Midwifery Acupuncturists' Management of Antenatal Anxiety and Depression: Data from a Survey in Aotearoa (New Zealand).

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Medical Acupuncture Pub Date : 2023-04-01 Epub Date: 2023-04-13 DOI:10.1089/acu.2022.0062
Lee-Ana Lowe, Debra Betts
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引用次数: 0

Abstract

Objective: The goal of this research was to explore how New Zealand midwifery acupuncturists manage mild-to-moderate antenatal anxiety and depression (AAD).

Materials and methods: A survey (Surveymonkey®) on midwives' perceptions of acupuncture for treating AAD was distributed late in 2019 to midwives who completed a Certificate in Midwifery Acupuncture. Data were collected on referrals and on acupuncture and complementary and alternative medicine use for AAD and associated symptoms of concern (SoC), such as low-back and pelvic pain (LBPP), sleep issues, stress, other pain, and pregnancy issues. Descriptive analysis was used to report data.

Results: Of 119 midwives, 66 responded (55.5%). For AAD and SoC, midwives mostly referred patients to general practitioners and counselors, and administered acupuncture themselves. Acupuncture was most accessed for LBPP (n = 38; 70.4%), sleep (n = 31; 57.4%), anxiety (n = 27; 50.0%); stress (n = 26; 48.1%), and other pain (n = 20, 37.0%). Massage was second most-accessed for LBPP (n = 36; 66.7%), sleep (n = 25; 46.3%), and stress (n = 24; 44.4%). For depression, treatments were herbs (n = 16; 29.6%), homeopathy (n = 14; 25.9%), and acupuncture and massage (both n = 13; 24.1%). Acupuncture was most used for other pregnancy issues: birth preparation (n = 44, 88.0%); assisted labor induction (n = 43; 86.0%): nausea and vomiting (n = 43; 86.0%); breech (n = 37; 74.0%); and headaches/migraines (n = 29; 58.0%).

Conclusion: Acupuncture is commonly used by midwife acupuncturists in New Zealand to treat a range of pregnancy issues, including anxiety, SoC for AAD, and other pregnancy issues. Further research would be beneficial.

助产针灸师对产前焦虑和抑郁的管理:来自奥特亚罗瓦(新西兰)的调查数据。
研究目的本研究旨在探讨新西兰助产针灸师如何处理轻度至中度产前焦虑和抑郁(AAD):2019 年底,向完成助产针灸证书课程的助产士发放了一份关于助产士对针灸治疗 AAD 的看法的调查问卷(Surveymonkey®)。调查收集了有关转诊、针灸和补充及替代药物用于治疗 AAD 以及相关症状(SoC)(如腰背和骨盆疼痛 (LBPP)、睡眠问题、压力、其他疼痛和妊娠问题)的数据。报告数据时采用了描述性分析:结果:在 119 名助产士中,有 66 名(55.5%)做出了回应。对于 AAD 和 SoC,助产士大多将患者转介给全科医生和心理咨询师,自己进行针灸治疗。针灸治疗枸杞多糖症(38 人;70.4%)、睡眠(31 人;57.4%)、焦虑(27 人;50.0%)、压力(26 人;48.1%)和其他疼痛(20 人,37.0%)的人数最多。其次是按摩治疗枸杞多糖综合症(36 人;66.7%)、睡眠(25 人;46.3%)和压力(24 人;44.4%)。抑郁症的治疗方法有草药(16 人;29.6%)、顺势疗法(14 人;25.9%)、针灸和按摩(均为 13 人;24.1%)。针灸主要用于其他孕期问题:分娩准备(44 人,88.0%);助产引产(43 人,86.0%);恶心呕吐(43 人,86.0%);臀位(37 人,74.0%);头痛/偏头痛(29 人,58.0%):结论:新西兰的助产士针灸师通常使用针灸治疗一系列妊娠问题,包括焦虑、AAD 的 SoC 以及其他妊娠问题。进一步的研究将大有裨益。
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来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
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