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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. BJOG 2014;121:1015–9. Indeed, the use of the word “patient” implies a paternalistic approach to healthcare. Complementary Therapies for the Postnatal Period, Commonly Used Complementary Therapies for Pregnancy and Birth, Complementary Therapies for Breech Presentation, Complementary Therapies for Post-Dates Pregnancy, Complementary Therapies for Nausea and Vomiting in Pregnancy, Complementary Therapies in Maternity Care. The word “therapies” is often used to define manual strategies such as massage, reflexology, shiatsu and other touch techniques such as reiki or the “laying on of hands”. 0000003267 00000 n Whereas proposals (not yet implemented) to establish a Complementary and Alternative Medicine Council in the UK to regulate However, unlike many of the “quick fixes” of conventional treatment, such as cutting out a diseased organ, healing the whole person takes time. 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. 0000037539 00000 n 0000004361 00000 n 2016; Singh et al. In medical terms, a placebo is generally defined as an inert substance or control method used to evaluate the physio-psychological implications of new treatments or drugs. 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. Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: a prospective questionnaire survey. Often the client will experience an exacerbation of the presenting symptoms, or the development of new ones as the body rids itself of the toxins, or even the resurgence of old clinical problems such as pain at a previous surgical or fracture site. Plants have always had an important part to play in human health and wellbeing, providing not only the oxygen we breathe, but also energy from the food we eat and phytomedicines (plant remedies), the value of which is only now being recognised. This, then, is not curing but healing – and healing the whole person. 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. 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. 1015-1019. Therapists consider the development of symptoms as a means by which the body attempts to rid itself of toxins in order to return to homeostasis. 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). Improved monitoring of conventional healthcare in the 21st century has gone some way towards achieving these aims, although many therapies remain poorly regulated and the amount and calibre of research and preparatory education varies according to the precise discipline. Clients perceive complementary therapists as being “caring” and have high satisfaction levels with their experiences and with the practitioners (Luff and Thomas 2000) with, surprisingly, little difference between consultations in private practice or the NHS (Wye, Shaw and Sharpe 2013). 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. The same symptoms in two different people may have vastly different causes and effects. 0000004599 00000 n Often the client will experience an exacerbation of the presenting symptoms, or the development of new ones as the body rids itself of the toxins, or even the resurgence of old clinical problems such as pain at a previous surgical or fracture site. Causative factors tend to be seen in epidemiological terms rather than considering the reasons why a person has developed a particular condition at a particular time. This may involve physical therapy as with massage or shiatsu, direct psychological treatment such as hypnotherapy or neuro-linguistic programming, or indirect emotional care through the use of relaxation therapies. 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”. 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. 0000004281 00000 n • the use of complementary therapies and natural remedies in pregnancy and childbirth 0000004759 00000 n Causative factors tend to be seen in epidemiological terms rather than considering the reasons why a person has developed a particular condition at a particular time. 0000004123 00000 n There is a complex interaction between the body, mind and spirit in which the individual can influence one part of this trilogy with another. 2016; Singh et al. 0000019590 00000 n This chapter introduces the concept of complementary medicine and explores some of the theories that support it. A healing response is a normal reaction to the therapy. Clinical assessment involves a consideration not only of why the person is unwell but of how to facilitate the body to repair itself. 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. Alternative and complementary therapies used in postpartum depression include acupuncture, dietary supplements, herbs, massage, aromatherapy, and relaxation therapy. Complementary Therapies for Breech Presentation. 0000009690 00000 n 0000007001 00000 n 0000007217 00000 n The process of healing attempts first to rid the body of harmful toxins in order to cleanse the system, which then facilitates a return to homeostasis. 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. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary … An example of this is the routine postnatal examination of a mother, which focuses on the completion of “tick charts” in assessing her for pathological complications such as retained products of conception, breast abscesses or perineal infection. “Whole person” healing: holism and individuality 0000003503 00000 n Symptoms are regarded by complementary practitioners as precursors to, rather than the results of, disease; treatment is dependent on defining in detail the symptom picture of the individual. Unfortunately, conventional medicine often seeks to suppress these symptoms rather than to determine the underlying aetiology. CiteScore values are based on citation counts in a range of four years (e.g. Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: a prospective questionnaire survey. In practice, most women are, by this time, so desperate to feel better that they are prepared to do anything which may help, and the thought of another 24 hours of symptoms somewhat pales into insignificance against the hope that the treatment may improve the condition. 0000020334 00000 n These therapies are often viewed as merely relaxing, without the capability to “cure” disease, although they are extremely popular with the general public. Further, this medicalisation of preventative biomedicine means that the responsibility of individual “patients” is effectively disengaged, tacitly permitting them to engage in risky behaviours, for example smoking, in the unconscious belief that medicine will resolve any adverse effects. 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. This approach is called integrative medicine when it has been discussed with and approved by your health care team. Conventional medicine categorises people, diseases or symptoms, enabling practitioners to apportion a label, using a common language that is understood by the whole medical community. 0000002248 00000 n A further complication in the conventional treatment of skin conditions is that the application of creams acts not only as a barrier to infection gaining entry to the body but as an obstruction to the release of toxic substances from the body. Finally, the main indications for the use of complementary therapies for expectant mothers are summarised in preparation for the detailed debate that follows in subsequent chapters. An example here is that of anti-inflammatory creams that reduce skin irritation (working from the outside) rather than treating the whole person (from the inside) to eliminate the need for the skin to react, as it does in response to chronic stress. 0000002513 00000 n 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. 0000038387 00000 n Complementary therapies in obstetric practice Child birth Education classes - Husband and - Families Preparation for safe confinement Psycho social and cultural aspects of pregnancy Adjustment to pregnancy Unwed mother Demonstration Practice session Supervised clinical practice Assessment of skills with checklist Often the client will experience an exacerbation of the presenting symptoms, or the development of new ones as the body rids itself of the toxins, or even the resurgence of old clinical problems such as pain at a previous surgical or fracture site. Sceptics also suggest that belief in the therapy has a positive effect on subjective improvement, implying conversely that no relief will occur if the client is unconvinced. 0000037644 00000 n However, unlike many of the “quick fixes” of conventional treatment, such as cutting out a diseased organ, healing the whole person takes time. 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 2014 ; Vol. b. using imagery along with pain medication to increase comfort. 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