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孟加拉国孕妇草药使用情况:一项横断面研究。

Herbal medicine use by pregnant women in Bangladesh: a cross-sectional study.

机构信息

Department of Biosciences, Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Karachi, Pakistan.

Institute of Health Services Management, Hanyang University, Seoul, South Korea.

出版信息

BMC Complement Altern Med. 2018 Dec 13;18(1):333. doi: 10.1186/s12906-018-2399-y.

Abstract

BACKGROUND

Herbal medicines in pregnancy are increasingly used worldwide with prevalence of up to 67%. Although this popularity is mainly because of the common belief that these medicines are safe, recent reports suggest that several herbal medicines are potentially harmful to mother and fetus if used in pregnancy.

METHODS

This cross-sectional study was conducted in July and August of year 2017, at maternity wards of two public hospitals in Dhaka, Bangladesh. Postpartum women were interviewed via the structured questionnaire to collect information regarding socio-demographic and health characteristics, patterns of herbal medicines used in the previous pregnancy, and outcome of pregnancy.

RESULTS

Two hundred forty-three postpartum women participated in the study, with 70% of them using at least one modality of herbal medicines in previous pregnancy. Ginger, black seed, lemon tea, prune, and mustard oil were most commonly used herbal medicines. Herbal medicines were mostly used for pregnancy-related symptoms such as nausea, vomiting, and cold. Fifteen (8.8%) herbal medicine users reported side effects.

CONCLUSIONS

This study highlights popularity of herbal medicines during pregnancy in Bangladesh. Previous herbal medicine users and unemployed women turned significantly more to herbal medicines during pregnancy. Reports of side effects and use of some potentially harmful modalities warrant awareness regarding proper use of herbal medicines in pregnancy and its pharmacovigilance.

摘要

背景

草药在怀孕期间的使用在全球范围内日益普及,使用率高达 67%。尽管这种流行主要是因为人们普遍认为这些药物是安全的,但最近的报告表明,如果在怀孕期间使用某些草药,它们可能对母亲和胎儿有害。

方法

本横断面研究于 2017 年 7 月至 8 月在孟加拉国达卡的两家公立医院的产房进行。通过结构化问卷对产后妇女进行访谈,以收集有关社会人口学和健康特征、前次妊娠中使用草药模式以及妊娠结局的信息。

结果

243 名产后妇女参加了这项研究,其中 70%的人在前次妊娠中至少使用了一种草药疗法。生姜、黑种草籽、柠檬茶、李子干和芥子油是最常用的草药。草药主要用于治疗与妊娠相关的症状,如恶心、呕吐和感冒。有 15 名(8.8%)草药使用者报告了副作用。

结论

本研究强调了孟加拉国在怀孕期间草药使用的普及性。前次使用草药的妇女和失业妇女在怀孕期间更倾向于使用草药。副作用的报告和某些潜在有害模式的使用表明,有必要提高对怀孕期间正确使用草药及其药物警戒的认识。

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