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Archives of Gynecology and Obstetrics

, Volume 284, Issue 2, pp 361–364 | Cite as

Complementary and alternative medicine in obstetrics: a survey from Iran

  • Farnaz Fahimi
  • Igor Hrgovic
  • Samer El-Safadi
  • Karsten MünstedtEmail author
General Gynecology

Abstract

Purpose

This survey assessed the use of complementary and alternative medicine (CAM) methods by obstetricians in the Islamic Republic of Iran.

Methods

Obstetricians in the province of Tehran were identified using the “Ketabe 118 Mashaghel” (2008), a source of medical department information. A survey on the use of CAM methods during childbirth and the reasons behind their application was conducted on site.

Results

CAM methods are by in 37.3% (62/166) of the obstetricians. Acupressure, massage, and phytotherapy were found to be the most frequently used methods. Use of CAM was influenced by the employment status of the midwives and inversely correlated with the number of deliveries in the hospital.

Conclusions

CAM methods are used in Iran to some extent. With evidence-based medicine in mind it is interesting to note that in Iran mainly CAM methods which already have some proven benefit are used.

Keywords

CAM Complementary Alternative Obstetrics Acupuncture Homeopathy 

Notes

Acknowledgments

We would like to thank all the obstetricians who responded to our survey.

Conflict of interest

None.

References

  1. 1.
    Münstedt K, Brenken A, Kalder M (2009) Clinical indications and perceived effectiveness of complementary and alternative medicine in departments of obstetrics in Germany: a questionnaire study. Eur J Obstet Gynecol Reprod Biol 146:50–54PubMedCrossRefGoogle Scholar
  2. 2.
    Münstedt K, Schröter C, Brüggmann D, Tinneberg HR (2009) Use of complementary and alternative medicine in departments of obstetrics in Germany. Forsch Komplementärmed 16:111–116Google Scholar
  3. 3.
    Tiran D, Chummun H (2004) Complementary therapies to reduce physiological stress in pregnancy. Complement Ther Nurs Midwifery 10:162–167PubMedCrossRefGoogle Scholar
  4. 4.
    Adams J (2006) An exploratory study of complementary and alternative medicine in hospital midwifery: models of care and professional struggle. Complement Ther Clin Pract 12:40–47PubMedCrossRefGoogle Scholar
  5. 5.
    Gaffney L, Smith CA (2004) Use of complementary therapies in pregnancy: the perceptions of obstetricians and midwives in South Australia. Aust N Z J Obstet Gynaecol 44:24–29PubMedCrossRefGoogle Scholar
  6. 6.
    Bayles BP (2007) Herbal and other complementary medicine use by Texas midwives. J Midwifery Womens Health 52:473–478PubMedCrossRefGoogle Scholar
  7. 7.
    McFarlin BL, Gibson MH, O’Rear J, Harman P (1999) A national survey of herbal preparation use by nurse-midwives for labour stimulation. Review of the literature and recommendations for practice. J Nurse Midwifery 44:205–216PubMedCrossRefGoogle Scholar
  8. 8.
    Mårtensson L, McSwiggin M, Mercer JS (2008) US midwives’ knowledge and use of sterile water injections for labour pain. J Midwifery Womens Health 53:115–122PubMedCrossRefGoogle Scholar
  9. 9.
    Mårtensson L, Kvist LJ, Hermansson E (2010) A national survey of how acupuncture is currently used in midwifery care at Swedish maternity units. Midwifery (epub ahead of print)Google Scholar
  10. 10.
    Holst L, Wright D, Haavik S, Nordeng H (2009) The use and the user of herbal remedies during pregnancy. J Altern Complement Med 15:787–792PubMedCrossRefGoogle Scholar
  11. 11.
    Nordeng H, Havnen GC (2004) Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemiol Drug Saf 13:371–380PubMedCrossRefGoogle Scholar
  12. 12.
    Kalder M, Knoblauch K, Hrgovic I, Münstedt K (2010) Use of complementary and alternative medicine (CAM) during pregnancy and delivery. Arch Obstet Gynecol (in press)Google Scholar
  13. 13.
    Adams J, Lui CW, Sibbritt D, Broom A, Wardle J, Homer C, Beck S (2009) Women’s use of complementary and alternative medicine during pregnancy: a critical review of the literature. Birth 36:237–245PubMedCrossRefGoogle Scholar
  14. 14.
  15. 15.
    Münstedt K, Kirsch K, Milch W, Sachsse S, Vahrson H (1996) Unconventional cancer therapy—survey of patients with gynaecological malignancy. Arch Gynecol Obstet 258:81–88PubMedGoogle Scholar
  16. 16.
    Field T (2008) Pregnancy and labour alternative therapy research. Altern Ther Health Med 14:28–34PubMedGoogle Scholar
  17. 17.
    al-Nawawi, Schöller M (2007) Das Buch der vierzig Hadithe: Kitab al-Arba’in, mit dem Kommentar von Ibn Daqiq al-’Id. Verlag der Weltreligionen im Insel Verlag, 2007, Auflage 1Google Scholar
  18. 18.
    Avicenna, Bakhtiar L (1999) The canon of medicine. Kazi Publications Inc., USAGoogle Scholar
  19. 19.
    Sarmadi MT (1993) Medicine and treatment in ancient Iran. In: Research on the history of medicine and treatment up to present era, vol 1. Sarmadi Publisher, Teheran, pp 131–156 (in Persian)Google Scholar
  20. 20.
    Bodeker G, Ong CK (2005) WHO global atlas of traditional, complementary and alternative medicine, vol 2. WHO, Geneva, pp 159–63Google Scholar
  21. 21.
    Hrgovic I, Hrgovic Z, Habek D, Oreskovic S, Hofmann J, Münstedt K (2010) Use of complementary and alternative medicine in departments of obstetrics in Croatia and a comparison to Germany. Forsch Komplementmed 17:144–146PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Farnaz Fahimi
    • 1
  • Igor Hrgovic
    • 1
  • Samer El-Safadi
    • 1
  • Karsten Münstedt
    • 1
    Email author
  1. 1.Department of Obstetrics and GynecologyJustus-Liebig-University of GiessenGiessenGermany

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