Prevalence and patterns of prenatal use of traditional medicine among women at selected harare clinics: a cross-sectional study

Mureyi, Dudzai; Monera, Tsitsi Grace; Maponga, Charles C.

doi:10.1186/1472-6882-12-164

Cited by 37 publications

(36 citation statements)

References 9 publications

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“…Some women reported that the use of traditional and complementary medicine was associated with the perception that it increases immunity. Similarly, traditional medicine was often perceived as a better preventive strategy and regarded as more natural, safe, and/or having at least equal efficacy when compared with medical prescriptions for maternal wellbeing among African women in Africa [42,43]. As such, the present finding may suggest that previous perceptions among African migrant women were important to continued us of traditional medicine because they believed that it has a medicinal value which was important to protect their general wellbeing.…”

Section: Discussionmentioning

confidence: 70%

Use of traditional and complementary medicine for maternal health and wellbeing by African migrant women in Australia: a mixed method study

Shewamene

Dune

Smith

2020

BMC Complement Med Ther

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Background: Traditional medicine serves as a form of primary health care for more than 80% of African populations. Currently, there is no research documenting if and how African migrant communities engage with their traditional health practices and beliefs after they resettle in Western countries. The aim of this study was to examine African migrant women's experiences and perspectives about traditional and complementary medicine use in relation to their maternal health and wellbeing in Australia. Methods: We conducted a mixed method study between December 2016 and October 2017. Questionnaires were completed by 319 women and 15 in-depth interviews were conducted among African migrant women residing across the Sydney metropolitan area, Australia. Survey data were analysed using SPSS (version 23) and logistic regression model was used to test associations. Qualitative data were analysed thematically using NVivo 11 software to identify themes and conceptual categories in the participants' responses. The study was informed by Andersen's Socio-behavioural model of health service utilisation. Results: The findings indicated that use of traditional and complementary medicine was high and continued to be well used following African women's resettlement in Australia. The survey found that 232 (72.7%) women use some form of traditional and complementary medicine for maternal health and wellbeing purposes. Most women (179, 77.2%) reported that maintaining their maternal health and wellbeing was the most common reason for use. The interview findings indicated that access to traditional medicine included making requests from relatives and friends who travelled to Africa looking for a similar medicinal plant in Australia and preparing home remedies with advice from family members and healers back in Africa. Age ≥ 35 years (OR, 16.5; 95%CI,; p < 0.001), lower education (OR,24; 95%CI, p < 0.001), parity (OR, 7.3; 95%CI,; p = 0.029), and lower income (OR, 2.7; 95%CI, 1.23-5.83; p = 0.013) were strong predictors of traditional medicine use. Conclusion: Use of traditional and complementary medicine among African migrant women in Sydney remained high following resettlement in Australia. As noted in Andersen's sociobehavioural model of health service utilisation, specific predisposing and enabling factors including age, education and income were associated with use of traditional and complementary medicine.

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Section: Discussionmentioning

confidence: 70%

Use of traditional and complementary medicine for maternal health and wellbeing by African migrant women in Australia: a mixed method study

Shewamene

Dune

Smith

2020

BMC Complement Med Ther

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“…This is relatively low compared with other similar studies in Sub-saharan Africa-12% in Kenya in a district hospital 14 ; 50.4% in Ethiopia 15 and 50.0% in Harere. 16 For this study in Offinso North district, pregnant women were asked open-ended questions to assess whether they used any herbal medicines during pregnancy. Open-ended questions yield lower percentage for answers.…”

Section: Discussionmentioning

confidence: 99%

Type of herbal medicines utilized by pregnant women attending ante-natal clinic in Offinso north district: Are orthodox prescribers aware?

Adusi-Poku¹,

Vanotoo²,

Detoh³

et al. 2016

Ghana Medical Journal

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Background: There is scanty data on the usage and safety of herbal medicines in pregnancy and breast feeding. Though they may be efficacious on account of their long experience of usage, effects of these herbal preparations and the extent of usage in pregnancy and breastfeeding are not known. There were anecdotal claims of herbal medicine usage in pregnancy in Offinso North District. Objective: To determine the prevalence and the pattern of herbal medicine usage among pregnant women attending ANC in all the health facilities in Offinso North District and to determine the level of awareness of healthcare givers about these herbal medicines. Design: Cross-sectional study. Method: A standardized structured questionnaire was administered to pregnant women attending antenatal clinics in the Offinso North district. Results: Age of respondents ranged from 15-49 years among which 25 (6.5%) took herbal medicines through varying routes of administration. High usage was found amongst those married and also with no formal and basic education and a median age of 25 years. Awareness of orthodox health practitioners about these herbal medicines was scanty. Conclusions: The study emphasized the use of herbal medicines particularly through some unconventional mode of preparations by pregnant women in Offinso North. Orthodox practitioners' awareness of their usage was found to be inadequate, highlighting an urgent need for health care practitioners and other health care givers to be aware of this practice and make efforts in obtaining information about herb use during antenatal care.

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“…The use of indigenous medicinal plants as a part of antenatal care was common in developing nations, such as in Africa and Asia (Mureyi et al, 2012;Al-Ramahi et al, 2013;Elkhoudri et al, 2016;Maputle et al, 2015;Tang et al, 2016;Onyiapat et al, 2017). Such medicinal plants were typically consumed in a crude form, or as infusions, decoctions, and tinctures.…”

Section: Consumption Of Hms By Pregnant Womenmentioning

confidence: 99%

“…HM was usually used in the first trimester for prevention and/or treatment of early pregnancyrelated issues such as nausea, vomiting, and gastrointestinal disorders. During the third trimester, they were commonly used to prepare the uterus for labor and ease child delivery (Mureyi et al, 2012;Nyeko et al, 2016;Onyiapat et al, 2017). Nonetheless, it was not uncommon for women to use HMs throughout all trimesters of pregnancy, usually with the intent to improve the well-being of the mother and unborn child.…”

Section: Consumption Of Hms By Pregnant Womenmentioning

confidence: 99%

Use of Herbal Medicine by Pregnant Women: What Physicians Need to Know

et al. 2020

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About 80% of the consumers worldwide use herbal medicine (HMs) or other natural products. The percentage may vary significantly (7%-55%) among pregnant women, depending upon social status, ethnicity, and cultural traditions. This manuscript discusses the most common HMs used by pregnant women, and the potential interactions of HMs with conventional drugs in some medical conditions that occur during pregnancy (e.g., hypertension, asthma, epilepsy). It also includes an examination of the characteristics of pregnant HM consumers, the primary conditions for which HMs are taken, and a discussion related to the potential toxicity of HMs taken during pregnancy. Many cultures have used HMs in pregnancy to improve wellbeing of the mother and/or baby, or to help decrease nausea and vomiting, treat infection, ease gastrointestinal problems, prepare for labor, induce labor, or ease labor pains. One of the reasons why pregnant women use HMs is an assumption that HMs are safer than conventional medicine. However, for pregnant women with pre-existing conditions like epilepsy and asthma, supplementation of conventional treatment with HMs may further complicate their care. The use of HMs is frequently not reported to healthcare professionals. Providers are often not questioning HM use, despite little being known about the HM safety and HM-drug interactions during pregnancy. This lack of knowledge on potential toxicity and the ability to interact with conventional treatments may impact both mother and fetus. There is a need for education of women and their healthcare professionals to move away from the idea of HMs not being harmful. Healthcare professionals need to question women on whether they use any HMs or natural products during pregnancy, especially when conventional treatment is less efficient and/or adverse events have occurred as herbaldrug interactions could be the reason for these observations. Additionally, more preclinical and clinical studies are needed to evaluate HM efficacy and toxicity.

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Prevalence and patterns of prenatal use of traditional medicine among women at selected harare clinics: a cross-sectional study

Cited by 37 publications

References 9 publications

Use of traditional and complementary medicine for maternal health and wellbeing by African migrant women in Australia: a mixed method study

Use of traditional and complementary medicine for maternal health and wellbeing by African migrant women in Australia: a mixed method study

Type of herbal medicines utilized by pregnant women attending ante-natal clinic in Offinso north district: Are orthodox prescribers aware?

Use of Herbal Medicine by Pregnant Women: What Physicians Need to Know

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