Frawley Jane, Adams Jon, Steel Amie, Broom Alex, Gallois Cindy, Sibbritt David
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, Australia.
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, Australia.
Womens Health Issues. 2015 Jul-Aug;25(4):396-402. doi: 10.1016/j.whi.2015.03.001. Epub 2015 Apr 29.
Recent research points to high levels of herbal medicine use during pregnancy. The objectives of this study were to elucidate the prevalence and understand the determinants of both the use and self-prescription of herbal medicine during pregnancy.
The study sample was obtained via the Australian Longitudinal Study on Women's Health. Women who were pregnant or who had recently given were invited to complete a subsurvey in 2010 about pregnancy, and complementary and alternative medicine use.
A response rate of 79.2% (n=1,835) was attained and 34.4% (n=588 of 1,835) of the sample were utilizing herbal medicine during pregnancy, of which 77.9% (n=458 of 588) were self-prescribing these products. The women in our study (aged 33-38) were more likely to use herbal medicine if they had anxiety (odds ratio [OR], 1.30; 95% CI, 1.02-1.64; p=.031), sleeping problems (OR, 1.55; 95% CI, 1.15-2.11; p=.005), or fatigue (OR, 1.32; 95% CI, 1.04-1.68; p=.025), but less likely to use herbal medicine if they had nausea (OR, 0.71; 95% CI, 0.56-0.91; p=.007). Women were more likely to self-prescribe herbal medicine if they suffered from varicose veins (OR, 2.46; 95% CI, 1.04-5.84; p=.041) and less likely to self-prescribe herbal medicine if they suffered from preeclampsia (OR, 0.23; 95% CI, 0.81-0.63; p=.005). Women who self-prescribed herbal medicine during pregnancy were also more likely to live in a rural environment (OR, 2.22; 95% CI, 1.32-3.73; p=.003).
Many Australian women are consuming herbal medicine during pregnancy. The self-prescription of herbal medicine by pregnant women is of particular concern owing to potential safety issues, and it is important that maternity health care providers have an open and nonjudgmental conversation with women about herbal medicine use during pregnancy.
近期研究表明孕期草药使用率很高。本研究的目的是阐明孕期使用草药及自行开服草药的流行情况，并了解其决定因素。
研究样本来自澳大利亚妇女健康纵向研究。邀请怀孕或刚分娩的女性在2010年完成一项关于孕期及补充和替代医学使用情况的子调查。
应答率为79.2%（n = 1835），样本中有34.4%（1835人中的588人）在孕期使用草药，其中77.9%（588人中的458人）自行开服这些产品。我们研究中的女性（年龄在33 - 38岁）如果有焦虑（优势比[OR]，1.30；95%置信区间[CI]，1.02 - 1.64；p = 0.031）、睡眠问题（OR，1.55；95% CI，1.15 - 2.11；p = 0.005）或疲劳（OR，1.32；95% CI，1.04 - 1.68；p = 0.025），则更有可能使用草药，但如果有恶心症状则使用草药的可能性较小（OR，0.71；95% CI，0.56 - 0.91；p = 0.007）。女性如果患有静脉曲张，则更有可能自行开服草药（OR，2.46；95% CI，1.04 - 5.84；p = 0.041），而如果患有先兆子痫，则自行开服草药的可能性较小（OR，0.23；95% CI，0.08 - 0.63；p = 0.005）。孕期自行开服草药的女性也更有可能生活在农村环境中（OR，2.22；95% CI，1.32 - 3.73；p = 0.003）。
许多澳大利亚女性在孕期使用草药。由于潜在的安全问题，孕妇自行开服草药尤其令人担忧，产科保健提供者与女性就孕期使用草药进行开放且无偏见的对话非常重要。
