Chergaoui Samia, Changuiti Omaima, Marfak Abdelghafour, Saad Elmadani, Hilali Abderraouf, Youlyouz Marfak Ibtissam
Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat, Morocco.
National School of Public Health, Rabat, Morocco.
Front Pharmacol. 2022 Aug 16;13:812060. doi: 10.3389/fphar.2022.812060. eCollection 2022.
The consumption of drugs during pregnancy without medical advice constitutes a risk for the mother and the fetus. It is a public health problem. This study aimed to assess self-medication practices among pregnant women, the most used medicines, and factors associated with this practice. A cross-sectional study was conducted using a structured questionnaire on pregnant women who were attending Settat health centers. A simple random sampling technique was used to select the study participants. Descriptive and inferential statistics were computed using the SPSS version 19. Among 364 pregnant women, 118 (32%) practiced self-medication in modern medicine. Paracetamol was the most used medication, and nausea and vomiting were the most frequent symptoms reported by self-medicated pregnant women. Multivariate logistic regression analysis showed that women over 30 years old were four-fold more likely to practice self-medication than the other groups [AOR: 4.19; 95% CI (1.80-9.77)]. Similarly, unemployed women [AOR: 3.93; 95% CI (0.80-19.23)], those in third trimester [AOR: 2.63; 95% CI (1.29-5.36)], multiparous [AOR: 6.03; 95% CI (3.12-11.65)], without chronic illness [AOR: 2.84; 95% CI (1.26-6.41)], without therapeutic treatment [AOR: 10.1; 95% CI (2.81-37.03)] and who have attended ANC at least once, were more likely to practice self-medication than the other groups. The prevalence of modern drug self-medication among pregnant women in Morocco is classified as lower. Health professionals can exert positive pressure through education and information provided during ANC about OTC medications to significantly reduce the rate of self-medication.
孕期未经医嘱自行用药会对母亲和胎儿构成风险。这是一个公共卫生问题。本研究旨在评估孕妇的自我药疗行为、最常使用的药物以及与这种行为相关的因素。对前往塞塔特健康中心就诊的孕妇使用结构化问卷进行了一项横断面研究。采用简单随机抽样技术选择研究参与者。使用SPSS 19版软件计算描述性和推断性统计数据。在364名孕妇中，118名（32%）使用现代药物进行自我药疗。对乙酰氨基酚是最常使用的药物，自我药疗的孕妇报告的最常见症状是恶心和呕吐。多因素逻辑回归分析显示，30岁以上的女性进行自我药疗的可能性是其他组的四倍[AOR：4.19；95%CI（1.80 - 9.77）]。同样，失业女性[AOR：3.93；95%CI（0.80 - 19.23）]、孕晚期女性[AOR：2.63；95%CI（1.29 - 5.36）]、经产妇[AOR：6.03；95%CI（3.12 - 11.65）]、无慢性病女性[AOR：2.84；95%CI（1.26 - 6.41）]、未接受治疗的女性[AOR：10.1；95%CI（2.81 - 37.03）]以及至少参加过一次产前检查的女性进行自我药疗的可能性均高于其他组。摩洛哥孕妇中现代药物自我药疗的患病率较低。卫生专业人员可以通过在产前检查期间提供有关非处方药的教育和信息施加积极影响，以显著降低自我药疗率。
