Women’s Motivation and Associated Factors for Herbal Medicine Use during Pregnancy and Childbirth: A Systematic Review

Sumankuuro, Joshua; Soyen, Christabel; Crockett, Judith; Ibrahim, Muslim; Ngmenkpieo, Frederick; Wulifan, Joseph K.

doi:10.4236/health.2020.126044

Cited by 6 publications

(13 citation statements)

References 43 publications

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“…In fact, the use of alternative sources of maternal health services for treating maternal health problems appears to be a global problem. For example, research has shown that the use of traditional/herbal and spiritual remedies among women, in particular, has been very high, ranging from 45% to 80%, worldwide 33,34 . Also, the World Medicines Situation report for 2011 estimated that between 70% to 95% of people in low and middle‐income countries use alternate sources of maternal care 35 .…”

Section: Discussionmentioning

confidence: 99%

“…First, Ghana has a pluralistic healthcare system, such that limited provision of skilled maternal healthcare services could easily sway women towards traditional/alternative sources. Second, issues of cost and trust could also lead women towards traditional medicine 34 . Third, is the unknown efficacy and toxicity levels of these traditional remedies especially for pregnancy women; many of these remedies have neither been tested for efficacy nor safety or approved for use during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…36 The highest reported rate of herbal/spiritual remedies utilisation was in Russia, accounting for about 69%. 37 Similarly, Sumankuuro et al 34 reported 52% and 44% of herbal medicine use in pregnancy among women in Eastern Europe and Australia, respectively.…”

Section: Predictors Of Maternal Deathmentioning

confidence: 99%

“…For example, research has shown that the use of traditional/ herbal and spiritual remedies among women, in particular, has been very high, ranging from 45% to 80%, worldwide. 33,34 Also, the World Medicines Situation report for 2011 estimated that between 70% to 95% of people in low and middle-income countries use alternate sources of maternal care. 35 For instance, in China, herbal medicine alone accounts for approximately 50% of alternate healthcare uptake among women.…”

Section: Predictors Of Maternal Deathmentioning

confidence: 99%

“…Second, issues of cost and trust could also lead women towards traditional medicine. 34 Third, is the unknown efficacy and toxicity levels of these traditional remedies especially for pregnancy women; many of these remedies have neither been tested for efficacy nor safety or approved for use during pregnancy. These could combine to cause complications during pregnancy, labour or delivery.…”

Section: Predictors Of Maternal Deathmentioning

confidence: 99%

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Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data

Sumankuuro

Wulifan²,

Angko³

et al. 2020

Health Planning & Management

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Background: Maternal mortality remains a significant public health challenge in many low and middle-income countries, including Ghana. From Ghana's 2017 Maternal Health Survey verbal autopsy data, we examined the predictors of maternal mortality in Ghana. Methods: A total of 1240 deaths of women aged 15-49 were involved in the survey across all regions in Ghana. Binary and multivariate logistic regression analyses were employed; confidence level was set at 95%. Results: The results show that the prevalence of maternal death was 13.2% (164/1240). After adjusting for potential covariates, women aged 20-29 years (aOR = 4.270, 95%CI= 1.864-9.781, p=0.001), bled during labour/delivery (aOR= 0.241, 95%CI = 0.059-0.992, p=0.049), and those who used traditional/herbal medicines during pregnancy were more likely to die compared to non-users (aOR= 3.461, 95% CI = 1.651-7.258, p=0.001). Conclusion: Our findings highlight the need to intensify maternal education regarding the value to be gained by increasing skilled healthcare during complications in pregnancy to allow effective management of complications during labour/delivery. Also, education for pregnant women and their families on possible adverse effects of using unapproved traditional/herbal medicines during pregnancy as well as a need to seek timely care before the onset of labour

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Predictors Of Maternal Deathmentioning

confidence: 99%

Section: Predictors Of Maternal Deathmentioning

confidence: 99%

Section: Predictors Of Maternal Deathmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data

Sumankuuro

Wulifan²,

Angko³

et al. 2020

Health Planning & Management

Self Cite

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Prevalence, motivation, and associated factors of medicinal herbs consumption in pregnant women from Eastern Mediterranean Regional Office: a systematic review

Bouqoufi

Lahlou

HADJ

et al. 2023

Pharmaceutical Biology

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Context Worldwide access to medication remains a major public health problem that forces pregnant women to self-medicate with several sources, such as medicinal plants. This alternative medicine is increasing in many low- and high-income countries for several reasons. Objective This a systematic literature review on the prevalence of herbal use during pregnancy from the World Health Organization (WHO) Eastern Mediterranean Regional Office. Methods Cross-sectional studies were searched from January 2011 to June 2021 on PubMed, Scopus, and Web of Science. We used the Rayyan website to identify the relevant studies by screening the abstracts and titles. These were followed by reading the full texts to identify the final studies to be included. The data were extracted, and the quality of the studies was assessed using the quality appraisal tool. Results Of the 33 studies included in this review, 19 were conducted in Iran, 5 in Saudi Arabia, 4 in Palestine, 2 in Egypt, and 1 each in Oman, Iraq, and Jordan; the prevalence of herbal medicine use among pregnant women varied from 19.2% to 90.2%. Several plants were mentioned for pain management during the pregnancy period. The findings suggest family and friends are major motivating sources for the use of herbal medicine. Conclusions The wide variety of herbal products used in this study reflects the traditions and geographic diversity of the region. Despite the importance of literature-based data about the use of herbal medicine, it is necessary to obtain knowledge, attitude, and motivation for herbal consumption among pregnant women.

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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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Women’s Motivation and Associated Factors for Herbal Medicine Use during Pregnancy and Childbirth: A Systematic Review

Cited by 6 publications

References 43 publications

Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data

Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data

Prevalence, motivation, and associated factors of medicinal herbs consumption in pregnant women from Eastern Mediterranean Regional Office: a systematic review

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

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