Department of Health Services, Shahid Sadoughi University of Medical Sciences, Yazd,
Arch Iran Med. 2013 Oct;16(10):580-3.
Medications, a main strategic commodity in any country, are strictly related to community health and sustainable development. Self-medication and irregular use of medications can increase their adverse effects. This study investigated the factors related to irregular and arbitrary use of medications in pregnant women admitted to health centers and clinics of Yazd, Iran, and their practice in this context.
This was a descriptive- analytic cross-sectional study conducted among 180 pregnant women. Participants were selected by cluster sampling. We chose six health centers and clinics from all medical centers in Yazd by a simple random method. A questionnaire was completed by the pregnant women who were consecutively admitted to each center. Data were analyzed by ANOVA, t-test, Chi-square, and Pearson tests with SPSS-15 software.
More than 35% of the women self-medicated during pregnancy. Women with academic degrees scored higher in the knowledge section; however, this difference was not significant. The mean attitude scores for academic and nonacademic graduates were 34.92 (from 60) and 29.87, respectively while the mean practice scores were 15 (from 20) and 14.25 for academic and non-academic graduates, respectively.
The results of this study showed an increased prevalence of self-medication among pregnant women. Because of potential fetomaternal hazards related to medications, it is necessary to conduct educational programs to prevent this harmful habit and attitude in pregnant women.
药物作为任何国家的主要战略商品，与社区健康和可持续发展密切相关。自我用药和不规范用药会增加药物的不良反应。本研究调查了伊朗亚兹德省卫生中心和诊所孕妇不规范和任意用药的相关因素及其在这方面的实践。
这是一项描述性分析性的横断面研究，研究对象为 180 名孕妇。采用聚类抽样法选取参与者。我们采用简单随机法从亚兹德省所有医疗中心中选择了 6 个卫生中心和诊所。通过问卷调查的方式，对每个中心连续入院的孕妇进行了调查。采用 ANOVA、t 检验、卡方检验和 Pearson 检验对数据进行分析，使用 SPSS-15 软件进行分析。
超过 35%的孕妇在怀孕期间自行用药。具有学历的女性在知识部分的得分较高，但差异无统计学意义。学术和非学术背景的女性在态度部分的平均得分分别为 34.92（满分 60 分）和 29.87，而在实践部分的平均得分分别为 15（满分 20 分）和 14.25。
本研究结果表明，孕妇自我用药的比例有所增加。由于药物与母婴潜在的危害，有必要开展教育项目，以防止孕妇中存在这种有害的习惯和态度。
