title: Patients' considerations behind the use of methods from complementary and alternative medicine in the field of obstetrics in Germany.
abstract: BACKGROUND
  Complementary and alternative methods (CAMs) are frequently used during pregnancy and delivery. We were interested to find out how frequently CAMs were used and if they were used for specific indications.
  
  
  METHODS
  We assessed the use of various CAMs and the background of use. Here we differentiated between the treatment of psychological problems, physical problems and the treatment of foetal problems.
  
  
  RESULTS
  The response rate was 49.2 % (229/465). Attendance of a delivery preparation class was significantly associated with a higher CAM use in general. Herbal teas and dietary interventions were most frequently used during pregnancy and predominantly for the treatment of physical problems (e.g. nausea, back pain). Earlier deliveries were associated with a significantly decreased demand for complementary methods during delivery but not during pregnancy.
  
  
  CONCLUSIONS
  Although we found some correlations between some methods and certain treatment indications, most methods were used like panaceas. We believe that the fact that earlier deliveries were associated with a significantly decreased demand for CAM should lead to the question of whether women should receive more reassuring information on delivery and be offered methods like massage or relaxation techniques, which provide proven efficacy without potential side effects that may be associated with CAM methods.
authors.affiliation: Department of Obstetrics and Gynecology, Justus-Liebig-University of Giessen, Giessen, Germany. karsten.muenstedt@gyn.med.uni-giessen.de
authors.forename: Karsten
authors.initials: K
authors.lastname: Münstedt
authors.forename: Vivien
authors.initials: V
authors.lastname: Dütemeyer
authors.forename: Jutta
authors.initials: J
authors.lastname: Hübner
mesh_terms: D000328:Adult; D000529:Complementary Therapies / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D006801:Humans; D011247:Pregnancy / Q000523:psychology*