Design Implications to Support Integrative Medicine in Pregnancy Care.

The use of integrative medicine (IM) practices during pregnancy are on the rise in the United States and a growing number of individuals seek pregnancy support outside of the conventional medical system every year. There is a variety of integrative medicine providers (IMPs) who work outside the clinical system to fill the gaps in pregnancy support by providing a set of services such as midwifery, doula care, childbirth education, and lactation support. Evidence suggests integrative medicine providers positively impact pregnancy experiences, yet IMPs are often marginalized and excluded from the conventional pregnancy healthcare system. We present results from an ongoing investigation that seeks to understand the roles IMPs play in pregnancy healthcare journeys, and the pregnancy ecology. We interviewed 12 integrative medicine providers to understand their needs and challenges concerning technology, business models, and communication practices. Our findings reflect on a broad range of topics including the intersection of personal and professional journeys, legitimacy within the healthcare system, and the provision of personalized care. We discuss the potential for technology to support IMPs and present implications for the design of future pregnancy support technologies. Improving collaborative care and communication technologies for the IM community has the potential to improve professional experiences and the quality of care provided by IMPs. WARNING: This paper includes detailed personal narratives of individuals' pregnancy healthcare journey including information about, pregnancy, labor, delivery, birth stories, and pregnancy loss.