Poor sleep quality during pregnancy is a frequent problem. Drug treatment can be problematic due to possible adverse effects for mother and embryo/foetus. Many pregnant women prefer natural treatments and assume that ‘natural’ equals harmless.
In the present study, the sedative effects of Bryophyllum pinnatum were investigated. This remedy is a phytotherapeutic medication predominantly used in anthroposophic medicine. In previous clinical studies on its tocolytic effect, B. pinnatum showed a promising risk/benefit ratio for mother and child. A recent analysis of the prescribing pattern for B. pinnatum in a network of anthroposophic physicians revealed sleep disorders as one of the most frequent diagnosis.
In this prospective, multi-centre, observational study, pregnant women suffering from sleep problems were treated with B. pinnatum (350mg tablets, 50% leaf press juice, Weleda AG, Arlesheim, dosage at physician’s consideration). Sleep quality, daily sleepiness and fatigue were assessed with the aid of standardised questionnaires, at the beginning of the treatment and after 2 weeks. Possible adverse effects perceived by the patients during the treatment were recorded.
The results show that the number of wake-ups, as well as the subjective quality of sleep was significantly improved at the end of the treatment with B. pinnatum. The Epworth Sleeping Scale decreased, indicating a reduction in tiredness during the day. There was, however, no evidence for a prolongation of the sleep duration, reduction in the time to fall asleep, as well as change in the Fatigue Severity Scale after B. pinnatum. No serious adverse drug reactions were detected.
From these data, the authors concluded that B. pinnatum is a suitable treatment of sleep problems in pregnancy. The data of this study encourage further clinical investigations on the use of B. pinnatum in sleep disorders.
Clinical trials of anthroposophic remedies, i.e. remedies which are based on the school of medicine founded by Rudolf Steiner, are very rare. Therefore this trial could be important.
B. pinnatum is a plant used in traditional Tai medicine against hypertension, and to some extend this makes sense: it contains cardiac glycosides which might help lowering elevated blood pressure. The reason for its use as a hypnotic, however, is not clear.
So, is B pinnatum really a ‘suitable treatment of sleep problems in pregnancy’? I doubt it for the following reasons:
- the effects documented in this study are far from convincing,
- we would need much more solid data to issue such a general recommendation,
- cardiac glycosides can cause very serious adverse effects,
- the sample size of the study is at least one dimension too small for assuming that it is safe,
- we know nothing about its potential to cause harm to the foetus.
Personally, I find it irresponsible to draw conclusions such as the ones above on the basis of data which are flimsy to the extreme. I ask myself, to what extend wishful thinking might be a regrettable characteristic for the entire field of anthroposophic medicine.
I find the double standards in a trial like this to be quite troubling. Imagine this was a synthetic pharmaceutical. Would we tolerate uncontrolled observations of an active agent in pregnant women in a study from which absolutely no conclusions about efficacy can be inferred and where it is too underpowered to detect risks while exposing its subjects to any risks that the agent may pose?
NO
It seems to me that the motto for much of SCAM is “You might feel a bit better. You probably won’t die. Probably. We hope”
Why (WHY, I ask) would a pregnant woman risk ingesting anything beyond normal eating or what is prescribed by an MD? What’s a little sleeplessness in light of lugging around a large bowling ball for a few months and all the attendant indignities that accompany it? I was much more bothered by frequent (that’s putting it mildly) urination, backache, mood swings, and a host of other complaints–and I did this FOUR times.
I would have thought that the credibility of “anthroposophical medicine” is the same as that of Steiner education – i.e. none, being a load of nonsense thought up by an occult fantasist with no basis in scientific research or critical thinking.
in a nutshell, yes.
Is it only wishful thinking that is involved in the entire field of anthroposophic medicine? No:
“anthroposophical medicine is based on occult notions and draws on Steiner’s spiritual philosophy”
http://en.wikipedia.org/wiki/Anthroposophic_medicine
See also:
http://skepdic.com/anthroposophicmedicine.html
http://rationalwiki.org/wiki/Anthroposophy