Complementary medicines in pregnancy: recommendations and information sources of healthcare professionals in Australia
Background The use of oral complementary and alternative medicines, including herbal supplements, has been increasing in pregnant women worldwide despite limited safety data. The decision of healthcare professionals to recommend these products to pregnant patients is controversial and not well docum...
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| Veröffentlicht in: | International journal of clinical pharmacy 2018-04, Vol.40 (2), p.421-427 |
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| container_title | International journal of clinical pharmacy |
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| creator | Gilmartin, Christine E. Vo-Tran, To-Hao Leung, Laura |
| description | Background
The use of oral complementary and alternative medicines, including herbal supplements, has been increasing in pregnant women worldwide despite limited safety data. The decision of healthcare professionals to recommend these products to pregnant patients is controversial and not well documented.
Objective
To explore the recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Setting
An Australian metropolitan maternity hospital.
Method
An electronic survey was distributed to doctors, midwives, pharmacists, dietitians, lactation consultants and physiotherapists.
Main outcome measure
The nature of recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Results
Responses were received from 54 healthcare professionals. Forty of 54 (74.1%) were concerned about the safety of their patients’ supplements, while 35 of 54 (64.8%) felt that they had access to trustworthy safety information. Supplements most commonly recommended as safe to use were ginger (40.7%), probiotics (29.6%) and raspberry leaf (22.2%). Participants specifically requested further safety information for raspberry leaf, evening primrose oil, fish oil, probiotics, ginger, vitamin C, valerian, turmeric, blue cohosh and colloidal silver. Written resources most frequently consulted included MIMS
®
(61.1%) and ‘Google Searches’ (29.6%), and healthcare professionals most referred to were pharmacists (74.1%), doctors (22.2%), and naturopaths or herbalists (3.7%).
Conclusion
The recommendations of maternity heath care professionals and quality of information sources used varied. Further education and access to unbiased safety information is required to empower healthcare professionals to provide informed recommendations to pregnant patients. |
| doi_str_mv | 10.1007/s11096-018-0608-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2007980278</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2007980278</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-2d75fbd7b7cab1c23c99700f5ff78a946cc432984c9add8a8006ad7b1975b5dc3</originalsourceid><addsrcrecordid>eNp1kUtPAyEUhYnRWFP7A9yYSdy4GQXmweCuaXwlTdzomjAMtNPMQIUZ0_5777S1JiaygVy-e7icg9AVwXcEY3YfCME8jzEpYpzjIt6coAtKCY4ZI-T0eMbJCE1CWGFYaU5Jlp6jEeUpy9MkvUBfM9euG91q20m_jVpd1aq2OkS1jdZeL6y0avsQea1cC1Alu9rZEElbAWGcb3eFKLjeK-hyJlpq2XRLJb0GAWd0CADIZqc47UPnZVPLS3RmoKYnh32MPp4e32cv8fzt-XU2nccqYbSLacUyU1asZEqWRNFEcc4wNpkxrJA8zZVKE8qLVHFZVYUsMM4l4ISzrMwqlYzR7V4XRvnsdehEWwelm0Za7fogKDjJC0xZAejNH3QFnxom31E5T7JsoMieUt6F4LURa1-3YJ0gWAy5iH0uAnIRQy5iAz3XB-W-BIOPHT8pAED3QIAru9D-9-n_Vb8Bm1ybNA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2007693558</pqid></control><display><type>article</type><title>Complementary medicines in pregnancy: recommendations and information sources of healthcare professionals in Australia</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Gilmartin, Christine E. ; Vo-Tran, To-Hao ; Leung, Laura</creator><creatorcontrib>Gilmartin, Christine E. ; Vo-Tran, To-Hao ; Leung, Laura</creatorcontrib><description>Background
The use of oral complementary and alternative medicines, including herbal supplements, has been increasing in pregnant women worldwide despite limited safety data. The decision of healthcare professionals to recommend these products to pregnant patients is controversial and not well documented.
Objective
To explore the recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Setting
An Australian metropolitan maternity hospital.
Method
An electronic survey was distributed to doctors, midwives, pharmacists, dietitians, lactation consultants and physiotherapists.
Main outcome measure
The nature of recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Results
Responses were received from 54 healthcare professionals. Forty of 54 (74.1%) were concerned about the safety of their patients’ supplements, while 35 of 54 (64.8%) felt that they had access to trustworthy safety information. Supplements most commonly recommended as safe to use were ginger (40.7%), probiotics (29.6%) and raspberry leaf (22.2%). Participants specifically requested further safety information for raspberry leaf, evening primrose oil, fish oil, probiotics, ginger, vitamin C, valerian, turmeric, blue cohosh and colloidal silver. Written resources most frequently consulted included MIMS
®
(61.1%) and ‘Google Searches’ (29.6%), and healthcare professionals most referred to were pharmacists (74.1%), doctors (22.2%), and naturopaths or herbalists (3.7%).
Conclusion
The recommendations of maternity heath care professionals and quality of information sources used varied. Further education and access to unbiased safety information is required to empower healthcare professionals to provide informed recommendations to pregnant patients.</description><identifier>ISSN: 2210-7703</identifier><identifier>EISSN: 2210-7711</identifier><identifier>DOI: 10.1007/s11096-018-0608-x</identifier><identifier>PMID: 29476434</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Ascorbic acid ; Attitude of Health Personnel ; Australia - epidemiology ; Complementary Therapies - adverse effects ; Complementary Therapies - methods ; Complementary Therapies - standards ; Consultants ; Dietary supplements ; Dietary Supplements - adverse effects ; Dietary Supplements - standards ; Female ; Fish oils ; Ginger ; Health Personnel - standards ; Herbal medicine ; Humans ; Information sources ; Internal Medicine ; Lactation ; Leaves ; Medical personnel ; Medicine ; Medicine & Public Health ; Oils & fats ; Pharmacists ; Pharmacy ; Phytotherapy - adverse effects ; Phytotherapy - methods ; Phytotherapy - standards ; Pregnancy ; Probiotics ; Research Article ; Safety ; Self Care - adverse effects ; Self Care - methods ; Self Care - standards ; Surveys and Questionnaires - standards ; Valerian ; Vitamin C</subject><ispartof>International journal of clinical pharmacy, 2018-04, Vol.40 (2), p.421-427</ispartof><rights>Springer International Publishing AG, part of Springer Nature 2018</rights><rights>International Journal of Clinical Pharmacy is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2d75fbd7b7cab1c23c99700f5ff78a946cc432984c9add8a8006ad7b1975b5dc3</citedby><cites>FETCH-LOGICAL-c372t-2d75fbd7b7cab1c23c99700f5ff78a946cc432984c9add8a8006ad7b1975b5dc3</cites><orcidid>0000-0002-4890-9374</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11096-018-0608-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11096-018-0608-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29476434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gilmartin, Christine E.</creatorcontrib><creatorcontrib>Vo-Tran, To-Hao</creatorcontrib><creatorcontrib>Leung, Laura</creatorcontrib><title>Complementary medicines in pregnancy: recommendations and information sources of healthcare professionals in Australia</title><title>International journal of clinical pharmacy</title><addtitle>Int J Clin Pharm</addtitle><addtitle>Int J Clin Pharm</addtitle><description>Background
The use of oral complementary and alternative medicines, including herbal supplements, has been increasing in pregnant women worldwide despite limited safety data. The decision of healthcare professionals to recommend these products to pregnant patients is controversial and not well documented.
Objective
To explore the recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Setting
An Australian metropolitan maternity hospital.
Method
An electronic survey was distributed to doctors, midwives, pharmacists, dietitians, lactation consultants and physiotherapists.
Main outcome measure
The nature of recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Results
Responses were received from 54 healthcare professionals. Forty of 54 (74.1%) were concerned about the safety of their patients’ supplements, while 35 of 54 (64.8%) felt that they had access to trustworthy safety information. Supplements most commonly recommended as safe to use were ginger (40.7%), probiotics (29.6%) and raspberry leaf (22.2%). Participants specifically requested further safety information for raspberry leaf, evening primrose oil, fish oil, probiotics, ginger, vitamin C, valerian, turmeric, blue cohosh and colloidal silver. Written resources most frequently consulted included MIMS
®
(61.1%) and ‘Google Searches’ (29.6%), and healthcare professionals most referred to were pharmacists (74.1%), doctors (22.2%), and naturopaths or herbalists (3.7%).
Conclusion
The recommendations of maternity heath care professionals and quality of information sources used varied. Further education and access to unbiased safety information is required to empower healthcare professionals to provide informed recommendations to pregnant patients.</description><subject>Ascorbic acid</subject><subject>Attitude of Health Personnel</subject><subject>Australia - epidemiology</subject><subject>Complementary Therapies - adverse effects</subject><subject>Complementary Therapies - methods</subject><subject>Complementary Therapies - standards</subject><subject>Consultants</subject><subject>Dietary supplements</subject><subject>Dietary Supplements - adverse effects</subject><subject>Dietary Supplements - standards</subject><subject>Female</subject><subject>Fish oils</subject><subject>Ginger</subject><subject>Health Personnel - standards</subject><subject>Herbal medicine</subject><subject>Humans</subject><subject>Information sources</subject><subject>Internal Medicine</subject><subject>Lactation</subject><subject>Leaves</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oils & fats</subject><subject>Pharmacists</subject><subject>Pharmacy</subject><subject>Phytotherapy - adverse effects</subject><subject>Phytotherapy - methods</subject><subject>Phytotherapy - standards</subject><subject>Pregnancy</subject><subject>Probiotics</subject><subject>Research Article</subject><subject>Safety</subject><subject>Self Care - adverse effects</subject><subject>Self Care - methods</subject><subject>Self Care - standards</subject><subject>Surveys and Questionnaires - standards</subject><subject>Valerian</subject><subject>Vitamin C</subject><issn>2210-7703</issn><issn>2210-7711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtPAyEUhYnRWFP7A9yYSdy4GQXmweCuaXwlTdzomjAMtNPMQIUZ0_5777S1JiaygVy-e7icg9AVwXcEY3YfCME8jzEpYpzjIt6coAtKCY4ZI-T0eMbJCE1CWGFYaU5Jlp6jEeUpy9MkvUBfM9euG91q20m_jVpd1aq2OkS1jdZeL6y0avsQea1cC1Alu9rZEElbAWGcb3eFKLjeK-hyJlpq2XRLJb0GAWd0CADIZqc47UPnZVPLS3RmoKYnh32MPp4e32cv8fzt-XU2nccqYbSLacUyU1asZEqWRNFEcc4wNpkxrJA8zZVKE8qLVHFZVYUsMM4l4ISzrMwqlYzR7V4XRvnsdehEWwelm0Za7fogKDjJC0xZAejNH3QFnxom31E5T7JsoMieUt6F4LURa1-3YJ0gWAy5iH0uAnIRQy5iAz3XB-W-BIOPHT8pAED3QIAru9D-9-n_Vb8Bm1ybNA</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Gilmartin, Christine E.</creator><creator>Vo-Tran, To-Hao</creator><creator>Leung, Laura</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4890-9374</orcidid></search><sort><creationdate>20180401</creationdate><title>Complementary medicines in pregnancy: recommendations and information sources of healthcare professionals in Australia</title><author>Gilmartin, Christine E. ; Vo-Tran, To-Hao ; Leung, Laura</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2d75fbd7b7cab1c23c99700f5ff78a946cc432984c9add8a8006ad7b1975b5dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Ascorbic acid</topic><topic>Attitude of Health Personnel</topic><topic>Australia - epidemiology</topic><topic>Complementary Therapies - adverse effects</topic><topic>Complementary Therapies - methods</topic><topic>Complementary Therapies - standards</topic><topic>Consultants</topic><topic>Dietary supplements</topic><topic>Dietary Supplements - adverse effects</topic><topic>Dietary Supplements - standards</topic><topic>Female</topic><topic>Fish oils</topic><topic>Ginger</topic><topic>Health Personnel - standards</topic><topic>Herbal medicine</topic><topic>Humans</topic><topic>Information sources</topic><topic>Internal Medicine</topic><topic>Lactation</topic><topic>Leaves</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oils & fats</topic><topic>Pharmacists</topic><topic>Pharmacy</topic><topic>Phytotherapy - adverse effects</topic><topic>Phytotherapy - methods</topic><topic>Phytotherapy - standards</topic><topic>Pregnancy</topic><topic>Probiotics</topic><topic>Research Article</topic><topic>Safety</topic><topic>Self Care - adverse effects</topic><topic>Self Care - methods</topic><topic>Self Care - standards</topic><topic>Surveys and Questionnaires - standards</topic><topic>Valerian</topic><topic>Vitamin C</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilmartin, Christine E.</creatorcontrib><creatorcontrib>Vo-Tran, To-Hao</creatorcontrib><creatorcontrib>Leung, Laura</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical pharmacy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gilmartin, Christine E.</au><au>Vo-Tran, To-Hao</au><au>Leung, Laura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complementary medicines in pregnancy: recommendations and information sources of healthcare professionals in Australia</atitle><jtitle>International journal of clinical pharmacy</jtitle><stitle>Int J Clin Pharm</stitle><addtitle>Int J Clin Pharm</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>40</volume><issue>2</issue><spage>421</spage><epage>427</epage><pages>421-427</pages><issn>2210-7703</issn><eissn>2210-7711</eissn><abstract>Background
The use of oral complementary and alternative medicines, including herbal supplements, has been increasing in pregnant women worldwide despite limited safety data. The decision of healthcare professionals to recommend these products to pregnant patients is controversial and not well documented.
Objective
To explore the recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Setting
An Australian metropolitan maternity hospital.
Method
An electronic survey was distributed to doctors, midwives, pharmacists, dietitians, lactation consultants and physiotherapists.
Main outcome measure
The nature of recommendations and information sources that healthcare professionals use to determine the safety of oral non-prescribed supplements during pregnancy.
Results
Responses were received from 54 healthcare professionals. Forty of 54 (74.1%) were concerned about the safety of their patients’ supplements, while 35 of 54 (64.8%) felt that they had access to trustworthy safety information. Supplements most commonly recommended as safe to use were ginger (40.7%), probiotics (29.6%) and raspberry leaf (22.2%). Participants specifically requested further safety information for raspberry leaf, evening primrose oil, fish oil, probiotics, ginger, vitamin C, valerian, turmeric, blue cohosh and colloidal silver. Written resources most frequently consulted included MIMS
®
(61.1%) and ‘Google Searches’ (29.6%), and healthcare professionals most referred to were pharmacists (74.1%), doctors (22.2%), and naturopaths or herbalists (3.7%).
Conclusion
The recommendations of maternity heath care professionals and quality of information sources used varied. Further education and access to unbiased safety information is required to empower healthcare professionals to provide informed recommendations to pregnant patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29476434</pmid><doi>10.1007/s11096-018-0608-x</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4890-9374</orcidid></addata></record> |
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| identifier | ISSN: 2210-7703 |
| ispartof | International journal of clinical pharmacy, 2018-04, Vol.40 (2), p.421-427 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Ascorbic acid Attitude of Health Personnel Australia - epidemiology Complementary Therapies - adverse effects Complementary Therapies - methods Complementary Therapies - standards Consultants Dietary supplements Dietary Supplements - adverse effects Dietary Supplements - standards Female Fish oils Ginger Health Personnel - standards Herbal medicine Humans Information sources Internal Medicine Lactation Leaves Medical personnel Medicine Medicine & Public Health Oils & fats Pharmacists Pharmacy Phytotherapy - adverse effects Phytotherapy - methods Phytotherapy - standards Pregnancy Probiotics Research Article Safety Self Care - adverse effects Self Care - methods Self Care - standards Surveys and Questionnaires - standards Valerian Vitamin C |
| title | Complementary medicines in pregnancy: recommendations and information sources of healthcare professionals in Australia |
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