Department of Obstetrics and Gynaecology, Faculty of Medical Sciences, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria.
Institute of Maternal and Childhealth, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria.
J Obstet Gynaecol. 2022 May;42(4):557-562. doi: 10.1080/01443615.2021.1928031. Epub 2021 Aug 14.
There is a global increasing trend of complementary and alternative medicine (CAM) use among pregnant women. This study aimed at determining the maternal and perinatal outcome of CAM use among the pregnant women in South-East Nigeria. This was a prospective study in which self-administered semi-structured questionnaires were used to collate information from the consenting pregnant women who use CAM and those who did not use CAM from the gestational age of 36 weeks at four hospitals in South-East Nigeria. Both groups were matched for age, parity and address. Every participant was followed up until delivery. Data were analysed using SPSS version 23 (SPSS Inc., Chicago, IL). This study's ethical clearance number was NHREC/05/01/2008B-FWA00002458-1RB00002323 and it was obtained at UNTH and on February 15 2019. CAM use in pregnancy was associated with low haemoglobin concentration, maternal complications, high caesarean section rate, low birth weight, low APGAR score, large placental weight and high hospital admission of babies when compared with non-CAM users ( value= <.05). In conclusion, CAM use in pregnancy was associated with poor maternal and perinatal health indices, hence the need to implement policies aimed at reversing them.Impact Statement There is an increasing trend of CAM use among pregnant women in the world. Pregnancy is associated with certain conditions that predispose women to CAM use. The clinical indications for CAM use by the pregnant women are nausea and vomiting, labour pain, induction of labour, pedal oedema and waist pain. CAM use in pregnancy was associated with low haemoglobin concentration, maternal complications, high caesarean section rate, low birth weight, low APGAR score, large placental weight and high hospital admission of the babies when compared with non-CAM users. CAM use in pregnancy was associated with poor maternal and perinatal health indices, hence the need to implement policies aimed at reversing them.
在世界范围内，孕妇对补充和替代医学（CAM）的使用呈上升趋势。本研究旨在确定尼日利亚东南部孕妇使用 CAM 的母婴围产期结局。这是一项前瞻性研究，使用自填式半结构式问卷从同意使用 CAM 的孕妇和不同意使用 CAM 的孕妇中收集信息，这些孕妇的妊娠年龄为 36 周，来自尼日利亚东南部的四家医院。两组均按年龄、产次和住址进行匹配。每位参与者都随访至分娩。使用 SPSS 版本 23（SPSS Inc.，芝加哥，IL）进行数据分析。本研究的伦理审查编号为 NHREC/05/01/2008B-FWA00002458-1RB00002323，并于 2019 年 2 月 15 日在 UNTH 和获得。与非 CAM 用户相比，妊娠期间使用 CAM 与血红蛋白浓度低、产妇并发症、剖宫产率高、低出生体重、低 APGAR 评分、胎盘重量大以及婴儿住院率高有关（ 值<0.05）。总之，妊娠期间使用 CAM 与母婴健康指标不佳有关，因此需要实施旨在扭转这种情况的政策。
世界范围内孕妇使用补充和替代医学（CAM）的趋势呈上升趋势。妊娠与某些使妇女倾向于使用 CAM 的情况有关。孕妇使用 CAM 的临床指征是恶心和呕吐、分娩疼痛、引产、足踝肿胀和腰痛。与非 CAM 用户相比，妊娠期间使用 CAM 与血红蛋白浓度低、产妇并发症、剖宫产率高、低出生体重、低 APGAR 评分、胎盘重量大以及婴儿住院率高有关。妊娠期间使用 CAM 与母婴健康指标不佳有关，因此需要实施旨在扭转这种情况的政策。
