{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:02:44Z","timestamp":1790766164478,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Integrative medicine (IM) therapies are increasingly used alongside conventional medical care to address physical discomfort, stress, sleep disruption, and difficulty relaxing. However, IM remains understudied among hospitalized antepartum patients. We evaluated patterns of IM use and short\u2010term changes in discomfort scores among hospitalized antepartum patients receiving IM consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>We conducted a single\u2010center retrospective pre\u2010post study of antepartum patients admitted to a tertiary care center who received at least one IM consultation between January 2024 and July 2025. IM therapies included aromatherapy, meditation and breathwork, sound therapy, and relaxation techniques. Because IM consultations were provided at patient\/provider request, the study population reflects patients selected for or interested in IM services rather than all hospitalized antepartum patients. Patient\u2010reported discomfort was assessed immediately before and after each IM encounter by the IM nurse using a five\u2010point ordinal scale from 0 to 4, with 0 indicating no discomfort and 4 indicating severe discomfort. For patients with multiple IM visits, only one paired pre\/post discomfort score was included in the paired analysis, prioritizing the first IM visit with complete pre\u2010 and post\u2010intervention discomfort scores. Encounters without both pre\u2010 and post\u2010intervention discomfort scores were excluded from paired analysis. Paired scores were compared using the Wilcoxon signed\u2010rank test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 207 antepartum patients received IM consultations during the study period, and 174 patients had paired pre\u2010 and post\u2010intervention discomfort scores available for analysis. Mean gestational age at admission was 30\u00a0weeks, and median length of stay was 7 days. The most common admission indication was hypertensive disorders of pregnancy (31%). Aromatherapy (94%) and mind\u2013body therapies, including meditation and breathwork (51%), were the most frequently used IM modalities. Median discomfort scores decreased from 2 before IM to 1 after IM (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001). The median paired change was \u22121 (Interquartile range [IQR] \u22121 to 0). Discomfort scores decreased in 130 patients (75%), remained unchanged in 44 patients (25%), and none reported increased discomfort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among hospitalized antepartum patients who received IM consultation, aromatherapy and mind\u2013body therapies were the most frequently used modalities. IM encounters were associated with short\u2010term reductions in patient\u2010reported discomfort scores; however, given the pre\u2010post design and the absence of a control group, these findings should be interpreted as hypothesis\u2010generating rather than causal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70372","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T16:11:45Z","timestamp":1784995905000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrative medicine during antepartum hospitalization: A single\u2010center retrospective pre\u2010post study"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5372-6468","authenticated-orcid":false,"given":"Hadley","family":"Ross","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology UT Health San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casandra","family":"Chouravong","sequence":"additional","affiliation":[{"name":"Integrative Medicine Program University Health  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Vera","sequence":"additional","affiliation":[{"name":"Integrative Medicine Program University Health  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariana","family":"Braddom","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adah","family":"Beck","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan E.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Integrative Medicine Program University Health  San Antonio Texas USA"},{"name":"Department of Internal Medicine UT Health San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Boyd","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology UT Health San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Complementary, Alternative, or Integrative Health: What's in a Name?","author":"National Center for Complementary and Integrative Health"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004482"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12177"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2021.103126"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000622"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13238"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44197\u2010024\u201000305\u20106"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2025.103157"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2012.07.020"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102393\u201013\u20103"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447\u20100756.2011.01676.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2017.03.007"}],"container-title":["Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70372","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmf2.70372","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70372","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:21:52Z","timestamp":1790763712000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pmf2.70372"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/pmf2.70372"],"URL":"https:\/\/doi.org\/10.1002\/pmf2.70372","archive":["Portico"],"relation":{},"ISSN":["2997-9684","2997-9684"],"issn-type":[{"value":"2997-9684","type":"print"},{"value":"2997-9684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-04-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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