Self-medication practice with modern and herbal medicines and associated factors among pregnant women attending antenatal care at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

Kahssay, Semere Welday; Tadege, Getnet; Muhammed, Fewaz

doi:10.1016/j.heliyon.2022.e10398

Cited by 11 publications

(8 citation statements)

References 30 publications

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“…Moreover, the current study's ndings showed a signi cant association between using OTC medications and residing in a rural area. This nding is in accordance with different studies carried out in Iran (20), Jimma (25), Wollo (41), Gojjam (43), northern Uganda (44), and Kenya (45). Pregnant women in rural areas are more likely to take OTC drugs for a variety of reasons, including low awareness, scarce resources, trouble accessing healthcare services, and concerns about high payments.…”

Section: Discussionsupporting

confidence: 88%

Use and predictors of over-the-counter medication among pregnant women visiting antenatal clinics in public health facilities in the Silte Zone, Central Ethiopia

Mosa,

Muze,

Abdella

et al. 2023

Preprint

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Background Self-medication with over-the-counter (OTC) drugs during pregnancy is a global problem that needs to be given significant attention due to the potential risks to both the mother and the foetus. However, data regarding the use and risk factors for OTC drugs during pregnancy are lacking in the study area. The purpose of this study was to assess OTC medications and predictors among pregnant women attending antenatal care (ANC) at selected public health facilities in the Silte Zone, Central Ethiopia. Methods An institution-based cross-sectional study was carried out from February 1st to 30th, 2023. A multistage sampling technique was used to select study participants. Data were collected by KoboTool box and analysed using SPSS (version 25). The association of independent variables with the dependent variable was determined using logistic regression analysis. To decide the presence and strength of an association, odds ratios (ORs) with their 95% confidence intervals (CIs) were calculated. Findings were considered statistically significant when the p value was < 0.05. Results The prevalence of OTC medicine use was reported among 297 (55.2%) pregnant women during their current pregnancy. Age ≥ 35 (AOR = 12.6, 95% CI = 6.3–25.0), living in rural areas (AOR = 7.1, 95% CI = 4.1–12.3), not having health insurance (AOR = 17, 95% CI = 9, 9.3–31.3), having poor knowledge about the possible risks of OTC medication in the fetus (AOR = 4.6, 95% CI = 5.3–12.8), and attending fewer than four ANC visits (AOR = 9.5, 95% CI = 4.7–19.0) were predictors of OTC medicine use Conclusion This study revealed that a significant number of pregnant women used one or more OTC drugs. Pregnant women who are older, live in rural areas, lack health insurance, have less knowledge, and attend fewer ANC visits are more likely to use OTC drugs. Therefore, healthcare providers should offer advice to pregnant women about the safe use of OTC medications. This is especially important for older women who live in rural areas, have no health insurance, have low knowledge, and fail to frequently attend ANC visits.

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Section: Discussionsupporting

confidence: 88%

Use and predictors of over-the-counter medication among pregnant women visiting antenatal clinics in public health facilities in the Silte Zone, Central Ethiopia

Mosa,

Muze,

Abdella

et al. 2023

Preprint

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“…Pregnant women with no history of self-medication become self-medicated currently. This finding was also different from the study done in Mizan Tepi University Teaching Hospitals in which women with no history of self-medication were 6.69 folds less likely to practice self-medication than those with prior experience [12]. The reason for this might be because of a lack of exposure to self-medication to understand self-medication impact.…”

Section: Discussioncontrasting

confidence: 66%

“…Teaching Hospitals in which women with no history of self-medication were 6.69 folds less likely to practice self-medication than those with prior experience [12]. The reason for this might be because of a lack of exposure to self-medication to understand self-medication impact.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Herbal Medicine use among Pregnant Women Attending Antenatal care at Jimma University Medical Center, Jimma, Southwest Ethiopia

Shuma¹,

Bahiru

Erko

et al. 2022

Preprint

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Background: The use of herbal medicine during pregnancy for different indications now a day becomes common across globally. Its use is increasing, especially in developing countries. It is estimated that 65%-80% of the population use herbal products Objectives: This study aimed to assess the prevalence of herbal medicine use among pregnant women attending Antenatal care at Jimma University medical center, Southwestern Ethiopia. Methods: A cross-sectional study design was employed to conduct the study. Data was collected by data collectors using data abstraction formats, then entered and analyzed using SPSS version 26.0. Frequency and percentage were computed as summary statistics. Results: A total of 341 pregnant women attending antenatal care were enrolled in the study, of which 331 participated in the study. Out of 331 pregnant women who participated in the study, 3.93% of them practiced self-medication with herbal medicine during their current pregnancy. Conclusions: The most frequently practiced herbal medicine among pregnant women attending antenatal care at JUMC were Ginger and Damakese with the most common clinical indication of vomiting and headache respectively. The source of information for the participant's herbal medicine use were mostly family and friends.

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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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Self-medication practice with modern and herbal medicines and associated factors among pregnant women attending antenatal care at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

Cited by 11 publications

References 30 publications

Use and predictors of over-the-counter medication among pregnant women visiting antenatal clinics in public health facilities in the Silte Zone, Central Ethiopia

Use and predictors of over-the-counter medication among pregnant women visiting antenatal clinics in public health facilities in the Silte Zone, Central Ethiopia

Prevalence of Herbal Medicine use among Pregnant Women Attending Antenatal care at Jimma University Medical Center, Jimma, Southwest Ethiopia

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

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