scholarly journals Self-Medication and Safety Profile of Medicines Used among Pregnant Women in a Tertiary Teaching Hospital in Jimma, Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 17 (11) ◽  
pp. 3993 ◽  
Author(s):  
Seid Mussa Ahmed ◽  
Johanne Sundby ◽  
Yesuf Ahmed Aragaw ◽  
Fekadu Abebe
Keyword(s):  
Pregnant Women ◽  
Safety Profile ◽  
Conventional Medicine ◽  
Cross Sectional Study ◽  
Regression Result ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Tertiary Teaching ◽  
Maternal Risks

Background: Despite the potential foetal and maternal risks of self-medication, studies on self-medication and safety profile of medicines used during pregnancy are scarce. This study determined the prevalence, predictors and safety profile of medicines used for self-medication during pregnancy at Jimma University Medical Centre (JUMC) in Ethiopia. Methods: A hospital-based cross sectional study was conducted on 1117 hospitalized pregnant women or postpartum women in the maternity and gynaecology wards at JUMC between February and June 2017. Data were collected using an interviewer-administered structured questionnaire and by reviewing patient medical records. Data were analysed using descriptive statistics and logistic regression. Result: Nearly 3 out of 10 women reported taking at least one type of conventional medicine for self-medication, mainly analgesics 92.3%. Almost 75.0% of the self-medicated women used medicines classified as probably safe and 13.6% as potentially risky to use during pregnancy. Medicinal plant use, religion and access to a health facility near their residency were significantly associated with self-medication during pregnancy. Conclusions: Self-medication is common among pregnant women at JUMC. Most women used medicines classified as safe to use during pregnancy. There is need for enlightenment of pregnant women on the potential dangers of self-medication during pregnancy to prevent foetal and maternal risks.

scholarly journals Automedicação em Gestantes de Alto Risco: Foco em Atenção Farmacêutica

2018 ◽  
Vol 20 (1) ◽  
pp. 50
Author(s):  
Sandra Larissa Freitas dos Santos ◽  
Cinara Vidal Pessoa ◽  
Maria Luíza Bezerra de Macedo Arraes ◽  
Karla Bruna Nogueira Torres Barros
Keyword(s):  
Clinical Trials ◽  
High Risk ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
The Self ◽  
Sectional Study ◽  
Self Medication ◽  
Teratogenic Effects ◽  
Cross Sectional

A gestação oferece barreiras éticas e técnicas à realização de ensaios clínicos, e para isso a farmacovigilância tem investigado e avaliado os efeitos decorrentes do uso de medicamentos. O estudo teve como objetivo verificar o índice da automedicação em foco na Atenção Farmacêutica a gestantes de alto risco atendidas na Policlínica Francisco Carlos Cavalcante Roque no município de Quixadá-CE. Tratou-se de um estudo observacional, transversal, consistindo em uma abordagem predominantemente quantitativa. As gestantes eram, na maioria, casadas, com faixa etária entre 29 a 39 anos, e as doenças predominantes foram Infecção (Urinária, vaginal e intestinal) e Hipertensão. Quanto a idade gestacional, apresentaram uma faixa de 8 a 39 semanas com média de 24 semanas. O uso de cigarro foi afirmado por 6,25% das gestantes, porém nenhuma relatou o uso de drogas. A utilização de medicamentos durante a gravidez pela prática da automedicação foi relatada por 33,75% gestantes, e três delas afirmaram sentir-se mal ao tomarem os medicamentos: Dipirona, Ibuprofeno e Dimenidrinato. Do total de 33 medicamentos usados pela automedicação 94% eram em forma de comprimidos, utilizados para queixas como cefaleia, êmese e náuseas, sendo que a indicação por conta própria. Portanto, sugere-se orientação farmacêutica a gestantes de alto risco com o intuito de minimizar efeitos teratogênicos e proporcionar melhoria em sua qualidade de vida.Palavras-chave: Gravidez de Alto Risco. Automedicação. Uso de Medicamentos. Abstract Pregnancy offers ethical and technical barriers to conducting clinical trials, and for this reason the pharmacovigilance has investigated and evaluated the effects arising from the use of medicines. The study had as objective to verify the self-medication rate in focus on pharmaceutical attention to high-risk pregnant women attended at Policlínica c Francisco Carlos Cavalcante Roque in the municipality of Quixadá-EC. This was an observational, cross-sectional study, consisting of a predominantly quantitative approach. The pregnant women were, in the majority, married, aged between 29 to 39 years, and the predominant diseases were infection (vaginal, urinary and intestinal) and hypertension. Regarding the gestational age, they presented a range from 8 to 39 weeks, with an average of 24 weeks. The use of cigarettes was affirmed by 6.25% of pregnant women, but none reported the use of drugs. The use of medications during pregnancy through the self-medication practice was reported by 33.75% of pregnant women, and three of them said the felt bad when taking the medicines: Dipyrone, Ibuprofen and Dimenhydrinate. Of the total of 33 medications used by self-medication, 94% were in the form of pills, used for complaints such as headache, vomiting and nausea, being the indication for their own account. Therefore, pharmaceutical orientation is suggested for high-risk pregnant women with the aim of minimizing teratogenic effects and provide improvement in their quality of life.Keywords: Pregnancy, High-Risk. Self Medication Drug Utilization.

scholarly journals Self‐medication among pregnant women attending outpatients' clinics in northern Jordan‐a cross‐sectional study

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Mervat M. Alsous ◽  
Sayer I. Al‐Azzam ◽  
Mohammad B. Nusair ◽  
Saja A. Alnahar ◽  
Nail A. Obeidat
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Northern Jordan

scholarly journals A study to assess awareness amongst pregnant women about the effects of drugs on the fetus and self-medication

2017 ◽  
Vol 6 (4) ◽  
pp. 924
Author(s):  
Neeta Banzal ◽  
Kirti Saxena ◽  
Malti Dalal ◽  
S. K. Srivastava
Keyword(s):  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Interview Technique ◽  
Structured Questionnaire

Background: The present study was conducted with an objective to assess the awareness of drug use in pregnancy, to assess the knowledge of pregnant women on effect of drugs on foetus and to assess the self-medication among pregnant women.Methods: This was a prospective, observational, cross-sectional study conducted on randomly selected 200 pregnant women attending a tertiary care hospital in Surat, Gujarat, India. Data was collected by means of a pre-designed semi-structured questionnaire composed of 26 questions on self-medication during pregnancy and knowledge about that. The data was collected by interview technique in which each participant was asked questions in the language of her understanding in a separate room.Results: The average age of the participants was 23.7±3.68 years. About 91% were not aware about the effect of medication on the health of foetus and did not even enquire about it.  At the time of survey, 74% pregnant women were on some kind of medication. More than 80% were not aware about the duration of medication. About 51% were taking medication on regular basis. The proportion of self-medication among pregnant women was 8.5% (includes 5.5% by themselves and 3% by advice of chemists).Conclusions: There is a lack of awareness amongst the pregnant women regarding the effect of the drugs on the health of foetus. More than half of the women take medication on regular basis. However, low proportion of self-medication during pregnancy suggests that during pregnancy women preferred to take advise of physician for medication rather than taking self-medication.

scholarly journals Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e046495
Author(s):  
Seid Mussa Ahmed ◽  
Johanne Sundby ◽  
Yesuf Ahmed Aragaw ◽  
Hedvig Nordeng
Keyword(s):  
Medicinal Plants ◽  
Pregnant Women ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sufficient Evidence ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Tertiary Teaching

ObjectiveThe aim of this study was to investigate and describe the use of medicinal plants during pregnancy among women admitted in the Maternity and Gynaecology wards at Jimma University Medical Centre (JUMC) in the southwest Ethiopia.DesignCross-sectional study.SettingMaternity and Gynaecology wards at JUMC.Participants1117 hospitalised pregnant women or postpartum women.Main outcome measuresOur primary outcomes of interest were the prevalence of use, types of medicinal plants used and their utilisation among pregnant women.MethodsData were collected through structured face-to-face interviews of pregnant women or postpartum women and review of patient medical records between February and June 2017.ResultsOverall, 28.6% of the women reported use of at least one medicinal plant during the pregnancy. Twenty-seven different types of medicinal plants were used. The most commonly used medicinal plants were Linum usitatissimum L. (flaxseed—use with caution) 22.0%, Ocimum lamiifolium L. (damakessie—safety unknown) 3.6% and Carica papaya L. (papaya—use with caution) 3.1%. The most common reason for use was preparation, induction or shortening of labour. Lack of access to health facility (mainly health posts), admission to maternity ward, khat chewing and alcohol consumption were the strongest predictors of medicinal plants use during pregnancy (OR >2). Only five medicinal plants used by women had sufficient evidence to be classified as safe to use in pregnancy.ConclusionsAlmost one-third of women at the tertiary hospital in Ethiopia reported use of medicinal plants during pregnancy, most frequently to prepare, induce, reduce the intensity or shorten duration of labour. Increased awareness about potential benefits or risks of medicinal plants use during pregnancy among healthcare professionals and patients, and increased access to childbirth providing healthcare facilities are important in order to promote safer pregnancies and better health outcomes for women and their unborn children.

scholarly journals Self-Medication Among Pregnant Women: Prevalence and Associated Factors

2021 ◽  
Vol 12 ◽  
Author(s):  
Gabriela Pereira ◽  
Fernanda Garanhani Surita ◽  
Amanda Canato Ferracini ◽  
Cinthia de Souza Madeira ◽  
Letícia Silva Oliveira ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Considerable Proportion ◽  
Self Medication ◽  
Cross Sectional ◽  
Herbal Products ◽  
Factors Associated ◽  
Hospital Referral ◽  
Tertiary Teaching ◽  
Specific Symptoms

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.

scholarly journals Physical Activity Patterns of Women with a Twin Pregnancy—A Cross-Sectional Study

2021 ◽  
Vol 18 (15) ◽  
pp. 7724
Author(s):  
Katarzyna Kwiatkowska ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Izabela Walasik ◽  
Agnieszka Osińska ◽  
Iwona Szymusik
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Twin Pregnancy ◽  
Activity Patterns ◽  
Multiple Pregnancy ◽  
Cross Sectional Study ◽  
Sources Of Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physically Active

Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.

scholarly journals Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji
Keyword(s):  
Pregnant Women ◽  
Knowledge Score ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Obstetric Emergencies ◽  
Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

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