Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 6/2014

01.12.2014 | General Gynecology

Complementary and alternative medicine (CAM) in obstetrics and gynaecology: a survey of office-based obstetricians and gynaecologists regarding attitudes towards CAM, its provision and cooperation with other CAM providers in the state of Hesse, Germany

verfasst von: K. Münstedt, M. Maisch, H. R. Tinneberg, J. Hübner

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Whereas we have some information on complementary medicine in the field of oncology, little is known about complementary medicine in the field of obstetrics and gynaecology especially outside of hospitals.

Methods

All office-based obstetricians and gynaecologists in the state of Hesse, Germany, were contacted and asked to fill in an assessment form regarding cooperation in the field of complementary and alternative medicine (CAM), as well as the perceived efficacy of various CAM methods for a number of pathological conditions in the field of obstetrics and gynaecology.

Results

It was found that more than half of Hessian office-based obstetricians and gynaecologists had existing cooperation regarding CAM, especially with colleagues, but also midwives, pharmacists, physiotherapists, and health practitioners. The probability of cooperation was significantly inversely associated with age. It was found that the probability for advising CAM differed between various health problems. The following CAM methods were considered reasonable for the treatment of different conditions: phytotherapy for climacteric complaints and premenstrual syndrome; homoeopathy for puerperal problems; acupuncture and traditional Chinese medicine for complaints during pregnancy; and dietary supplements for the side effects of cancer therapy.

Conclusions

The analysis shows that there is much cooperation in the field of CAM. Comparison between physicians’ perceived efficacy of CAM methods and objective findings shows that there is a need for the provision of valid information in the field.
Literatur
1.
Zurück zum Zitat Münstedt K, Harren H, von Georgi R, Hackethal A (2011) Complementary and alternative medicine: comparison of current knowledge, attitudes and interest among German medical students and doctors. Evid Based Complement Alternat Med 2011:790951. doi:10.1093/ecam/nen079 PubMedCentralPubMedCrossRef Münstedt K, Harren H, von Georgi R, Hackethal A (2011) Complementary and alternative medicine: comparison of current knowledge, attitudes and interest among German medical students and doctors. Evid Based Complement Alternat Med 2011:790951. doi:10.​1093/​ecam/​nen079 PubMedCentralPubMedCrossRef
2.
Zurück zum Zitat Münstedt K, Thienel J, Hrogovic I, Hackethal A, Kalder M, Misselwitz B (2011) Use of acupuncture and other CAM methods in obstetrics: an analysis of 409,413 deliveries from Hesse, Germany. J Altern Complement Med 17:421–426. doi:10.1089/acm.2010.0145 PubMedCrossRef Münstedt K, Thienel J, Hrogovic I, Hackethal A, Kalder M, Misselwitz B (2011) Use of acupuncture and other CAM methods in obstetrics: an analysis of 409,413 deliveries from Hesse, Germany. J Altern Complement Med 17:421–426. doi:10.​1089/​acm.​2010.​0145 PubMedCrossRef
3.
Zurück zum Zitat Fasching PA, Thiel F, Nicolaisen-Murmann K, Rauh C, Engel J, Lux MP, Beckmann MW, Bani MR (2007) Association of complementary methods with quality of life and life satisfaction in patients with gynecologic and breast malignancies. Support Care Cancer 15:127712–127784CrossRef Fasching PA, Thiel F, Nicolaisen-Murmann K, Rauh C, Engel J, Lux MP, Beckmann MW, Bani MR (2007) Association of complementary methods with quality of life and life satisfaction in patients with gynecologic and breast malignancies. Support Care Cancer 15:127712–127784CrossRef
4.
Zurück zum Zitat Nakash RA, Hutton JL, Jorstad-Stein EC, Gates S, Lamb SE (2006) Maximising response to postal questionnaires—a systematic review of randomised trials in health research. BMC Med Res Methodol 6:5PubMedCentralPubMedCrossRef Nakash RA, Hutton JL, Jorstad-Stein EC, Gates S, Lamb SE (2006) Maximising response to postal questionnaires—a systematic review of randomised trials in health research. BMC Med Res Methodol 6:5PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat Laakmann E, Grajecki D, Doege K, Zu Eulenburg C, Buhling KJ (2012) Efficacy of Cimicifuga racemosa, Hypericum perforatum and Agnus castus in the treatment of climacteric complaints: a systematic review. Gynecol Endocrinol 28:703–709. doi:10.3109/09513590.2011.650772 PubMedCrossRef Laakmann E, Grajecki D, Doege K, Zu Eulenburg C, Buhling KJ (2012) Efficacy of Cimicifuga racemosa, Hypericum perforatum and Agnus castus in the treatment of climacteric complaints: a systematic review. Gynecol Endocrinol 28:703–709. doi:10.​3109/​09513590.​2011.​650772 PubMedCrossRef
8.
Zurück zum Zitat Wayne PM, Kerr CE, Schnyer RN, Legedza AT, Savetsky-German J, Shields MH, Buring JE, Davis RB, Conboy LA, Highfield E, Parton B, Thomas P, Laufer MR (2008) Japanese-style acupuncture for endometriosis-related pelvic pain in adolescents and young women: results of a randomized sham-controlled trial. J Pediatr Adolesc Gynecol 21:247–257. doi:10.1016/j.jpag.2007.07.008 PubMedCentralPubMedCrossRef Wayne PM, Kerr CE, Schnyer RN, Legedza AT, Savetsky-German J, Shields MH, Buring JE, Davis RB, Conboy LA, Highfield E, Parton B, Thomas P, Laufer MR (2008) Japanese-style acupuncture for endometriosis-related pelvic pain in adolescents and young women: results of a randomized sham-controlled trial. J Pediatr Adolesc Gynecol 21:247–257. doi:10.​1016/​j.​jpag.​2007.​07.​008 PubMedCentralPubMedCrossRef
9.
Zurück zum Zitat Flower A, Liu JP, Chen S, Lewith G, Little P (2009) Chinese herbal medicine for endometriosis. Cochrane Database Syst Rev 8(3):CD006568 Flower A, Liu JP, Chen S, Lewith G, Little P (2009) Chinese herbal medicine for endometriosis. Cochrane Database Syst Rev 8(3):CD006568
10.
Zurück zum Zitat Kohama T, Herai K, Inoue M (2007) Effect of French maritime pine bark extract on endometriosis as compared with leuprorelin acetate. J Reprod Med 52:703–708PubMed Kohama T, Herai K, Inoue M (2007) Effect of French maritime pine bark extract on endometriosis as compared with leuprorelin acetate. J Reprod Med 52:703–708PubMed
11.
Zurück zum Zitat Harris HR, Chavarro JE, Malspeis S, Willett WC, Missmer SA (2013) Dairy-food, calcium, magnesium, and vitamin D intake and endometriosis: a prospective cohort study. Am J Epidemiol 177:420–430PubMedCentralPubMedCrossRef Harris HR, Chavarro JE, Malspeis S, Willett WC, Missmer SA (2013) Dairy-food, calcium, magnesium, and vitamin D intake and endometriosis: a prospective cohort study. Am J Epidemiol 177:420–430PubMedCentralPubMedCrossRef
12.
Zurück zum Zitat Sesti F, Pietropolli A, Capozzolo T, Broccoli P, Pierangeli S, Bollea MR, Piccione E (2007) Hormonal suppression treatment or dietary therapy versus placebo in the control of painful symptoms after conservative surgery for endometriosis stage III–IV. A randomized comparative trial. Fertil Steril 88:1541–1547PubMedCrossRef Sesti F, Pietropolli A, Capozzolo T, Broccoli P, Pierangeli S, Bollea MR, Piccione E (2007) Hormonal suppression treatment or dietary therapy versus placebo in the control of painful symptoms after conservative surgery for endometriosis stage III–IV. A randomized comparative trial. Fertil Steril 88:1541–1547PubMedCrossRef
13.
Zurück zum Zitat Huebner J, Muecke R, Muenstedt K, Micke O (2012) Kritische Analyse der Internetseiten der Gesellschaft für Biologische Krebsabwehr. Onkologe 18:908–914CrossRef Huebner J, Muecke R, Muenstedt K, Micke O (2012) Kritische Analyse der Internetseiten der Gesellschaft für Biologische Krebsabwehr. Onkologe 18:908–914CrossRef
14.
Zurück zum Zitat Jütte R (ed) (2009) Die Zukunft der IndividualMedizin. Deutscher Arzte-Verlag, Köln Jütte R (ed) (2009) Die Zukunft der IndividualMedizin. Deutscher Arzte-Verlag, Köln
Metadaten
Titel
Complementary and alternative medicine (CAM) in obstetrics and gynaecology: a survey of office-based obstetricians and gynaecologists regarding attitudes towards CAM, its provision and cooperation with other CAM providers in the state of Hesse, Germany
verfasst von
K. Münstedt
M. Maisch
H. R. Tinneberg
J. Hübner
Publikationsdatum
01.12.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 6/2014
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-014-3315-4

Weitere Artikel der Ausgabe 6/2014

Archives of Gynecology and Obstetrics 6/2014 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.