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埃塞俄比亚南部孕妇中药用植物与药品的联合使用情况。

Concomitant use of medicinal plants and pharmaceutical drugs among pregnant women in southern Ethiopia.

作者信息

Bekele Gemechu Gelan, Woyo Terefe, Fekene Daniel Belema, Gonfa Dajane Negesse, Moti Berhanu Ejara, Roga Ephrem Yohannes, Yami Amare Tesfaye, Bacha Amente Jorise, Kabale Wogene Daro

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.

出版信息

Heliyon. 2023 Mar 24;9(4):e14805. doi: 10.1016/j.heliyon.2023.e14805. eCollection 2023 Apr.

Abstract

BACKGROUND

In several African nations, including Ethiopia, improving mother and child health is a top public health concern. Unfortunately, there is a dearth of study on pregnant women in Ethiopia who concomitantly utilize pharmaceutical drugs and medicinal plants. Hence, the objective of this research was to assess the concomitant use of pharmaceutical drugs and medicinal plants among pregnant women in Southern Ethiopia in 2021.

METHODS

A community-based cross-sectional study was conducted among systematically selected 400 pregnant women in Shashamane town, Southern Ethiopia, from July 1-30/2021. An interviewer-administered structured questionnaire was used to collect data. Binary logistic regression was performed to examine the association between a dependent variable and independent variables.

RESULTS

According to this study, among those who self-medicated, 90 (22.5%) reported using at least one pharmaceutical drug, while 180 (45%) reported using at least one medicinal plant. Moreover, 68 (17%) of the participants who had taken drugs while pregnant also used pharmaceutical drugs and medicinal plants concomitantly. Having a medical condition during pregnancy (AOR = 5.6, 95% CI: 2.7-11.6), not having ANC follow up (AOR = 2.9, 95% CI: 1.3-6.2), gestational age (AOR = 4.2, 95% CI: 1.6-10.7), and not having a formal education (AOR = 4.2, 95% CI: 1.3-13.4) were all significantly associated with concomitant use of pharmaceutical drugs and medicinal plants during pregnancy.

CONCLUSION

This study showed that nearly one in five pregnant women used medicinal plants concomitantly with pharmaceutical drugs. Mother's educational status, medical illness during pregnancy, having ANC follow up and gestational period were significantly associated with concomitant use of medicinal plants and pharmaceutical drugs. Therefore, health care providers and concerned stakeholders should consider these factors to minimize the risks associated with drug use during pregnancy on both mother and fetus.

摘要

背景

在包括埃塞俄比亚在内的几个非洲国家,改善母婴健康是首要的公共卫生问题。不幸的是,埃塞俄比亚关于同时使用药品和药用植物的孕妇的研究匮乏。因此,本研究的目的是评估2021年埃塞俄比亚南部孕妇同时使用药品和药用植物的情况。

方法

2021年7月1日至30日,在埃塞俄比亚南部沙舍马内镇对系统选取的400名孕妇进行了一项基于社区的横断面研究。采用访谈员管理的结构化问卷收集数据。进行二元逻辑回归以检验因变量和自变量之间的关联。

结果

根据本研究,在自我用药的人群中,90人(22.5%)报告至少使用了一种药品,而180人(45%)报告至少使用了一种药用植物。此外,68名(17%)孕期服药的参与者也同时使用了药品和药用植物。孕期患有疾病(调整后比值比[AOR]=5.6,95%置信区间[CI]:2.7-11.6)、未进行产前检查随访(AOR=2.9,95%CI:

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