Tang Li, Lee Andy H, Binns Colin W, Hui Yer Van, Yau Kelvin K W
Department of Management Sciences, City University of Hong Kong, Kowloon, Hong Kong; School of Public Health, Curtin University, Perth, WA, Australia.
School of Public Health, Curtin University, Perth, WA, Australia.
Midwifery. 2016 Mar;34:205-210. doi: 10.1016/j.midw.2015.11.010. Epub 2015 Nov 17.
to investigate usage patterns and factors associated with maternal consumption of Chinese herbal medicines in China.
prospective cohort study. Information on the use of Chinese herbal medicines was collected from mothers by personal interview at hospital discharge and followed up by telephone at one, three and six months postpartum.
seven hospitals in Jiangyou, Sichuan Province of China.
695 mothers who gave birth to a singleton infant.
prevalence, type, frequency and duration of herbal medicine usage. Logistic mixed regression analyses were performed to determine factors affecting the use.
a total of 43.5% and 45.0% of mothers consumed Chinese herbal medicines during pregnancy and postpartum, respectively. Angelica sinsensis was the most popular herbal medicine among the participants (pregnancy 28.8%, postpartum 26.8%). Although herbal medicines were taken more regularly by postpartum users, the median usage duration varied from two to three months during pregnancy but 1-1.6 months postpartum. The majority of users (pregnancy 42.9%, postpartum 55.1%) were advised by their mother or mother-in-law to take Chinese herbal medicines. Antenatal alcohol drinking (adjusted odds ratio 2.75, 95% confidence interval 1.01-7.53) was associated with a marginally higher prevalence of herbal consumption during pregnancy, whereas mothers with a lower family income (adjusted odds ratio 1.52, 95% confidence interval 1.12-2.04) were more likely to consume Chinese herbal medicines in the postpartum period.
consumption of Chinese herbal medicines appears to be prevalent among Chinese mothers, especially those drinking alcohol whilst pregnant and women from a lower income household. Maternity health professionals need to be aware of the lack of evidence to support the use of Chinese herbal medicines during pregnancy and postpartum, and to provide their clients with scientifically based advice regarding herbal medicine use.
调查中国产妇使用中草药的模式及相关因素。
前瞻性队列研究。在产妇出院时通过个人访谈收集其使用中草药的信息，并在产后1个月、3个月和6个月进行电话随访。
中国四川省江油市的7家医院。
695名单胎分娩的母亲。
中草药使用的患病率、类型、频率和持续时间。进行逻辑混合回归分析以确定影响使用的因素。
分别有43.5%和45.0%的母亲在孕期和产后使用中草药。当归是参与者中最常用的中草药（孕期28.8%，产后26.8%）。尽管产后使用者服用中草药更规律，但孕期的中位使用持续时间为2至3个月，而产后为1至1.6个月。大多数使用者（孕期42.9%，产后55.1%）是听从母亲或婆婆建议而服用中草药。产前饮酒（调整优势比2.75，95%置信区间1.01 - 7.53）与孕期中草药消费患病率略高相关，而家庭收入较低的母亲（调整优势比1.52，95%置信区间1.12 - 2.04）在产后更有可能使用中草药。
中草药消费在中国母亲中似乎很普遍，尤其是那些孕期饮酒的母亲和低收入家庭的女性。孕产妇保健专业人员需要意识到缺乏证据支持在孕期和产后使用中草药，并为其客户提供关于草药使用的科学建议。
