Sirakov M, Mircheva J
Akush Ginekol (Sofiia). 2012;51(2):33-8.
The review rejects the popular understanding of the security and potential benefits of herbal products for pregnant or lactating women. The survey does not claim to be exhaustive, but presents a number of publications concerning cases of proven harmful impact after use of herbal preparations during pregnancy and breastfeeding. Most of these studies come from developing countries and relate to Asian herbal products that are increasingly marketed and used in Europe. Many of the cited authors believe on the importance of the proper information making prudent the practitioners and patients about the risks of use of plant products, especially during pregnancy and lactation. While definitive data emerge, all herbal products should be viewed with caution, although there are no explicit warnings that herbals should not be used during pregnancy and lactation. This especially refers to the usage of herbs during the first trimester of pregnancy. It is essential that patients are informed about the safety issues of herbals. After all, pregnancy is not a pathological condition and therefore it does not require treatment. So the debate about the benefit of food supplements and herbal remedies is beyond the rational need to use them for specific indications during pregnancy.
该综述驳斥了人们对草药产品对孕妇或哺乳期妇女安全性及潜在益处的普遍认知。该调查虽未宣称详尽无遗,但呈现了一些关于在孕期和哺乳期使用草药制剂后已证实存在有害影响案例的出版物。这些研究大多来自发展中国家,且与在欧洲越来越多地销售和使用的亚洲草药产品有关。许多被引用的作者认为,让从业者和患者了解使用植物产品的风险,尤其是在孕期和哺乳期,进行适当的信息告知非常重要。在明确的数据出现之前,所有草药产品都应谨慎看待,尽管目前没有明确警告孕期和哺乳期不应使用草药。这尤其适用于孕期头三个月使用草药的情况。让患者了解草药的安全问题至关重要。毕竟,怀孕并非病理状态,因此不需要治疗。所以关于食品补充剂和草药疗法益处的争论超出了孕期为特定适应症合理使用它们的范畴。