Holst Lone, Wright David, Haavik Svein, Nordeng Hedvig
Department of Chemistry/Centre for Pharmacy, University of Bergen, Allégaten 41, Bergen, Norway.
J Altern Complement Med. 2009 Jul;15(7):787-92. doi: 10.1089/acm.2008.0467.
The physiologic changes that occur during pregnancy can lead to a variety of conditions that can usually be self-treated. There are no licensed medicines for conditions such as morning sickness or insomnia in pregnancy, and evidence from Western countries suggests that patients often resort to using herbal medicines. Research on the health behaviors of pregnant women in the United Kingdom with respect to herbal remedies has not been undertaken.
The objective of this study is to describe the use and the user of herbal remedies during pregnancy and to study the sources of information about herbs used.
The study design was a survey among expectant mothers more than 20 weeks pregnant presenting at an antenatal clinic.
The setting was an antenatal clinic and antenatal ultrasound department at Norfolk and Norwich University Hospital. One thousand and thirty-seven (1037) questionnaires were handed out between November 2007 and February 2008.
Five hundred and seventy-eight (578) questionnaires were returned (55.7%). Three hundred and thirty-four (334) of the 578 respondents (57.8%) reported using herbal remedies during pregnancy with a mean of 1.2 remedies per woman (median: 1, range: 0-10). The most commonly used remedies were ginger, cranberry, and raspberry leaf. The most probable user had been pregnant before and had a university degree. "Family and friends" were the most frequently cited source of information about herbal remedies during pregnancy, and more than 75% of the users reportedly did not tell their doctor or midwife about the use.
A large percentage of the women in the study used herbal remedies during pregnancy--many of them without informing their doctor or midwife. Doctors or midwives should ask pregnant women if they use herbal remedies during pregnancy. Health care personnel should be open to discuss the use of herbal remedies during pregnancy and be able to give balanced information as the use is so widespread.
孕期发生的生理变化会导致多种通常可自我治疗的状况。孕期晨吐或失眠等情况尚无获批药物，西方国家的证据表明患者常求助于使用草药。英国尚未开展关于孕妇使用草药疗法的健康行为研究。
本研究的目的是描述孕期草药疗法的使用情况及使用者，并研究所使用草药的信息来源。
研究设计为对在产前诊所就诊的怀孕20周以上的准妈妈进行调查。
地点为诺福克和诺维奇大学医院的产前诊所及产前超声科。2007年11月至2008年2月期间发放了1037份问卷。
共收回578份问卷（55.7%）。578名受访者中有334名（57.8%）报告在孕期使用草药疗法，每位女性平均使用1.2种草药（中位数：1；范围：0 - 10）。最常用的草药是生姜、蔓越莓和覆盆子叶。最有可能使用草药的是有过怀孕经历且拥有大学学历的女性。“家人和朋友”是孕期草药疗法最常被提及的信息来源，据报道超过75%的使用者未告知医生或助产士其使用情况。
研究中的很大一部分女性在孕期使用草药疗法——其中许多人未告知医生或助产士。医生或助产士应询问孕妇孕期是否使用草药疗法。鉴于草药疗法的使用如此普遍，医护人员应乐于讨论孕期草药疗法的使用，并能够提供全面的信息。
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