Prevalence and risk factors of self-medication in pregnancy: A cross-sectional study from a tertiary care hospital in Eastern India

Gupta, Mayank; Dalai, Chanchal Kumar; Ahmed, Shah Newaz; Sarkar, Deblina; Rao, Rajath; Nirala, Santosh Kumar

doi:10.3126/ajms.v12i12.39217

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…25 It is also higher than a finding from Eastern India, where 6% of pregnant women practiced self-medication. 26 The low prevalence of SMP in Eastern India may be due to the small sample size of the study that involved only 196 pregnant women while the current study involved 585 participants. The relatively lower level of SMP in Iran may be due to their strong drug control mechanisms.…”

Section: Discussionmentioning

confidence: 87%

Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy

Tujuba¹,

Chilo²,

Abebe³

et al. 2023

DHPS

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Background Self-medication is the use of drugs without a medical prescription to treat self-identified illnesses; it is also the continued use of drugs without a physician’s order for recurring symptoms, either by sharing or purchasing them from unlicensed vendors. It entails substantial risk to pregnant women and fetuses. Magnitude of the problem and its factors among rural pregnant women is not studied in Ethiopia. Objective This study aimed to assess the prevalence of self-medication practice and identify its associated factors among pregnant women in rural Southwest Shewa, Ethiopia. Methods A cross-sectional study was conducted on 585 randomly selected pregnant women in selected rural public health institutions from May to July 2021. Data was collected by using an interviewer-administered pretested structured questionnaire. Multivariable logistic regression was used to identify factors associated with self-medication. Variables with p- value <0.05 for the 95% confidence interval of the adjusted odds ratio were considered statistically significant. Results A total of 585 pregnant women participated in the study with a response rate of 92.3%. The prevalence of self-medication among pregnant women was 19.8%. Primigravidity (AOR = 2.7, 95% CI: 1.2–6.1), lower educational status of husbands (AOR = 3.6, 95% CI: 1.02–12.9), living close to health facilities (AOR = 0.23, 95% CI: 0.09–0.6) and knowing one’s own gestational age (AOR = 0.5,95% CI: 0.30–0.9) were significantly associated with self-medication practice. Conclusion and Recommendation One in five of the pregnant women practiced self-medication during the current pregnancy. Primigravidity and lower educational status of husbands were associated with a higher probability of self-medication. Knowing gestational age and living close to health facilities were associated with a lower likelihood of practicing self-medication. Rational drug use has to be promoted among pregnant women. Maternal and child health interventions should also target husbands. Health education has to be strengthened to help pregnant women have a safe pregnancy.

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Section: Discussionmentioning

confidence: 87%

Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy

Tujuba¹,

Chilo²,

Abebe³

et al. 2023

DHPS

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“…The overall prevalence of self‐medication among pregnant women in India according to random effect model 17,18,25–30 …”

Section: Resultsmentioning

confidence: 99%

“…The overall prevalence of self-medication among pregnant women in India according to random effect model. 17,18,[25][26][27][28][29][30] F I G U R E 3 Subgroup analysis based on study region. [26][27][28][29][30] summarized in Table 3.…”

Section: F I G U R Ementioning

confidence: 99%

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Prevalence of self‐medication practices among pregnant women in India: A systematic review and meta‐analysis

Chaudhary,

Kumari,

Khurana

et al. 2024

Pharmacoepidemiology and Drug

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BackgroundSelf‐medication practice among pregnant women is a global concern. However, its understanding in the Indian context is limited due to a lack of comprehensive studies.PurposeThis study aimed to comprehensively assess the prevalence of self‐medication, the medications used for self‐medication, diseases/conditions associated with self‐medication, and the reasons for self‐medication among Indian pregnant women.MethodsThis study was carried out following the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA). A thorough search was done in PubMed, Embase, and Google Scholar to find articles that were published up until May 2023. Inclusion criteria comprised observational studies reporting self‐medication prevalence among pregnant women in India. Data were extracted using a standardized sheet, and a random‐effects model was applied to determine the overall prevalence of self‐medication using R software. The I2 statistic was employed to assess the heterogeneity among the studies.ResultsThis study analyzed eight studies with a collective sample size of 2208 pregnant women. The pooled prevalence of self‐medication among pregnant Indian women was 19.3% (95% CI: 7.5%–41.3%; I2 = 99%; p < 0.01). Common self‐treated conditions were cold, cough, fever, headache, and stomach disorders. Antipyretics, analgesics, antihistamines, and antacids were frequently used for self‐medication. The perception of mild ailment, immediate alleviation, convenience, time savings, and advice from family, friends, or the media were all reasons for self‐medication. Local pharmacies were the most usual source for obtaining drugs, and pharmacists, family, friends, and past prescriptions were common sources of medicine information.ConclusionsA low yet substantial number of pregnant women in India are engaged in self‐medication practices. Appropriate strategies need to be planned to reduce self‐medication practices to attain sustainable developmental goals for maternal health in India.

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Prevalence and patterns of self-medication practices in India: A systematic review and meta-analysis

Chaudhary,

Kumari,

Sharma

et al. 2024

Medical Journal Armed Forces India

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Prevalence and risk factors of self-medication in pregnancy: A cross-sectional study from a tertiary care hospital in Eastern India

Cited by 3 publications

References 8 publications

Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy

Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy

Prevalence of self‐medication practices among pregnant women in India: A systematic review and meta‐analysis

Prevalence and patterns of self-medication practices in India: A systematic review and meta-analysis

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