Beste Jason, Asanti Daniel, Nsabimana Damien, Anastos Kathryn, Mutimura Eugene, Merkatz Irwin, Sirotin Nicole, Nathan Lisa M
Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Nyamasheke Health Center, Nyamasheke, Rwanda.
J Glob Health Perspect. 2015;2015. Epub 2015 Jan 25.
To evaluate the perceptions of healthcare and traditional medicine providers regarding the type, indications, side effects, and prevalence of traditional medicine use amongst pregnant women in a rural Rwandan population.
Six focus groups with physicians, nurses, and community health workers and four individual in-depth interviews with traditional medicine providers were held. Qualitative data was gathered using a structured questionnaire querying perceptions of the type, indications, side effects, and prevalence of use of traditional medicines in pregnancy.
The healthcare provider groups perceived a high prevalence of traditional botanical medicine use by pregnant women (50-80%). All three groups reported similar indications for use of the medicines and the socioeconomic status of the pregnant women who use them. The traditional medicine providers and the healthcare providers both perceived that the most commonly used medicine is a mixture of many plants, called Inkuri. The most serious side effect reported was abnormally bright green meconium with a poor neonatal respiratory drive. Thirty-five traditional medicines were identified that are used during pregnancy.
Perceptions of high prevalence of use of traditional medicines during pregnancy with possible negative perinatal outcomes exist in areas of rural Rwanda.
评估卢旺达农村地区医疗保健人员和传统医学从业者对孕妇使用传统医学的类型、适应证、副作用及流行情况的看法。
与医生、护士和社区卫生工作者进行了6次焦点小组讨论，并对传统医学从业者进行了4次个人深度访谈。使用结构化问卷收集定性数据，询问对孕期传统药物的类型、适应证、副作用及使用流行情况的看法。
医疗保健人员群体认为孕妇使用传统植物药的比例很高（50%-80%）。所有三组都报告了药物使用的相似适应证以及使用这些药物的孕妇的社会经济状况。传统医学从业者和医疗保健人员都认为最常用的药物是一种由多种植物混合而成的名为Inkuri的药物。报告的最严重副作用是胎粪异常呈亮绿色且新生儿呼吸驱动力差。共识别出35种孕期使用的传统药物。
在卢旺达农村地区，人们认为孕期使用传统药物的情况很普遍，且可能对围产期产生负面后果。
