Description of the implementation of complementary therapy in midwifery services in Surabaya, Indonesia (original) (raw)
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Utilization of complementary therapy in midwife services in the City of Surabaya
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
Background : Midwifery services are provided by midwives with conditions and licenses by applicable regulations and laws to practice midwifery. Midwife can combine conventional and complementary therapies in providing health services.Objectives: Complementary therapy in midwifery services is a choice for pregnant women, maternity, postpartum, infants, and toddlers to improve health status with promotive, preventive, curative, rehabilitative efforts with high quality, safety, and effectiveness. In addition, complementary therapies can reduce medical intervention.Methods: The research method used is a mixture of quantitative and qualitative methods. Data collection was carried out by survey without intervention on research subjects. The survey was carried out in two stages, first by distributing questionnaires to collect quantitative data, then continued with the second stage, namely in-depth interviews with subjects who met the criteria from quantitative data obtained by the research...
Journal for Quality in Public Health, 2023
The paradigm shift in midwifery services and the global situation towards the increasing demand for complementary practice requires midwives to have comprehensive knowledge of complementary therapies to integrate complementary and conventional midwifery services. The purpose of this study was to determine the factors related to midwives' knowledge of complementary therapies as an effort to provide holistic care for reproductive health services in the Cirebon Region. This research is a correlative analytical research, cross sectional approach. The respondents were midwives in the Cirebon Region. The sample size was 216 respondents. Sampling using purposive sampling. The data was analyzed with a chi-square test. The research instrument uses questionnaires that have been tested for validity and reliability. The results showed that there was significant assosiation between education, complementary training history, and information sources with complementary related knowledge, each with a p value of 0.000. There was no significant assosiation between the age of midwives, and the periode of working of midwives with complementary related knowledge with p values of 0.75 and 0.50 respectively. Midwives are expected to improve knowledge and skills based on evidencebased practice related to complementary therapies actively through available information sources, in an effort to provide excellent service to reproductive health holistically.
Research Square (Research Square), 2020
INTRODUCTION It is important that the healthcare professionals who are with the mother at the moment of birth and afterwards, know and apply effective complementary treatment and supportive care methods, and also know their effects and limitations. The aim of this study is to determine the knowledge levels and attitudes of health personnel about complementary therapy and supportive care methods to be used in the management of labor pain and postpartum period. METHODS A cross-sectional study included 142 midwives/nurses and physicians working in the delivery room and maternity services of mother-friendly hospitals in Manisa, Turkey, between August 2018 and April 2019. The questionnaire consisting of 25 questions evaluated the knowledge and attitudes of the participants about complementary therapy and supportive care methods. RESULTS It was found that 30.6% of the healthcare professionals participating in the study used complementary treatment and supportive care methods in their patients. The least heard method was chiropractic (6.6%), the best-known method was hydrotherapy (water birth) (5.8%) and the most used method was massage (14.0%). It was determined that the mean total attitude score of the healthcare workers on complementary treatment and supportive care methods was 18.57 ± 5.12 (range: 8-40). It was found that the education levels of healthcare professionals (z=-2.144, p<0.05) and the institutions affect (χ 2 =23.417; p<0.05) the attitude scores. CONCLUSIONS One out of every two healthcare professionals did not have information about complementary treatment and supportive care methods. Healthcare professionals mostly have positive opinions about these methods.
BMC Complementary Medicine and Therapies
Background Complementary alternative medicine (CAM) is widely used among postpartum mothers to maintain their well-being. This study aims to determine the prevalence and factors associated with CAM use among postpartum mothers in a primary-care clinic in Malaysia. Methods This is a cross-sectional study of 725 postpartum mothers, aged 18 and above, attending a primary-care clinic. The systematic sampling method was used to recruit patients through a structured, self-administered questionnaire. Data analysis was conducted using SPSS version 23. Multiple logistic regression was used to identify the predictors of CAM use among postpartum mothers. Results The prevalence of CAM use among postpartum mothers was 85.5%. Manipulative body therapies, including massage, reflexology, hot stone compression and body wrapping were the most widely used methods of CAM (84.1%) among postpartum mothers, followed by biological-based therapies (33.1%). More than half of the respondents (52.1%) opted to ...
European Journal of Integrative Medicine, 2019
Introduction: Little is known about psychologists’ beliefs, attitudes toward, and experiences of using complementary and alternative medicine (CAM). Exploring how psychologists’ beliefs and attitudes toward CAM are developed may identify potential barriers toward integrating CAM in psychological education and services. Therefore, this study aims to explore clinical psychologists’ beliefs, attitudes toward, and experiences of using CAM in Indonesia to reduce the understanding gap. Methods: Total population sampling was used to recruit 43 clinical psychologists in public health centres. They were interviewed using a semi-structured interview schedule. Then, the recordings were transcribed and analysed using deductive thematic analysis. Results: Six themes developed for beliefs and attitudes toward CAM and stretched along a continuum scale from negative to positive. Also, four themes arose for experiences of using CAM among the responses by participants: personal use, giving a recommendation, making a referral, and combining CAM into conventional psychotherapy. Participants often used CAM for themselves and family members but rarely integrated some CAM treatments into their clinical practice, especially when making a referral. Factors that affected beliefs, attitudes toward, and experiences of using CAM among participants were identified and discussed. Conclusions: Based on the qualitative findings, it is recommended that education about CAM should be included into clinical psychology education curricula to increase the likelihood of psychologists discussing CAM openly and scientifically with their clients. In addition, the government and psychology associations should standardise the practice of CAM integration into psychological services in order to provide more holistic psychological services.
Cureus, 2021
Background and objective Despite the widespread use of traditional and complementary medicine (TCM) during pregnancy, very few studies have focused on the use of these practices during the postpartum period among women in Malaysia. This study aimed to evaluate users' profiles and factors associated with the use of TCM during the postpartum period among women attending a community clinic in rural Malaysia. Materials and methods A cross-sectional study was conducted among 210 women at a maternal and child health clinic in Bagan Serai, Perak, Malaysia from January to April 2019. A self-administered questionnaire was used to determine the prevalence, the different types, and reasons for the use of TCM and perceptions toward TCM. Factors associated with TCM use during the postpartum period were derived from multiple logistic regression analyses. Results The prevalence of TCM use during the postpartum period was 66.2% among the subjects. The most common type of TCM used was massage (88.3%), and the most common reason reported was to improve general wellbeing (72.1%). "Family belief" had the highest mean for influence toward TCM use (mean: 3.63). Malays (adj. OR: 4.52, 95% CI: 1.93-10.59, p=0.001) and those having a low monthly household income (adj. OR: 3.68, 95% CI: 1.24-10.91, p=0.019) were the groups that were more likely to use TCM. Conclusion TCM use during the postpartum period is highly prevalent among Malay women with low household monthly incomes. Further studies should be conducted to address the benefits and risks of using TCM during the postpartum period.
Current Psychology, 2019
This nationwide cross-sectional study aimed to explore Indonesian clinical psychologists' (CP) knowledge, attitudes, and usage of complementary-alternative medicines (CAM). A link to the online survey was emailed to all 1045 registered CP in the Indonesian Clinical Psychology Association database. Participants were asked about: CAM knowledge, attitudes towards CAM, and CAM usage activities (personal purpose, recommendation, referral, and the use of CAM in practice). Two hundred and seventy-four CP completed the questionnaire (mean of age = 35.4 years, SD = 7.87) and were predominantly female (n = 237, 86.5%). Participants reported low CAM knowledge and positive attitudes towards CAM. Almost half of the participants reported personal experiences of using CAM as the main resource of CAM knowledge. The majority of participants (n = 239, 87.2%) had used CAM personally, had recommended CAM (n = 230, 83.9%), had made a referral to a CAM practitioner (n = 143, 52.2%), and had used CAM in their clinical practice (n = 180, 65.7%). Spiritual-religious therapy was the most often used method by participants. In exploring prediction models, it was found that age, knowledge of, together with attitudes towards CAM contributed to the prediction of CAM usage activities. In conclusion, despite low CAM knowledge, CP in Indonesia reported positive attitudes towards CAM and most had used CAM. Findings from this study might be used by professional organizations, psychology faculties, and the government to review the basic competency of CP and regulation in integrating CAM to psychology services.
Complementary medicine use by nurse midwives in the U.S
Complementary Therapies in Clinical Practice, 2009
The purpose of this prospective descriptive study was to understand 1) the extent to which certified nurse midwives (CNMs) utilize complementary and alternative medicine (CAM), 2) how knowledge regarding CAM is gained, and 3) characteristics of these providers. A survey was designed to determine use of CAM treatment modalities: herbal preparations, pharmacologic/biologic treatments, manual healing/bioelectromagnetic applications, mind-body interventions, and diet and lifestyle. Random sampling was used to select participants (n ¼ 500) who were members of the American College of Nurse Midwives. Of those CNMs responding (n ¼ 227, 45%), 78% (n ¼ 178) reported use of CAM. Herbal preparations were most commonly used (85%), followed by pharmacologic/biologic treatments (82%), mindbody interventions (80%), and manual healing/bioelectromagnetic therapies (47%). Virtually all CAM user respondents utilized at least one diet and lifestyle therapy.
Complementary and alternative medicine: Interaction and communication between midwives and women
Women and Birth, 2015
Background: Many pregnant women use complementary and alternative medicine. Although midwives are often supportive, how they communicate with women about the safe use of these therapies has received limited research attention. Aim: The aim of this study was to explore how midwives interact with women regarding use of complementary and alternative medicine during pregnancy. Methods: We utilised grounded theory methodology to collect and analyse data. Twenty-five midwives who worked in metropolitan hospitals situated in Melbourne, Australia, participated in the study. Data were collected from semi structured interviews and non-participant observations, over an 18-month period. Findings: How midwives communicate about complementary and alternative medicine is closely associated with the meaning they construct around the woman's role in decisionmaking. Most aim to work in a manner consistent with the midwifery partnership model and share the responsibility for decisions regarding complementary and alternative medicine. However, although various therapies were commonly discussed, usually the pregnant woman initiated the dialogue. A number of contextual conditions such as the biomedical discourse, lack of knowledge, language barriers and workplace constraints, limited communication in some situations. Conclusion: Midwives often interact with women interested in using CAM. Most value the woman's autonomy and aim to work in partnership. However, various contextual conditions restrain overt CAM communication in clinical practice. Please cite this article in press as: Hall HG, et al. Complementary and alternative medicine: Interaction and communication between midwives and women. Women Birth (2015), http://dx.Please cite this article in press as: Hall HG, et al. Complementary and alternative medicine: Interaction and communication between midwives and women. Women Birth (2015), http://dx.Please cite this article in press as: Hall HG, et al. Complementary and alternative medicine: Interaction and communication between midwives and women. Women Birth (2015), http://dx.Please cite this article in press as: Hall HG, et al. Complementary and alternative medicine: Interaction and communication between midwives and women. Women Birth (2015), http://dx.