title: From alternative, to complementary to integrative medicine: supporting Australian midwives in an increasingly pluralistic maternity environment.
abstract: BACKGROUND
  The use of complementary and alternative medicine during pregnancy has become increasingly popular over the past decade in Australia.
  
  
  OBJECTIVE
  The purpose of this discussion paper to make recommendations and foster a constructive debate regarding the appropriate response by the midwifery profession.
  
  
  CONCLUSIONS
  Midwives should receive basic education regarding the use of complementary and alternative medicine. All women should be routinely question women about their use and this should be documented. While a few therapies could be safely integrated, in most situations interested women should be referred to a qualified practitioner. Referral frameworks and flexible clinical guidelines should be investigated.
  
  
  CONCLUSIONS
  With the appropriate education and support, midwives are in an excellent position to engage women in open dialogue and raise awareness of the benefits and risks of CAM practices. The way forwards for midwifery profession is to focus on self-governance, education and flexible clinical guidelines.
authors.affiliation: Monash University, School of Nursing & Midwifery, Peninsula Campus, McMahons Road, Frankston, Victoria 3199, Australia. Helen.Hall@monash.edu
authors.forename: Helen G
authors.initials: HG
authors.lastname: Hall
authors.forename: Lisa G
authors.initials: LG
authors.lastname: McKenna
authors.forename: Debra L
authors.initials: DL
authors.lastname: Griffiths
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D003142:Communication; D000529:Complementary Therapies / Q000193:education / Q000379:methods*; D018864:Cultural Diversity; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D055048:Integrative Medicine / Q000379:methods*; D008880:Midwifery / Q000379:methods*; D009721:Nurse Midwives / Q000193:education*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011795:Surveys and Questionnaires