Complementary, Traditional and Spiritual Practices Used by Women in Pregnancy and Delivery

Yıl 2023, , 125 - 132, 27.01.2023

Merve Çamlıbel

https://doi.org/10.31020/mutftd.1187749

Cited By: 1

Öz

Aim: This study was conducted to determine the complementary and traditional-spiritual practices applied by women during pregnancy and childbirth who gave birth vaginally. .
Method: This descriptive and cross-sectional study was conducted with 112 women who had a vaginal delivery between January and April 2019. Study data were collected using the form of participants' sociodemographic characteristics and complementary practices. Data were analyzed using descriptive percentage tests and Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) software.
Results: According to the study, the mean age of women who had vaginal delivery was 28.44±5 years, 56.3% of them were delivered by a physician, and 35.7% of them did not receive childbirth preparation training. 74.1% of the women stated that they used CAM methods during pregnancy and 47.3% of them during delivery. Prayer/spiritual practices (96.4%), music (73.5%), daydreaming (69.9%) and different foods (65.1%) were used most frequently during pregnancy. Breathing exercises (94.3%) and prayer/spiritual practices (90.5%) and relaxation/meditation (37.7%) were the most used methods at birth. All of those who used herbal products during labor drank the water in which the herb of Ana Fatma Eli was put. 46.4% of the women did not know how to use the Complementary and Alternative Medicine (CAM) application during childbirth, 25.9% could not use it due to labor pain, 17.8% did not think about it during delivery, 5.3% did not allow the delivery room staff, 4.5% did not use it because of the negative attitude of the health personnel.
Conclusion: Although the majority of women in our study stated that they used alternative methods during pregnancy, this rate decreases at delivery. In order to increase the autonomy of women during pregnancy and delivery, their information needs about CAM methods need to be met and they need to be strengthened in this regard. In addition, studies to increase the awareness of health professionals about CAM methods and the preparation of clinical protocols for the use of these CAM methods are needed.

Anahtar Kelimeler

pregnancy, childbirth, complementary alternative medicine

Vajinal Doğum Yapan Kadınların Gebelikte ve Doğumda Kullandıkları Tamamlayıcı, Geleneksel ve Manevi Uygulamalar

Öz

Amaç: Bu çalışma, vajinal doğum yapan kadınların gebelik ve doğum anında uyguladıkları tamamlayıcı ve geleneksel-manevi uygulamaları belirlemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ve kesitsel tipteki bu çalışma, Ocak-Nisan 2019 tarihleri arasında vajinal doğum yapan 112 kadın ile yürütülmüştür. Çalışma verileri, katılımcıların sosyodemografik özellikleri ve tamamlayıcı uygulamalara ilişkin form kullanılarak toplanmıştır. Veriler tanımlayıcı, yüzde testleri ve Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, ABD) yazılımı kullanılarak analiz edildi.
Bulgular: Araştırmaya göre kadınların yaş ortalaması 28.44±5, %56.3’ünün doğumu hekim tarafından gerçekleştirilmiş, %35.7’si doğuma hazırlık eğitimi almamıştır. Kadınların %74.1’i gebelik sürecince, %47.3’ü ise doğumda Tamamlayıcı Alternatif Tedavi (TAT) yöntemlerini kullandığını belirtmiştir. Gebelikte en sık dua/manevi uygulamalar (% 96.4), müzik (%73.5), hayal kurma (%69.9), farklı besinler (%65.1) kullanmıştır. Doğumda ise en çok nefes egzersizi (%94.3) dua/manevi uygulamalar (% 90.5), gevşeme/meditasyon (%37.7) yöntemlerini kullanmışlardır. Doğum eylemi sırasında bitkisel ürün kullananların hepsi Fatma Ana Eli otunun içine konduğu sudan içmiştir. Kadınların %46.4’ü (TAT) uygulamasını doğumda nasıl kullanması gerektiğini bilmediğini, %25.9’u doğum ağrısı nedeni ile kullanamadığını, % 17.8’i doğum sırasında aklına gelmediğini, %5.3’ü doğumhane personelinin izin vermediğini, %4.5’i sağlık personelinin olumsuz tavrı nedeni ile kullanamadığını belirtmiştir.
Sonuç: Çalışmamızda kadınların büyük çoğunluğu gebelik süresince alternatif yöntem kullandığını belirtse de doğumda bu oran düşmektedir. Kadınların gebelikte ve doğum anında otonomilerinin arttırılması için TAT yöntemleri konusunda bilgi gereksinimlerinin giderilerek bu konuda güçlendirilmeye ihtiyaçları vardır. Ayrıca sağlık profesyonellerinin de TAT yöntemleri konusunda farkındalıklarının arttırılması çalışmalarına ve bu TAT yöntemlerinin kullanılabilmesi için klinik protokollerin hazırlanmasına ihtiyaç vardır.

Anahtar Kelimeler

gebelik, doğum, tamamlayıcı alternatif tıp

Kaynakça

• 1. Nahin RL, Barnes PM, Stussman BJ. Expenditures on complementary health approaches: United States, 2012. Natl Health Stat Report 2016;22(95):1-11.
• 2. World Health Organization [Internet]. (2014). Traditional Medicine Strategy: 2014-2023, 2014. [cited by 18.07.2022] Available from: https://www.who.int/publications/i/item/9789241506096
• 3. EUROCAM [Internet]. (2020). CAM 2020 The contribution of Complementary and Alternative Medicine to sustainable healthcare in Europe. [cited by 08.08.2022] Available from: https://cam-europe.eu/wp-content/uploads/2018/10/EUROCAM_publication-CAM2020-2014.pdf
• 4. National Center for Complementary and Integrative Health (NCCIH) [Internet]. (2021). [cited by 09.08.2022] Available from: https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
• 5. 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.
• 6. Sim TF, et al. The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Compl Alternative Med 2013;13(1):317.
• 7. Warriner S, Bryan K, Brown AM. Women’s attitude towards the use of complementary and alternative medicines (CAM) in pregnancy. Midwifery 2014; 30(1):138–143.
• 8. American Pregnancy Association [Internet]. (2021). Herbs and pregnancy: risks, caution & recommendations. [cited by 10.08.2022] Available from: https://americanpregnancy.org/pregnancy-health/herbs-and-pregnancy/
• 9. Jones L, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Rev 2012;3.
• 10. Quzmar, et al. The use of complementary and alternative medicine during pregnancy: a crosssectional study from Palestine. BMC Complementary Medicine and Therapies 2021;21:108.
• 11. Kaygusuz M, et al. TCM use in pregnant women and nursing mothers: A study from Turkey. Complementary Therapies in Clinical Practice 2021;42:101300.
• 12. Steel A, Sibbritt D, Adams J, Daley J. P04.80. Navigating the divide: women’s engagement with conventional and complementary medicine in pregnancy. BMC Complement Altern Med 2012;12:P350.
• 13. Hall HR, Jolly K. Women’s use of complementary and alternative medicines during pregnancy: a cross-sectional study. Midwifery 2014;30(5):499–505.
• 14. Pallivalappila, et al. Complementary and alternative medicine use during early pregnancy. Eur J Obstet Gynecol Reprod Biol 2014;181:251–255.
• 15. Hwang JH, et al. Use of complementary and alternative medicine in pregnancy: a cross-sectional survey on Iraqi women. BMC Compl Alternative Med 2016;16(1):191.
• 16. Bolsoy N, Sevil Ü. Sağlık-Hastalık Ve Kültür Etkileşimi. Anadolu Hemşirelik Ve Sağlık Bilimleri Dergisi 2006;9(3):78-87.
• 17. Taşhan ST., Koyuncu SB. Kadınların Doğuma Yönelik Kullandıkları Geleneksel Yöntemler ve Etkileyen Faktörler. ACU Sağlık Bil Derg 2018;9(2):150-155.
• 18. Yazdi N, et al. Use of complementary and alternative medicine in pregnant women: A cross-sectional survey in the south of Iran. Journal of Integrative Medicine 2019;17:392–395.
• 19. Ee C., et al. Complementary medicines and therapies in clinical guidelines on pregnancy care: A systematic review. Women and Birth 2022;35:e303–e317.
• 20. Sözbir ŞY, Erenoğlu R. Harmful traditional health practices used by Syrian refugee women in Turkey. The European Journal of Contraceptıon & Reproductıve Health Care. 2021;26(2):148–154.
• 21. Steel A, et al. Complementary medicine use in the Australian population: results of a nationally-representative cross-sectional survey. Sci Rep 2018;8(1):1–7.
• 22. Frawley J, et al. Prevalence and determinants of complementary and alternative medicine use during pregnancy: results from a nationally representative sample of Australian pregnant women. Australian and New Zealand Journal of Obstetrics and Gynaecology 2013;53(4):347–352.
• 23. Sattari M, et al. Selfreported use and attitudes regarding herbal medicine safety during pregnancy in Iran. Jundishapur J Nat Pharm Prod 2012;7(2):45–9.
• 24. Biana CB, et al. Non-pharmacological therapies applied in pregnancy and labor: an integrative review. Rev Esc Enferm USP 2021;55:e03681.
• 25. Yıldırım G, Şahin SA. Halk ebelerinin doğum hazırlığı ve eylemi sırasındaki uygulamalarının modern tıp ve tarihi tıp kaynaklarındaki uygulamalarla karşılaştırılması. Milli Folklor 2014;26:20–31.
• 26. Gür EY, Apay SE. The effect of cognitive behavioral techniques using virtual reality on birth pain: a randomized controlled trial. Midwifery 2020;102856.
• 27. Çamlıbel M, Mete S. Women’s Thoughts about Education Class for Awareness of Labor: A Qualitative Study. International Journal of Caring Sciences 2020;13(1):738-45.
• 28. Nilsson L, et al. Factors influencing pos- itive birth experiences of first-time mothers. Nurs Res Pract 2013;6.
• 29. Behruzi R, et al. Perception of humanization of birth in a highly specialized hospital: let’s think differently. Health Care Women Int 2014;35:127–148.
• 30. Bassah N, et al. Postpartum mothers’ perspectives of comfort measures used by nurses and midwives during labor and delivery in a secondary level hospital maternity in cameroon. Asian Research Journal of Gynaecology and Obstetrics 2020;31-37.
• 31. Boz İ, et al. Gebelerin Doğum Eyleminde Algıladıkları Destekleyici Bakım ile Doğum Algıları Arasındaki İlişkinin Belirlenmesi. Jinekoloji Obstetrik ve Neonatoloji Tıp Dergisi 2019;16(4):187-190.
• 32. Beşen MA, Datlıcı AS. Kadınların Doğum Sürecine Uyumu ve İlişkili Faktörlerin Değerlendirilmesi. GÜSBD 2022;11(1):170-182
• 33. Hall HG, Mckenna LG, Griffith DL. Midwives’ support for complementary and alternative medicine: a literatüre review. Women and Birth 2012;25(1):4-12.
• 34. Nasiri M, et al. Effects of consuming date fruits (Phoenix dactylifera Linn) on gestation, labor, and delivery: an updated systematic review and meta-analysis of clinical trials. Complement Ther Med 2019;45:71–84.
• 35. Fathi L, Amraei K. Effects of Phoenix dactylifera syrup consumption on the severity of labor pain and length of the active phase of labor in nulliparous women. IJN 2019;31(116):18–27.
• 36. Şen E, Kaya HD. Doğumda Geleneksel Uygulamalar: Fatma Ana Eli Bitkisi (Anastatica hierochuntica L.). Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2021;11(2):223-229.