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Biomedical subjects

Denise Tiran

Publications and source records attributed to Denise Tiran.

16 recordsLinked to original sources
PubMed2005

Complementary therapies in pregnancy: midwives' and obstetricians' appreciation of risk.

Complementary medicine is increasingly being integrated into maternity care, primarily by midwives in response to mothers' demands. Midwives and obstetricians must, however, develop a comprehensive evidence-based knowledge of risks, as well as benefits, to ensure that any complementary therapies in pregnancy and childbirth are not only effective but also safe. This paper discusses the results of an evaluative audit of midwives' and obstetricians' knowledge of and attitudes to complementary therapies in pregnancy in an NHS antenatal clinic which revealed a generalised lack of knowledge and poor understanding of the possible risks to women.

Attitude of Health Personnel↗
PubMed2005

Aromatherapy and massage for antenatal anxiety: its effect on the fetus.

Antenatal anxiety has been linked to maternal hypothalamic-pituitary-adrenal axis changes which can affect fetal development and may have lasting effects on the child's psychological development. Treatments for anxiety have hitherto focused on psychotherapy techniques or antidepressant drugs but these do not always effect long term improvement. Aromatherapy and massage have successfully been used to produce significantly greater improvement in reduction of anxiety. Midwives may highlight anxiety in some of the mothers in their care and can incorporate the holistic approach of aromatherapy and massage into their practice. However, further research is required to establish the efficacy and cost-effectiveness of aromatherapy and massage in the antenatal period.

Anxiety↗
PubMed2005

The physiological basis of reflexology and its use as a potential diagnostic tool.

Ill-health changes the anatomy and physiology of affected organs, some of which can be observed visually, elicited through physical examination or confirmed through biomedical analysis. Understanding how anatomical changes contribute to physiological signs and symptoms will help practitioners identify the pathology, appreciate its origin and development and justify prescribed interventions in a way which can be upheld by critical external scrutiny. Reflexology contributes to an holistic approach to care and has recently improved its credibility as a discipline which supports orthodox care. Several research publications have identified possible theories and principles for the mechanism of action of reflexology, but more research to explain its contribution in identifying ill-health and diseases, as well as appropriate treatment modalities, is needed. This paper explores the physiological basis of reflexology, some of the theories for the mechanism of action and its potential as a diagnostic tool.

Adult↗
PubMed2004

Breech presentation: increasing maternal choice.

Pregnant women with a third trimester breech presentation are almost invariably offered Caesarean section as the mode of delivery of first choice, especially when external version has failed to turn the fetus to cephalic. However, increasingly women are resorting to alternatives, to avoid either operative delivery or manipulative intervention in late pregnancy. This paper reviews some of the options for women with breech presentation, focusing especially on integrating these options into conventional maternity care.

Adult↗
PubMed2004

Complementary therapies to reduce physiological stress in pregnancy.

Pregnancy is a period of enormous physio-pathological and psychosocial adaptation in a woman's life. Although it is usually a time of joy and anticipation, many women experience some degree of anxiety, concern and fear regarding their own health and that of their babies, as well as the approaching labour. Worry about social, financial, occupational and relationship issues can often add to their stress levels which increases the possibility of pregnancy complications. However while mild to moderate stress facilitates successful adjustment to these demands, a significant increase in the levels of stress hormones may compromise the health of both mother and fetus. Complementary therapies are increasingly popular with expectant mothers and are gradually being integrated into conventional maternity care, primarily by midwives. However, there is debate about whether these therapies simply provide a form of relaxation for pregnant women with psychological stress or whether they could-or should-be used more constructively to deal with physio-pathological stress. This paper considers the physiological effects of certain complementary therapies in reducing the impact of stress in pregnancy.

Complementary Therapies↗
PubMed2002

Nausea and vomiting in pregnancy: safety and efficacy of self-administered complementary therapies.

Nausea and vomiting affects a large proportion of women in early pregnancy, yet because it is a physiological symptom it is often dismissed by health professionals, leaving women to find their own coping mechanisms. This leads many to try a range of complementary and alternative therapies and natural remedies, although the evidence of efficacy is variable. Furthermore, while women realise the possible risks of taking medication during pregnancy they do not see complementary medicine in the same way. This paper explores a few of the common alternatives which expectant mothers self-administer to relieve nausea and vomiting and addresses issues of efficacy and safety.

Acupressure↗
PubMedDate not supplied

Integrated healthcare: herbal remedies for menopausal symptoms.

Women approaching the menopause frequently resort to complementary therapies and natural remedies, especially herbal medicines. Nurses working with mature women, both in the community and in hospital, may find themselves drawn into a debate about these remedies, yet may feel unable to answer women's questions, or be unsure where to find information. However, with the increased use of complementary therapies generally, it is imperative that nurses recognize the parameters of their personal practice and appreciate the possible problems which may arise from ill-informed use of natural remedies, such as herb-drug interactions. This article provides an overview of herbal remedies popularly self-administered by women in the peri-menopausal period. The effects and safety of several remedies are explored to facilitate nurses to offer accurate, comprehensive and evidence-based information to patients. The issue of integration of herbal medicine into mainstream management of menopausal symptoms is also debated as a means of providing optimum and safe care to women at this time.

Attitude to Health↗