Pregnancy

 

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

If acupuncture treatment is acceptable to the mother, this, together with care interventions such as correction of breast feeding position and babies' attachment to the breast, might be a more expedient and less invasive choice of treatment than the use of oxytocin nasal spray. Midwives, nurses or medical practitioners with specialist competence in breast feeding should be the primary care providers for mothers with inflammatory symptoms of the breast during lactation. The use of antibiotics for inflammatory symptoms of the breast should be closely monitored in order to help the global community reduce resistance development among bacterial pathogens.

 Department of Obstetrics and Gynaecology, Floor 2, Helsingborg Hospital, Helsingborg, SE-251 87 Sweden. linda.kvist@helsingborgslasarett.se

Compared to children who were breastfed for 6 months, those who were never breastfed had overall increased risks of wheezing, shortness of breath, dry cough and persistent phlegm during the first four years.

Sonnenschein-van der Voort AM, Jaddoe VV, van der Valk RJ, Willemsen SP, Hofman A, Moll HA, de Jongste JC, Duijts L.Source: Erasmus Medical Center Rotterdam The Netherlands.

 Conclusion: Vitamin D insufficiency was not uncommon in this group of pregnant women. Season and ethnicity were determinants of 25OHD but the magnitude of their effect was not large. Most women took vitamin D-containing supplements but this did not provide much protection against insufficiency. Consideration should be given to increasing the amount of vitamin D in prenatal supplements.

Wangyang Li, Timothy J. Green, Sheila M. Innis, Susan I. Barr, Susan J. Whiting, Antonia Shand, Peter von Dadelszen

Conclusions: Acupuncture (p < 0.0001) and acupressure (p < 0.1) are effective, nonpharmacologic methods for the treatment of HG.

D. Habek et al, Research in Complementary and Classical Natural Medicine 2004;11:20-23

Conclusions:
Wrist-ankle acupuncture during the postpartum period is effective for perineal pain relief after mediolateral episiotomy.

Source Department of Obstetrics and Gynaecology, San Gerardo Hospital, Monza, Italy. marrachiara@hotmail.com

Conclusions:
Such preliminary data suggest that 3 weeks of acupuncture treatment were more effective than observation alone in maintaining breastfeeding until the third month of the newborns' lives.

Source: Mother-Infant Department, University of Modena and Reggio Emilia, Modena, Italy neri.isabella@unimore.it

Conclusions: This study suggests that [Therapeutic Touch] may promote lower levels of anxiety in pregnant inpatients with a chemical dependency compared to nursing presence alone or standard care," state the study's authors. "These results are meaningful in recognition of the high incidence of anxiety found in women with a chemical dependency."

Source: British Columbia Women's Hospital, in Vancouver. Authors: Cheryl N. Larden, R.N.; M. Lynne Palmer, R.N.; and Patricia Janssen, R.N., Ph.D. Originally published in Journal of Holistic Nursing, December 2004, Vol. 22, No. 4, pp. 320-332

Conclusions: Women reported reduced anxiety, improved mood, better sleep and less back pain by the last day of the study

Field, T., Hernandez-Reif, M., Hart, S., Theakston, H., Schanberg, S., Kuhn, C. & Burman, I. (1999). Pregnant women benefit from massage therapy. Journal of Psychosomatic Obstetrics & Gynecology, 20, 31-38.  

Conclusions: Massage eases anxiety and depression, as well as leg and back pain, in depressed pregnant women, and their newborns seem to benefit as well.

-Source: Touch Research Institutes at the University of Miami School of Medicine, in Florida. Authors: T. Field, Ph.D.; M.A. Diego; M. Hernandez-Reif, Ph.D.; S. Schanberg; and C. Kuhn. Originally published in the Journal of Psychosomatic Obstetrics and Gynecology, June 2004, Vol. 25, No. 2, pp. 115-122.

Conclusions: Results from a large study show that regular use of a multivitamin supplement in the months before and during pregnancy may reduce the risk of preeclampsia by as much as 71%.

Bodnar LM, et al. Periconceptional multivitamin use reduces the risk of preeclampsia. 2006. Am J Epidemiol 164(5):470-7. 

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