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法国女性孕期自我用药及使用替代产品的预期和实际情况。

Intended and actual use of self-medication and alternative products during pregnancy by French women.

作者信息

Cabut S, Marie C, Vendittelli F, Sauvant-Rochat M-P

机构信息

Université Clermont Auvergne, faculté de pharmacie, département santé publique et environnement, 28, place Henri-Dunant, BP 38, 63001 Clermont-Ferrand, France.

Université Clermont Auvergne, CNRS, Institut Pascal, TGI-PEPRADE, 28, place Henri-Dunant, BP 38, 63001 Clermont-Ferrand, France.

出版信息

J Gynecol Obstet Hum Reprod. 2017 Feb;46(2):167-173. doi: 10.1016/j.jogoh.2016.10.005. Epub 2017 Jan 30.

Abstract

OBJECTIVES

(i) To identify the proportion of non-pregnant women intending to use self-medication and self-administered alternative products (dietary supplements, essential oils and herbal teas) in the event of pregnancy, and the proportion of pregnant women using these products. (ii) To describe women's risk perception related to these products and the advice given by health professionals.

METHODS

A cross-sectional study was conducted. One hundred and twenty-eight women (60 non-pregnant and 68 pregnant women) responded to a self-administered questionnaire.

RESULTS

The proportion of pregnant women using self-medication was higher than the proportion of non-pregnant women intending to use self-medication (72% vs 48%, P=0.01) and lower for the use of herbal teas (29% vs 63%, P<0.01). There were no differences between the two groups for dietary supplements (25%) and essential oils (18%). Non-prescribed medications were perceived as a risk by 90% of all the women. Dietary supplements were considered as a medication by 68% of pregnant women and 48% of non-pregnant women (P=0.04). Health professionals provided advice for alternative products to 23% of the pregnant women, and 83% of the non-pregnant women expressed the wish to receive advice if they became pregnant.

CONCLUSION

Health professionals should inform women, even before pregnancy, about the safe use of medications and alternative products during pregnancy.

摘要

目的

(i)确定非孕妇在怀孕时打算自行用药及自行使用替代产品(膳食补充剂、精油和花草茶)的比例,以及孕妇使用这些产品的比例。(ii)描述女性对这些产品的风险认知以及健康专业人员给出的建议。

方法

开展了一项横断面研究。128名女性(60名非孕妇和68名孕妇)回答了一份自填式问卷。

结果

孕妇自行用药的比例高于打算自行用药的非孕妇比例(72%对48%,P = 0.01),而花草茶的使用比例则较低(29%对63%,P < 0.01)。两组在膳食补充剂(25%)和精油(18%)的使用上没有差异。90%的女性认为非处方药有风险。68%的孕妇和48%的非孕妇将膳食补充剂视为药物(P = 0.04)。健康专业人员为23%的孕妇提供了替代产品的建议,83%的非孕妇表示如果她们怀孕希望得到建议。

结论

健康专业人员甚至在女性怀孕前就应告知其孕期安全用药及使用替代产品的相关信息。

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