Opaneye A A
Middlesbrough General Hospital, England.
Cent Afr J Med. 1998 Oct;44(10):258-61.
To determine the prevalent use of traditional medicine in pregnancy and labour and to find out if there is any association between the use of traditional medicine and obstetric outcomes.
A cross sectional structured interview survey and case notes review.
Department of Obstetrics and Gynaecology, Ogun State University Teaching Hospital (OSUTH), Sagamu, Nigeria.
300 parturient mothers.
a) Use or non-use of traditional medicines in pregnancy and labour. b) Maternal morbidity and mortality. c) Perinatal morbidity and mortality.
160 (53.3%) patients admitted to the use of traditional medicine in pregnancy and labour. The two groups (users and non-users) were similar with respect to age, parity and level of education. The three maternal deaths occurred in the users' group. The perinatal mortality was 91 per 1,000 among the users and 61.2 per 1,000 for the non-users.
Mothers and neonates in the users' group fared worse than the controls. Delay in seeking hospital care was the major factor in the poorer outcomes for the users' group. Since the use of traditional medicine in pregnancy and labour is common among the population, efforts should be made by the two groups of physicians (traditional and Western) to co-operate.
确定传统医学在妊娠和分娩中的普遍使用情况，并查明传统医学的使用与产科结局之间是否存在关联。
横断面结构化访谈调查及病例记录回顾。
尼日利亚萨加穆奥贡州立大学教学医院（OSUTH）妇产科。
300名产妇。
a）妊娠和分娩期间是否使用传统医学。b）孕产妇发病率和死亡率。c）围产期发病率和死亡率。
160名（53.3%）患者承认在妊娠和分娩期间使用了传统医学。两组（使用者和非使用者）在年龄、产次和教育程度方面相似。3例孕产妇死亡发生在使用者组。使用者组的围产儿死亡率为每1000例91例，非使用者组为每1000例61.2例。
使用者组的母亲和新生儿情况比对照组更差。延迟寻求医院治疗是使用者组结局较差的主要因素。由于传统医学在妊娠和分娩中的使用在人群中很常见，两组医生（传统医学和西医）应努力合作。
