Use of Medicinal Plants with Teratogenic and Abortive Effects by Pregnant Women in a City in Northeastern Brazil

Araújo, Cristina Ruan Ferreira de; Santiago, Felipe Gomes; Peixoto, Marcelo Italiano; Oliveira, José Olivandro Duarte de; Coutinho, Mayrla de Sousa

doi:10.1055/s-0036-1580714

Cited by 19 publications

(20 citation statements)

References 28 publications

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“…With respect to the use of alternative therapies, 31.0% of pregnant women in Brum et al (2011) and 30.9% in Araújo et al (2016) reported the use of medicinal plants, whereas in our study this was 26.6%resulting in an average of 0.5 medicinal plants being used by the pregnant women. In a study by Mengue et al (2001), phytotherapics were used in 55 cases (0.6%), products composed of raw materials of vegetable origin associated with the substances isolated were used in 91 cases (1.0%) and homemade teas were used in116 cases (1.2%).…”

Section: Ethno-epidemiological Study Of Pregnant Womencontrasting

confidence: 76%

Ethno-epidemiological study of medicinal products and medicinal plants use among pregnant women

Matta¹,

Borges²,

Landi³

et al. 2021

BLACPMA

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The objective of this study was to examine the profile of pregnant women who visited the Unified Health System of the municipality of Umuarama/PR and to analyze their use of drugs categorized as D and X according to the United States Food and Drug Administration FDA and contraindicated medicinal plants for evaluating the potential gestational risks.A cross-sectional ethnoepidemiological study using a questionnaire was conducted among 500 pregnant women from January to May 2017. According to the pregnant women, during the prenatal period, 67.8% did not receive information on the use of medicinal plants and 26.6% used contraindicated plants. Among the drugs used, 12.2% belonged to category "D" (anticonvulsants), and 2.4% belonged to category "X" (hormonal contraceptives). This work highlights the need to expand health promotion activities to the basic units and implement protocols and technical guidance tools as well as training of pharmaceutical professionals to educate the population on the risk of these drugs during pregnancy.

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Section: Ethno-epidemiological Study Of Pregnant Womencontrasting

confidence: 76%

Ethno-epidemiological study of medicinal products and medicinal plants use among pregnant women

Matta¹,

Borges²,

Landi³

et al. 2021

BLACPMA

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“…For instance, excessive supplementation with vitamin E during pregnancy is related to heart defects (Smedts et al, 2009). Medicinal plants such as fenugreek ( Trigonella foenum-graecum L.), commonly used during pregnancy (de Araújo et al, 2016), is a human teratogen (Taloubi et al, 2013). Worldwide, the use of natural products for primary health care has increased during the last decade (Ekor, 2013).…”

Section: Introductionmentioning

confidence: 99%

Self-medication practice in pregnant women from central Mexico

Alonso-Castro

Ruiz-Padilla

Ruiz‐Noa

et al. 2018

Saudi Pharmaceutical Journal

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Self-medication during pregnancy represents a serious threat for mother and child health. The objective of this study was to evaluate the prevalence and the factors associated with self-medication among Mexican women living in the central region of Mexico. This is a descriptive interview-study of 1798 pregnant women or women who were pregnant no more than 3 years ago, when the interview was carried out. Data analysis was carried out with chi-square analysis and odds ratio. The prevalence of self-medication (allopathic drugs, medicinal plants, and other products, including vitamins, food supplements, among others) was 21.9%. The factors associated ( < 0.05) with self-medication were: higher education (college and postgraduate), smoking, and consumption of alcohol. Smoking was the strongest factor (OR: 2.536; 1.46-4.42) associated to self-medication during pregnancy, followed by consumption of alcohol (OR: 2.06; 1.38-3.08), and higher education (OR: 1.607; 1.18-2.19). Medicinal plant consumption was associated with nausea, constipation, migraine, and cold ( < 0.05), whereas he self-medication of allopathy was associated with gastritis and migraine ( < 0.05). Self-medication was influenced mainly by a relative or friend, who recommended the use of herbal medicine/allopathic medication. Two of the most common medicinal plants (arnica and ruda) here informed are reported to induce abortion or toxicity during pregnancy. The findings showed that self-medication (medicinal plants and allopathic medication) is a common practice among pregnant women from central Mexico. Adequate counselling of pregnant women by healthcare professionals about the potential risks of self-medication with herbal medicine and allopathic drugs during pregnancy is strongly warranted.

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“…Although MPs were used less frequently by our sample, a study in Northeastern Brazil recorded a high prevalence regarding the use of this form of therapy. Peumus boldus, Melissa officinalis, Matricaria chamomilla, and Mentha piperita L. have abortifacient and teratogenic properties and were reported by Araújo et al as frequently used MPs by pregnant women in Brazil (Araújo et al, 2016). It is important to highlight ; Pantoprazole, metformin, tramadol, bromopride, amoxicillin, dexamethasone, metoclopramide, tranexamic acid, zolpidem, and cyclobenzaprine, 1 (0.9%) (each).…”

Section: Discussionmentioning

confidence: 96%

Self-Medication Among Pregnant Women: Prevalence and Associated Factors

et al. 2021

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Objectives: The pregnancy period, with its peculiarities and specific symptoms that may or may not be physiological, can lead to medication use through prescription or even self-medication. This study aimed to assess self-medication practices among pregnant women, the most used medications, symptoms reported, and factors associated with this practice.Methods: This was a cross-sectional study conducted with pregnant women with an antenatal care (ANC) appointment in a tertiary teaching hospital referral in women’s health. From April 2019 to February 2020, 297 pregnant women were interviewed. Self-medication was considered as the use of any medicine (including medicinal plants (MPs), herbal products, and vitamins) without a medical or dental prescription. The period considered to assess self-medication practice was the last 60 days prior to the study interview.Results: Among the 297 women interviewed, 107 (36.0%) had practiced self-medication in the previous 60 days. Acetaminophen was the most used medication, and headache was the most frequent symptom reported by self-medicated pregnant women. Pregnant women with high-school (73 (68.2%) (OR = 2.52; 95% CI 1.17–5.43; p = 0.018)) or university-level (23 (21.5%) (OR = 2.82; 95% CI 1.15–6.94; p = 0.024)) education had a higher risk of practicing self-medication when compared to women with lower education. Women in the first gestational trimester (35 (32.7%) (OR = 3.61; 95% CI 1.64–7.96; p = 0.002)) and with two or more pregnancies (87 (81.2%) (OR = 1.96; 95% CI 1.07–3.60; p = 0.029)) were more likely to practice self-medication than pregnant women in the second or third gestational trimester and in the first pregnancy, respectively.Conclusion: Self-medication was practiced by a considerable proportion of our sample, with the majority being OTC drugs. The factors associated with self-medication can help to improve prevention strategies regarding self-medication during pregnancy.

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Use of Medicinal Plants with Teratogenic and Abortive Effects by Pregnant Women in a City in Northeastern Brazil

Abstract: The health of the study participants and their unborn children is at risk due to the inappropriate use of medicinal plants.

Cited by 19 publications

References 28 publications

Ethno-epidemiological study of medicinal products and medicinal plants use among pregnant women

Ethno-epidemiological study of medicinal products and medicinal plants use among pregnant women

Self-medication practice in pregnant women from central Mexico

Self-Medication Among Pregnant Women: Prevalence and Associated Factors

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