Integrative Modalities
Complementary and alternative (CAM) therapies have become increasingly popular among pregnant women.
In the next few pages of this web unit, we will review some of the modalities currently supported by research evidence:
Framework to follow when deciding whether to recommend any particular therapy during pregnancy:
First, evaluate the potential to DO NO HARM.
There may be limited evidence regarding direct harm to the mother or fetus. Sometimes you have to use your educated judgment.
Remember that indirect harm could result from delaying a useful therapy, or encouraging the patient to spend their money on something that is useless.
Second, evaluate the potential benefit.
Direct evidence may be available.
Cultural experience - your patient may benefit from being involved in a culturally linked therapy. If there is no evidence of harm, this could be encouraged.
Personal belief - If there is no evidence of harm, and the patient has strong belief in a therapy, partnering with them could be considered given the potential benefit.
Third, evaluate how that therapy will be delivered.
Know the skill level of potential providers delivers.
Know the quality level of potential products. A couple resources for doing so are linked here.
Fourth, evaluate how any particular approach/practitioner is going to integrate with your care plan for the patient.