SlideShare a Scribd company logo
Unit 5 CAM Project
The Benefits of Using an Integrative Health Approach During Pregnancy
Course Syllabus
General Information
Instructor: Clara Thomas
Email: clarathomas1@student.kaplan.edu
Course Meetings: Online, TBD
Credit Hours: TBD
Course Description
This course will be an introduction to the concept of incorporating complementary approaches
into mainstream health care to promote an integrative health approach that is beneficial to
expectant mothers during the perinatal period. It will be dedicated to exploring the use of CAM
modalities that may be employed, to support conventional health care practices, during the
period before, during and after giving birth, to relieve stress and anxiety, promote relaxation and
manage pain, especially during the birthing process and post-partum period. The topics of the
discussions will include the effectiveness of yoga, massage therapy, and mindful breathing,
along with various forms of meditation. Attention will be focused on the various forms of
meditation, especially the Relaxation Response, guided imagery and prayer.
Course Prerequisites
None
Course Objectives
1. To understand the basics of complementary modalities that are available to support
conventional health care practices, during the period before, during and after giving birth,
that may promote relief of stress and anxiety, promote relaxation and manage pain.
2. To enhance understanding of concepts of different complementary approaches and the safety
issues concerning the various modalities that may be employed
3. To provide instructions, demonstrations and create opportunities for hands on practice of the
various complementary methods for use throughout the perinatal experience
4. To provide resources for expectant mothers to promote the best experience possible,
including, handout, links to web-based information and professional resources that may be
available to render and/or assist with various services and complementary approaches, like
yoga and massage therapy.
Required Materials
Goldstein, E., & Stahl, B., (2010). A mindfulness-based stress reduction workbook. Oakland,
CA: New Harbinger Publications, Inc.
Recommended Materials
Book:
Bardacke, N. (2012, July 10). Mindful Birthing: Training the Mind, Body and Heart for
Childbirth and Beyond. New York, NY: HarperCollins Publishers.
ISBN: 978-0-06-196395-7
Available at Amazon:
http://www.amazon.com/Mindful-Birthing-Training-Childbirth-Beyond/dp/006196395X
Yoga Mat:
Available at Target®
2791 David H Mcleod Blvd, Florence, SC 29501
(843) 667-6731
https://www.target.com/
Grading
Scale: Ungraded
 LessonOne:
Introduction to CAM Practices and Integrative Health Approach
o What is CAM?
o What is an Integrative Health Approach?
o Are CAM modalities safe and effective for use during pregnancy?
o Open Forum- Introductions/Question and Answer Session
o Distribution of Related Take-Home Information and Resources
 LessonTwo:
Understanding the Benefits of Yoga During Pregnancy
o Procedural Demonstration, Instructions and Hands-on-Practice
o Distribution of Related Take-Home Information and Resources
Understanding the Benefits of Massage During Pregnancy
o Procedural Demonstration, Instructions and Hands-on-Practice
 LessonThree:
o Understanding the Benefits of Meditation During Pregnancy
 Procedural Demonstration, Instructions and Hands-on-Practice
 Relaxation Response
 Guided Imagery
 Prayer
o Overall Review – The Safe and Effective Use of CAM During Pregnancy to Promote
an Integrative Health Approach
Unit 5 CAM Project
Lesson 1 Lecture
LessonSummary: This lesson is an introduction to complementary and alternative (CAM)
practices and their use to promote an integrative health approach to the care of expectant
mothers. The following questions will be will addressed:
 What is CAM?
 What is an Integrative Health Approach?
 Why do people use CAM?
 Are CAM modalities safe and effective for use during pregnancy?
At the end of the class there will be an open forum with an opportunity for everyone to ask
questions for further clarification and address any other concerns. Related take-home information
and resources will be distributed at the end of this lesson.
LessonContent:
What is Complementary and Alternative Medicine (CAM)?
The definition of CAM, according to the National Center for Complementary and Integrative
Health (NCCIH, 2016), is the use of a variety of medical and health care systems, practices, and
products that are not usually considered as part of conventional western medical practices, to
enhance the health care plan prescribed for an individual. “Complementary medicine” refers to
those CAM modalities (methods) that are used along with conventional medical treatments and
prescriptions, unlike “alternative medicine” which refers to those methods of treatment that are
used instead of conventional medicinal medicines and treatments. Some examples of
complementary practices that will be discussed, that can be safely used during pregnancy include
yoga, massage, deep breathing exercises, and various forms of meditation, such as guided
imagery, the Relaxation Response and prayer (NCCIH, 2016).
Video Presentations:
1. Rehealthify (2014, July 21). Complementary and Alternative Medicine - What You Need
To Know. Retrieved from https://www.youtube.com/watch?v=4ZX_gpNwoJU. This is a
short (2-minute) animated video presentation explaining the concept and use of CAM
modalities.
2. Walsh, T. (2014, March 28, 2014). Complementary and Alternative Health Therapies.
Retrieved from https://www.youtube.com/watch?v=TKQ7d1VOlck. This is a short (5
minute) video presentation that discusses the four categories of CAM practices including
mind, body practices; natural products; body-based methods and other methods,
including prayer.
3. Bhargava, H. (2016, August 16). Patient Interest in CAM: A Rapidly Growing Trend.
Retrieved from http://www.medscape.com/viewarticle/867310. This is a short (4 minute)
video presentation that introduces the subject of patient’s interest in CAM and the need to
disclose the use of them to health care providers.
Discussion of Videos: Question/Answer Period with Video Commentary After Each Video
Printed Resource:
 National Center for Complementary and Integrative Health (NCCIH), (2016, March 22).
The Use of Complementary and Alternative Medicine in the United States. Retrieved
from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm#about. This is a
Factsheet that can/ will be copied, printed and reviewed in the class. Also serves as take-
home resources for further review by class participants.
What is an Integrative Health Approach?
An “integrative health approach” refers to the combination of conventionally prescribed medical
treatments and complementary treatments that have been proven to be safe and effective.
Video Presentations:
1. Weil, A. (2010, February 12). What Is Integrative Medicine? Retrieved from
https://www.youtube.com/watch?v=4pXsm3qaFIk. This is short (2 minute) video
presentation that offers a thorough but simplified definition of integrative medicine by a
credible source.
2. GuruTubeVideos (2009, December 15). What is Integrative Medicine? Retrieved from
https://www.youtube.com/watch?v=A0whDr7XT0U. In this short (5 minute) video
presentation Dr. Ken Pelletier, considered "a global phenomenon," gives advice on ways
to address integrative medicine approaches with your health care provider. He explains
the concept of Integrative Medicine and its use in today's medical practices. He also
provides a brief history of alternative medicine and ways it can be used to treat illnesses
along with conventional methods.
Discussion of Videos: Question/Answer Period with Video Commentary After Each Video
Why do people use CAM?
People turn to CAM for a variety of reasons, which can include the lack of effectiveness of
prescribed conventional medicine, or their belief that natural products are healthier and safer than
prescription drugs. They may even prefer a holistic approach to health that addresses all of their
physical, emotional social and spiritual needs (n.d.).
Printed Resource:
Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from
https://www.womenshealth.gov/files/assets/docs/the-healthy-
woman/alternative_medicine.pdf. This is a printable guide that can be reviewed in the
class and has a website link that can be shared with the class for further reviewing in the
home environment.
Are CAM practices safe and effective for use during pregnancy?
According to the National Center for Complementary and Integrative Health (NCCIH, 2016),
the most commonly used CAM therapy among adults are nonvitamin, nonmineral natural
products. There have been reports of increased use for several CAM therapies, including deep
breathing exercises, meditation, massage therapy, and yoga (NCCIH, 2016). Integrative
medicine has a wide variety of options for expectant parents including modalities like
acupuncture, massage therapy and mindfulness to help ease the uncomfortable symptoms of
pregnancy (UCFS, 2012).
However, there are some downsides to using CAM treatments, such as there are no CAM
treatment that have been absolutely proven to be effective and even though they may be
derivatives of plants, some CAM products, like ephedra, which has been banned by the U.S.
Food and Drug Administration (FDA) can cause health problems. Some CAM products may
also interfere with how prescription drugs work by interfering with their effectiveness, such as
birth control pills. Some herbal products are unsafe to use during pregnancy and many others
have not been studied, either during pregnancy or breastfeeding. Unproven CAM treatments may
not work or may carry risks, unlike conventional treatments that are known to be safe and
effective. Before trying a CAM treatment, individuals should always discuss it with their doctor.
Qualified health care providers, like doctors, should know whether the therapy may be helpful
and safe to use along with your current treatments. Some people don’t mention their use of CAM
treatments to their doctor fearing that their doctor will have negative responses to incorporating
the use of CAM. If this situation is apparent, they should find a doctor that is open to discussing
the use of an integrative health approach and could refer a practitioner that is qualified to render
the services the patient is seeking (Women’s Health, n.d.).
Video Presentation:
1. Greater Good Science Center (2013, November 08). Nancy Bardacke: Mindful Childbirth
[Video Presentation]. Retrieved from
https://www.youtube.com/watch?list=UUPfDETmabmiBHjNrPPHlF5A&v=BFU5LXMy
49c. In this short (12 minute) video presentation, Nancy Bardacke a famous nurse-
midwife, mindfulness teacher, and founding director of the Mindfulness-Based Childbirth
and Parenting (MBCP) Program, as well as, professor at the University of California,
San Francisco (UCSF), Osher Center for Integrative Medicine, discusses mindfulness
and how it can effectively counter the stress and pain of childbirth for both parents during
the birthing and breast-feeding process. It lists and describes multiple links to sources of
further information.
Discussion of Videos: Question/Answer Period with Video Commentary
Printed Resources Reviewedwith Class:
 Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from
https://www.womenshealth.gov/files/assets/docs/the-healthy-
woman/alternative_medicine.pdf
 University of California, San Francisco (UCSF), Osher Center for Integrative Medicine
(2012). Pregnancy & Childbirth. Retrieved from https://www.osher.ucsf.edu/womens-
health-2/pregnancy-childbirth/.
Unit 5 CAM Project
Lesson 2 Lecture
LessonSummary: This lesson will address the benefits of incorporating yoga practice and
massage therapy into an expectant mother’s health care plan. We will have an overview of yoga
and massage therapy that increases the awareness of both CAM methods, watch video
presentations and watch and participate in demonstrations presented by visiting professionals,
certified to provide each of these services. Information concerning yoga practice and massage
therapy and links to resources to acquire these services will also be provided at the end of each
activity, for those interested in engaging in these activities.
LessonContent:
Understanding the Benefits of Yoga During Pregnancy
Yoga practice during pregnancy can be very beneficial. It can help expectant mothers to breathe
and relax, which helps her adjust to the physical demands of pregnancy, labor, birth, and
motherhood. It also calms the mind and body, which provides relief from the physical and
emotional stress throughout pregnancy. However, there are some precautions that should be
observed, especially those that can reduce blood flow to the uterus. Other precautions include,
expectant mothers should also avoid poses that stretch the muscles too much, especially in the
abdomen (belly) and avoid overheating because it can endanger the health of her baby. Pregnant
women are also more at risk for strains, pulls, and other injuries because the pregnancy
hormones that allow the uterus to expand and softens connective tissue, as part of the birthing
process. There are many other safety precautions that should be observed, as well (Mallet, n.d.).
The biggest danger to pregnant women practicing yoga is falling. Therefore, minimize that risk
by skipping any poses that could make expectant mothers feel lightheaded to reduce the risk of
fainting. When looking for a class, stick to those labeled "Prenatal Yoga," since their instructions
will be appropriate for expecting mothers. If attending a regular class, tell the instructor that you
are pregnant immediately (Pizer, 2016). Always consult with a qualified health care provider for
directions before attempting yoga practice.
Printed Resources:
Mallet, T. (n.d.). Is it safe to do yoga during pregnancy? Retrieved from
https://www.babycenter.com/404_is-it-safe-to-do-yoga-during-pregnancy_5699.bc. This
resource can be printed, discussed and distributed for take-home review by the class members.
Pizer, A. (2016, August 17). Pregnancy Yoga. Retrieved from
https://www.verywell.com/pregnancy-yoga-4013139. This is an article that provides an in-depth
discussion about safely practicing yoga during pregnancy. It can be printed, discussed and
distributed for take-home review by the class members.
Video Presentations:
1. McInturff, M. (2016). Ask Dr G: What You Need to Know About Practicing Yoga While
Pregnant. Retrieved from https://www.yogatoday.com/blog/ask-dr-g-what-you-need-to-
know-about-practicing-yoga-while-pregnant. In this short (approximately 5 minute)
video, a practicing obstetrician/gynecologist discusses the benefits of yoga practice
during pregnancy.
2. Prenatal Yoga Center (2013, December 10). Retrieved from
https://www.youtube.com/watch?v=19ISFYGDSF4. This short (16 minute) video
addresses the use of yoga practice to relieve back pain, which is a common discomfort
that women experience during and after pregnancy. It demonstrates side bending poses
that help ease pain by stretching the lower back muscles. Forward bend and hip openers
that release and extend the lower back, hip and hamstring muscles, as well as, twisting
poses that help stretch the back and shoulder muscles, creating flexibility of the spine are
also demonstrated. Safe practice by not overstretching is also reinforced.
Professional Demonstrations and Class Participation in Activities
Procedural demonstration by professional practitioner, followed by instructions and supervised
hands-on-practice of some of the safest poses by class members. Followed by distribution of
related take-home information and resources.
Understanding the Benefits of Massage During Pregnancy
A massage can be a fantastic way of safely and effectively employing CAM practices during
pregnancy. A Qualified massage therapist can compress, rub, and/or manipulate muscles and
other soft body tissues to reduce muscle soreness and tension and relieve stress and anxiety
(Women’s health, n.d.). Pregnancy massage therapy is specifically tailored for pregnant women.
An expectant mother’s body must be properly positioned and supported, using pillows and
padding, during the massage to ensures comfort and safety for both, the mother and baby.
Therefore, many pre-natal massage therapists have a special table designed specifically for
expectant mothers (Pizer, 2016).
Certain kinds of massage are preferred by expectant mothers because they provide relief of
fatigue, joint and muscle strain and help relieve swelling in their arms and legs, by improving
oxygen levels in the blood and the of the flow of blood. Massages also increase hormones that
improve relaxation, which improves sleep and they provide relief of back pain, stress, anxiety,
depression and other negative emotions. However, prenatal massages are without risks, as they
may lead to blood clots and other negative side effects related to improper positioning, so if an
expectant mother is considering prenatal massage therapy, it is best to check with their doctor
first. Then, select an experienced and trained prenatal massage therapist (Pizer, 2016).
There are many kinds of massages that range from gentle stroking and kneading of muscles and
other soft tissues to deeper manual techniques. Massage has been practiced as a healing therapy
for centuries in nearly every culture around the world. It has been shown to be effective when
used for relief of muscle tension, stress reduction, and to evoke feelings of calmness. Even
though massage affects an individual’s whole body, it is especially influential on the
musculoskeletal (bones and muscles); cardiovascular system, which helps blood to circulate and
transport nutrients, oxygen, carbon dioxide, hormones, and blood cells to and from the cells in
the body to provide nourishment and help fighting diseases, stabilize body temperature and pH,
and maintain homeostasis (consistent body fluid balance); lymphatic (immune)system and the
nervous system, which coordinates the body’s actions by sending signals to and from different
parts of the body. Studies also suggest that massage helps reduce anxiety during labor and
increases oxytocin, a hormone known to facilitate bonding. Some of the therapeutic massage
techniques that may be used effectively by certified practitioners during pregnancy include on-
site/chair massage, reflexology, Swedish massage, and compassionate touch (UMMC, 2017a).
Printed Resources
 University of Maryland Medical Center (UMMC, 2017a). Complementary and
Alternative Medicine Guide: Massage. Retrieved from
http://www.umm.edu/health/medical/altmed/treatment/massage. This is a link to detailed
information concerning the use of massage therapy. It discusses the history of massage,
the various methods and the risks and benefits of using this type of therapy.
 Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from
https://www.womenshealth.gov/files/assets/docs/the-healthy-
woman/alternative_medicine.pdf. (Previously reviewed by the class)
 Wong, C. (2016, August 26). Benefits and Risks of Prenatal (Pregnancy) Massage.
Retrieved from https://www.verywell.com/pregnancy-massage-what-you-need-to-know-
89742. This is an article by a credible resource that discusses the benefits of prenatal
massages during pregnancy. It also discusses the types of massages preferred by
pregnant women and the reasons they feel that they are beneficial. Can also serve as
take-home material for further review by class.
Video Presentations
1. Pennington, A. (2011). Home Pregnancy Massage - How to Reduce & Relieve Back
Pains Using Massages [Video Presentation]. Retrieved from
https://www.youtube.com/watch?v=iBfhYoRrd9w. This is a link to a professional
massage video that shows a safe and simple way to help expectant mothers overcome
back pains. Back pain is a very common during pregnancy because of the additional
weight to the abdomen, which causes strain, especially in the lower back.
2. ModernMom (2009, May 8). How to Give a Foot Massage During Pregnancy:
Pregnancy & Parenting; ModernMom. Retrieved from
https://www.youtube.com/watch?v=ZWHEHDD-
jNY&index=4&list=PL01C1FFD134DC2909. This is a 3-minute video presentation that
features a massage therapist that demonstrates how to safely give an expectant mother a
foot rub while discussing the benefits and safety precautions.
Professional Demonstrations and Class Participation in Activities
Procedural demonstrations by professional practitioner, followed by instructions and supervised
hands-on-practice of some of the safe techniques by class members. Followed by distribution of
related take-home information and resources.
Unit 5 CAM Project
Lesson 3 Lecture
 LessonSummary: This lesson addresses the benefits of various forms of meditation when
employed to relieve pain, reduce stress and anxiety and promote inner peace before, during
and after delivery of a newborn. Although there are many types of meditation, the Relaxation
Response, Guided Imagery and Prayer will be discussed here.
 LessonContent:
Understanding the Benefits of Meditation During Pregnancy
Meditation is a mind-body practice. Mind-body medicine uses the power of thoughts and
emotions to influence an individual’s physical health. The two leading forms of meditation
practiced in the United States are transcendental meditation, in which a student repeats a
mantra (single word or phrase) and mindfulness meditation, in which the attention is focused
on the moment by moment thoughts and sensations they are experiencing. Research also points
out that qualities like faith, hope, forgiveness, and the use of prayer and a strong social support
system, clearly influence health and healing (UMMC, 2017b). According to Vukovic (2003),
prayer is a form of meditation that can be used if an individual wants to comfort themselves
when feeling stressed or anxious (Vukovic, 2003).
Printed Resources
 University of Maryland Medical Center (UMMC, 2017b). Complementary and
Alternative Medicine Guide: Mind-body medicine. Retrieved from
http://www.umm.edu/health/medical/altmed/treatment/mindbody-medicine. This is a
link to detailed information concerning the use of meditation, a form of mind-body
practice. It discusses the history of mind-body medicine, meditation and the various
practices involved, as well as, the benefits of using different types of meditation, which
can include biofeedback, deep relaxation, guided imagery, hypnotherapy, meditation,
prayer, support groups, and yoga. This resource can be printed, discussed and provided
to participants as a take-home handout for further reviewing.
Meditation Practices:
1. The Relaxation Response: The term Relaxation Response was created by Dr. Herbert
Benson, who was the founder of the Harvard Mind/Body Medical Institute. This practice
counteracts the physiological effects of stress and the urge to fight or flee when one is
experiencing perceived distress. It is basically, the opposite of the “fight or flight” response.
Encounters with perceived threats can increase blood pressure, heart rate and breathing. It
can cause one’s pupils to dilate and blood vessels to constrict. There are many ways to
prompt the Relaxation Response including visualizations, progressive muscle relaxation,
prayer, meditation and other modalities, such as yoga, qi gong and massage. Choosing to
remove oneself from everyday thoughts and choosing a sound, word, phrase or prayer and
focusing on one’s breathing can quiet the mind, create a sense of inner peace and better
health (Mitchell, 2013).
Printed Resource
 Mitchell, M. (2013, March 29). Dr. Herbert Benson’s Relaxation Response: Learn to
counteract the physiological effects of stress. Retrieved from
https://www.psychologytoday.com/blog/heart-and-soul-healing/201303/dr-herbert-
benson-s-relaxation-response. This is an article that discusses the benefits of the
Relaxation Response, like lowering blood pressure, decreasing heart and respiratory
(breathing) rate and the many ways to elicit the response. It can be printed, shared with
the class and used as a handout for further reviewing at home.
Video Resource
 Mount Sinai Health System (2014, September 11). Relaxation Response - 17 Minute
Guided Meditation. Retrieved from https://www.youtube.com/watch?v=CdbzDMSGsyg.
In this video presentation, a wellness and positive psychology coach guides participants
though a 17-minute-long guided meditation that can help reduce stress, elicit the body’s
“relaxation response,” and relieve symptoms of anxiety, depression and pain.
2. Guided Imagery: According to Goldstein & Stahl (2010), meditation has been shown to be
helpful with chronic pain relief. The three important steps to applying mindfulness
meditation to chronic pain relief include investigating the way that one’s body experiences
and holds on to stress and pain, then working with any emotional reactions to pain. Once this
is addressed, the last step is learning to be present with the pain and deal with it, one moment
at a time (Goldstein & Stahl, 2010). Guided imagery is best described as deliberate guided
form of daydreaming. It is the use of a soothing voice to narrate a visual image, such as
waves on the ocean that flow back and forth, to promote a calmed state of being. It provides
emotional support and can reduce pain and discomfort, while empowering the client. It is
effective during the birthing process because it focuses breathing, redirects the perception of
the contractual pains and increases the sense of gratitude for the anticipation of the birth of a
mother’s new baby (Naparstek, 2007).
Printed Resources
 Goldstein, E., & Stahl, B., (2010). A mindfulness-based stress reduction workbook.
Oakland, CA: New Harbinger Publications, Inc. This is a book that is used in clinics
and classrooms to teach stress reduction. It exposes students to mindfulness-based
strategies that promote a healthier lifestyle by helping them learn to identify the causes
of stress and relieve its symptoms in just a few weeks.
 Naparstek, B. (2007). Guided imagery: a best practice for pregnancy and childbirth.
International Journal Of Childbirth Education, 22(3), 4-8. This is an article that
discusses the practice and effectiveness of guided imagery during pregnancy and
childbirth. It can be printed to use for discussion and as a handout to provide further
information for participants at home.
Video Resource
 Yoga with Tessa (2014, December 19). Golden Thread breath and Blooming Rose
visualization for dilation. Retrieved from
https://www.youtube.com/watch?v=o4kknKsooO0. This is a video presentation that
guides expectant mothers through the Golden Thread breath and Blooming Rose
Visualizations by using guided imagery to support the birthing process. The surges of the
wave and the opening of the rose are visualized during labor contractions to refocus the
mind and promote a sense of calmness and empowerment. This is a great tool for
expectant mothers to watch or listen to throughout the pregnancy. It can also be useful
during the labor and delivery process.
3. Prayer: Prayer is a form of meditation that can be used anywhere and at any time by anyone
to comfort oneself when there are times of stress and anxiety. An individual chooses a prayer
to repeat that means something to them. Many people choose the Serenity Prayer: “God grant
me the serenity to accept the things that I cannot change, the courage to change the things
that I can and the wisdom to know the difference.” Repeating it or a favorite word, sound or
poem allows them to be easily remembered during times of stress and anxiety (Vukovic,
2003); this practice could be especially useful during labor and delivery.
Printed Resource
 Vukovic, L. (2003). How to Get Instant Calm. Natural Health, 33(4), 53. This is an
article that discusses the use of meditation, including prayer, to promote feelings of
calmness. This is an article that can be printed, reviewed with the class and used as a
handout for participants to review at home.
Professional Demonstrations and Class Participation in Activities
Practice demonstrations for all forms of meditation, followed by hands-on-practice exercise
techniques by class members. Followed by distribution of related take-home information and
resources.
Overall Program Review
Open Forum- Questions/Answers
 A copy of the annotated bibliography with links to and descriptions of resources
will be included in informational take-home packets.
Annotated Bibliography
Bardacke, N. (2012, July 10). Mindful Birthing: Training the Mind, Body and Heart for
Childbirth and Beyond. New York, NY: HarperCollins Publishers. ISBN: 978-0-06-
196395-7. In this book, the author discusses integrative health approaches that will help
both parents embrace the process with ease, by increasing the awareness of skills, such as
confidence building, improved communication skills, stress reduction and pain relief
techniques that will promote healthy lifestyles and enlightened parenting skills.
Bhargava, H. (2016, August 16). Patient Interest in CAM: A Rapidly Growing Trend. Retrieved
from http://www.medscape.com/viewarticle/867310. This is a short (4 minute) video
presentation that introduces the subject of patient’s interest in CAM and the need to
disclose the use of them to health care providers.
Goldstein, E., & Stahl, B., (2010). A mindfulness-based stress reduction workbook. Oakland,
CA: New Harbinger Publications, Inc. This is a book that is used in clinics and
classrooms to teach stress reduction. It exposes students to mindfulness-based strategies
that promote a healthier lifestyle by helping them learn to identify the causes of stress
and relieve its symptoms in just a few weeks.
Greater Good Science Center (2013, November 08). Nancy Bardacke: Mindful Childbirth [Video
Presentation]. Retrieved from
https://www.youtube.com/watch?list=UUPfDETmabmiBHjNrPPHlF5A&v=BFU5LXMy
49c. In this short (12 minute) video presentation, Nancy Bardacke a famous nurse-
midwife, mindfulness teacher, and founding director of the Mindfulness-Based Childbirth
and Parenting (MBCP) Program, as well as, professor at the University of California,
San Francisco (UCSF), Osher Center for Integrative Medicine, discusses mindfulness
and how it can effectively counter the stress and pain of childbirth for both parents during
the birthing and breast-feeding process. It lists and describes multiple links to sources of
further information.
GuruTubeVideos (2009, December 15). What is Integrative Medicine? Retrieved from
https://www.youtube.com/watch?v=A0whDr7XT0U. In this short (5 minute) video
presentation Dr. Ken Pelletier, considered "a global phenomenon," gives advice on ways
to address integrative medicine approaches with your health care provider. He explains
the concept of Integrative Medicine and its use in today's medical practices. He also
provides a brief history of alternative medicine and ways it can be used to treat illnesses
along with conventional methods.
Mallet, T. (n.d.). Is it safe to do yoga during pregnancy? Retrieved from
https://www.babycenter.com/404_is-it-safe-to-do-yoga-during-pregnancy_5699.bc. This
is a link to an article that discusses the benefits of yoga during pregnancy. It explains that
this practice can be safe if certain precautions are taken and lists some positions that are
safe, as well as warns about those that should be avoided.
Mitchell, M. (2013, March 29). Dr. Herbert Benson’s Relaxation Response: Learn to counteract
the physiological effects of stress. Retrieved from
https://www.psychologytoday.com/blog/heart-and-soul-healing/201303/dr-herbert-
benson-s-relaxation-response. This is an article that discusses the benefits of the
Relaxation Response, like lowering blood pressure, decreasing heart and respiratory
(breathing) rate and the many ways to elicit the response.
ModernMom (2009, May 8). How to Give a Foot Massage During Pregnancy: Pregnancy &
Parenting; ModernMom. Retrieved from
https://www.youtube.com/watch?v=ZWHEHDD-
jNY&index=4&list=PL01C1FFD134DC2909. This is a 3-minute video presentation that
features a massage therapist that demonstrates how to safely give an expectant mother a
foot rub while discussing the benefits and safety precautions.
Mount Sinai Health System (2014, September 11). Relaxation Response - 17 Minute Guided
Meditation. Retrieved from https://www.youtube.com/watch?v=CdbzDMSGsyg. In this
video presentation, a wellness and positive psychology coach guides participants though
a 17-minute-long guided meditation that can help reduce stress, elicit the body’s
“relaxation response,” and relieve symptoms of anxiety, depression and pain.
Naparstek, B. (2007). Guided imagery: a best practice for pregnancy and childbirth.
International Journal Of Childbirth Education, 22(3), 4-8. This is an article that
discusses the practice and effectiveness of guided imagery during pregnancy and
childbirth.
National Center for Complementary and Integrative Health (NCCIH), (2016, March 22). The
Use of Complementary and Alternative Medicine in the United States. Retrieved from
https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm#about. This is a
Factsheet that can/ will be copied, printed and reviewed in the class. Also serves as take-
home resources for further review by class participants.
Pennington, A. (2011). Home Pregnancy Massage - How to Reduce & Relieve Back Pains Using
Massages [Video Presentation]. Retrieved from
https://www.youtube.com/watch?v=iBfhYoRrd9w. This is a link to a professional
massage video that shows a safe and simple way to help expectant mothers overcome
back pains. Back pain is a very common during pregnancy because of the additional
weight to the abdomen, which causes strain, especially in the lower back.
Rehealthify (2014, July 21). Complementary and Alternative Medicine - What You Need To
Know. Retrieved from https://www.youtube.com/watch?v=4ZX_gpNwoJU. This is a
short (2-minute) animated video presentation explaining the concept and use of CAM
modalities.
University of California, San Francisco (UCSF), Osher Center for Integrative Medicine (2012).
Pregnancy & Childbirth. Retrieved from https://www.osher.ucsf.edu/womens-health-
2/pregnancy-childbirth/. This is an article with an imbedded video presentation that
discusses the positive effects of an Integrative Health Approach during pregnancy. It
includes brief sub-topics that discuss various CAM practices such as, guided imagery,
yoga, massage therapy and mindfulness.
University of Maryland Medical Center (UMMC). (2017). Complementary and Alternative
Medicine Guide: Massage. Retrieved from
http://www.umm.edu/health/medical/altmed/treatment/massage. This is a link to detailed
information concerning the use of massage therapy. It discusses the history of massage,
the various methods and the risks and benefits of using this type of therapy.
Vukovic, L. (2003). How to Get Instant Calm. Natural Health, 33(4), 53. This is an article that
discusses the use of meditation, including prayer, to promote feelings of calmness.
Walsh, T. (2014, March 28, 2014). Complementary and Alternative Health Therapies. Retrieved
from https://www.youtube.com/watch?v=TKQ7d1VOlck. This is a short (5 minute)
video presentation that discusses the four categories of CAM practices including mind,
body practices; natural products; body-based methods and other methods, including
prayer.
Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from
https://www.womenshealth.gov/files/assets/docs/the-healthy-
woman/alternative_medicine.pdf. This is a comprehensive look at CAM and many of the
issues concerning their use. This guide addresses the positive and negative aspects of
using CAM and details the categories of CAM treatments such as, those found in nature,
energy medicine, therapies that adjust the body, mind-body medicine and whole medical
systems. It also explores the potential uses for the various types of CAM methods.
Wong, C. (2016, August 26). Benefits and Risks of Prenatal (Pregnancy) Massage. Retrieved
from https://www.verywell.com/pregnancy-massage-what-you-need-to-know-89742.
This is an article by a credible resource that discusses the benefits of prenatal massages
during pregnancy. It also discusses the types of massages preferred by pregnant women
and the reasons they feel that they are beneficial.
Weil, A. (2010, February 12). What Is Integrative Medicine? Retrieved from
https://www.youtube.com/watch?v=4pXsm3qaFIk. This is short (2 minute) video
presentation that offers a thorough but simplified definition of integrative medicine by a
credible source.
Yoga with Tessa (2014, December 16). Breathing and visualizing for birth - Riding the waves
(surges/ contractions). Retrieved from https://www.youtube.com/watch?v=c-yaSUp3a1g.
This is a video presentation that guides expectant mothers through the Golden Thread
breath and the use of images of waves to support the birthing process. The surges of the
wave are visualized as contractions during labor. This is a great tool for expectant
mothers to watch or listen to during pregnancy. It can also be useful during the labor and
delivery process.

More Related Content

DOCX
Hw 499 01 unit 3 assignment (fitness assessments)
PPTX
Hw 499 01 Unit 4: Prenatal Nutrition [PowerPoint Presentation]
DOC
Hw 410 guide template december 2015_ final assignment ( edited for hw 499-01 ...
DOCX
Hw 499 01 unit 8 assignment [420-01 unit 9 assignment (final project) edited ...
PPTX
Unit 5 Project
DOCX
Karla jackson4 hw499-01-project6
PPT
Role of Antenatal Yoga in Postnatal Life
DOCX
Holistic client assessment for seniors
Hw 499 01 unit 3 assignment (fitness assessments)
Hw 499 01 Unit 4: Prenatal Nutrition [PowerPoint Presentation]
Hw 410 guide template december 2015_ final assignment ( edited for hw 499-01 ...
Hw 499 01 unit 8 assignment [420-01 unit 9 assignment (final project) edited ...
Unit 5 Project
Karla jackson4 hw499-01-project6
Role of Antenatal Yoga in Postnatal Life
Holistic client assessment for seniors

What's hot (20)

PDF
Descovering the Yoga. Dossier english
PDF
Presentation on health coaching
PPTX
Whole Health for Pain and Suffering Day 2/2
PPTX
Unit 5 Project
PPTX
Unit 5 Project
PPT
Enhancing Management of metabolic syndrome and Type 2 diabetes mellitus throu...
PDF
International Workshop on Holistic Approach of Yoga Therapy in Health and Dis...
PPT
The Benefits Of Mental Fitness
PDF
Sports and Recreation Poster
PDF
Integrating Yoga Therapy within the Modern Medical System
PDF
Yoga for Dental Professional : Scope and Simplified Practices
PPT
Eleanor grannis hw420-02-unit5-project
PPT
Yoga meditation-medicine
PPT
Health coaching fcwwc presentation
PPT
Dr Ananda's special session on Yoga and the digestive system
PPTX
Role of Yoga in Prevention & Management of Lifestyle Disorders
PPT
Yoga for weight loss
PPTX
Mental and Spiritual Focus
PPS
AN APPROACH TO GERIATRIC CARE THROUGH THE GITANANDA TRADITION OF YOGA
PDF
ROLE OF YOGA IN NON-COMMUNICABLE DISEASES: A BRIEF REVIEW.
Descovering the Yoga. Dossier english
Presentation on health coaching
Whole Health for Pain and Suffering Day 2/2
Unit 5 Project
Unit 5 Project
Enhancing Management of metabolic syndrome and Type 2 diabetes mellitus throu...
International Workshop on Holistic Approach of Yoga Therapy in Health and Dis...
The Benefits Of Mental Fitness
Sports and Recreation Poster
Integrating Yoga Therapy within the Modern Medical System
Yoga for Dental Professional : Scope and Simplified Practices
Eleanor grannis hw420-02-unit5-project
Yoga meditation-medicine
Health coaching fcwwc presentation
Dr Ananda's special session on Yoga and the digestive system
Role of Yoga in Prevention & Management of Lifestyle Disorders
Yoga for weight loss
Mental and Spiritual Focus
AN APPROACH TO GERIATRIC CARE THROUGH THE GITANANDA TRADITION OF YOGA
ROLE OF YOGA IN NON-COMMUNICABLE DISEASES: A BRIEF REVIEW.
Ad

Similar to HW 499 01 unit 5 assignment (20)

PPTX
Jennifer lee hw499-bachelor's capstone in health and wellness-unit 5 powerpoint
ODP
Complementary and alternative medicine
ODP
Complementary and Alternative Medicine
PPTX
CAM-INTRODUCTION12e3536464983186196.pptx
DOCX
Complementary and Alternative Medicine Practices
PDF
Introduction to Complementary and Alternative Medicine
PDF
Complimentary and alternative medicine
PPTX
Alternative therapies obg
PPTX
Holistic Wellness for Women
PPTX
PPTX
Alternative therapies in maternity
DOCX
An introduction to cad
PPT
Evidence Based Medicine
PPTX
ALTERNATIVE AND COMPLEMENTARY THERAPIES DURING INTRANATAL PERIOD
PPTX
THE FAMILY PHISICIAN & COMPLEMENTARY, ALTERNATIVE MEDICINE.pptx
DOCX
Lesson 1 - CAM Overview
DOCX
Hw499 week 1 handout
PDF
What do clinicians want? Interest in integrative health services at a North C...
PDF
acm%2E2014%2E0041
PPT
COMPLEMENTARY AND ALTERNATIVE THERAPIES.ppt
Jennifer lee hw499-bachelor's capstone in health and wellness-unit 5 powerpoint
Complementary and alternative medicine
Complementary and Alternative Medicine
CAM-INTRODUCTION12e3536464983186196.pptx
Complementary and Alternative Medicine Practices
Introduction to Complementary and Alternative Medicine
Complimentary and alternative medicine
Alternative therapies obg
Holistic Wellness for Women
Alternative therapies in maternity
An introduction to cad
Evidence Based Medicine
ALTERNATIVE AND COMPLEMENTARY THERAPIES DURING INTRANATAL PERIOD
THE FAMILY PHISICIAN & COMPLEMENTARY, ALTERNATIVE MEDICINE.pptx
Lesson 1 - CAM Overview
Hw499 week 1 handout
What do clinicians want? Interest in integrative health services at a North C...
acm%2E2014%2E0041
COMPLEMENTARY AND ALTERNATIVE THERAPIES.ppt
Ad

Recently uploaded (20)

PPTX
AI_in_Pharmaceutical_Technology_Presentation.pptx
PPTX
PEDIATRIC OSCE, MBBS, by Dr. Sangit Chhantyal(IOM)..pptx
PPTX
1. Drug Distribution System.pptt b pharmacy
PPTX
Nancy Caroline Emergency Paramedic Chapter 8
PDF
MINERAL & VITAMIN CHARTS fggfdtujhfd.pdf
PPTX
Current Treatment Of Heart Failure By Dr Masood Ahmed
PPT
Parental-Carer-mental-illness-and-Potential-impact-on-Dependant-Children.ppt
PDF
NUTRITION THROUGHOUT THE LIFE CYCLE CHILDHOOD -AGEING
PPTX
Bronchial_Asthma_in_acute_exacerbation_.pptx
PPTX
Infection prevention and control for medical students
PDF
Dr Masood Ahmed Expertise And Sucess Story
PPTX
Nursing Care Aspects for High Risk newborn.pptx
PPTX
First Aid and Basic Life Support Training.pptx
PDF
Myers’ Psychology for AP, 1st Edition David G. Myers Test Bank.pdf
PDF
Khaled Sary- Trailblazers of Transformation Middle East's 5 Most Inspiring Le...
PDF
DAY-6. Summer class. Ppt. Cultural Nursing
PPT
Pyramid Points Lab Values Power Point(11).ppt
PPT
Recent advances in Diagnosis of Autoimmune Disorders
PPTX
Rheumatic heart diseases with Type 2 Diabetes Mellitus
PPTX
CBT FOR OCD TREATMENT WITHOUT MEDICATION
AI_in_Pharmaceutical_Technology_Presentation.pptx
PEDIATRIC OSCE, MBBS, by Dr. Sangit Chhantyal(IOM)..pptx
1. Drug Distribution System.pptt b pharmacy
Nancy Caroline Emergency Paramedic Chapter 8
MINERAL & VITAMIN CHARTS fggfdtujhfd.pdf
Current Treatment Of Heart Failure By Dr Masood Ahmed
Parental-Carer-mental-illness-and-Potential-impact-on-Dependant-Children.ppt
NUTRITION THROUGHOUT THE LIFE CYCLE CHILDHOOD -AGEING
Bronchial_Asthma_in_acute_exacerbation_.pptx
Infection prevention and control for medical students
Dr Masood Ahmed Expertise And Sucess Story
Nursing Care Aspects for High Risk newborn.pptx
First Aid and Basic Life Support Training.pptx
Myers’ Psychology for AP, 1st Edition David G. Myers Test Bank.pdf
Khaled Sary- Trailblazers of Transformation Middle East's 5 Most Inspiring Le...
DAY-6. Summer class. Ppt. Cultural Nursing
Pyramid Points Lab Values Power Point(11).ppt
Recent advances in Diagnosis of Autoimmune Disorders
Rheumatic heart diseases with Type 2 Diabetes Mellitus
CBT FOR OCD TREATMENT WITHOUT MEDICATION

HW 499 01 unit 5 assignment

  • 1. Unit 5 CAM Project The Benefits of Using an Integrative Health Approach During Pregnancy Course Syllabus General Information Instructor: Clara Thomas Email: clarathomas1@student.kaplan.edu Course Meetings: Online, TBD Credit Hours: TBD Course Description This course will be an introduction to the concept of incorporating complementary approaches into mainstream health care to promote an integrative health approach that is beneficial to expectant mothers during the perinatal period. It will be dedicated to exploring the use of CAM modalities that may be employed, to support conventional health care practices, during the period before, during and after giving birth, to relieve stress and anxiety, promote relaxation and manage pain, especially during the birthing process and post-partum period. The topics of the discussions will include the effectiveness of yoga, massage therapy, and mindful breathing, along with various forms of meditation. Attention will be focused on the various forms of meditation, especially the Relaxation Response, guided imagery and prayer. Course Prerequisites None Course Objectives 1. To understand the basics of complementary modalities that are available to support conventional health care practices, during the period before, during and after giving birth, that may promote relief of stress and anxiety, promote relaxation and manage pain. 2. To enhance understanding of concepts of different complementary approaches and the safety issues concerning the various modalities that may be employed 3. To provide instructions, demonstrations and create opportunities for hands on practice of the various complementary methods for use throughout the perinatal experience 4. To provide resources for expectant mothers to promote the best experience possible, including, handout, links to web-based information and professional resources that may be available to render and/or assist with various services and complementary approaches, like yoga and massage therapy. Required Materials Goldstein, E., & Stahl, B., (2010). A mindfulness-based stress reduction workbook. Oakland, CA: New Harbinger Publications, Inc. Recommended Materials
  • 2. Book: Bardacke, N. (2012, July 10). Mindful Birthing: Training the Mind, Body and Heart for Childbirth and Beyond. New York, NY: HarperCollins Publishers. ISBN: 978-0-06-196395-7 Available at Amazon: http://www.amazon.com/Mindful-Birthing-Training-Childbirth-Beyond/dp/006196395X Yoga Mat: Available at Target® 2791 David H Mcleod Blvd, Florence, SC 29501 (843) 667-6731 https://www.target.com/ Grading Scale: Ungraded  LessonOne: Introduction to CAM Practices and Integrative Health Approach o What is CAM? o What is an Integrative Health Approach? o Are CAM modalities safe and effective for use during pregnancy? o Open Forum- Introductions/Question and Answer Session o Distribution of Related Take-Home Information and Resources  LessonTwo: Understanding the Benefits of Yoga During Pregnancy o Procedural Demonstration, Instructions and Hands-on-Practice o Distribution of Related Take-Home Information and Resources Understanding the Benefits of Massage During Pregnancy o Procedural Demonstration, Instructions and Hands-on-Practice  LessonThree: o Understanding the Benefits of Meditation During Pregnancy  Procedural Demonstration, Instructions and Hands-on-Practice  Relaxation Response  Guided Imagery  Prayer o Overall Review – The Safe and Effective Use of CAM During Pregnancy to Promote an Integrative Health Approach
  • 3. Unit 5 CAM Project Lesson 1 Lecture LessonSummary: This lesson is an introduction to complementary and alternative (CAM) practices and their use to promote an integrative health approach to the care of expectant mothers. The following questions will be will addressed:  What is CAM?  What is an Integrative Health Approach?  Why do people use CAM?  Are CAM modalities safe and effective for use during pregnancy? At the end of the class there will be an open forum with an opportunity for everyone to ask questions for further clarification and address any other concerns. Related take-home information and resources will be distributed at the end of this lesson. LessonContent: What is Complementary and Alternative Medicine (CAM)? The definition of CAM, according to the National Center for Complementary and Integrative Health (NCCIH, 2016), is the use of a variety of medical and health care systems, practices, and products that are not usually considered as part of conventional western medical practices, to enhance the health care plan prescribed for an individual. “Complementary medicine” refers to those CAM modalities (methods) that are used along with conventional medical treatments and prescriptions, unlike “alternative medicine” which refers to those methods of treatment that are used instead of conventional medicinal medicines and treatments. Some examples of complementary practices that will be discussed, that can be safely used during pregnancy include yoga, massage, deep breathing exercises, and various forms of meditation, such as guided imagery, the Relaxation Response and prayer (NCCIH, 2016). Video Presentations: 1. Rehealthify (2014, July 21). Complementary and Alternative Medicine - What You Need To Know. Retrieved from https://www.youtube.com/watch?v=4ZX_gpNwoJU. This is a short (2-minute) animated video presentation explaining the concept and use of CAM modalities. 2. Walsh, T. (2014, March 28, 2014). Complementary and Alternative Health Therapies. Retrieved from https://www.youtube.com/watch?v=TKQ7d1VOlck. This is a short (5 minute) video presentation that discusses the four categories of CAM practices including mind, body practices; natural products; body-based methods and other methods, including prayer. 3. Bhargava, H. (2016, August 16). Patient Interest in CAM: A Rapidly Growing Trend. Retrieved from http://www.medscape.com/viewarticle/867310. This is a short (4 minute) video presentation that introduces the subject of patient’s interest in CAM and the need to disclose the use of them to health care providers. Discussion of Videos: Question/Answer Period with Video Commentary After Each Video Printed Resource:
  • 4.  National Center for Complementary and Integrative Health (NCCIH), (2016, March 22). The Use of Complementary and Alternative Medicine in the United States. Retrieved from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm#about. This is a Factsheet that can/ will be copied, printed and reviewed in the class. Also serves as take- home resources for further review by class participants. What is an Integrative Health Approach? An “integrative health approach” refers to the combination of conventionally prescribed medical treatments and complementary treatments that have been proven to be safe and effective. Video Presentations: 1. Weil, A. (2010, February 12). What Is Integrative Medicine? Retrieved from https://www.youtube.com/watch?v=4pXsm3qaFIk. This is short (2 minute) video presentation that offers a thorough but simplified definition of integrative medicine by a credible source. 2. GuruTubeVideos (2009, December 15). What is Integrative Medicine? Retrieved from https://www.youtube.com/watch?v=A0whDr7XT0U. In this short (5 minute) video presentation Dr. Ken Pelletier, considered "a global phenomenon," gives advice on ways to address integrative medicine approaches with your health care provider. He explains the concept of Integrative Medicine and its use in today's medical practices. He also provides a brief history of alternative medicine and ways it can be used to treat illnesses along with conventional methods. Discussion of Videos: Question/Answer Period with Video Commentary After Each Video Why do people use CAM? People turn to CAM for a variety of reasons, which can include the lack of effectiveness of prescribed conventional medicine, or their belief that natural products are healthier and safer than prescription drugs. They may even prefer a holistic approach to health that addresses all of their physical, emotional social and spiritual needs (n.d.). Printed Resource: Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from https://www.womenshealth.gov/files/assets/docs/the-healthy- woman/alternative_medicine.pdf. This is a printable guide that can be reviewed in the class and has a website link that can be shared with the class for further reviewing in the home environment. Are CAM practices safe and effective for use during pregnancy? According to the National Center for Complementary and Integrative Health (NCCIH, 2016), the most commonly used CAM therapy among adults are nonvitamin, nonmineral natural products. There have been reports of increased use for several CAM therapies, including deep breathing exercises, meditation, massage therapy, and yoga (NCCIH, 2016). Integrative medicine has a wide variety of options for expectant parents including modalities like acupuncture, massage therapy and mindfulness to help ease the uncomfortable symptoms of pregnancy (UCFS, 2012). However, there are some downsides to using CAM treatments, such as there are no CAM treatment that have been absolutely proven to be effective and even though they may be
  • 5. derivatives of plants, some CAM products, like ephedra, which has been banned by the U.S. Food and Drug Administration (FDA) can cause health problems. Some CAM products may also interfere with how prescription drugs work by interfering with their effectiveness, such as birth control pills. Some herbal products are unsafe to use during pregnancy and many others have not been studied, either during pregnancy or breastfeeding. Unproven CAM treatments may not work or may carry risks, unlike conventional treatments that are known to be safe and effective. Before trying a CAM treatment, individuals should always discuss it with their doctor. Qualified health care providers, like doctors, should know whether the therapy may be helpful and safe to use along with your current treatments. Some people don’t mention their use of CAM treatments to their doctor fearing that their doctor will have negative responses to incorporating the use of CAM. If this situation is apparent, they should find a doctor that is open to discussing the use of an integrative health approach and could refer a practitioner that is qualified to render the services the patient is seeking (Women’s Health, n.d.). Video Presentation: 1. Greater Good Science Center (2013, November 08). Nancy Bardacke: Mindful Childbirth [Video Presentation]. Retrieved from https://www.youtube.com/watch?list=UUPfDETmabmiBHjNrPPHlF5A&v=BFU5LXMy 49c. In this short (12 minute) video presentation, Nancy Bardacke a famous nurse- midwife, mindfulness teacher, and founding director of the Mindfulness-Based Childbirth and Parenting (MBCP) Program, as well as, professor at the University of California, San Francisco (UCSF), Osher Center for Integrative Medicine, discusses mindfulness and how it can effectively counter the stress and pain of childbirth for both parents during the birthing and breast-feeding process. It lists and describes multiple links to sources of further information. Discussion of Videos: Question/Answer Period with Video Commentary Printed Resources Reviewedwith Class:  Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from https://www.womenshealth.gov/files/assets/docs/the-healthy- woman/alternative_medicine.pdf  University of California, San Francisco (UCSF), Osher Center for Integrative Medicine (2012). Pregnancy & Childbirth. Retrieved from https://www.osher.ucsf.edu/womens- health-2/pregnancy-childbirth/.
  • 6. Unit 5 CAM Project Lesson 2 Lecture LessonSummary: This lesson will address the benefits of incorporating yoga practice and massage therapy into an expectant mother’s health care plan. We will have an overview of yoga and massage therapy that increases the awareness of both CAM methods, watch video presentations and watch and participate in demonstrations presented by visiting professionals, certified to provide each of these services. Information concerning yoga practice and massage therapy and links to resources to acquire these services will also be provided at the end of each activity, for those interested in engaging in these activities. LessonContent: Understanding the Benefits of Yoga During Pregnancy Yoga practice during pregnancy can be very beneficial. It can help expectant mothers to breathe and relax, which helps her adjust to the physical demands of pregnancy, labor, birth, and motherhood. It also calms the mind and body, which provides relief from the physical and emotional stress throughout pregnancy. However, there are some precautions that should be observed, especially those that can reduce blood flow to the uterus. Other precautions include, expectant mothers should also avoid poses that stretch the muscles too much, especially in the abdomen (belly) and avoid overheating because it can endanger the health of her baby. Pregnant women are also more at risk for strains, pulls, and other injuries because the pregnancy hormones that allow the uterus to expand and softens connective tissue, as part of the birthing process. There are many other safety precautions that should be observed, as well (Mallet, n.d.). The biggest danger to pregnant women practicing yoga is falling. Therefore, minimize that risk by skipping any poses that could make expectant mothers feel lightheaded to reduce the risk of fainting. When looking for a class, stick to those labeled "Prenatal Yoga," since their instructions will be appropriate for expecting mothers. If attending a regular class, tell the instructor that you are pregnant immediately (Pizer, 2016). Always consult with a qualified health care provider for directions before attempting yoga practice. Printed Resources: Mallet, T. (n.d.). Is it safe to do yoga during pregnancy? Retrieved from https://www.babycenter.com/404_is-it-safe-to-do-yoga-during-pregnancy_5699.bc. This resource can be printed, discussed and distributed for take-home review by the class members. Pizer, A. (2016, August 17). Pregnancy Yoga. Retrieved from https://www.verywell.com/pregnancy-yoga-4013139. This is an article that provides an in-depth discussion about safely practicing yoga during pregnancy. It can be printed, discussed and distributed for take-home review by the class members. Video Presentations: 1. McInturff, M. (2016). Ask Dr G: What You Need to Know About Practicing Yoga While Pregnant. Retrieved from https://www.yogatoday.com/blog/ask-dr-g-what-you-need-to- know-about-practicing-yoga-while-pregnant. In this short (approximately 5 minute)
  • 7. video, a practicing obstetrician/gynecologist discusses the benefits of yoga practice during pregnancy. 2. Prenatal Yoga Center (2013, December 10). Retrieved from https://www.youtube.com/watch?v=19ISFYGDSF4. This short (16 minute) video addresses the use of yoga practice to relieve back pain, which is a common discomfort that women experience during and after pregnancy. It demonstrates side bending poses that help ease pain by stretching the lower back muscles. Forward bend and hip openers that release and extend the lower back, hip and hamstring muscles, as well as, twisting poses that help stretch the back and shoulder muscles, creating flexibility of the spine are also demonstrated. Safe practice by not overstretching is also reinforced. Professional Demonstrations and Class Participation in Activities Procedural demonstration by professional practitioner, followed by instructions and supervised hands-on-practice of some of the safest poses by class members. Followed by distribution of related take-home information and resources. Understanding the Benefits of Massage During Pregnancy A massage can be a fantastic way of safely and effectively employing CAM practices during pregnancy. A Qualified massage therapist can compress, rub, and/or manipulate muscles and other soft body tissues to reduce muscle soreness and tension and relieve stress and anxiety (Women’s health, n.d.). Pregnancy massage therapy is specifically tailored for pregnant women. An expectant mother’s body must be properly positioned and supported, using pillows and padding, during the massage to ensures comfort and safety for both, the mother and baby. Therefore, many pre-natal massage therapists have a special table designed specifically for expectant mothers (Pizer, 2016). Certain kinds of massage are preferred by expectant mothers because they provide relief of fatigue, joint and muscle strain and help relieve swelling in their arms and legs, by improving oxygen levels in the blood and the of the flow of blood. Massages also increase hormones that improve relaxation, which improves sleep and they provide relief of back pain, stress, anxiety, depression and other negative emotions. However, prenatal massages are without risks, as they may lead to blood clots and other negative side effects related to improper positioning, so if an expectant mother is considering prenatal massage therapy, it is best to check with their doctor first. Then, select an experienced and trained prenatal massage therapist (Pizer, 2016). There are many kinds of massages that range from gentle stroking and kneading of muscles and other soft tissues to deeper manual techniques. Massage has been practiced as a healing therapy for centuries in nearly every culture around the world. It has been shown to be effective when used for relief of muscle tension, stress reduction, and to evoke feelings of calmness. Even though massage affects an individual’s whole body, it is especially influential on the musculoskeletal (bones and muscles); cardiovascular system, which helps blood to circulate and transport nutrients, oxygen, carbon dioxide, hormones, and blood cells to and from the cells in the body to provide nourishment and help fighting diseases, stabilize body temperature and pH, and maintain homeostasis (consistent body fluid balance); lymphatic (immune)system and the nervous system, which coordinates the body’s actions by sending signals to and from different parts of the body. Studies also suggest that massage helps reduce anxiety during labor and
  • 8. increases oxytocin, a hormone known to facilitate bonding. Some of the therapeutic massage techniques that may be used effectively by certified practitioners during pregnancy include on- site/chair massage, reflexology, Swedish massage, and compassionate touch (UMMC, 2017a). Printed Resources  University of Maryland Medical Center (UMMC, 2017a). Complementary and Alternative Medicine Guide: Massage. Retrieved from http://www.umm.edu/health/medical/altmed/treatment/massage. This is a link to detailed information concerning the use of massage therapy. It discusses the history of massage, the various methods and the risks and benefits of using this type of therapy.  Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from https://www.womenshealth.gov/files/assets/docs/the-healthy- woman/alternative_medicine.pdf. (Previously reviewed by the class)  Wong, C. (2016, August 26). Benefits and Risks of Prenatal (Pregnancy) Massage. Retrieved from https://www.verywell.com/pregnancy-massage-what-you-need-to-know- 89742. This is an article by a credible resource that discusses the benefits of prenatal massages during pregnancy. It also discusses the types of massages preferred by pregnant women and the reasons they feel that they are beneficial. Can also serve as take-home material for further review by class. Video Presentations 1. Pennington, A. (2011). Home Pregnancy Massage - How to Reduce & Relieve Back Pains Using Massages [Video Presentation]. Retrieved from https://www.youtube.com/watch?v=iBfhYoRrd9w. This is a link to a professional massage video that shows a safe and simple way to help expectant mothers overcome back pains. Back pain is a very common during pregnancy because of the additional weight to the abdomen, which causes strain, especially in the lower back. 2. ModernMom (2009, May 8). How to Give a Foot Massage During Pregnancy: Pregnancy & Parenting; ModernMom. Retrieved from https://www.youtube.com/watch?v=ZWHEHDD- jNY&index=4&list=PL01C1FFD134DC2909. This is a 3-minute video presentation that features a massage therapist that demonstrates how to safely give an expectant mother a foot rub while discussing the benefits and safety precautions. Professional Demonstrations and Class Participation in Activities Procedural demonstrations by professional practitioner, followed by instructions and supervised hands-on-practice of some of the safe techniques by class members. Followed by distribution of related take-home information and resources.
  • 9. Unit 5 CAM Project Lesson 3 Lecture  LessonSummary: This lesson addresses the benefits of various forms of meditation when employed to relieve pain, reduce stress and anxiety and promote inner peace before, during and after delivery of a newborn. Although there are many types of meditation, the Relaxation Response, Guided Imagery and Prayer will be discussed here.  LessonContent: Understanding the Benefits of Meditation During Pregnancy Meditation is a mind-body practice. Mind-body medicine uses the power of thoughts and emotions to influence an individual’s physical health. The two leading forms of meditation practiced in the United States are transcendental meditation, in which a student repeats a mantra (single word or phrase) and mindfulness meditation, in which the attention is focused on the moment by moment thoughts and sensations they are experiencing. Research also points out that qualities like faith, hope, forgiveness, and the use of prayer and a strong social support system, clearly influence health and healing (UMMC, 2017b). According to Vukovic (2003), prayer is a form of meditation that can be used if an individual wants to comfort themselves when feeling stressed or anxious (Vukovic, 2003). Printed Resources  University of Maryland Medical Center (UMMC, 2017b). Complementary and Alternative Medicine Guide: Mind-body medicine. Retrieved from http://www.umm.edu/health/medical/altmed/treatment/mindbody-medicine. This is a link to detailed information concerning the use of meditation, a form of mind-body practice. It discusses the history of mind-body medicine, meditation and the various practices involved, as well as, the benefits of using different types of meditation, which can include biofeedback, deep relaxation, guided imagery, hypnotherapy, meditation, prayer, support groups, and yoga. This resource can be printed, discussed and provided to participants as a take-home handout for further reviewing. Meditation Practices: 1. The Relaxation Response: The term Relaxation Response was created by Dr. Herbert Benson, who was the founder of the Harvard Mind/Body Medical Institute. This practice counteracts the physiological effects of stress and the urge to fight or flee when one is experiencing perceived distress. It is basically, the opposite of the “fight or flight” response. Encounters with perceived threats can increase blood pressure, heart rate and breathing. It can cause one’s pupils to dilate and blood vessels to constrict. There are many ways to prompt the Relaxation Response including visualizations, progressive muscle relaxation, prayer, meditation and other modalities, such as yoga, qi gong and massage. Choosing to remove oneself from everyday thoughts and choosing a sound, word, phrase or prayer and focusing on one’s breathing can quiet the mind, create a sense of inner peace and better health (Mitchell, 2013). Printed Resource
  • 10.  Mitchell, M. (2013, March 29). Dr. Herbert Benson’s Relaxation Response: Learn to counteract the physiological effects of stress. Retrieved from https://www.psychologytoday.com/blog/heart-and-soul-healing/201303/dr-herbert- benson-s-relaxation-response. This is an article that discusses the benefits of the Relaxation Response, like lowering blood pressure, decreasing heart and respiratory (breathing) rate and the many ways to elicit the response. It can be printed, shared with the class and used as a handout for further reviewing at home. Video Resource  Mount Sinai Health System (2014, September 11). Relaxation Response - 17 Minute Guided Meditation. Retrieved from https://www.youtube.com/watch?v=CdbzDMSGsyg. In this video presentation, a wellness and positive psychology coach guides participants though a 17-minute-long guided meditation that can help reduce stress, elicit the body’s “relaxation response,” and relieve symptoms of anxiety, depression and pain. 2. Guided Imagery: According to Goldstein & Stahl (2010), meditation has been shown to be helpful with chronic pain relief. The three important steps to applying mindfulness meditation to chronic pain relief include investigating the way that one’s body experiences and holds on to stress and pain, then working with any emotional reactions to pain. Once this is addressed, the last step is learning to be present with the pain and deal with it, one moment at a time (Goldstein & Stahl, 2010). Guided imagery is best described as deliberate guided form of daydreaming. It is the use of a soothing voice to narrate a visual image, such as waves on the ocean that flow back and forth, to promote a calmed state of being. It provides emotional support and can reduce pain and discomfort, while empowering the client. It is effective during the birthing process because it focuses breathing, redirects the perception of the contractual pains and increases the sense of gratitude for the anticipation of the birth of a mother’s new baby (Naparstek, 2007). Printed Resources  Goldstein, E., & Stahl, B., (2010). A mindfulness-based stress reduction workbook. Oakland, CA: New Harbinger Publications, Inc. This is a book that is used in clinics and classrooms to teach stress reduction. It exposes students to mindfulness-based strategies that promote a healthier lifestyle by helping them learn to identify the causes of stress and relieve its symptoms in just a few weeks.  Naparstek, B. (2007). Guided imagery: a best practice for pregnancy and childbirth. International Journal Of Childbirth Education, 22(3), 4-8. This is an article that discusses the practice and effectiveness of guided imagery during pregnancy and childbirth. It can be printed to use for discussion and as a handout to provide further information for participants at home. Video Resource  Yoga with Tessa (2014, December 19). Golden Thread breath and Blooming Rose visualization for dilation. Retrieved from https://www.youtube.com/watch?v=o4kknKsooO0. This is a video presentation that guides expectant mothers through the Golden Thread breath and Blooming Rose Visualizations by using guided imagery to support the birthing process. The surges of the
  • 11. wave and the opening of the rose are visualized during labor contractions to refocus the mind and promote a sense of calmness and empowerment. This is a great tool for expectant mothers to watch or listen to throughout the pregnancy. It can also be useful during the labor and delivery process. 3. Prayer: Prayer is a form of meditation that can be used anywhere and at any time by anyone to comfort oneself when there are times of stress and anxiety. An individual chooses a prayer to repeat that means something to them. Many people choose the Serenity Prayer: “God grant me the serenity to accept the things that I cannot change, the courage to change the things that I can and the wisdom to know the difference.” Repeating it or a favorite word, sound or poem allows them to be easily remembered during times of stress and anxiety (Vukovic, 2003); this practice could be especially useful during labor and delivery. Printed Resource  Vukovic, L. (2003). How to Get Instant Calm. Natural Health, 33(4), 53. This is an article that discusses the use of meditation, including prayer, to promote feelings of calmness. This is an article that can be printed, reviewed with the class and used as a handout for participants to review at home. Professional Demonstrations and Class Participation in Activities Practice demonstrations for all forms of meditation, followed by hands-on-practice exercise techniques by class members. Followed by distribution of related take-home information and resources. Overall Program Review Open Forum- Questions/Answers  A copy of the annotated bibliography with links to and descriptions of resources will be included in informational take-home packets.
  • 12. Annotated Bibliography Bardacke, N. (2012, July 10). Mindful Birthing: Training the Mind, Body and Heart for Childbirth and Beyond. New York, NY: HarperCollins Publishers. ISBN: 978-0-06- 196395-7. In this book, the author discusses integrative health approaches that will help both parents embrace the process with ease, by increasing the awareness of skills, such as confidence building, improved communication skills, stress reduction and pain relief techniques that will promote healthy lifestyles and enlightened parenting skills. Bhargava, H. (2016, August 16). Patient Interest in CAM: A Rapidly Growing Trend. Retrieved from http://www.medscape.com/viewarticle/867310. This is a short (4 minute) video presentation that introduces the subject of patient’s interest in CAM and the need to disclose the use of them to health care providers. Goldstein, E., & Stahl, B., (2010). A mindfulness-based stress reduction workbook. Oakland, CA: New Harbinger Publications, Inc. This is a book that is used in clinics and classrooms to teach stress reduction. It exposes students to mindfulness-based strategies that promote a healthier lifestyle by helping them learn to identify the causes of stress and relieve its symptoms in just a few weeks. Greater Good Science Center (2013, November 08). Nancy Bardacke: Mindful Childbirth [Video Presentation]. Retrieved from https://www.youtube.com/watch?list=UUPfDETmabmiBHjNrPPHlF5A&v=BFU5LXMy 49c. In this short (12 minute) video presentation, Nancy Bardacke a famous nurse- midwife, mindfulness teacher, and founding director of the Mindfulness-Based Childbirth and Parenting (MBCP) Program, as well as, professor at the University of California, San Francisco (UCSF), Osher Center for Integrative Medicine, discusses mindfulness and how it can effectively counter the stress and pain of childbirth for both parents during the birthing and breast-feeding process. It lists and describes multiple links to sources of further information. GuruTubeVideos (2009, December 15). What is Integrative Medicine? Retrieved from https://www.youtube.com/watch?v=A0whDr7XT0U. In this short (5 minute) video presentation Dr. Ken Pelletier, considered "a global phenomenon," gives advice on ways to address integrative medicine approaches with your health care provider. He explains the concept of Integrative Medicine and its use in today's medical practices. He also provides a brief history of alternative medicine and ways it can be used to treat illnesses along with conventional methods. Mallet, T. (n.d.). Is it safe to do yoga during pregnancy? Retrieved from https://www.babycenter.com/404_is-it-safe-to-do-yoga-during-pregnancy_5699.bc. This is a link to an article that discusses the benefits of yoga during pregnancy. It explains that this practice can be safe if certain precautions are taken and lists some positions that are safe, as well as warns about those that should be avoided. Mitchell, M. (2013, March 29). Dr. Herbert Benson’s Relaxation Response: Learn to counteract the physiological effects of stress. Retrieved from https://www.psychologytoday.com/blog/heart-and-soul-healing/201303/dr-herbert- benson-s-relaxation-response. This is an article that discusses the benefits of the Relaxation Response, like lowering blood pressure, decreasing heart and respiratory (breathing) rate and the many ways to elicit the response.
  • 13. ModernMom (2009, May 8). How to Give a Foot Massage During Pregnancy: Pregnancy & Parenting; ModernMom. Retrieved from https://www.youtube.com/watch?v=ZWHEHDD- jNY&index=4&list=PL01C1FFD134DC2909. This is a 3-minute video presentation that features a massage therapist that demonstrates how to safely give an expectant mother a foot rub while discussing the benefits and safety precautions. Mount Sinai Health System (2014, September 11). Relaxation Response - 17 Minute Guided Meditation. Retrieved from https://www.youtube.com/watch?v=CdbzDMSGsyg. In this video presentation, a wellness and positive psychology coach guides participants though a 17-minute-long guided meditation that can help reduce stress, elicit the body’s “relaxation response,” and relieve symptoms of anxiety, depression and pain. Naparstek, B. (2007). Guided imagery: a best practice for pregnancy and childbirth. International Journal Of Childbirth Education, 22(3), 4-8. This is an article that discusses the practice and effectiveness of guided imagery during pregnancy and childbirth. National Center for Complementary and Integrative Health (NCCIH), (2016, March 22). The Use of Complementary and Alternative Medicine in the United States. Retrieved from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm#about. This is a Factsheet that can/ will be copied, printed and reviewed in the class. Also serves as take- home resources for further review by class participants. Pennington, A. (2011). Home Pregnancy Massage - How to Reduce & Relieve Back Pains Using Massages [Video Presentation]. Retrieved from https://www.youtube.com/watch?v=iBfhYoRrd9w. This is a link to a professional massage video that shows a safe and simple way to help expectant mothers overcome back pains. Back pain is a very common during pregnancy because of the additional weight to the abdomen, which causes strain, especially in the lower back. Rehealthify (2014, July 21). Complementary and Alternative Medicine - What You Need To Know. Retrieved from https://www.youtube.com/watch?v=4ZX_gpNwoJU. This is a short (2-minute) animated video presentation explaining the concept and use of CAM modalities. University of California, San Francisco (UCSF), Osher Center for Integrative Medicine (2012). Pregnancy & Childbirth. Retrieved from https://www.osher.ucsf.edu/womens-health- 2/pregnancy-childbirth/. This is an article with an imbedded video presentation that discusses the positive effects of an Integrative Health Approach during pregnancy. It includes brief sub-topics that discuss various CAM practices such as, guided imagery, yoga, massage therapy and mindfulness. University of Maryland Medical Center (UMMC). (2017). Complementary and Alternative Medicine Guide: Massage. Retrieved from http://www.umm.edu/health/medical/altmed/treatment/massage. This is a link to detailed information concerning the use of massage therapy. It discusses the history of massage, the various methods and the risks and benefits of using this type of therapy. Vukovic, L. (2003). How to Get Instant Calm. Natural Health, 33(4), 53. This is an article that discusses the use of meditation, including prayer, to promote feelings of calmness.
  • 14. Walsh, T. (2014, March 28, 2014). Complementary and Alternative Health Therapies. Retrieved from https://www.youtube.com/watch?v=TKQ7d1VOlck. This is a short (5 minute) video presentation that discusses the four categories of CAM practices including mind, body practices; natural products; body-based methods and other methods, including prayer. Women’s Health (n.d.). Complementary and Alternative Medicine. Retrieved from https://www.womenshealth.gov/files/assets/docs/the-healthy- woman/alternative_medicine.pdf. This is a comprehensive look at CAM and many of the issues concerning their use. This guide addresses the positive and negative aspects of using CAM and details the categories of CAM treatments such as, those found in nature, energy medicine, therapies that adjust the body, mind-body medicine and whole medical systems. It also explores the potential uses for the various types of CAM methods. Wong, C. (2016, August 26). Benefits and Risks of Prenatal (Pregnancy) Massage. Retrieved from https://www.verywell.com/pregnancy-massage-what-you-need-to-know-89742. This is an article by a credible resource that discusses the benefits of prenatal massages during pregnancy. It also discusses the types of massages preferred by pregnant women and the reasons they feel that they are beneficial. Weil, A. (2010, February 12). What Is Integrative Medicine? Retrieved from https://www.youtube.com/watch?v=4pXsm3qaFIk. This is short (2 minute) video presentation that offers a thorough but simplified definition of integrative medicine by a credible source. Yoga with Tessa (2014, December 16). Breathing and visualizing for birth - Riding the waves (surges/ contractions). Retrieved from https://www.youtube.com/watch?v=c-yaSUp3a1g. This is a video presentation that guides expectant mothers through the Golden Thread breath and the use of images of waves to support the birthing process. The surges of the wave are visualized as contractions during labor. This is a great tool for expectant mothers to watch or listen to during pregnancy. It can also be useful during the labor and delivery process.