The Use and the User of Herbal Remedies During Pregnancy

Holst, Lone; Wright, David; Haavik, Svein; Nordeng, Hedvig

doi:10.1089/acm.2008.0467

Cited by 134 publications

(139 citation statements)

References 26 publications

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“…Of those women surveyed 334 (57.8%) had used a herbal product during pregnancy and the most often used herbal products were ginger, cranberry and raspberry leaf. [24] Within other studies reporting the frequency of herbs used in pregnancy, chamomile, like our study, was one of the most commonly used herbs. [19, 22-23, 26, 32] With ginger and peppermint, it is one of the most frequently used herbs to treat morning sickness.…”

Section: Discussionmentioning

confidence: 54%

“…A study looking at herbal remedies used during pregnancy [24] categorised lavender as a herbal product whereas lavender could also be categorised and counted as an aromatherapy product. When we studied the use of homeopathic products to age 8.5 years by the children in the ALSPAC cohort [25] 10% of the products described by the parents had been wrongly identified as a homeopathic one; herbal products were most likely to be confused as a homeopathic product.…”

Section: Discussionmentioning

confidence: 99%

“…[33] Research has shown it has antiinflammatory, antibacterial and sedating properties. [34] Two studies investigating the reasons for herbal use in pregnancy found that chamomile was taken for relaxation and to help sleep [24,26] and to aid digestion and help alleviate the symptoms of nausea. [26] The study by Forster et al [26] found that 83% of women who had taken chamomile for relaxation, calming, to help sleep, aid digestion and nausea had found that it had helped their symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…[43] Further research is needed to continue to develop the evidence base for non-pharmaceutical approaches which become an important resource for symptom control in pregnancy especially as many articles conclude that evidence-based research is lacking into the effects of taking CAMs in pregnancy, either singularly, or when combined with other medications. [18,24,[44][45][46][47] Whilst conventional medicines are seen as being potentially more harmful to the fetus, [48] many medications such as antacids, analgesics and antibiotics are still widely used at this time [21,[48][49] as is the concomitant use of combining different forms of medications namely over-the-counter products, conventional medicines and herbal medicines. [18,[45][46][50][51] ALSPAC has collected pertinent information on maternal health throughout and following pregnancy, and on the health of the baby during pregnancy, at birth and into adulthood.…”

Section: Discussionmentioning

confidence: 99%

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The use of Complementary and Alternative Medicine in pregnancy: Data from the Avon Longitudinal Study of Parents and Children (ALSPAC)

Bishop

Northstone

Green

et al. 2011

Complementary Therapies in Medicine

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word count: 297 Main text word count: 2999Page 2 of 16 ObjectivesTo report the frequency of Complementary and Alternative Medicine (CAM) use by a population of pregnant women in the UK. DesignFour postal self-completion questionnaires completed at 8, 12, 18 and 32 weeks' gestation provided the source of CAMs used. Questions asked for written descriptions about the use of any treatments, pills, medicines, ointments, homeopathic medicines, herbal medicines, supplements, drinks and herbal teas. SettingAn observational, population-based, cohort study of parents and children of 14541 pregnant women residing within the former county of Avon in south-west England. Data was available for 14115 women. ResultsOver a quarter (26.7%; n=3774) of women had used a CAM at least once in pregnancy, the use rising from 6% in the 1 st trimester to 12.4% in the 2 nd to 26.3% in the 3 rd . Herbal teas were the most commonly reported CAM at any time in pregnancy (17.7%; n=2499) followed by homeopathic medicine (14.4%; n=2038) and then herbal medicine (5.8%; n=813). The most commonly used herbal product was chamomile used by 14.6% of women, the most commonly used homeopathic product was Arnica used by 3.1% of women. Other CAMs (osteopathy, aromatherapy, acupuncture/acupressure, Chinese herbal medicine, chiropractic, cranial sacral therapy, hypnosis, non-specific massage and reflexology) accounted for less than 1% of users. ConclusionsCAM use in pregnancy, where a wide range of CAMs has been assessed, has not been widely reported. Studies that have been conducted report varying results to this study (26.7%) by between 13.3% and 87% of pregnant women. Survey results will be affected by a number of factors namely the inclusion/exclusion of vitamins and minerals, the timing of data collection, the country of source, the number of women surveyed, and the different selection criteria of either recruiting women to the study or of categorising and identifying a CAM treatment or product.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The use of Complementary and Alternative Medicine in pregnancy: Data from the Avon Longitudinal Study of Parents and Children (ALSPAC)

Bishop

Northstone

Green

et al. 2011

Complementary Therapies in Medicine

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“…3,42 From that time on, and based on this knowledge, utilization of NSAID in late pregnancy has been avoided whenever possible. As PRF are largely consumed in the general population, including during gestation, [43][44][45] and their clinical effects as antiinflammatory and antioxidants products are widely described, we sought the basic literature about their chemical properties, which describes unequivocally that they depend on inhibition of prostaglandin biosynthesis. 20,22 -27,29 The presumption that fetal DC unrelated to maternal ingestion of NSAID could be associated to maternal intake of PRF has been investigated and the results have corroborated the idea.…”

Section: Discussionmentioning

confidence: 99%

Reversal of fetal ductal constriction after maternal restriction of polyphenol-rich foods: an open clinical trial

et al. 2011

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Objective: To test the hypothesis that maternal restriction of polyphenolrich foods (PRF), which, like non-steroidal anti-inflammatory drugs (NSAID), inhibit prostaglandin synthesis in the third trimester, reverse fetal ductal constriction (DC). Study Design:An open clinical trial of 51 third trimester fetuses with DC with no history of NSAID intake was designed. All mothers were submitted to a food frequency questionnaire and were oriented to withdrawl PRF, being reassessed after 3 weeks. Doppler parameters were assessed before and after discontinuation of these substances. A control group of 26 third trimester normal fetuses, with no ductus arteriosus (DA) constriction, in which no dietary intervention was offered, was reviewed after 3 weeks. Student's t-test and Wilcoxon's test were used.Result: Mean gestational age was 32±3 weeks (28 to 37 weeks). After discontinuation of PRF (X3 weeks), 48/51 fetuses (96%) showed complete reversal of DC, with decrease in mean ductal systolic velocity (1.74 ± 0.20 m s À1 to 1.31 ± 0.34 m s À1 , P<0.001), mean diastolic velocity (0.33±0.09 m s À1 to 0.21±0.07 m s À1 , P<0.001) and mean right to left ventricular dimension ratio (1.37 ± 0.26 to 1.12 ± 0.17, P<0.001) and increase in mean ductal pulsatility index (PI) (1.98 ± 0.36 to 2.46±0.23, P<0.001). Median daily maternal consumption of PRF was 286 mg per day and decreased after orientation to 0 mg per day, P<0.001. In the control group, with GA of 32±4 w (29-37 w), there was no significant differences in median daily maternal consumption of PRF, mean ductal systolic velocitiy, diastolic velocity, PI and right ventricular to left ventricular diameter ratio (RV/LV) ratio. Keywords: fetal ductal constriction; prostaglandins; pulmonary hypertension; polyphenol-rich foods Introduction Ductal constriction (DC) has long been related to inhibition of the prostaglandin synthesis pathway, mainly as a result of maternal intake of non-steroidal anti-inflammatory drugs (NSAID) in the third trimester of pregnancy. 1-5 Constriction of fetal ductus arteriosus (DA) is a risk factor for pulmonary hypertension in the newborn period, with its known severe consequences. [6][7][8][9][10][11] For several years, many reports have been discussing the high prevalence of DC in the absence of a known trigger effect. 11 It has been discussed that other extrinsic factors, in addition to NSAID, could be involved in the genesis of this important clinical situation. 1,12,13 We and others have already suggested that maternal ingestion of polyphenol-rich foods (PRF) in late pregnancy, such as herbal teas, grape juice, dark chocolate and others, could be associated to fetal DC. [14][15][16][17][18] Experimental studies in fetal lambs have supported this hypothesis, showing a cause and effect relationship of maternal consumption of green tea and other polyphenol-rich substances with constriction of fetal DA in the animal model. 19 In the human setting, we have demonstrated that fetuses exposed to a maternal diet rich in polyphenols in the third trimester show h...

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Assessment of the medicines use pattern among the general public in the state of Penang, Malaysia

Dawood

Saleem

Aljadhey

2017

Pharmacy Practice and Res

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Objectives: This study aims to evaluate the pattern of medicines use among the general public on Penang Island, Malaysia, and to evaluate the association between medicines used and the demographic characteristics of the participants. Method: A cross-sectional study was conducted among 1000 subjects from the general public in Penang Island. The majority of subjects (n = 888) completed the survey, giving a response rate of 88.8%. A convenience sampling method was used to invite the respondents to participate in this survey. A self-administered questionnaire was used to obtain the data from all the respondents.Result: This study showed that most respondents commonly used vitamins and minerals (53%), pain relievers (38.5%), health supplements (35.5%) and herbal beverages (27.1%), while 34.1% of them reported using antibiotics and 14.8% reported using chronic medicines for their chronic diseases. Both socio-demographic data and the presence of chronic diseases were significantly associated with using medicines (p < 0.05). Conclusion: The use of some medicines is common among the general public of Penang Island, Malaysia. Nowadays, many people tend to use medicines to prevent future disease or to decrease the symptoms of diseases, especially chronic diseases. Additional steps must be taken to increase the awareness of medicine use in terms of their side effects and interactions, as well as to foster a better understanding of appropriate and safe use of medicines. This is an important issue to strengthen the quality use of medicines among Malaysians. ACKNOWLEDGEMENTWe would like to thank all the respondents for being a part of this survey. Many thanks go to undergraduate students in the School of Pharmaceutical Sciences, Universiti Sains Malaysia for their help in data collection.

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The Use and the User of Herbal Remedies During Pregnancy

Cited by 134 publications

References 26 publications

The use of Complementary and Alternative Medicine in pregnancy: Data from the Avon Longitudinal Study of Parents and Children (ALSPAC)

The use of Complementary and Alternative Medicine in pregnancy: Data from the Avon Longitudinal Study of Parents and Children (ALSPAC)

Reversal of fetal ductal constriction after maternal restriction of polyphenol-rich foods: an open clinical trial

Assessment of the medicines use pattern among the general public in the state of Penang, Malaysia

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