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OB Chapter 23

Complementary and Alternative Therapies

complementary therapy definition refers to therapy that is used along with conventional treatments
alternative therapies an orthodox or unconventional form of therapy; it includes therapies that generally replace or substitute for a traditional or orthodox treatment
The Dietary Supplement Health and Education Act (DSHEA) of 1994 does what? clarifies marketing regulations for herbal medicines and reclassifies them as dietary supplements, distinct from food or drugs
role of nurse in complementary/alternative therapies should neither advocate nor discourage the use of specific CAM therapies; need to become aware of herbal products and folk remedies to avoid potentially dangerous interactions and side effects in their patients
acupuncture during pregnancy pregnant women should avoid needle insertion on or near the abdomen
what is acupuncture based on gate control theory
aromatherapy and effect on mom and fetus risk of abortion, gestational hypertension, or hemorrhage
chamomile tea in pregnancy prevents UTIs and GI spasm; also used for sedation; avoid during pregnancy; may cause abortion and teratogenic effects on the fetus
primary use of biofeedback during labor used as a relaxation technique; woman must be educated to become aware of her body and its responses and to relax for it to be effective
Transcutaneous electrical nerve stimulation (TENS) during labor may involve the placement of two pairs of electrodes from a battery-operated device on either side of the thoracic and sacral spine, woman turns the control knobs on the device during contractions
St. John’s wort during pregnancy avoid exposure to sun; increases tone of uterus; use with caution in pregnancy; in high doses is mutagenic to sperm and oocytes, which may result in birth defects
gate control and natural endorphins in complementary therapy acupuncture may trigger the release of endorphins, thus blunting the perception of neurotransmitters, such as serotonin and norepinephrine
effleurage and counterpressure slow, rhythmic, gliding strokes, usually in the direction of blood flow toward the heart and application of pressure
leg massage and thromboembolism in pregnancy it is advisable to avoid massage immediately after surgery, such as cesarean birth, because of the increased risk of thrombophlebitis or blood clot
Created by: laotracuata