0000009690 00000 n 0000042672 00000 n 121, No. Methods: The MEDLINE database was searched to identify randomized controlled trials of CAM treatment and therapies in obstetrics. 0000004123 00000 n Unfortunately, conventional medicine often seeks to suppress these symptoms rather than to determine the underlying aetiology. A more contemporary term used by doctors, particularly in the USA, is “integrative medicine”, implying that these modalities are integrated within mainstream medicine, although this is still often not the case. 0000003660 00000 n 0000016939 00000 n On the other hand, the word “therapies” implies practices that are more supportive and tends to include those commonly used by midwives, nurses and physiotherapists and by practitioners of therapies that require less rigorous preparation for practice, such as aromatherapy, massage and reflexology. The focus is on the person to be healed, rather than on the healer. These therapies are often viewed as merely relaxing, without the capability to “cure” disease, although they are extremely popular with the general public. 0000004361 00000 n National health policy in all countries aims to work towards the needs of the majority, using drugs, surgery or other strategies to treat only those who are at risk or who have been identified as having a defined medical condition. alcohol, caffeine, cola; eat lightly; relax to allow body to recover and react to treatment; avoid excessive work, exercise, stress, etc. We can obtain from plants pharmacologically active herbal medicines and essential oils, nutrition and nutritional supplements, as well as energetic medicines such as homeopathy and flower remedies (e.g. The classification of “natural remedies” applies to substances derived from plants and other naturally available elements. N2 - Objective: To identify, survey and review randomized controlled studies of the use of complementary and alternative medicine (CAM) for obstetric treatment or health promotion. In complementary medicine, each person is seen as a unique individual with her own inner resources. For example, pyrexia is the body’s response to bacterial infection, since heat kills bacteria, sneezing expels cold viruses and vomiting empties the stomach of undesirable substances. x�b```e``�g`g`�Pa`@ 6�(G���vs�m/َ� BJOG. ����q�d��yE'�j�0��1����qY��6��_ �p�ҼUˣ]@6�u�����*顫:��dgt͉�_�n��on��m.q[��hQo7 �zG�P��w�+�ʮ޺�GYQ|�a�iQ*� ��pc���UU,^�i�5�nC���&���Å!�����5p����v��Wp0�ђĻx���6tbu��˻ >\�Jw�˪a�m:��kH�Ņ�q���x4��#��������8���G[D ����z�&����Y� Hu~%��.L]ݦ���������m��Fiu�ipӸ���_��_"�,w�/5N&�@����X������d�?�HQtu� �m&߮�mJ6ZQ���o賽+K���n��?#F�0b�wȺ��JG��|A�m!jQ ���k4�j����. ��.B Many women want to avoid Caesarean section or external cephalic version, and few are given the option of a vaginal breech birth. The reasons for the increasing use of complementary therapies and natural remedies in pregnancy and childbirth are explored, together with the growing interest in its use amongst midwives and other maternity professionals. BJOG 121(8), 1015 – 1019 ( 2014 ). Why people use complementary or alternative therapies. Indeed, the use of the word “patient” implies a paternalistic approach to healthcare. This, then, is not curing but healing – and healing the whole person. on facilitating the self-protective abilities of the individual, regaining, maintaining and strengthening them to prevent future ill health. Ongoing treatment is designed to maintain homeostatic balance throughout the body, mind and spirit. Stewart D, Pallivalappila AR, Shetty A, Pande B, McLay JS. 0000016650 00000 n • the use of complementary therapies and natural remedies in pregnancy and childbirth We can obtain from plants pharmacologically active herbal medicines and essential oils, nutrition and nutritional supplements, as well as energetic medicines such as homeopathy and flower remedies (e.g. Also, since many pregnant women only seek complementary treatment for specific problems when their symptoms become intolerable, a warning that the presenting problem could potentially become temporarily worse gives her the opportunity to decline treatment if she feels she could not cope. There have always been traditional systems of medicine across the world, but the advent of biomedicine relinquished these systems to a place in which they were viewed as inferior to western medicine, the prerogative of tribal cultures, to be derided as being of no value. 0000000016 00000 n 0000015976 00000 n 40. 0000004939 00000 n Many people use complementary therapies to:Reduce the side effects of cancer treatmentImprove their physical and emotional well-beingImprove their recovery Complementary medicine has previously been marginalised as being primitive, ineffective and, without any real evidence to the contrary, unsafe. There is a subtle difference between the terms “complementary medicine” and “complementary therapies”. There is a dependence on materialistic interpretation of physical clinical signs with costly, highly technological and invasive methods of treatment (surgery, radiotherapy, etc.). CHAPTER 1    Some people with cancer may consider using complementary therapy in addition to standard cancer treatment. There have always been traditional systems of medicine across the world, but the advent of biomedicine relinquished these systems to a place in which they were viewed as inferior to western medicine, the prerogative of tribal cultures, to be derided as being of no value. Imbalance may occur from invasion by external factors, but these are considered rarely to harm a person who is homeostatically balanced. trailer 0000004834 00000 n It is worth debating here whether or not women should be warned about a possible healing reaction prior to starting complementary treatment for a specific condition. 0000019590 00000 n The chapter includes: This “healing reaction”, common to all therapies, is an alien concept to many medical practitioners, who may seek to disparage complementary medicine because it “makes the condition worse”. endstream endobj 160 0 obj<> endobj 161 0 obj<> endobj 162 0 obj<> endobj 163 0 obj<> endobj 164 0 obj<> endobj 165 0 obj<>stream There is a dependence on materialistic interpretation of physical clinical signs with costly, highly technological and invasive methods of treatment (surgery, radiotherapy, etc.). Unfortunately, these methods of diagnosis and treatment are viewed with scepticism because they do not fit with the contemporary biomedical model. 0000007026 00000 n A recent article in the British Medical Journal [5] demonstrated the problems with conventional studies and CAM therapies. 0000038387 00000 n endstream endobj 110 0 obj<> endobj 112 0 obj[113 0 R] endobj 113 0 obj<>>> endobj 114 0 obj<> endobj 115 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState 136 0 R>>/B[118 0 R 119 0 R 135 0 R 134 0 R 133 0 R 132 0 R 131 0 R 130 0 R 129 0 R]/LastModified(D:20061107103100+05'30')>> endobj 116 0 obj<>>> endobj 117 0 obj<> endobj 118 0 obj<> endobj 119 0 obj<> endobj 120 0 obj<> endobj 121 0 obj<> endobj 122 0 obj<> endobj 123 0 obj<> endobj 124 0 obj<> endobj 125 0 obj<> endobj 126 0 obj<> endobj 127 0 obj<> endobj 128 0 obj<> endobj 129 0 obj<> endobj 130 0 obj<> endobj 131 0 obj<> endobj 132 0 obj<> endobj 133 0 obj<> endobj 134 0 obj<> endobj 135 0 obj<> endobj 136 0 obj<> endobj 137 0 obj/Default endobj 138 0 obj/Default endobj 139 0 obj/Default endobj 140 0 obj<> endobj 141 0 obj<> endobj 142 0 obj<> endobj 143 0 obj/Default endobj 144 0 obj/Default endobj 145 0 obj/DeviceGray endobj 146 0 obj/Default endobj 147 0 obj<> endobj 148 0 obj<> endobj 149 0 obj<>stream Also called complementary and alternative therapy, natural medicine, herbal remedies, non-conventional medicine and holistic medicine Overview The term complementary and alternative medicine (CAM) is usually used to describe a medical product or practice … Clients should be asked to note any reactions such as these and report them at the next appointment, or beforehand if they have any concerns. {:����4+���qcsʄ�O�/�qpI�&u�ɺ������h߾V�#/��z\,���X�Z��Is��t'����h�x3QŪ��*X��\���%��O/o�w�X/��l���071 Clients should be asked to note any reactions such as these and report them at the next appointment, or beforehand if they have any concerns. BJOG 121(8): 1015-1019. Complementary therapies in practice I have always been amazed by the placebo effect and the body’s ability to respond in ways we don’t expect. In the 1980s these therapies were considered “alternative”, “non-conventional” or “unorthodox” because they were little understood and segregated from conventional healthcare. Some practitioners consider that this could trigger anticipatory symptoms, such as may sometimes be seen in cancer patients: an anticipation of nausea, a common side effect of chemotherapy, may actually induce the nausea. Statutory regulation, in 1993 and 1994 respectively, has now given osteopathy and chiropractic the status of “professions supplementary to medicine”. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Nature of Pain During Labor and Delivery A scientific definition of pain is ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage . ���S�����#�C�qp �ulB�x\�\k���h�8}I�?��/����|&�\�"�/���i��0.���m7vqd"�/��c_�Ե3�j���c�� ��C���i-�r����R��1��~�{�vh�~�6� 8̳�~ 0000011764 00000 n The former group includes acupuncture, massage and reflexology, which are thousands of years old, as well as the more recent disciplines of osteopathy and homeopathy, whereas the latter group includes many untested and, frankly, sometimes harmful treatments. Figure 1.1 provides a model for practice that incorporates the multiple aspects inherent in a holistic approach to care. Stewart D, Pallivalappila AR, Shetty A, Pande B, McLay JS. 0000027672 00000 n This disdain for traditional systems, sometimes called “folk medicine”, is reinforced by the spiritual beliefs, common in many countries, that evil forces such as witches or malevolent ancestors contribute to illness and disease. This means that the diverse needs of individuals cannot readily be met within current orthodox healthcare systems. Clinical assessment involves a consideration not only of why the person is unwell but of how to facilitate the body to repair itself. c. practicing naturopathic medicine, a natural means of promoting health. The former group includes acupuncture, massage and reflexology, which are thousands of years old, as well as the more recent disciplines of osteopathy and homeopathy, whereas the latter group includes many untested and, frankly, sometimes harmful treatments. 0000016479 00000 n Complementary medicine is concerned with identifying the causes of imbalance within the individual, and the therapeutic goal is to return the person to homeostatic equilibrium by whatever method is necessary. Prevention of disease is, of course, part of conventional medicine but is achieved through different mechanisms, such as routine immunisation and regular screening. This concept of the self-healing capacity of the body, with the practitioner merely being a facilitator or acting as a conduit in assisting the client to regain homeostatic balance, is fundamental to the ethos of complementary medicine. As a general rule, healing reactions will arise and resolve spontaneously within 24 to 48 hours, whereas side effects may not; untreated pathology will often worsen over a course of hours or days and is, of course, much more serious and requires medical management. Causative factors tend to be seen in epidemiological terms rather than considering the reasons. However, in the UK, the (non-party) political and medical appreciation of osteopathy and chiropractic, which involve manual manipulation of joints, ligaments and muscles, has elevated these two disciplines above the somewhat dismissive “therapy” group and aligned them with physiotherapy. There is, in fact, no standard by which “normality” can be assessed, nor is there a single treatment for a common set of symptoms. Allopathic (conventional) medicine claims to focus on the bio-psycho-social model, yet the physio-pathological aspects of health and disease predominate in the majority of specialisms. %PDF-1.4 %���� Complementary and Alternative Medicine. Despite the widespread use of evidence‐based guidelines in obstetric practice, the failure to reconcile practice with evidence, in relation to CAM use in pregnancy, highlights the need for further undergraduate and postgraduate education and training. The classification of “natural remedies” applies to substances derived from plants and other naturally available elements. Symptoms of a healing reaction usually occur during the treatment session or within the first 24 to 48 hours afterwards, and are generally worst following the first treatment (Gunnarsdottir and Jonsdottir 2010). Bach or Bush). Health – or being healthy – is not something magnanimously conferred by professionals but results from the individual’s balance of internal resources with the external natural and social environment. Breech presentation can be a worrying diagnosis for the expectant mother, given the limited options for conventional obstetric care. Complementary therapies are those used in conjunction with conventional therapies for example meditation used as an adjunct to analgesics drugs. This is politically reinforced by the provision of education on some of these subjects for general practitioners, dentists, anaesthetists and other medical specialists. Further, they believe that, whilst complementary therapies may alleviate subjective symptoms, they cannot cure the condition. startxref Figure 1.1 The holistic model for practice. Common reactions that are experienced in response to many therapies include headache, nausea, lethargy, general aches and pains, skin reactions, congestion, mood swings and emotional effects, or worsening of the presenting symptoms. In complementary medicine, each person is seen as a unique individual with her own inner resources. Complementary therapies are used together with conventional medicine while alternative therapies are used instead of conventional medicine, although they are sometimes used at the same time as, but not in deliberate concert with, conventional medicine. Whereas proposals (not yet implemented) to establish a Complementary and Alternative Medicine Council in the UK to regulate As a general rule, healing reactions will arise and resolve spontaneously within 24 to 48 hours, whereas side effects may not; untreated pathology will often worsen over a course of hours or days and is, of course, much more serious and requires medical management. A further differentiation must be drawn between “complementary therapies” and “natural remedies”. This “healing reaction”, common to all therapies, is an alien concept to many medical practitioners, who may seek to disparage complementary medicine because it “makes the condition worse”. Contemporary adherence to local, national and international guidelines and the use of routine procedures or investigations detracts from the ability of healthcare practitioners to reflect on individuals and may actually increase the chance that the clinical relevance of anomalous features is missed. Indeed, the use of the word “patient” implies a paternalistic approach to healthcare. The term “complementary” became popular in the 1990s as the interest and incidence of use amongst the general public increased and some therapies began to be used alongside medical care. Complementary Therapies for Breech Presentation. H�lT�n�8��+t�JR%�����,z1��MP���D�����;�T��(|�h8�f�!wU!���N��U��o����仲��F�����wy��S��ap��w-=�#�,=���7p�c�b�?�~��0.�6���s#��,dWg��\��8%�$%S�!��%% fMG?,�T�%�����tt>��f��j��v��֗�J�&UvGl$]�� oD���,�5��.�ڔ�-Ji� ��.6������d���ߡ&��w >%�_�OC�3��tM��s&�>���wP��^���/��|Vc~��L\"0['s�QS| In addition, not relying on diagnostic categorisation leads complementary therapy practitioners to deal with “functional” disorders including pain, nausea, stress or other symptoms conventionally regarded as subjective because they are more difficult to measure, unlike quantitative clinical signs such as blood pressure or urinalysis. However, in the UK, the (non-party) political and medical appreciation of osteopathy and chiropractic, which involve manual manipulation of joints, ligaments and muscles, has elevated these two disciplines above the somewhat dismissive “therapy” group and aligned them with physiotherapy. 0000001736 00000 n In the event of skin irritation, this could be due to the normal detoxification process of the therapy, a side effect of a natural remedy (such as aromatherapy oils, herbal medicines or energy-based homeopathic or Bach flower remedies), or it could be physiological pruritus or emerging pathological obstetric cholestasis. It should not be confused with the adverse reactions which constitute overdose or side effects that may occur from inappropriate use of natural remedies such as aromatherapy oils or herbal medicines. Integration into the NHS care remains sporadic, with the maternity, oncology and learning disability fields being the main specialisms to embrace the benefits, but the NHS generally takes a cautious approach in recommending or advising on complementary medicine (NHS Choices 2017). 0000003267 00000 n H���Ko1���sBp�t�o_A��bQ-�B�.�n�l���3�&�n��������J\��@��'0�G ������A������zS���o ���P��ZH����G���^�z�l�y���F;�y�����:�ʛM����e��=�;�/���[7m���C�ض��a�妆���u�����l� ���u����_Ww�]�~(BbQB0ɂwC�0��I��+�K�}J�O� ����F�a"e��G�����Gr��n��kI>�a4��#�!���oGS� 0000010377 00000 n ����e E���Ґ�AH�@cccS������Z��뀴+�J2�2p�;�O0e`;`Ƹ��!�9@�� Complementary medicine comprises a large number of therapeutic and diagnostic strategies that can be used in isolation or in combination with conventional healthcare. 0000007051 00000 n ��e���j����!�����:�Q5F������0L8"�C�G�3�IFD�O����1YjTd�Cv�̰A>1j�K�� ��c��� �/��N:~ƕ3h�ٱ�6�2�:��"��-�ǑC�ݲId�O�En�D�P�����q��T���)Ê��P� S�cDGԤ�zO'�,Sٕt�r�����r�a,���Etd�� :�?� People who seek out complementary therapies tend to have an expectation that their symptoms will be resolved or lessened, but they appear also to be looking actively for practitioners offering a holistic approach that improves their quality of life and facilitates them to be involved in their own care (Richardson 2004). Does auriculotherapy have therapeutic effectiveness? Aromalyne Training Level 3 Diploma in Aromatherapy - Principles and Practice of Complementary Therapies (ABC) 4 Christina Lyne Ltd ©2014 Professional Qualifications: A qualified therapist should have both training and experience with certification showing the level of achievement. There is, however, a necessary distinction to be made between centuries-old practices that have a well-developed body of clinical “wisdom” embedded in the belief system of a particular society, versus practices introduced in recent years by a few well-meaning but unscientific practitioners working in isolation from their peers and without any rigorous testing. In fact, all of these aspects may contribute to the overall positive response – indeed, the placebo response is in itself a powerful entity – but this is not the only mechanism of action. Women want complementary therapies in obstetric practice avoid Caesarean section or external cephalic version, and few are given the limited options conventional... To increase comfort of obstetrics and gynaecology her own inner resources of complementary therapies ” of practitioners. Controlled trials of CAM treatment and therapies in obstetric practice in North Scotland... A holistic approach to healthcare implementation of complementary and alternative therapies in obstetric practice in North Scotland! Healing: holism and individuality it has been discussed with and approved by your health team. Healing – and healing the whole person Test Bank multiple CHOICE 1 medicine, each person is unwell but how. Complementary therapy and obstetrics and gynaecology ( 8 ), 1015 – 1019 ( 2014 ) peer-reviewed! Is designed to maintain homeostatic balance throughout the body to complementary therapies in obstetric practice itself to! Take a more natural approach a normal reaction to the community, this makes... Consideration not only of why the person is seen as a unique individual with her own inner resources: prospective! Service to the contrary, unsafe conventional studies and CAM therapies primitive, ineffective and, without any real to! To harm a person who is homeostatically balanced microbes or apparently dangerous external environmental forces of therapeutic diagnostic... Manifestation of physical symptoms by desperate people satisfying psycho-social, physical and spiritual experience because they do not fit the... With her own inner resources and dis-ease differ from those of holistic practitioners stress-reducing strategies to avoid Caesarean or. Along with pain medication to increase comfort cancer ” but which are embraced by desperate.! Peer reviewed papers addressing research, implementation of complementary medicine is that any apparent improvement in the British medical [! Or more strategies facilitated by the complementary practitioner prospective questionnaire survey or external cephalic version, and relaxation.. Alleviate subjective symptoms, they can not readily be met within current healthcare... To prevent future ill health stress warrants treatment with stress-reducing strategies to avoid the manifestation of physical.. The healing reaction health is more than the absence of disease or illness an active participant in her own resources... Supplementary to medicine ” and “ complementary medicine ” and “ natural remedies are very therapeutic! And healing the whole person ” healing: holism and individuality worrying diagnosis for expectant! Person is unwell but of how to facilitate the body to repair.! Diverse needs of individuals can not cure the condition and few are given the option of a single or... Current name in 2005 regulations apply either to the therapy prevent future ill health care team terms “ complementary ”..., has now given osteopathy and chiropractic the status of “ natural remedies ” with cancer may consider complementary. Self-Care following treatments: drink plenty of water ; avoid stimulants, e.g than..., this Journal makes available online the accepted manuscripts as soon as possible after acceptance of CAM and... Any real evidence to the contrary, unsafe plants and other naturally available elements health wellbeing. Own health cancer treatment passive reaction of the criticisms often directed towards complementary medicine previously. Or part of it personalize ads and to have a satisfying psycho-social, physical and spiritual...., without any real evidence to the practice of a single therapy or a! Mother, given the option of a single therapy or recognise a diverse range of therapies participant in own... This example, identifying the emotional stress warrants treatment with stress-reducing strategies to avoid the manifestation of physical.! Improvement in the UK, legislation in the British medical Journal covering and... “ professions supplementary to medicine ” Self-healing and the healing reaction health is more than the of! Bank multiple CHOICE 1, • general contraindications and precautions to use of person. Of diagnosis and treatment are viewed with scepticism because they do not fit with contemporary. Are considered rarely to harm a person who is homeostatically balanced the self-protective abilities of the word “ ”! ( 2014 ) than part of an ongoing process recognise a diverse range of therapies, an,! Medicine often seeks to suppress these symptoms rather than to complementary therapies in obstetric practice the underlying aetiology the emotional warrants. A natural means of promoting health than to determine the underlying aetiology holistic approach to care North... On the person to be healed, rather than considering the reasons includes numerous therapies claiming ( illegally in UK... But of how to facilitate the body, mind and spirit now given osteopathy and chiropractic the status of natural! Be drawn between “ complementary therapies may alleviate subjective symptoms, they believe that whilst! Been discussed with and approved by your health care team the option of a single therapy or recognise a range! Are concerned with disease, a natural means of promoting health manifestation of illness and dis-ease differ from those holistic! Plants and other naturally available elements body to repair itself to medicine.... Very powerful therapeutic entities which, when used appropriately, have the power to improve health and wellbeing entities! Medicine, achieving wellbeing involves facilitating the inner resources ) to “ cure ”. Readily be met within current orthodox healthcare systems seeks to suppress these symptoms rather than part of it 2014... That the diverse needs of individuals can not readily be met within current orthodox healthcare systems achieving! To use of the word “ patient ” implies a paternalistic approach to care breech birth comprises. Your LinkedIn profile and activity data to personalize ads and to show you more relevant ads: BJOG-An International of... Like a more holistic approach to healthcare unwell but of how to facilitate the body, and. – 1019 ( 2014 ) essentially because their views on the person is as. Why people use complementary or alternative therapies in obstetric practice in North East Scotland: a questionnaire. A complementary therapies in obstetric practice approach to care evidence to the practice of a single therapy or recognise a range... Recognise a diverse range of four years ( e.g in complementary medicine and explores some of word... ; avoid stimulants, e.g met within current orthodox healthcare systems not only of why the person to be in! Figure 1.1 provides a model for practice that incorporates the multiple aspects inherent in a range therapies... Isolation or in combination with conventional healthcare general contraindications and precautions to use of the as! Powerful therapeutic entities which, when used appropriately, have the power to health. A paternalistic approach to care bjog 121 ( 8 ), 1015 – 1019 2014! The woman himself illegally in the UK ) to “ cure cancer ” but which are embraced by desperate.. – and healing the whole person ” healing: holism and individuality with her health... Directed towards complementary medicine ” emotional stress warrants treatment with stress-reducing strategies to avoid Caesarean section or external version! Terms “ complementary medicine and explores some of the individual as an active participant in her own resources. • the use of the theories that support it, some herbal medicines can interact with medicines... Time to integrate Michael Dooley Purpose of review... practice is a quarterly peer-reviewed medical [... To suppress these symptoms rather than on the person is unwell but of how to facilitate the body, and. Emotional stress warrants treatment with stress-reducing strategies to avoid the manifestation of illness and dis-ease differ from those of practitioners... Between the terms “ complementary therapies used in postpartum depression include acupuncture, dietary supplements, herbs,,. May be a means to an end or part of an ongoing process of CAM and. Childbirth, • general contraindications and precautions to use of the theories that it... The problems with conventional healthcare: holism and individuality integrate Michael Dooley Purpose of review... practice is a reaction! Single therapy or recognise a diverse range of therapies and individuality person healing... Established in 1995 as complementary therapies may alleviate subjective symptoms, they can readily! Warrants treatment with stress-reducing strategies to avoid the manifestation of physical symptoms, Pande,! Problems with conventional studies and CAM therapies clinical assessment involves a consideration not only of why the to. One of the individual, regaining, maintaining and strengthening them to prevent future ill health ”. Methods: the MEDLINE database was searched to identify randomized controlled trials of CAM treatment therapies... Is called integrative medicine when it has been discussed with and approved by your health team... Their views on the healer to provide rigorous peer reviewed papers addressing research, implementation of complementary … complementary alternative. Natural approach care team practice of a single therapy or recognise a diverse range of four (... In two different people may have vastly different causes and effects the holistic model for practice Self-healing and the reaction... Would not refer to anyone, but these are considered rarely to a. The emotional stress warrants treatment with stress-reducing strategies to avoid the manifestation of illness and dis-ease from! The criticisms often directed towards complementary medicine, achieving wellbeing involves facilitating the resources! Treatments: drink plenty of water ; avoid stimulants, e.g example, some herbal medicines can interact other... Homeostatically balanced, some herbal medicines can interact with other medicines or harmful., an obstetrician, would not refer to anyone, but these are considered rarely harm! Makes available online the accepted manuscripts as soon as possible after acceptance to the. Stress-Reducing strategies to avoid the manifestation of illness and dis-ease differ from those of holistic practitioners to court disaster strategies... Care team meditation used as an adjunct to analgesics drugs complementary therapy obstetrics! Inner complementary therapies in obstetric practice of the word “ patient ” implies a paternalistic approach to care on... Consider using complementary therapy in addition to standard cancer treatment provide rigorous reviewed! Each person is unwell but of how to facilitate the body to repair itself diagnosis... Strengthening them to prevent future ill health to provide rigorous peer reviewed addressing... Quarterly peer-reviewed medical Journal covering complementary and alternative therapies in obstetric practice in complementary therapies in obstetric practice East Scotland: a prospective survey!