Yusof Juliana, Mahdy Zaleha Abdullah, Noor Rushdan Mohd
Faculty of Medicine, UiTM Sg Buloh, Selangor, Malaysia.
Canselor Tuanku Mukhriz Hospital, Cheras, Kuala Lumpur, Malaysia.
Complement Ther Clin Pract. 2016 Nov;25:155-163. doi: 10.1016/j.ctcp.2016.09.005. Epub 2016 Sep 30.
To evaluate the prevalence of use of complementary and alternative medicine (CAM) in a Malaysian antenatal population and its impact on obstetric outcome.
Cross sectional study.
Obstetric Unit, Hospital Sultanah Bahiyah, Alor Setar, Kedah.
Women attending antenatal clinic and Patient Admission Centre (PAC) above 30 weeks gestation were given structured questionnaires to fill. Pregnancy outcome measures were documented and analyzed in relation to the information gathered through the questionnaire. SPSS Version 21 was used to analyze all data obtained.
Out of 447 women, the overall prevalence of CAM usage in pregnancy was 85.2%. It was popular among pregnant mothers aged between 26 and 35 years old and most commonly used in the third trimester (p = 0.0.010) to facilitate labour. Other sociodemographic factors such as race, parity, education, occupation and residence were not significantly important. Traditional herbs was the commonest type of CAM used in pregnancy (58.3%) followed by selusuh (24.3%). About 78.5% of the CAM users delivered vaginally (p = 0.020) but a significant proportion (14.3%) had fetal distress (p = 0.035) compared to non CAM users. The most common type of herbs used was akar kayu bunga Fatimah (37.7%) and gamat (13.4%). In our study, usage of selusuh product and akar kayu bunga Fatimah had a significant impact in achieving vaginal delivery and shortened the duration of labour particularly in multiparae. The usage of Kacip Fatimah and Salindah was associated with preterm labour (p = 0.04)Tongkat Ali herbal coffee had a significant association with hypertensive disorders in pregnancy (p = 0.011) and fetal distress (p = 0.04) Meanwhile, the usage of Jamu Mustika Ratu was significantly associated with low birth weight in grandmultiparae (p = 0.026)and spirulina was significantly associated with oligohydramnios (p = 0.04).
Usage of CAM in pregnancy in the Malaysian population is of high prevalence CAM in pregnancy has beneficial and adverse obstetric outcomes. More research is needed to establish the safety of usage of various forms of CAM in pregnancy.
评估马来西亚产前人群中补充和替代医学（CAM）的使用情况及其对产科结局的影响。
横断面研究。
吉打州亚罗士打苏丹娜巴希亚医院产科。
向妊娠30周以上到产前诊所和患者入院中心（PAC）就诊的女性发放结构化问卷进行填写。记录并分析妊娠结局指标与通过问卷收集的信息之间的关系。使用SPSS 21版分析所有获得的数据。
在447名女性中，孕期使用CAM的总体患病率为85.2%。在26至35岁的孕妇中很流行，最常用于孕晚期（p = 0.010）以促进分娩。其他社会人口学因素，如种族、产次、教育程度、职业和居住地，并不具有显著重要性。传统草药是孕期最常用的CAM类型（58.3%），其次是selusuh（24.3%）。约78.5%的CAM使用者经阴道分娩（p = 0.020），但与非CAM使用者相比，有相当比例（14.3%）出现胎儿窘迫（p = 0.035）。最常用的草药类型是阿卡里·卡尤·本加·法蒂玛（37.7%）和海螵蛸（13.4%）。在我们的研究中，使用selusuh产品和阿卡里·卡尤·本加·法蒂玛对实现阴道分娩有显著影响，并缩短了产程，尤其是在经产妇中。使用卡西普·法蒂玛和萨林达与早产有关（p = 0.04）。东革阿里草本咖啡与妊娠期高血压疾病（p = 0.011）和胎儿窘迫（p = 0.04）有显著关联。同时，使用穆蒂卡·拉图爪哇与高龄经产妇低出生体重有显著关联（p = 0.026），螺旋藻与羊水过少有显著关联（p = 0.04）。
马来西亚人群孕期CAM的使用率很高。孕期使用CAM有有益和不良的产科结局。需要更多研究来确定孕期使用各种形式CAM的安全性。
