The Application of Hypnosis in Obstetrics
Hypnosis, the induction of a naturally relaxed state of mind and body, is most commonly practiced by pregnant women in preparation for the childbirth experience. A literature review was performed to assess the effects of hypnosis before, during and after pregnancy. The majority of data is extracted from case series and low-quality studies thereby limiting the acceptability of hypnosis for various pregnancy related conditions. A few well-designed studies show that self-hypnosis may be beneficial for mitigating labor pain and fear of childbirth. Women can safely pursue hypnotherapy during pregnancy; however, high quality tri...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Herbalism for Modern Obstetrics
More pregnant and nursing mothers are using herbal remedies than health care providers realize. Lack of familiarity with herbalism in addition to the sparsity of high-quality research for many complementary and alternative medicines are barriers for the western practitioner to engage a patient about herbal therapies. This review provides historical information and available evidence for Traditional Chinese and Western herbal medicines commonly sought by pregnant and nursing mothers. We will review herbs commonly used for: nausea and vomiting, constipation, gestational diabetes, threatened miscarriage, immune system support...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Chiropractic Care for the Pregnant Body
This article provides an evidence-based review of the epidemiology of chiropractic use in obstetrics, commonly treated conditions, related physiology of pregnancy, and safety of spinal manipulation. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Ayurveda for Modern Obstetrics
Ayurveda is a system of holistic medicine that integrates health with lifestyle to restore balance and remove disease by resolving the imbalance that causes it. Ayurvedic techniques that support digestion, immunity, vitality, and rejuvenation can help assist women with a healthy conception, pregnancy, delivery, and postpartum. Ayurvedic approaches can help common but bothersome pregnancy symptoms as well as potentially prevent more serious pregnancy complications. Specific techniques, including developing a daily routine and the practice of pranayama to support vitality through breathing exercises are described to help gui...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Aromatherapy in Obstetrics: A Critical Review of the Literature
Aromatherapy is the use of highly concentrated aromatic plant oils administered in various ways for a wide range of therapeutic indications. The purpose of this review is to present an overview of the evidence on aromatherapy during the perinatal period. There is research on the prenatal use of aromatherapy to treat nausea and vomiting, reduce stress, and support immune function; the intrapartum use of aromatherapy for labor pain/anxiety and labor progress; and the postpartum use of aromatherapy for postcesarean symptoms, perineal trauma, sleep, and symptoms of depression and anxiety. Overall, the evidence suggests that ar...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Acupressure and Acupuncture Use in the Peripartum Period
Acupuncture is the procedure of inserting fine needles into specific points on the body for therapeutic purposes. Acupuncture and its derivatives (acupressure, moxibustion, electroacupuncture, and transcutaneous electric nerve stimulation on acupoints) are a popular treatment choice in the peripartum period (32 wk’ gestation to 14 d postdelivery). There is substantial research evidence supporting acupuncture and its derivatives in the peripartum period. Benefits in the use of acupressure to reduce labor pain intensity and a reduction in the duration of labor with acupressure have been found. There is mixed evidence f...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Foreword: Complementary/Alternative Medicine (Cam) In Obstetrics
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Clinical Obstetrics and Gynecology Source Type: research
Contributors: Complementary/Alternative Medicine (Cam) In Obstetrics
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Contributors: Complementary/Alternative Medicine (Cam) In Obstetrics Source Type: research
Menopause: A Global Perspective and Clinical Guide for Practice
Perimenopause and menopause are a time of great transition for women—physically, mentally, and emotionally. Symptoms of the menopause transition and beyond impact women worldwide. Unfortunately, physician knowledge and comfort with addressing menopausal concerns vary greatly, limiting the support physicians provide to women in need. This review aims to increase physician understanding of the epidemiology, physiology, symptomology, and treatment options available for perimenopausal and menopausal women. Our goal is to empower physicians to educate and treat their patients to reduce the negative impact of perimenopausal ch...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
Female Genital Cutting: An Evidence-based Review for the OBGYN of Long-term Sequelae and Management Options
Female genital cutting (FGC) is a persisting global practice that increases patients’ risk for experiencing long-term health sequelae. Existing meta-analysis evidence strongly supports an association between FGC and the development of long-term dyspareunia, urinary tract infections, and sexual dysfunction as well as increased risk obstetrically of prolonged labor, cesarean section, perineal lacerations, and episiotomy. Surgical defibulation is recommended in patients with type III FGC to decrease obstetric and gynecologic morbidity. Existing evidence does not seem to definitively support clitoral reconstructive surgery. ...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
Cervical Cancer Prevention in Low- and Middle-Income Countries
This article outlines the current state of cervical cancer prevention in low and middle income countries, the innovations being employed to improve outcomes, and consideration of the next steps needed as we move towards global elimination. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
Contemporary Issues in Obstetric Fistula
We discuss a variety of contemporary issues relating to obstetric fistula. These include definitions of these injuries, the etiologic mechanisms by which fistulas occur, the role of specialist fistula centers in diagnosis and management, the classification of fistulas, and the assessment of surgical outcomes. We also review the growing need for complex reconstructive surgical procedures, follow-up challenges, and the transition to a fistula-free world in which other pathologies (such as pelvic organ prolapse) will be of increasing importance. Finally, we discuss the need to develop responsive systems of maternal health car...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
Recent Advances and New Challenges in Cisgender Women’s Gynecologic and Obstetric Health in the Context of HIV
Although rates of human immunodeficiency virus (HIV) have declined globally over the past 10 years, United Nations Programme on HIV/AIDS estimates 1.7 million new infections occurred in 2019, with cisgender women (cis women) and girls accounting for 48%. Acquired immune deficiency syndrome-related illnesses are the leading global cause of mortality in cis women aged 15 to 49, and in many sub-Saharan Africa countries, young women face substantially higher HIV risk than their male counterparts. Drivers of this increased risk include sexual and reproductive health characteristics unique to cis women. This review discusses the...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
Abortion Care Beyond 13 Weeks’ Gestation: A Global Perspective
The majority of abortions are performed early in pregnancy, but later abortion accounts for a large proportion of abortion-related morbidity and mortality. People who need this care are often the most vulnerable–the poor, the young, those who experience violence, and those with significant health issues. In settings with access to safe care, studies demonstrate significant declines in abortion-related morbidity and mortality. This review focuses on evidence-based practices for induced abortion beyond 13 weeks’ gestation and post-abortion care in both high- and low-resource settings. We also highlight key programmatic i...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
First Trimester Abortion Care in Low- and Middle-Income Countries
Access to first trimester abortions has increased significantly in the past few decades in low and middle-income countries. Manual vacuum aspiration is now standard of care for procedural abortion and postabortion care. Medication abortion has shifted abortions to being performed earlier in pregnancy and is becoming more widely available with new service delivery strategies to broaden access. Widespread availability of misoprostol has made abortions induced outside of the formal medical sector overall safer. In both legally restrictive and supportive environments, there is increased interested in self-managed abortions as ...
Source: Clinical Obstetrics and Gynecology - July 29, 2021 Category: OBGYN Tags: Global Gynecology Source Type: research
