Herbal Products Use During Pregnancy in North of Iran

Biazar, Gelareh; Nabi, Bahram Naderi; Sedighinejad, Abbas; Moghadam, Anoush Dehnadi; Farzi, Farnoush; Atrkarroushan, Zahra; Mirblook, F.; Mirmansouri, Ladan

doi:10.15296/ijwhr.2019.21

Cited by 5 publications

(3 citation statements)

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“…Cinnamomum zeylanicum nees (Cinnamon) from the Lauraceae family has been known for its antioxidant and anti-inflammatory properties [14]. Cinnamon extract can be used as an antioxidant due to its phenolic content particularly cinnamaldehyde, which improves level of SOD, GPx, CAT, and reduces MDA concentration, as well as increase rate of pregnancy [15,16]. Furthermore, it decreases insulin and blood glucose markedly [17].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Herbal Mixture Supplements with and without Clomiphene Citrate in Comparison to Clomiphene Citrate on Serum Antioxidants and Glycemic Biomarkers in Women with Polycystic Ovary Syndrome Willing to Be Pregnant: A Randomized Clinical Trial

et al. 2019

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This paper aimed to evaluate the effect of herbal mixture (Mentha spicata, Zingiber officinale, Cinnamomum zeylanicum, and Citrus sinensis) only and along with clomiphene citrate (CC) compared to CC on serum antioxidants, glycemic status, menstrual regulation, and rate of pregnancy. This single-blind randomized clinical trial was carried out on 60 infertile participants with polycystic ovary syndrome (PCOS) willing to be pregnant. They were randomly allocated into group 1 (n = 20) who received routine dose of CC pills (50–150 mg) for three menstrual cycles from the fifth day of menstruation for five days; group 2 (n = 20) who consumed herbal mixture daily (700 mg); and group 3 (n = 20) who used up herbal mixture along with CC for 3 months. Catalase (CAT), glutathione peroxidase (GPx), superoxide dismutase (SOD), malondialdehyde (MDA), fasting blood sugar (FBS), insulin, and homeostatic model assessment for insulin resistance (HOMA-IR) were measured in their blood samples. No statistically significant differences were observed between the three groups in terms of socio-demographic characteristics. After intervention, however, the levels of CAT in group 2 (adjusted mean difference (aMD): = 9.0; confidence interval (CI) 95% = 1.1–16.9) and group 3 (aMD = 12.2; CI 95% = 4.5–19.9), GPx in group 2 (aMD = 986.1; CI 95% = 141.1–1831.1) and group 3 (aMD = 1781.2; CI 95% = 960.7–2601.8), and SOD in group 2 (aMD = 55.1; CI 95% = 26.0–84.2) increased. While FBS in group 3 (aMD = −8.7; CI 95% = −14.7 to −2.7), insulin in group 2 (aMD = −5.6; CI 95% = −10.8 to −0.4), and HOMA-IR in group 2 (aMD = −1.3; CI 95% = −2.4 to −0.2) significantly decreased compared to the group 1. To summarize, herbal mixture supplements along with CC have beneficial effects on serum antioxidant levels, as well as glycemic biomarkers of infertile PCOS, menstrual regulation, and pregnancy rate.

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Section: Introductionmentioning

confidence: 99%

The Effectiveness of Herbal Mixture Supplements with and without Clomiphene Citrate in Comparison to Clomiphene Citrate on Serum Antioxidants and Glycemic Biomarkers in Women with Polycystic Ovary Syndrome Willing to Be Pregnant: A Randomized Clinical Trial

et al. 2019

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“…Among 111 studies, 102 studies were cross-sectional in design 27 61–161. Three studies used mixed-method approaches,162–164 and six studies had non-cross-sectional designs (ie, longitudinal and case–control),165–170 but reported cross-sectional data on HM use during pregnancy (online supplemental appendix 6).…”

Section: Resultsmentioning

confidence: 99%

Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis

Im,

Hwang,

Choi

et al. 2024

BMJ Glob Health

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IntroductionLack of transparent communication between patients and physicians regarding the use of herbal medicine (HM) presents a major public health challenge, as inappropriate HM use poses health risks. Considering the widespread use of HM and the risk of adverse events, it is crucial for pregnant women to openly discuss their HM use with healthcare providers. Therefore, this systematic review and meta-analysis aims to estimate the pooled prevalence of pregnant women’s HM use and disclosure to healthcare providers and to examine the relationship between HM disclosure and various maternal and child health (MCH) measures.MethodsA systematic search of five databases was conducted for cross-sectional studies on HM use during pregnancy published from 2000 to 2023. Data extraction followed a standardised approach, and Stata V.16.0 was used for data analysis. Also, Spearman’s correlation coefficient was calculated to examine the association between use and disclosure of HM and various MCH indicators.ResultsThis review included 111 studies across 51 countries on the use of HM among pregnant women. Our findings showed that 34.4% of women used HM during pregnancy, driven by the perception that HM is presumably safer and more natural than conventional medical therapies. However, only 27.9% of the HM users disclosed their use to healthcare providers because they considered HM as harmless and were not prompted by the healthcare providers to discuss their self-care practices. Furthermore, a significant correlation was observed between HM disclosure and improved MCH outcomes.ConclusionInadequate communication between pregnant women and physicians on HM use highlights a deficiency in the quality of care that may be associated with unfavourable maternal outcomes. Thus, physician engagement in effective and unbiased communication about HM during antenatal care, along with evidence-based guidance on HM use, can help mitigate the potential risks associated with inappropriate HM use.

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“…Therefore, a better understanding of the conditions in each area seems vital to help improve motherinfant health programs and policies. The frequency of consumption of herbal products was investigated [16], which was valuable in this field. However, it had many defects, and the main problem was the non-prescribed…”

Section: Introductionmentioning

confidence: 99%

Not-prescribed Use of Herbal Products and Supplements Among Pregnant Women

Naghdipour Mirsadeghi,

Rafiei Sorouri,

Mansour Ghanaie

et al. 2024

JHNM

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Not-prescribed use (NPU) of herbal products and supplements during pregnancy is a potent risk for both mother and fetus and a big challenge for anesthesiologists. However, little is known about this topic in Guilan Province, Iran.Objective: This study aimed to determine how pregnant women take supplements and herbal medications. Materials and Methods:This analytical cross-sectional study was conducted in 2022. Eligible pregnant women enrolled in the survey, and a checklist containing items about maternal demographic data and the maternal pattern of herbs and supplements used during pregnancy was filled out through a face-to-face interview. Multivariate logistic regression, the Chi-square, and the Mann-Whitney U statistical tests were used to analyze the data. Results:The data from 682 women were analyzed. A total of 488 women (71.6%) were less or equal to 30 years old; 498(73%) lived in urban areas; 508(74.5%) were homemakers; 444(65.1%) had under-diploma or diploma education, 292(42.8%) were gravid one or 251(36.8%) gravid two. In addition, 25.1% reported using at least one herbal remedy during pregnancy, and 90% took supplements; 0.7% had NPU of supplements and 93.6% took herbal products. About 10% did not take any supplements. Iron (23.3%) and folic acid (23.1%) were the most frequently taken supplements, and thyme (20.2%) and mint (17.5%) were the most commonly taken herbs. Using logistic regression, we found that urbanization (OR=1.91, 95% C, 1.6%, 3.14%, P=0.01), employment (OR=2.21, 95% CI; 1.46%, 3.33%, P=0.0001), and higher gravidity (OR=2.03, 95% CI; 1.22%, 3.36%, P=0.006) increases the probability of consuming supplements and herbal products during pregnancy. Conclusion:The lack of physicians' supervision of the herbal therapy process among pregnant women in an academic center was worrying. However, most women received the supplements based on healthcare professionals' advice. A few women did not take essential supplements.

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Herbal Products Use During Pregnancy in North of Iran

Cited by 5 publications

References 10 publications

The Effectiveness of Herbal Mixture Supplements with and without Clomiphene Citrate in Comparison to Clomiphene Citrate on Serum Antioxidants and Glycemic Biomarkers in Women with Polycystic Ovary Syndrome Willing to Be Pregnant: A Randomized Clinical Trial

The Effectiveness of Herbal Mixture Supplements with and without Clomiphene Citrate in Comparison to Clomiphene Citrate on Serum Antioxidants and Glycemic Biomarkers in Women with Polycystic Ovary Syndrome Willing to Be Pregnant: A Randomized Clinical Trial

Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis

Not-prescribed Use of Herbal Products and Supplements Among Pregnant Women

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