Traditional and Complementary Medicine Practices in During Pregnancy and the Role of Midwives

Year 2022, , 373 - 391, 31.12.2022

Rukiye Sülü , Ebru Gözüyeşil , Şule Gökyıldız Sürücü , Burcu Avcıbay

https://doi.org/10.54803/sauhsd.1172344

Abstract

Traditional and complementary medicine practices are among the commonly used practices to relieve complaints during pregnancy. The prevalence of pregnant women applying to traditional and complementary practices varies between 1-87%. Some important associations do not recommend the use of herbal products during pregnancy because of the potential for teratogenic effects. The most preferred methods for nausea and vomiting during pregnancy are acupuncture, ginger, and hypnosis. Ayurvedic medicine for sleep problems, chamomile tea, lavender oil, music therapy, and relaxation exercises, and aromatherapy are the most preferred ones for the treatment of low back, back, and pelvic pain. In the literature, there are studies that reveal the effects of traditional complementary medicine practices by midwives in eliminating the discomforts experienced during pregnancy. Increasing the awareness of midwives on traditional and complementary medicine practices and their consultancy role in this regard is very important. In this context, this review has been prepared to determine the traditional and complementary medicine practices and the roles of midwifery in pregnancy.

Keywords

Midwifery, pregnancy, traditional and complementary medicine

Gebelik Döneminde Geleneksel ve Tamamlayıcı Tıp Uygulamaları ve Ebelerin Rolleri

Abstract

Geleneksel ve Tamamlayıcı tıp uygulamaları, gebelik sırasında yakınmaları gidermek için sıklıkla başvurulan yöntemler arasında yer almaktadır. Dünya genelinde gebelerin geleneksel ve tamamlayıcı yöntemlere başvurma sıklığı %1-87 arasında değişmektedir. Gebelikte bitkisel ürünlerin kullanımı teratojenik etki gösterebilmesi nedeniyle bazı önemli dernekler tarafından önerilmese de gebelikte bitkisel yöntemler sıklıkla tercih edilmektedir. Gebelikte yaşanan bulantı-kusma için en çok tercih edilen yöntemler akupunktur, zencefil ve hipnozdur. Uyku problemleri için ayurveda tıbbı, papatya çayı, lavanta yağı, müzik terapisi ve gevşeme egzersizleri, bel, sırt ve pelvik ağrı yönetiminde en çok aromaterapi tercih edilmektedir. Gebelikte hissedilen yorgunluk, yoga, egzersiz ve ginseng ile stres, anksiyete ise müzik terapisi ve aromaterapi ile giderilebilmektedir. Literatürde gebelikte yaşanan rahatsızlıkların giderilmesinde ebeler tarafından, geleneksel tamamlayıcı tıp uygulamalarının etkisinin ortaya konulduğu çalışmalar yer almaktadır. Ebelerin geleneksel ve tamamlayıcı tıp uygulamalarına yönelik farkındalıklarının arttırılması ve bu konudaki danışmanlık rolleri oldukça önemlidir. Bu derleme, gebelik döneminde yapılan geleneksel ve tamamlayıcı tıp uygulamaları ve bu konuda ebelerin rollerini belirtmek amacıyla hazırlanmıştır.

Keywords

Gebelik, geleneksel ve tamamlayıcı tıp, ebelik, Midwifery, pregnancy, traditional and complementary medicine

References

• Şen Ş, Dibek D, Güleç Satır D. Gebelikte sık görülen rahatsızlıklarda tamamlayıcı tıp uygulamalarının kullanımı. J Tradit Complem Med. 2020;3(3):389-398. doi:10.5336/jtracom.2020-73770
• National Center for Complementary and Integrative Health. Complementary, alternative, or ıntegrative health: What’s ın a name? https://nccih.nih.gov/health/integrative-health (Erişim Tarihi: 10 Temmuz 2022).
• Abdollahi F, Charati JY, Lye MS. Midwives' perceptions of Complementary and Alternative Medicine' during pregnancy. Complement Ther Med. 2020:4(49):102323. doi:10.1016/j.ctim.2020.102323
• Pallivalappila AR, Stewart D, Shetty A, Pande B, McLay JS. Complementary and alternative medicines use during pregnancy: A systematic review of pregnant women and health care professional views and experiences. Evid Based Complement Alternat Med. 2013:205639. doi:10.1155/2013/205639
• John LJ, Shantakumari N. Herbal medicines use during pregnancy: A review from the Middle East. Oman Med J. 2015;30(4):229-236. doi:10.5001/omj.2015.48
• Koc Z, Topatan S, Saglam Z. Use of and attitudes toward complementary and alternative medicine among midwives in Turkey. Eur J Obstet Gynecol Reprod Biol. 2012;160(2):131-136. doi:10.1016/j.ejogrb.2011.10.006
• Kılavuz M. Tamamlayıcı ve alternatif sağlık yaklaşımlarının gebelikte kullanımı. Yüksek Lisans Tezi, İstanbul Medipol Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul, 2017.
• Koç Z, Sağlam Z, Topatan S. Determination of the usage of complementary and alternative medicine among pregnant women in the Northern Region of Turkey. Collegian. 2017;24(6):533-539. doi:10.1016/j.colegn.2016.11.003.
• Quzmar Y, Istiatieh Z, Nabulsi H, Zyoud SH, Al-Jabi SW. The use of complementary and alternative medicine during pregnancy: A cross-sectional study from Palestine. BMC Complement Med Ther. 2021;21(1):1-10. doi:10.1186/s12906-021-03280-8
• Kul Uçtu A, Karakoç, H. Gebelikte bitkisel ürün kullanımı. Sağlık Hizmetleri ve Eğitimi Dergisi. 2018;2(2):47-50. doi:10.26567/JOHSE.2018250149
• Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 189: Nausea and Vomiting of Pregnancy. Obstet Gynecol. 2018;131(1):e15-e30. doi:10.1097/AOG.0000000000002456
• Royal College of Obstetricians & Gynaecologists. The management of nausea and vomiting of pregnancy and hyperemesis gravidarum. Green-Top Guideline No. 69. 2016.
• Campbell K, Rowe H, Azzam H, Lane CA. The management of nausea and vomiting of pregnancy. J Obstetr Gynaecol Can. 2016;38(12):1127-1137. doi:10.1016/j.jogc.2016.08.009
• World Health Organization (WHO). WHO recommendations on antenatal care for a positive pregnancy xperience. 2016. https://www.who.int/publications-detail/9789241549912. (Erişim Tarihi: 24 Mayıs 2022).
• Khorasani F, Aryan H, Sobhi A, Aryan R, Abavi-Sani A, Ghazanfarpour M, et al. A systematic review of the efficacy of alternative medicine in the treatment of nausea and vomiting of pregnancy. J Obstet Gynaecol. 2020;40(1):10-19. doi:10.1080/01443615.2019.1587392
• Allais G, Chiarle G, Sinigaglia S, Airola G, Schiapparelli P, Bergandi F, et al. Acupuncture treatment of migraine, nausea, and vomiting in pregnancy. Neurol Sci. 2019;40(1):213-215. doi:10.1007/s10072-019-03799-2
• Yang J, Jiang Y, Chen Y, Sun M, Chen J, Zheng Q, et al. Acupressure the PC6 point for alleviating postoperative nausea and vomiting: A systematic review protocol. Medicine. 2019;98(33):e16857. doi:10.1097/MD.0000000000016857
• Ozgoli G, Naz MSG. Effects of complementary medicine on nausea and vomiting in pregnancy: A systematic review. Int J Prev Med. 2018;9(75):1-10. doi:10.4103/ijpvm.IJPVM_430_16
• Sharifzadeh F, Kashanian M, Koohpayehzadeh J, Rezaian F, Sheikhansari N, Eshraghi, N. A comparison between the effects of ginger, pyridoxine (vitamin B6) and placebo for the treatment of the first trimester nausea and vomiting of pregnancy (NVP). J Matern Fetal Neonatal Med. 2017;31(19):2509-2514. doi:10.1080/14767058.2017.1344965
• Ozgunay SE, Dincgez B, Karasu D, Ozgen G, Taymur I, Eminoglu S, et al. Adjuvant hypnotherapy for hyperemesis gravidarum: A randomized pilot study. Int J Clin Exp Hypn. 2022;70(3):277-285. doi:10.1080/00207144.2022.2098026
• Fan W, Kang J, Xiao X, Li L, Yang X. Causes of constipation during pregnancy and health management. Int J Clin Exp Med. 2020;13(3),2022-2026.
• Kirca AŞ. Gül DK. Effects of self-acupressure on pregnancy-related constipation: A single-blind randomized controlled study. Explore. 2021;17(5):463-468. doi:10.1016/j.explore.2020.07.004
• Solt Kirca A, Aksoy SD. Complementary and alternative therapies for pregnant women suffering from constipation: A systematic review. International Journal of Traditional and Complementary Medicine Research. 2021;2(2):101-109. doi:10.53811/ijtcmr.932397
• Sehhatti F, Hughes C, Mirghafourvand M, Azari ZA. The effect of short – term foot reflexology in improving constipation symptoms during pregnancy: A two-armed, randomized controlled trial. International Journal of Women’s Health and Reproduction Sciences. 2020;8(3):303-310. doi:10.15296/ijwhr.2020.49
• Betschart C, Albrich WC, Brandner S, Faltin D, Kuhn A, Surbek D, et al. Guideline of the Swiss Society of Gynaecology and Obstetrics (SSGO) on acute and recurrent urinary tract infections in women, including pregnancy. Swiss Med Wkly. 2020;150:w20236. doi:10.4414/smw.2020.20236
• Trill J, Simpson C, Webley F, Radford M, Stanton L, Maishman T, et al. Uva-ursi extract and ibuprofen as alternative treatments of adult female urinary tract infection (aTafUTI): Study protocol for a randomised controlled trial. Trials. 2017;8;18(1):421. doi:10.1186/s13063-017-2145-7
• Sohn K, Underwood MA. Prenatal and postnatal administration of prebiotics and probiotics. Semin Fetal Neonatal Med. 2017;22(5):284-289. doi:10.1016/j.siny.2017.07.002
• Schneeberger C, Geerlings SE, Middleton P, Crowther CA. Interventions for preventing recurrent urinary tract infection during pregnancy. Cochrane Database Syst Rev. 2015;26;2015(7):CD009279. doi:10.1002/14651858.CD009279.pub3
• Gbinigie OA, Spencer EA, Heneghan CJ, Lee JJ, Butler CC. Cranberry extract for symptoms of acute, uncomplicated urinary tract infection: A systematic review. Antibiotics. 2021;10(1):12. doi:10.3390/antibiotics10010012
• Teskereci G, Boz İ. Gebelikte aromaterapi: Bakıma tamamlayıcı bir yaklaşım. Zeynep Kamil Tıp Bülteni. 2020;51(1):49-52. doi:10.16948/zktipb.431968
• Peng W, Lauche R, Frawley J, Sibbritt D, Adams J. Utilization of complementary and alternative medicine and conventional medicine for headache or migraine during pregnancy: A cross-sectional survey of 1,835 pregnant women. Complement Ther Med. 2018;41:192-195. doi:10.1016/j.ctim.2018.09.027
• Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Taghizadeh M, Bekhradi R, Zarei S. Effect of Lavender cream with or without foot bath on sleep quality and fatigue in pregnancy and postpartum: A randomized controlled trial. Women Health. 2018;58(10):1179-1191. doi:10.1080/03630242.2017.1414101
• Shobeiri F, Manoucheri B, Parsa P, Roshanaei G. Effects of counselling and sole reflexology on fatigue in pregnant women: A randomized clinical trial. J Clin Diagn Res. 2017;11(6):QC01-QC04. doi:10.7860/JCDR/2017/22681.9972
• Teskereci G, Boz İ, Aydus HŞ. Stria gravidarumun önlenmesi için kullanılan tamamlayıcı terapilerin belirlenmesi. Turkderm: Turk Arch Dermatol Venereology. 2018;52(1):29-32. doi:10.4274/turkderm.85350
• Mollaelahi F, Shahali S. Non-pharmacological interventions for the management of lower extremity edema during pregnancy: A narrative review study. Medical-Surgical Nursing Journal. 2022;11(1):e123284. doi:10.5812/msnj-123284
• Sawant RS, Shinde SB. Effect of hydrotherapy based exercises for chronic nonspecific low back pain. Indian Journal of Physiotherapy and Occupational Therapy. 2019:13(1), 133-138. doi:10.5958/0973-5674.2019.00027.3
• Close C, Sinclair M, McCullough J, Liddle D, Hughes C. A pilot randomised controlled trial (RCT) investigating the effectiveness of reflexology for managing pregnancy low back and/or pelvic pain. Complement Ther Clin Pract. 2016;23:117-124. doi:10.1016/j.ctcp.2015.05.002
• McCullough JEM, Liddle SD, Close C, Sinclair M, Hughes, CM. Reflexology: A randomised controlled trial investigating the effects on beta-endorphin, cortisol and pregnancy related stress. Complement Ther Clin Pract. 2018;31:76-84. doi:10.1016/j.ctcp.2018.01.018
• Kinser PA, Pauli J, Jallo N, Shall M, Karst K, Hoekstra M, et al. Physical activity and yoga-based approaches for pregnancy-related low back and pelvic pain. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2017;46(3):334-346. doi:10.1016/j.jogn.2016.12006
• Hughes CM, Liddle SD, Sinclair M, McCullough JE. The use of complementary and alternative medicine (CAM) for pregnancy related low back and/or pelvic girdle pain: An online survey. Complement Ther Clin Pract. 2018;31,379-383. doi:10.1016/j.ctcp.2018.01.015
• Özkan SA, Rathfisch G. The effect of relaxation exercises on sleep quality in pregnant women in the third trimester: A randomized controlled trial. Complement Ther Clin Pract. 2018;32:79-84. doi:10.1016/j.ctcp.2018.05.008
• Kamel FO, Magadmi RM, Hagras MM, Magadmi B, AlAhmad RA. Knowledge, attitude, and beliefs toward traditional herbal medicine use among diabetics in Jeddah Saudi Arabia. Complement Ther Clin Pract. 2017;29:207-212. doi:10.1016/j.ctcp.2017.10.007
• Gehua H, Mengjiao Z. Non-pharmacological interventions for patients with gestational diabetes mellitus: A literature review. Student Thesis, Bachelor Degree, University of Gavle and Lishui University, 2022.
• Yılmaz B, Aydın M, Rathfisch G. Preeklampsi bakımında tamamlayıcı tıp. JAREN. 2018;4(3):195-200. doi:10.5222/jaren.2018.40316
• Zeng Y, Liu B, Luo T, Chen Y, Chen G, Chen D. Effects of acupuncture on preeclampsia in Chinese women: A pilot prospective cohort study. Acupunct Med. 2016;34(2):144-148. doi:10.1136/acupmed-2015-010893
• Sumah DF, Madiuw D, Tasijawa FA, Leutualy V. Non-pharmacologic intervention for nausea and vomiting of pregnancy: Systematic review. Journal Aisyah: Jurnal Ilmu Kesehatan. 2021;6(4):663-670. doi:10.30604/jika.v6i4.685
• Jo J, Lee SH, Lee JM, Lee H, Kwack SJ, Kim DI. Use and safety of Korean herbal medicine during pregnancy: A Korean medicine literature review. European Journal of Integrative Medicine. 2016;8(1):4-11. doi:10.1016/j.eyjim.2015.10.008
• Lu H, Zheng C, Zhong Y, Cheng L, Zhou Y. Effectiveness of acupuncture in the treatment of hyperemesis gravidarum: A systematic review and meta-analysis. Evid Based Complement Alternat Med. 2021:2731446. doi:10.1155/2021/2731446
• Smith CA, Shewamene Z, Galbally M, Schmied V, Dahlen H. The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: A systematic review and meta-analysis. J Affect Disord. 2019;245:428-439. doi:10.1016/j.jad.2018.11.054
• Yu X, Liu Y, Huang Y, Zeng, T. The effect of nonpharmacological interventions on the mental health of high-risk pregnant women: A systematic review. Complement Ther Med. 2022;64:102799. doi:10.1016/j.ctim.2022.102799
• Lin IH, Huang CY, Chou SH, Shih CL. Efficacy of prenatal yoga in the treatment of depression and anxiety during pregnancy: A systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19(9):5368. doi:10.3390/ijerph19095368
• El-Fekey ESA, Omara HMH, El-Refaye GE, Abou El-Enin MFM. Effect of foot reflexology on stress and anxiety during pregnancy. Med J Cairo Univ. 2018;86(3):1607-1611. doi:10.21608/mjcu.2018.56366
• Wang W, Zhang Q, Qu F. The potential benefits of Chinese integrative medicine for pregnancy women during the COVID-19 pandemic. Integ Med Res. 2020;9(3):100461. doi:10.1016/j.imr.2020.100461
• Geleneksel ve Tamamlayıcı Tıp Uygulamaları Yönetmeliği. 2014. Resmi Gazete Tarihi: 27.10.2014 Resmi Gazete Sayısı: 29158. http://www.mevzuat.gov.tr/Metin.Aspx? MevzuatKod=7.5.20164&MevzuatIliski=0&sourceXmlSearch=geleneksel (Erişim Tarihi: 20 Kasım 2022).
• Jijimole M, Abdul AJ, Vijayaraghavan R, Susila C. Comparison of the effect of control, presence of a skilled birth attendant and reflexotherapy on labour outcomes in terms of pain, duration of labour and birth satisfaction among primigravid women-a pilot study. Biomedical Research. 2018;29(17),3292-3302. doi:10.4066/biomedicalresearch.29-18-637
• Kaya Ş, Karakuş Z, Boz İ, Özer, Z. Dünyada ve Türkiye’de tamamlayıcı terapilere ilişkin yasal düzenlemelerde hemşirelerin yeri. JAREN. 2020;6(3):584-591. doi:10.5222/jaren.2020.58561