant women's beliefs about medications--a study among 866 Norwegian women. Ann Pharmacother. 2010;44(9):1478–84.CrossRefPubMed
16.
go back to reference Close C, Sinclair M, Liddle SD, Madden E, McCullough JE, Hughes C. A systematic review investigating the effectiveness of complementary and alternative medicine (CAM) for the management of low back and/or pelvic pain (LBPP) in pregnancy. J Adv Nurs. 2014;70(8):1702–16.CrossRefPubMed Close C, Sinclair M, Liddle SD, Madden E, McCullough JE, Hughes C. A systematic review investigating the effectiveness of complementary and alternative medicine (CAM) for the management of low back and/or pelvic pain (LBPP) in pregnancy. J Adv Nurs. 2014;70(8):1702–16.CrossRefPubMed
17.
go back to reference Frawley J, Adams J, Sibbritt D, Steel A, Broom A, Gallois C. Prevalence and determinants of complementary and alternative medicine use during pregnancy: results from a nationally representative sample of Australian pregnant women. Aust N Z J Obstet Gynaecol. 2013;53(4):347–52.CrossRefPubMed Frawley J, Adams J, Sibbritt D, Steel A, Broom A, Gallois C. Prevalence and determinants of complementary and alternative medicine use during pregnancy: results from a nationally representative sample of Australian pregnant women. Aust N Z J Obstet Gynaecol. 2013;53(4):347–52.CrossRefPubMed
18.
go back to reference Kozhimannil KB, Johnson PJ, Attanasio LB, Gjerdingen DK. McGovern PM. Use of nonmedical methods of labor induction and pain management among U.S. women. Birth. 2013;40(4):227–36. (Berkeley, Calif)CrossRefPubMed Kozhimannil KB, Johnson PJ, Attanasio LB, Gjerdingen DK. McGovern PM. Use of nonmedical methods of labor induction and pain management among U.S. women. Birth. 2013;40(4):227–36. (Berkeley, Calif)CrossRefPubMed
21.
go back to reference Dennehy C. Omega-3 fatty acids and ginger in maternal health: pharmacology, efficacy, and safety. J Midwifery Womens Health. 2011;56(6):584–90.CrossRefPubMed Dennehy C. Omega-3 fatty acids and ginger in maternal health: pharmacology, efficacy, and safety. J Midwifery Womens Health. 2011;56(6):584–90.CrossRefPubMed
22.
go back to reference Battle CL, Uebelacker LA, Magee SR, Sutton KA, Miller IW. Potential for prenatal yoga to serve as an intervention to treat depression during pregnancy. Womens Health Issues. 2015;25(2):134–41.CrossRefPubMedPubMedCentral Battle CL, Uebelacker LA, Magee SR, Sutton KA, Miller IW. Potential for prenatal yoga to serve as an intervention to treat depression during pregnancy. Womens Health Issues. 2015;25(2):134–41.CrossRefPubMedPubMedCentral
23.
go back to reference Curtis K, Weinrib A, Katz J. Systematic review of yoga for pregnant women: current status and future directions. Evid Based Complement Alternat Med. 2012;2012:715942.CrossRefPubMedPubMedCentral Curtis K, Weinrib A, Katz J. Systematic review of yoga for pregnant women: current status and future directions. Evid Based Complement Alternat Med. 2012;2012:715942.CrossRefPubMedPubMedCentral
24.
go back to reference Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.CrossRefPubMedPubMedCentral Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.CrossRefPubMedPubMedCentral
25.
go back to reference Nkansah-Amankra S, Luchok KJ, Hussey JR, Watkins K, Liu X. Effects of maternal stress on low birth weight and preterm birth outcomes across neighborhoods of South Carolina, 2000-2003. Matern Child Health J. 2010;14(2):215–26.CrossRefPubMed Nkansah-Amankra S, Luchok KJ, Hussey JR, Watkins K, Liu X. Effects of maternal stress on low birth weight and preterm birth outcomes across neighborhoods of South Carolina, 2000-2003. Matern Child Health J. 2010;14(2):215–26.CrossRefPubMed
26.
go back to reference Muthukrishnan S, Jain R, Kohli S, Batra S. Effect of mindfulness meditation on perceived stress scores and autonomic function tests of pregnant Indian women. J Clin Diagn Res. 2016;10(4):Cc05–8.PubMedPubMedCentral Muthukrishnan S, Jain R, Kohli S, Batra S. Effect of mindfulness meditation on perceived stress scores and autonomic function tests of pregnant Indian women. J Clin Diagn Res. 2016;10(4):Cc05–8.PubMedPubMedCentral
27.
go back to reference Eisenberg DM, Kessler RC, Van Rompay MI, Kaptchuk TJ, Wilkey SA, Appel S, et al. Perceptions about complementary therapies relative to conventional therapies among adults who use both: results from a national survey. Ann Intern Med. 2001;135(5):344–51.CrossRefPubMed Eisenberg DM, Kessler RC, Van Rompay MI, Kaptchuk TJ, Wilkey SA, Appel S, et al. Perceptions about complementary therapies relative to conventional therapies among adults who use both: results from a national survey. Ann Intern Med. 2001;135(5):344–51.CrossRefPubMed
28.
go back to reference Holst L, Wright D, Haavik S, Nordeng H. The use and the user of herbal remedies during pregnancy. J Altern Complement Med. 2009;15(7):787–92. (New York, NY)CrossRefPubMed Holst L, Wright D, Haavik S, Nordeng H. The use and the user of herbal remedies during pregnancy. J Altern Complement Med. 2009;15(7):787–92. (New York, NY)CrossRefPubMed
29.
go back to reference Armstrong AR, Thiebaut SP, Brown LJ, Nepal B. Australian adults use complementary and alternative medicine in the treatment of chronic illness: a national study. Aust N Z J Public Health. 2011;35(4):384–90.CrossRefPubMed Armstrong AR, Thiebaut SP, Brown LJ, Nepal B. Australian adults use complementary and alternative medicine in the treatment of chronic illness: a national study. Aust N Z J Public Health. 2011;35(4):384–90.CrossRefPubMed
30.
go back to reference Martin BI, Gerkovich MM, Deyo RA, Sherman KJ, Cherkin DC, Lind BK, et al. The association of complementary and alternative medicine use and health care expenditures for back and neck problems. Med Care. 2012;50(12):1029–36.CrossRefPubMedPubMedCentral Martin BI, Gerkovich MM, Deyo RA, Sherman KJ, Cherkin DC, Lind BK, et al. The association of complementary and alternative medicine use and health care expenditures for back and neck problems. Med Care. 2012;50(12):1029–36.CrossRefPubMedPubMedCentral
31.
go back to reference Herman PM, Poindexter BL, Witt CM, Eisenberg DM. Are complementary therapies and integrative care cost-effective? A systematic review of economic evaluations. BMJ Open. 2012;2(5):e001046.CrossRefPubMedPubMedCentral Herman PM, Poindexter BL, Witt CM, Eisenberg DM. Are complementary therapies and integrative care cost-effective? A systematic review of economic evaluations. BMJ Open. 2012;2(5):e001046.CrossRefPubMedPubMedCentral
33.
go back to reference Yang S, Zhou A, Xiong C, Yang R, Bassig BA, Hu R, et al. Parental body mass index, gestational weight gain, and risk of macrosomia: a population-based case-control study in China. Paediatr Perinat Epidemiol. 2015;29(5):462–71.CrossRefPubMed Yang S, Zhou A, Xiong C, Yang R, Bassig BA, Hu R, et al. Parental body mass index, gestational weight gain, and risk of macrosomia: a population-based case-control study in China. Paediatr Perinat Epidemiol. 2015;29(5):462–71.CrossRefPubMed
34.
go back to reference Zhang CH, Liu XY, Zhan YW, Zhang L, Huang YJ, Zhou H. Effects of Prepregnancy body mass index and gestational weight gain on pregnancy outcomes. Asia Pac J Public Health. 2015;27(6):620–30.CrossRefPubMed Zhang CH, Liu XY, Zhan YW, Zhang L, Huang YJ, Zhou H. Effects of Prepregnancy body mass index and gestational weight gain on pregnancy outcomes. Asia Pac J Public Health. 2015;27(6):620–30.CrossRefPubMed
35.
go back to reference Devlieger R, Benhalima K, Damm P, Van Assche A, Mathieu C, Mahmood T, et al. Maternal obesity in Europe: where do we stand and how to move forward?: a scientific paper commissioned by the European board and College of Obstetrics and Gynaecology (EBCOG). Eur J Obstet Gynecol Reprod Biol. 2016;201:203–8.CrossRefPubMed Devlieger R, Benhalima K, Damm P, Van Assche A, Mathieu C, Mahmood T, et al. Maternal obesity in Europe: where do we stand and how to move forward?: a scientific paper commissioned by the European board and College of Obstetrics and Gynaecology (EBCOG). Eur J Obstet Gynecol Reprod Biol. 2016;201:203–8.CrossRefPubMed
36.
go back to reference Pallivalappila AR, Stewart D, Shetty A, Pande B, JS ML. Complementary and Alternative medicines use during pregnancy: a systematic review of pregnant women and healthcare professional views and experiences. Evid Based Complement Alternat Med. 2013;2013:205639.CrossRefPubMedPubMedCentral Pallivalappila AR, Stewart D, Shetty A, Pande B, JS ML. Complementary and Alternative medicines use during pregnancy: a systematic review of pregnant women and healthcare professional views and experiences. Evid Based Complement Alternat Med. 2013;2013:205639.CrossRefPubMedPubMedCentral
37.
go back to reference Birdee GS, Kemper KJ, Rothman R, Gardiner P. Use of complementary and alternative medicine during pregnancy and the postpartum period: an analysis of the National Health Interview Survey. J Womens Health (2012). 2014;23(10):824–9.CrossRef Birdee GS, Kemper KJ, Rothman R, Gardiner P. Use of complementary and alternative medicine during pregnancy and the postpartum period: an analysis of the National Health Interview Survey. J Womens Health (2012). 2014;23(10):824–9.CrossRef
38.
go back to reference Holden SC, Gardiner P, Birdee G, Davis RB, Yeh GY. Complementary and alternative medicine use among women during pregnancy and childbearing years. Birth. 2015;42(3):261–9. (Berkeley, Calif)CrossRefPubMedPubMedCentral Holden SC, Gardiner P, Birdee G, Davis RB, Yeh GY. Complementary and alternative medicine use among women during pregnancy and childbearing years. Birth. 2015;42(3):261–9. (Berkeley, Calif)CrossRefPubMedPubMedCentral
39.
go back to reference Johnson PJ, Kozhimannil KB, Jou J, Ghildayal N, Rockwood TH. Complementary and Alternative medicine use among women of reproductive age in the United States. Womens Health Issues: official publication of the Jacobs Institute of Women's Health. 2016;26(1):40–7.CrossRefPubMed Johnson PJ, Kozhimannil KB, Jou J, Ghildayal N, Rockwood TH. Complementary and Alternative medicine use among women of reproductive age in the United States. Womens Health Issues: official publication of the Jacobs Institute of Women's Health. 2016;26(1):40–7.CrossRefPubMed
40.
go back to reference Kalder M, Knoblauch K, Hrgovic I, Munstedt K. Use of complementary and alternative medicine during pregnancy and delivery. Arch Gynecol Obstet. 2011;283(3):475–82.CrossRefPubMed Kalder M, Knoblauch K, Hrgovic I, Munstedt K. Use of complementary and alternative medicine during pregnancy and delivery. Arch Gynecol Obstet. 2011;283(3):475–82.CrossRefPubMed
41.
go back to reference Shorofi SA, Arbon P. Complementary and alternative medicine (CAM) among Australian hospital-based nurses: knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. Complement Ther Clin Pract. 2017;27:37–45.CrossRefPubMed Shorofi SA, Arbon P. Complementary and alternative medicine (CAM) among Australian hospital-based nurses: knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. Complement Ther Clin Pract. 2017;27:37–45.CrossRefPubMed
42.
go back to reference Munstedt K, Dutemeyer V, Hubner J. Patients’ considerations behind the use of methods from complementary and alternative medicine in the field of obstetrics in Germany. Arch Gynecol Obstet. 2013;288(3):527–30.CrossRefPubMed Munstedt K, Dutemeyer V, Hubner J. Patients’ considerations behind the use of methods from complementary and alternative medicine in the field of obstetrics in Germany. Arch Gynecol Obstet. 2013;288(3):527–30.CrossRefPubMed
43.
go back to reference Pallivalappila AR, Stewart D, Shetty A, Pande B, Singh R, McLay JS. Complementary and alternative medicine use during early pregnancy. Eur J Obstet Gynecol Reprod Biol. 2014;181:251–5.CrossRefPubMed Pallivalappila AR, Stewart D, Shetty A, Pande B, Singh R, McLay JS. Complementary and alternative medicine use during early pregnancy. Eur J Obstet Gynecol Reprod Biol. 2014;181:251–5.CrossRefPubMed
44.
go back to reference Sim TF, Sherriff J, Hattingh HL, Parsons R. Tee LB. the use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Complement Altern Med. 2013;13(1):317.CrossRefPubMedPubMedCentral Sim TF, Sherriff J, Hattingh HL, Parsons R. Tee LB. the use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Complement Altern Med. 2013;13(1):317.CrossRefPubMedPubMedCentral
46.
go back to reference Dugoua JJ, Perri D, Seely D, Mills E, Koren G. Safety and efficacy of blue cohosh (Caulophyllum thalictroides) during pregnancy and lactation. Can J Clin Pharmacol = Journal canadien de pharmacologie clinique. 2008;15(1):e66–73.PubMed Dugoua JJ, Perri D, Seely D, Mills E, Koren G. Safety and efficacy of blue cohosh (Caulophyllum thalictroides) during pregnancy and lactation. Can J Clin Pharmacol = Journal canadien de pharmacologie clinique. 2008;15(1):e66–73.PubMed
47.
go back to reference Ernst E. Herbal medicinal products during pregnancy: are they safe? BJOG : an international journal of obstetrics and gynaecology. 2002;109(3):227–35.CrossRef Ernst E. Herbal medicinal products during pregnancy: are they safe? BJOG : an international journal of obstetrics and gynaecology. 2002;109(3):227–35.CrossRef
48.
go back to reference Nordeng H, Havnen GC. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemiol Drug Saf. 2004;13(6):371–80.CrossRefPubMed Nordeng H, Havnen GC. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemiol Drug Saf. 2004;13(6):371–80.CrossRefPubMed
49.
go back to reference Lapi F, Vannacci A, Moschini M, Cipollini F, Morsuillo M, Gallo E, et al. Use, attitudes and knowledge of complementary and alternative drugs (CADs) among pregnant women: a preliminary survey in Tuscany. Evid Based Complement Alternat Med. 2010;7(4):477–86.CrossRefPubMed Lapi F, Vannacci A, Moschini M, Cipollini F, Morsuillo M, Gallo E, et al. Use, attitudes and knowledge of complementary and alternative drugs (CADs) among pregnant women: a preliminary survey in Tuscany. Evid Based Complement Alternat Med. 2010;7(4):477–86.CrossRefPubMed
50.
go back to reference Frawley J, Adams J, Broom A, Steel A, Gallois C, Sibbritt D. Majority of women are influenced by nonprofessional information sources when deciding to consult a complementary and alternative medicine practitioner during pregnancy. J Altern Complement Med. 2014;20(7):571–7. (New York, NY)CrossRefPubMed Frawley J, Adams J, Broom A, Steel A, Gallois C, Sibbritt D. Majority of women are influenced by nonprofessional information sources when deciding to consult a complementary and alternative medicine practitioner during pregnancy. J Altern Complement Med. 2014;20(7):571–7. (New York, NY)CrossRefPubMed
51.
go back to reference Holst L, Wright D, Nordeng H, Haavik S. Use of herbal preparations during pregnancy: focus group discussion among expectant mothers attending a hospital antenatal clinic in Norwich, UK. Complement Ther Clin Pract. 2009;15(4):225–9.CrossRefPubMed Holst L, Wright D, Nordeng H, Haavik S. Use of herbal preparations during pregnancy: focus group discussion among expectant mothers attending a hospital antenatal clinic in Norwich, UK. Complement Ther Clin Pract. 2009;15(4):225–9.CrossRefPubMed
52.
go back to reference Vickers KA, Jolly KB, Greenfield SM. Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study. BMC Complement Altern Med. 2006;6:40.CrossRefPubMedPubMedCentral Vickers KA, Jolly KB, Greenfield SM. Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study. BMC Complement Altern Med. 2006;6:40.CrossRefPubMedPubMedCentral
53.
go back to reference Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007;30(Suppl 2):S141–6.CrossRefPubMed Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007;30(Suppl 2):S141–6.CrossRefPubMed
54.
go back to reference Kinnunen TI, Puhkala J, Raitanen J, Ahonen S, Aittasalo M, Virtanen SM, et al. Effects of dietary counselling on food habits and dietary intake of Finnish pregnant women at increased risk for gestational diabetes - a secondary analysis of a cluster-randomized controlled trial. Matern Child Nutr. 2014;10(2):184–97.CrossRefPubMed Kinnunen TI, Puhkala J, Raitanen J, Ahonen S, Aittasalo M, Virtanen SM, et al. Effects of dietary counselling on food habits and dietary intake of Finnish pregnant women at increased risk for gestational diabetes - a secondary analysis of a cluster-randomized controlled trial. Matern Child Nutr. 2014;10(2):184–97.CrossRefPubMed
55.
go back to reference Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D, et al. From the third month of pregnancy to 1 year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the perinatal depression-research & screening unit study. Compr Psychiatry. 2011;52(4):343–51.CrossRefPubMed Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D, et al. From the third month of pregnancy to 1 year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the perinatal depression-research & screening unit study. Compr Psychiatry. 2011;52(4):343–51.CrossRefPubMed
56.
go back to reference Navarro P, Garcia-Esteve L, Ascaso C, Aguado J, Gelabert E, Martin-Santos R. Non-psychotic psychiatric disorders after childbirth: prevalence and comorbidity in a community sample. J Affect Disord. 2008;109(1–2):171–6.CrossRefPubMed Navarro P, Garcia-Esteve L, Ascaso C, Aguado J, Gelabert E, Martin-Santos R. Non-psychotic psychiatric disorders after childbirth: prevalence and comorbidity in a community sample. J Affect Disord. 2008;109(1–2):171–6.CrossRefPubMed
57.
go back to reference O'Hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry. 1996;8(1):37–54.CrossRef O'Hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry. 1996;8(1):37–54.CrossRef
58.
go back to reference Buttner MM, O'Hara MW, Watson D. The structure of women's mood in the early postpartum. Assessment. 2012;19(2):247–56.CrossRefPubMed Buttner MM, O'Hara MW, Watson D. The structure of women's mood in the early postpartum. Assessment. 2012;19(2):247–56.CrossRefPubMed
59.
go back to reference Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT. Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med. 2001;63(5):830–4.CrossRefPubMed Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT. Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med. 2001;63(5):830–4.CrossRefPubMed
60.
go back to reference Mulder EJ, Robles de Medina PG, Huizink AC, Van den Bergh BR, Buitelaar JK, Visser GH. Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev. 2002;70(1–2):3–14.CrossRefPubMed Mulder EJ, Robles de Medina PG, Huizink AC, Van den Bergh BR, Buitelaar JK, Visser GH. Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev. 2002;70(1–2):3–14.CrossRefPubMed
61.
go back to reference O'Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379–407.CrossRefPubMed O'Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379–407.CrossRefPubMed
Metadata
Title
Demand for integrative medicine among women in pregnancy and childbed: a German survey on patients’ needs
Authors
Nikolas Schürger
Evelyn Klein
Alexander Hapfelmeier
Marion Kiechle
Daniela Paepke
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2018
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-018-2249-y

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