Department of Midwifery, Institute of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Front Public Health. 2022 Apr 29;10:883053. doi: 10.3389/fpubh.2022.883053. eCollection 2022.
World health organization defined herbal medicines as the practice of herbs, herbal materials, herbal preparations, and finished herbal products. Globally women are the primary utilizer of herbal medicine and even they consume it during their pregnancy period. The World health organization reported that the majority of the global population used traditional medicine. This study aimed to assess the magnitude and determinant factors of herbal medicine utilization among pregnant mothers attending their antenatal care at public health institutions in Debre Berhan town, Ethiopia.
Institution-based cross-sectional study was conducted among pregnant mothers who attended their antenatal care at public health institutions in Debre Berhan town, Ethiopia from 12 February 2021 to 12 April 2021. A systematic random sampling method was used to get selected pregnant mothers. Epi data version 3.1 and SPSS version 25 were used for data entry and analysis, respectively. -value ≤0.05 was used as a cut point of statistical significance in multivariable binary logistic regression.
A total of 422 pregnant mothers were included with a 100% response rate and 277 (65.6%) of them used an herbal medicine during their current pregnancy. Educational level up to primary school [AOR 2.21, 95% CI: 1.17 - 4.18], monthly family income of <2,800 ETB [AOR 1.72, 95% CI: 1.01-2.92], and lack of awareness of the complication of herbal medicine utilization [AOR 10.3, 95% CI: 6.27-16.92] were determinant factors of herbal medicine utilization.
The utilization of herbal medicine among pregnant mothers in this study is high and almost all of them did not disclose their utilization of herbal medicine to their healthcare providers. The ministry of health should integrate traditional medicine with conventional medicines. Midwives and obstetricians should openly discuss regarding benefits and complications of herbal medicine utilization for those pregnant mothers during their antenatal care counseling sessions as routine care.
世界卫生组织将草药定义为草药、草药材料、草药制剂和成品草药产品的应用。在全球范围内，女性是草药的主要使用者，甚至在怀孕期间也会使用草药。世界卫生组织报告称，全球大多数人都使用传统医学。本研究旨在评估在埃塞俄比亚德布雷贝汉镇公共卫生机构接受产前护理的孕妇使用草药的程度和决定因素。
2021 年 2 月 12 日至 4 月 12 日，在埃塞俄比亚德布雷贝汉镇公共卫生机构接受产前护理的孕妇中开展了一项基于机构的横断面研究。采用系统随机抽样方法抽取孕妇。使用 EpiData 版本 3.1 和 SPSS 版本 25 进行数据录入和分析，多变量二元逻辑回归中使用 P 值≤0.05 作为统计学显著的切点。
共纳入 422 名孕妇，应答率为 100%，其中 277 名（65.6%）孕妇在当前妊娠期间使用了草药。受教育程度为小学及以下[比值比（AOR）2.21，95%置信区间（CI）：1.17-4.18]、月家庭收入<2800 埃塞俄比亚比尔（AOR 1.72，95%CI：1.01-2.92）和缺乏对草药使用并发症的认识（AOR 10.3，95%CI：6.27-16.92）是草药使用的决定因素。
本研究中孕妇使用草药的情况很高，几乎所有孕妇都没有向医疗保健提供者透露她们使用草药的情况。卫生部应将传统医学与常规医学相结合。助产士和产科医生应在产前护理咨询期间常规向那些孕妇公开讨论草药使用的益处和并发症。
