U.K. Support Network for Maternity Acupuncture: Survey of Acupuncturists on the Acupuncture (for Conception to) Childbirth Team.
Journal: 2019/October - Medical Acupuncture
ISSN: 1933-6586
Abstract:
Objective: In the United Kingdom, a professional acupuncture network, the Acupuncture (for Conception to) Childbirth Team (ACT), provides education and support for practitioners using maternity acupuncture. However, the nature of treatments their members provide has been unknown. The aim of this survey was to explore how ACT members used acupuncture for maternity care within their women's health practices. Materials and Methods: An anonymous self-completion questionnaire, hosted by Survey Monkey, was completed by practitioners from 10 ACT branches. Questions covered demographic information, type and frequency of treatment provided in the previous year, and referral networks. Descriptive statistics were used to report the data. Results: Of 114 survey forms sent, 99 replies were received, a response rate of 86.8%. In addition to fertility and menstrual conditions, the majority of the practitioners (87 [87.8%]) had treated at least 1 pregnant woman each. The most-common maternity situations encountered were: birth preparation (84 [96.5%]); nausea & vomiting (82 [94.2%]); and inducing labor (79 [90.8%]). More than 50% of the practitioners were also treating lower-back and pelvic pain (77 [88.5%]), breech presentations (74 [85.0%]), threatened miscarriages (55 [63.2%]), and headaches/migraines (46 [52.8%]). Only a minority (8 [9.1%]) attended births. A greater number of referrals were received from medical health professionals for pregnancy (54 [65.8%]) than for fertility (16 [19.5%]) or menstrual conditions (8 [9.7%]). Conclusions: ACT practitioners were treating a wide range of maternity conditions. Referrals from Western medical practitioners were more common for maternity acupuncture than for fertility or menstrual health. It may be that this professional network approach would be beneficial in other countries to support practitioners interested in providing maternity acupuncture.
Relations:
Content
References
(19)
Conditions
(3)
Processes
(3)
Anatomy
(1)
Similar articles
Articles by the same authors
Discussion board
Med Acupunct 31(5): 274-280

U.K. Support Network for Maternity Acupuncture: Survey of Acupuncturists on the Acupuncture (for Conception to) Childbirth Team

NICM Health Research Institute, Western Sydney University, Sydney, Australia.
Translational Health Research Institute, Western Sydney University, Sydney, Australia.
Allied Health Sciences, School of Health and Social Care, London South Bank University, London.
Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Address correspondence to: Debra Betts, PhD, LAc, NICM Health Research Institute, Locked Bag 1797, Western Sydney University, Sydney, Penrith, New South Wales 2751, Australia zn.ten.emozihr@stteb.arbeD

Abstract

Objective: In the United Kingdom, a professional acupuncture network, the Acupuncture (for Conception to) Childbirth Team (ACT), provides education and support for practitioners using maternity acupuncture. However, the nature of treatments their members provide has been unknown. The aim of this survey was to explore how ACT members used acupuncture for maternity care within their women's health practices.

Materials and Methods: An anonymous self-completion questionnaire, hosted by Survey Monkey, was completed by practitioners from 10 ACT branches. Questions covered demographic information, type and frequency of treatment provided in the previous year, and referral networks. Descriptive statistics were used to report the data.

Results: Of 114 survey forms sent, 99 replies were received, a response rate of 86.8%. In addition to fertility and menstrual conditions, the majority of the practitioners (87 [87.8%]) had treated at least 1 pregnant woman each. The most-common maternity situations encountered were: birth preparation (84 [96.5%]); nausea & vomiting (82 [94.2%]); and inducing labor (79 [90.8%]). More than 50% of the practitioners were also treating lower-back and pelvic pain (77 [88.5%]), breech presentations (74 [85.0%]), threatened miscarriages (55 [63.2%]), and headaches/migraines (46 [52.8%]). Only a minority (8 [9.1%]) attended births. A greater number of referrals were received from medical health professionals for pregnancy (54 [65.8%]) than for fertility (16 [19.5%]) or menstrual conditions (8 [9.7%]).

Conclusions: ACT practitioners were treating a wide range of maternity conditions. Referrals from Western medical practitioners were more common for maternity acupuncture than for fertility or menstrual health. It may be that this professional network approach would be beneficial in other countries to support practitioners interested in providing maternity acupuncture.

Keywords: acupuncture, pregnancy, maternity acupuncture, fertility, menstruation, reproductive health
Abstract

Acknowledgments

The authors wish to thank Mark Bovey, Research Manager of the British Acupuncture Council for his assistance with ethics submission. Thanks are extended to Ms. Savory for her involvement in the early planning, and her role in contacting and follow-through with the regional ACT coordinators. Thanks are also extended to the acupuncturists belonging to ACT who gave their time to participate in this survey and to the regional coordinators for their assistance in distributing this survey to their members.

Drs. Betts and Armour designed the survey, and Dr. Robinson advised on content and ethical approval. Dr. Armour helped with data analyses. All of the authors were involved in drafting and critically revising the manuscript for this article. All authors read and approved the final article.

Acknowledgments

Footnotes

Visit www.surveymonkey.com for more information.

Footnotes

References

  • 1. Hopton AK, Curnoe S, Kanaan M, MacPherson H. Acupuncture in practice: Mapping the providers, the patients and the settings in a national cross-sectional survey. BMJ Open. 2012;2(1):1–9
  • 2. Robinson N, Lorenc A, Ding W, Jia J, Bovey M, Wang X. Exploring practice characteristics and research priorities of practitioners of traditional acupuncture in China and the EU—a survey. J Ethnopharmacol. 2012;140(3):604–13 [[PubMed]
  • 3. Smith CA, Armour M, Betts D. Treatment of women's reproductive health conditions by Australian and New Zealand acupuncturists. Complement Ther Med. 2014;22(4):710–718 [[PubMed]
  • 4. Bovey M, Lorenc A, Robinson N. Extent of acupuncture practice for infertility in the United Kingdom: Experiences and perceptions of the practitioners. Fertil Steril. 2010;94(7):2569–2573 [[PubMed]
  • 5. Park J, Sohn Y, White AR, Lee H. The safety of acupuncture during pregnancy: A systematic review. Acupunct Med. 2014;32(3):257–266
  • 6. Stewart D, Pallivalappila AR, Shetty A, Pande B, McLay J. Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: A prospective questionnaire survey. BJOG. 2014;121:1015–1019 [[PubMed]
  • 7. Betts D, Smith CA, Dahlen HG. “Well I'm safe because…”—acupuncturists managing conflicting treatment recommendations when treating threatened miscarriage: A mixed-methods study. J Altern Complement Med. 2014;20(11):838–845 [[PubMed]
  • 8. Robinson N. Integrating acupuncture: Are there positive health outcomes for women?J Zhejiang Univ Sci B. 2017;18(3):233–238
  • 9. Romer A. Medical Acupuncture in Pregnancy. Stuttgart: Thieme; 2005 [PubMed]
  • 10. Münstedt K, Thienel J, Hrogovic I, Hackethal A, Kalder M, Misselwitz B. Use of acupuncture and other CAM methods in obstetrics: An analysis of 409,413 deliveries from Hesse, Germany. J Altern Complement Med. 2011;17(5):421–426 [[PubMed]
  • 11. Martensson L, Kvist LJ, Hermansson E. A national survey of how acupuncture is currently used in midwifery care at Swedish maternity units. Midwifery. 2011;27(1):87–92 [[PubMed]
  • 12. Betts D, Lennox S. Acupuncture for prebirth treatment: An observational study of its use in midwifery practice. Med Acupunct. 2006;17(3):16–19 [PubMed]
  • 13. Betts D. The Essential Guide to Acupuncture in Pregnancy & Childbirth. Hove, England: The Journal of Chinese Medicine Ltd.; 2006 [PubMed]
  • 14. Calvert S, Pairman S. Midwifery scope of practice on acupuncture and frenetomy. Midwifery News. 2011;June:41–43 [PubMed]
  • 15. Williams H, Sweet L, Graham K. Acupuncture during pregnancy and the perinatal period: Women's attitudes, beliefs and practices. Women Birth. 2019;May 9:e-pub ahead of print [[PubMed]
  • 16. Fan AY, Miller D, Bolash B, et al Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management—White Paper 2017. J Integr Med. 2017;15(6):411–425 [[PubMed][Google Scholar]
  • 17. Tick H, Nielsen A, Pelletier KR, et al; Pain Task Force of the Academic Consortium for Integrative Medicine and Health. Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care: The Consortium Pain Task Force White Paper. Explore (NY). 2018;14(3):177–211 [[PubMed][Google Scholar]
  • 18. Robinson N, Bovey N, Lee JN, et al How do acupuncture practitioners use pattern identification—an international comparison?Eur J Integr Med. 2019;In review. <Provide update; article must be accepted to be in refs.> [PubMed][Google Scholar]
  • 19. Betts D, McMullan J, Rcpn C, Walker L. The use of maternity acupuncture within a New Zealand public hospital: Integration within an outpatient clinic. N Z Coll Midwives J. 2016;(52):45–49 [PubMed]
  • 20. Soliday E, Betts D. Treating pain in pregnancy with acupuncture: Observational study results from a free clinic in New Zealand. J Acupunct Meridian Stud. 2018;11(1):25–30 [[PubMed]
  • 21. Smith CA, Armour M, Dahlen H. Acupuncture or acupressure for induction of labour. Cochrane Database Syst Rev. 2017;10:CD002962.
  • 22. Levett KM, Smith CA, Bensoussan A, Dahlen HG. Complementary therapies for labour and birth study: A randomised controlled trial of antenatal integrative medicine for pain management in labour. BMJ Open. 2016;6(7):e010691
  • 23. Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev. 2015;9:CD001139 [[PubMed]
  • 24. McDowell JM, Kohut SH, Betts D. Safe acupuncture and dry needling during pregnancy: New Zealand physiotherapists' opinion and practice. J Integr Med. 2019;17(1):30–37 [[PubMed]
  • 25. Bishop A, Holden M, Ogollah R, Foster N. Current management of pregnancy-related low back pain: A national cross-sectional survey of U.K. physiotherapists. Physiotherapy. 2016;102(1):78–85 [[PubMed]
  • 26. Hutt Hospital ServicesOnline document at: Accessed July21,2019[PubMed]
Collaboration tool especially designed for Life Science professionals.Drag-and-drop any entity to your messages.