Sema Faisel Dula, Addis Deres Gezahegn, Melese Eshetie Azezew, Nassa Demeke Dana, Kifle Zemene Demelash
Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Ethiopia.
School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Ethiopia.
Int J Reprod Med. 2020 Sep 29;2020:2936862. doi: 10.1155/2020/2936862. eCollection 2020.
Self-medication is being prevalent throughout the globe. Although pregnant women are among the most vulnerable group of the population for drug-induced adverse effects on their fetus and themselves, many pregnant women use self-medication without adequate safety precautions.
This study was aimed at assessing the prevalence and associated factors of self-medication among pregnant women on antenatal care follow-up at University of Gondar Comprehensive Specialized Hospital.
A cross-sectional study was employed among 400 pregnant women attending antenatal care clinic at the University of Gondar Comprehensive Specialized Hospital between February 01 and May 30, 2019. A structured interviewer-administered questionnaire was used for data collection. Data were analyzed using SPSS® (IBM Corporation) version 22. Descriptive statistics were presented using frequency and proportion. Binary logistic regression was used to identify factors associated with self-medication with a 95% confidence level and value of 0.05.
Among 400 respondents, the prevalence of self-medication during the current pregnancy was 44.8% (95% CI = 40.5-50). Among all respondents (400), 38.0% (95% CI = 33.3-42.8) and 12.5% (95% CI = 9.5-15) used herbal and conventional medicine, respectively. Self-medication showed a significant association with a previous history of self-medication and monthly income.
The prevalence of self-medication among pregnant women is considerably high. The previous history of self-medication and monthly income showed a significant association with self-medication. Awareness creation should be done for reproductive-age women on the potential risks of self-medication.
自我药疗在全球范围内普遍存在。尽管孕妇是人群中最易因药物对胎儿和自身产生不良反应的弱势群体之一，但许多孕妇在没有充分安全预防措施的情况下进行自我药疗。
本研究旨在评估贡德尔大学综合专科医院接受产前检查的孕妇中自我药疗的患病率及相关因素。
2019年2月1日至5月30日，对贡德尔大学综合专科医院产前检查门诊的400名孕妇进行了一项横断面研究。采用结构化访谈问卷进行数据收集。使用SPSS®（IBM公司）22版软件进行数据分析。描述性统计采用频率和比例表示。采用二元逻辑回归分析确定与自我药疗相关的因素，置信水平为95%，P值为0.05。
在400名受访者中，本次妊娠期间自我药疗的患病率为44.8%（95%CI=40.5-50）。在所有受访者（400人）中，分别有38.0%（95%CI=33.3-42.8）和12.5%（95%CI=9.5-15）使用草药和传统药物。自我药疗与既往自我药疗史和月收入显著相关。
孕妇自我药疗的患病率相当高。既往自我药疗史和月收入与自我药疗显著相关。应提高育龄妇女对自我药疗潜在风险的认识。
