{"title":"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。","authors":"Lee-Ana Lowe, Debra Betts","doi":"10.1089/acu.2022.0062","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The goal of this research was to explore how New Zealand midwifery acupuncturists manage mild-to-moderate antenatal anxiety and depression (AAD).</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>n</i> = 38; 70.4%), sleep (<i>n</i> = 31; 57.4%), anxiety (<i>n</i> = 27; 50.0%); stress (<i>n</i> = 26; 48.1%), and other pain (<i>n</i> = 20, 37.0%). Massage was second most-accessed for LBPP (<i>n</i> = 36; 66.7%), sleep (<i>n</i> = 25; 46.3%), and stress (<i>n</i> = 24; 44.4%). For depression, treatments were herbs (<i>n</i> = 16; 29.6%), homeopathy (<i>n</i> = 14; 25.9%), and acupuncture and massage (both <i>n</i> = 13; 24.1%). Acupuncture was most used for other pregnancy issues: birth preparation (<i>n</i> = 44, 88.0%); assisted labor induction (<i>n</i> = 43; 86.0%): nausea and vomiting (<i>n</i> = 43; 86.0%); breech (<i>n</i> = 37; 74.0%); and headaches/migraines (<i>n</i> = 29; 58.0%).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122233/pdf/","citationCount":"0","resultStr":"{\"title\":\"Midwifery Acupuncturists' Management of Antenatal Anxiety and Depression: Data from a Survey in Aotearoa (New Zealand).\",\"authors\":\"Lee-Ana Lowe, Debra Betts\",\"doi\":\"10.1089/acu.2022.0062\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The goal of this research was to explore how New Zealand midwifery acupuncturists manage mild-to-moderate antenatal anxiety and depression (AAD).</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>n</i> = 38; 70.4%), sleep (<i>n</i> = 31; 57.4%), anxiety (<i>n</i> = 27; 50.0%); stress (<i>n</i> = 26; 48.1%), and other pain (<i>n</i> = 20, 37.0%). Massage was second most-accessed for LBPP (<i>n</i> = 36; 66.7%), sleep (<i>n</i> = 25; 46.3%), and stress (<i>n</i> = 24; 44.4%). For depression, treatments were herbs (<i>n</i> = 16; 29.6%), homeopathy (<i>n</i> = 14; 25.9%), and acupuncture and massage (both <i>n</i> = 13; 24.1%). Acupuncture was most used for other pregnancy issues: birth preparation (<i>n</i> = 44, 88.0%); assisted labor induction (<i>n</i> = 43; 86.0%): nausea and vomiting (<i>n</i> = 43; 86.0%); breech (<i>n</i> = 37; 74.0%); and headaches/migraines (<i>n</i> = 29; 58.0%).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":45511,\"journal\":{\"name\":\"Medical Acupuncture\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122233/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Acupuncture\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/acu.2022.0062\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/4/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Acupuncture","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/acu.2022.0062","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/4/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Midwifery Acupuncturists' Management of Antenatal Anxiety and Depression: Data from a Survey in Aotearoa (New Zealand).
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.