Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 5 , ISSUE 3 ( September-December, 2013 ) > List of Articles

Guest Editorial

A Review of the Current Status of Mind Body Medicine in Obstetric and Gynecology Practice

Chella Hariharan, Ananya Sinha, Rahul K Chaudhary

Citation Information : Hariharan C, Sinha A, Chaudhary RK. A Review of the Current Status of Mind Body Medicine in Obstetric and Gynecology Practice. J South Asian Feder Obs Gynae 2013; 5 (3):0-0.

DOI: 10.5005/jsafog-5-3-vii

Published Online: 01-04-2009

Copyright Statement:  Copyright © 2013; The Author(s).



Mind body therapies (MBTs) are gaining popularity. Clinicians need to be aware of the current evidence-base supporting or refuting their applicability in obstetric and gynecology practice.


An electronic search of Medline was carried out for review articles, meta-analysis and randomized control trials (RCTs) for use of MBTs in obstetrics and gynecology from the year 2000.


Yoga, acupuncture, behavioral therapies and hypnotherapy are widely used. Yoga has applications in dysmenorrhea, polycystic ovarian syndrome (PCOS), pregnancy and menopausal symptoms. Acupuncture has applications in functional hypothalamic amenorrhea (FHA), in-vitro fertilization (IVF), dysmenorrhea and has been used for menopausal symptoms, endometriosis and lactation. Behavioral therapy has applications in menopausal symptoms and FHA. Hypnotherapy has been used in FHA and pregnancy.


Numerous trials and reviews have been carried out for the applications of MBTs in obstetrics and gynecology. However, these are heterogenous, have small sample size, methodological flaws and only provide short-term results. While we await large scale, well-designed RCTs, current evidence does not permit the use of MBTs as primary therapies. They can be used as adjuncts, but with caution as side effects though claimed to be negligible, have been largely underreported in trials.


APGAR: Appearance pulse grimace activity respiration; CBT: Cognitive behavioral therapy; FHA: Functional hypothalamic amenorrhea; GnRH: Gonadotropin releasing hormone; HPA: Hypothalamic-pituitary axis; HPG: Hypothalamic-pituitary gonadal axis; HRT: Hormone replacement therapy; IVF: In vitro fertilization; LH: Luteinizing hormone; MBSR: Mindful-based stress reduction; MBT: Mindbody therapy; PCOS: Polycystic ovarian syndrome; RCT: Randomized control trial; TSH: Thyroid stimulating hormone.

How to cite this article

Hariharan C, Sinha A, Chaudhary RK. A Review of the Current Status of Mind Body Medicine in Obstetric and Gynecology Practice. J South Asian Feder Obst Gynae 2013;5(3):vii-xi.

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  1. Patient disclosure of the use of complementary and alternative medicine to their obstetrician/gynaecologist. J Obstet Gynaecol 2011;31:59-61.
  2. Mind-body medicine: state of the science, implications for practice. J Am Board Fam Pract 2003;16:131-147.
  3. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab 2003;88:2404-2411.
  4. Non-estrogenic approaches for the treatment of climacteric symptoms. Climacteric 2007;10:115-120.
  5. Lifestyle alterations for the amelioration of hot flashes. Maturitas 2012;71:217-220.
  6. Yoga of awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support Care Cancer 2009;17:1301-1309.
  7. Mind-body therapies for menopausal symptoms: a systematic review. Maturitas 2010;66:135-149.
  8. Effectiveness of yoga for menopausal symptoms: a systematic review and metaanalysis of randomized controlled trials. Evid Based Complement Alternat Med 2012; 863905. doi: 10.1155/2012/863905. Epub 2012.
  9. The acupuncture on hot flushes among menopausal women study (ACUFLASH): a randomized controlled trial. Menopause 2009;16:484-493.
  10. Effects of acupuncture on hot flashes in perimenopausal and postmenopausal women—a multicenter randomized clinical trial. Menopause 2010;17: 269-280.
  11. Acupuncture for vasomotor menopausal symptoms: a systematic review. Menopause 2009;16: 1065-1073.
  12. Cognitive behavioral therapy and physical exercise for climacteric symptoms in breast cancer patients experiencing treatmentinduced menopause: design of a multicenter trial. BMC Women's Health 2009;9:15. doi:10.1186/1472-6874-9-15.
  13. Mindfulness Training for Coping with Hot Flashes: Results of a Randomized Trial. Menopause 2011;18:611-620.
  14. Evidence-based review of therapies at the menopause. Int J Evid Based Healthc 2009;7:112-123.
  15. Treatment of functional hypothalamic amenorrhea with hypnotherapy. Fertility and Sterility 2003;80:982-985.
  16. Plasma cortisol changes during hypnotic trance. Relation to depth of hypnosis. Arch Gen Psychiatr 1966;14:482-490.
  17. Women with functional hypothalamic amenorrhea but not other forms of anovulation display amplified cortisol concentrations. Fertil Steril 1997;67:1024-1030.
  18. Use of cognitive behavior therapy for functional hypothalamic amenorrhea. Ann NY Acad Sci 2006;1092:114-129.
  19. Neuroendocrine recovery initiated by cognitive behavioural therapy in women with functional hypothalamic amenorrhea: a randomized, controlled trial. Fertil Steril 2013. doi: 10.1016/ j.fertnstert.2013.02.036. [Epub ahead of print]
  20. Substantial reduction of pain as well as increased birth rates in patients with therapy-refractory endometriosis. Forsch Komplementmed 2010;17:314-320.
  21. Japanese-style acupuncture for endometriosis-related pelvic pain in adolescents and young women: results of a randomized sham-controlled trial. J Pediatr Adolesc Gynecol 2008;21:247-257.
  22. Acupuncture for pain in endometriosis. Cochrane Database Syst Rev 2011 Sep 7;(9):CD007864. doi: 10.1002/14651858.CD007864.pub2.
  23. Acupuncture and in vitro fertilization: critique of the evidence and application to clinical practice. Complement Ther Clin Pract 2013;19:1-5.
  24. Changes in serum cortisol and prolactin associated with acupuncture during controlled ovarian hyperstimulation in women undergoing in vitro fertilization—embryo transfer treatment. Fertility and Sterility 2009;92:1870-1879.
  25. The use of acupuncture for managing gynaecologic conditions: An overview of systematic reviews. Maturitas 2011;68:346-354.
  26. Impact of a group mind/body intervention on pregnancy rates in IVF patients. Fertility and Sterility 2011 June;95(7):2269-2273.
  27. Current evidence of acupuncture on polycystic ovarian syndrome. Gynecol Endocrinol 2010;26: 473-478.
  28. Effect of a yoga program on glucose metabolism and blood lipid levels in adolescent girls with polycystic ovary syndrome. International Journal of Gynecology and Obstetrics 2012;118:37-41.
  29. Dysmenorrhea, endometriosis and premenstrual syndrome. Minerva Pediatrica 2002;54:525.
  30. Effect of three yoga poses (Cobra, Cat and Fish Poses) in women with primary dysmenorrhea: a randomized clinical trial. J Pediatr Adolesc Gynecol 2011;24:192-196.
  31. Acupuncture for primary dysmenorrhoea: a systematic review. BJOG 2010;117:509-521.
  32. A randomized clinical trial of the effectiveness of an acupressure device (relief brief) for managing symptoms of dysmenorrhea. J Altern Complement Med 2002;8:357-370.
  33. Acupoint stimulation intervention for people with primary dysmenorrhea: Systematic review and meta-analysis of randomized trials. Complement Ther Med 2012;20:353-363.
  34. Pain relief assessment by aromatic essential oil massage on outpatients with primary dysmenorrhea: A randomized, double-blind clinical trial. J Obstet Gynaecol Res 2012;38:817-822.
  35. Yoga and massage therapy reduce prenatal depression and prematurity. Journal of Bodywork and Movement Therapies 2012;16: 204-209.
  36. Prenatal depression effects on the fetus and the newborn. Infant Behavior and Development 2004;27;216-229.
  37. The effects of yoga in prevention of pregnancy complications in high-risk pregnancies: a randomized controlled trial. Preventive Medicine 2012;333-340.
  38. Yoga during pregnancy: a review. Am J Perinatol 2012;29:459-464.
  39. Systematic review of yoga for pregnant women: current status and future directions. Evidbased Complement Alternat Med 2012;2012:715942. doi: 10.1155/2012/715942. Epub 2012 Aug 14.
  40. The efficacy of hypnosis as an intervention for labor and delivery pain: A comprehensive methodological review. Clinical Psychology Review 2011;31:1022-1031.
  41. Relaxation therapy for preventing and treating preterm labour. Cochrane Database Syst Rev 2012 Aug 15;8:CD007426. doi: 10.1002/14651858.CD007426.pub2.
  42. WHO report
  43. Acupuncture treatment as breastfeeding support: preliminary data. J Altern Complement Med 2011;17:133-137.
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