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All respondents (n = 69) indicated that they used, recommended, or referred their clients for at least one CAM therapy during the preceding year. Ninety percent (90%) of respondents used, recommended, or referred their clients for an herbal remedy (not including homeopathic tinctures). Herbal therapies were among the top three modalities recommended for 7 of 12 (58%) clinical indications. Herbs were the most salient CAM therapy used for cervical ripening (83%), followed closely by use for nausea, vomiting, and hyperemesis (80%), and labor induction (77%). Herbal therapies also constituted 50% or more of the CAM therapies used for the following indications: anemia\/iron supplementation (70%), perineal healing (66%), and anxiety\/stress\/fatigue (50%). LM respondents used, recommended, or referred their clients for a greater number of herbal therapies compared to CNMs. While several of the CAM modalities used or recommended by Texas midwives show potential for clinical benefit, few have been studied sufficiently to determine their efficacy or safety during pregnancy.<\/jats:p>","DOI":"10.1016\/j.jmwh.2007.03.023","type":"journal-article","created":{"date-parts":[[2007,9,8]],"date-time":"2007-09-08T11:19:13Z","timestamp":1189250353000},"page":"473-478","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Herbal and Other Complementary Medicine Use by Texas Midwives"],"prefix":"10.1111","volume":"52","author":[{"given":"Bryan P.","family":"Bayles","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"1","article-title":"Complementary and alternative medicine use among adults: United States, 2002","volume":"343","author":"Barnes PM","year":"2004","journal-title":"Adv Data"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00481-0"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-2182(99)00037-3"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(84)90166-6"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199301283280406"},{"key":"e_1_2_6_7_2","first-page":"8","article-title":"Using ANTHROPAC 3.5 and a spreadsheet to compute a free\u2010list salience index","volume":"9","author":"Smith JJ.","year":"1993","journal-title":"Cultural Anthropology Methods"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/107628002761574617"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.5962\/bhl.title.99400"},{"key":"e_1_2_6_10_2","first-page":"161","article-title":"Raspberry leaf tea: A new aspect to an old problem","volume":"40","author":"Bamford DS","year":"1970","journal-title":"Br J Pharmacol"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4210.370"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)71348-1"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000154890.47642.23"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-6238(00)00106-4"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3835(87)90094-2"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1161(78)90008-0"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-7992(82)90016-1"},{"key":"e_1_2_6_18_2","first-page":"240","article-title":"Effect of ginger on platelet aggregation in man","volume":"98","author":"Verma SK","year":"1993","journal-title":"Indian J Med Res Sect B"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1642392"},{"key":"e_1_2_6_20_2","first-page":"772","article-title":"Consumption of ginger (Zingiber officinale roscoe) does not affect ex vivo platelet thromboxane production in humans","volume":"50","author":"Janssen PL","year":"1996","journal-title":"Eur J Clin Nutr"},{"key":"e_1_2_6_21_2","unstructured":"United States Food and Drug Administration Web site.Consumer alert: Undeclared sulfites in sliced ginger. 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