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A systematic review investigating the effectiveness of Complementaryand Alternative Medicine (CAM) for the management of low backand/or pelvic pain (LBPP) in pregnancy

OPrey, Ciara, Sinclair, Marlene, Liddle, Dianne, Madden, Elaine, McCullough, Julie and Hughes, Ciara (2014) A systematic review investigating the effectiveness of Complementaryand Alternative Medicine (CAM) for the management of low backand/or pelvic pain (LBPP) in pregnancy. Journal of Advanced Nursing, 9 . pp. 1-15. [Journal article]

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DOI: 10.1111/jan.12360

Abstract

AbstractAim. To evaluate and summarize the current evidence on the effectiveness ofcomplementary and alternative medicine for the management of low back pain and/orpelvic pain in pregnancy.Background. International research demonstrates that 25–30% of women usecomplementary and alternative medicine to manage low back and pelvic pain inpregnancy without robust evidence demonstrating its effectiveness.Design. A systematic review of randomized controlled trials to determine theeffectiveness of complementary and alternative medicine for low back and/or pelvicpain in pregnancy.Data sources. Cochrane library (1898–2013), PubMed (1996–2013), MEDLINE(1946–2013), AMED (1985–2013), Embase (1974–2013), Cinahl (1937–2013), Indexto Thesis (1716–2013) and Ethos (1914–2013).Review methods. Selected studies were written in English, randomized controlled trials,a group 1 or 2 therapy and reported pain reduction as an outcome measure. Studyquality was reviewed using Risk of Bias and evidence strength the Cochrane Grading ofRecommendations and Development Evaluation Tool.Results. Eight studies were selected for full review. Two acupuncture studies with lowrisk of bias showed both clinically important changes and statistically significant results.There was evidence of effectiveness for osteopathy and chiropractic. However,osteopathy and chiropractic studies scored high for risk of bias. Strength of theevidence across studies was very low.Conclusion. There is limited evidence supporting the use of general CAM for managingpregnancy-related low back and/or pelvic pain. However, the restricted availability ofhigh-quality studies, combined with the very low evidence strength, makes it impossibleto make evidence-based recommendations for practice.

Item Type:Journal article
Keywords:complementary and alternative medicine, healthcare professionals, low back pain, nursing, pelvic pain, midwifery pregnancy, systematic literature review
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
Institute of Nursing and Health Research > Centre for Maternal, Fetal and Infant Research
ID Code:29443
Deposited By: Professor Marlene Sinclair
Deposited On:13 May 2014 09:11
Last Modified:27 Aug 2018 10:41

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