American Journal of Medicine Studies
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American Journal of Medicine Studies. 2016, 4(1), 1-10
DOI: 10.12691/ajms-4-1-1
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Socio-demographic Determinants of Herbal Medicine Use in Pregnancy Among Nigerian Women Attending Clinics in a Tertiary Hospital in Imo State, South-East, Nigeria

Chukwuma B. Duru1, , Kenechi A. Uwakwe1, Nnebue C. Chinomnso2, Ikechukwu I. Mbachi3, Kevin C. Diwe1, Chuka C. Agunwa4, Anthony C. Iwu5 and Irene A. Merenu1

1Department of Community Medicine Imo State University, Owerri, Imo State, Nigeria

2Department of HIV Care/Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State

3Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi, Anambra State

4Department of Community Medicine, Madonna University, Elele, Rivers State

5Department of Community Medicine, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria

Pub. Date: January 27, 2016

Cite this paper:
Chukwuma B. Duru, Kenechi A. Uwakwe, Nnebue C. Chinomnso, Ikechukwu I. Mbachi, Kevin C. Diwe, Chuka C. Agunwa, Anthony C. Iwu and Irene A. Merenu. Socio-demographic Determinants of Herbal Medicine Use in Pregnancy Among Nigerian Women Attending Clinics in a Tertiary Hospital in Imo State, South-East, Nigeria. American Journal of Medicine Studies. 2016; 4(1):1-10. doi: 10.12691/ajms-4-1-1


Introduction: The use of herbal medicines has been on the increase in many developing and industrialized countries. This high use may be due to accessibility, affordability, availability and acceptability by majority of the population especially in developing countries. Aim: This was to assess the socio-demographic factors affecting the pattern of herbal use during pregnancy among pregnant and nursing mothers attending clinics in a Tertiary Hospital in South East, Nigeria. Methodology: This is a hospital based cross-sectional study of 500 pregnant and nursing mothers attending clinics in a Tertiary Hospital in South East, Nigeria. Data was collected using a pretested, semi-structured, interviewer administered questionnaire and participants were selected using the systematic sampling technique. Data was analyzed using a computer software package (EPI-Info 7.1.3) and p-value was set at 0.05 significant levels. Results: The prevalence of herbal medicine use among the participants was 36.8% (184) and the commonest herbal used was bitter leaf/iron weed plant (vernonia Amygdalina), 54.3%. Socio-demographic characteristics of participants found to affect herbal medicine use in pregnancy were; age, (p=0.035), marital Status, (p=0.000), educational level, (p=0.000), educational level of partner, (p=0.014) and monthly income, (p=0.003). Conclusion: Prevalence of herbal medicine use was high and most of the determinants observed are modifiable, thus there is need to institute control appropriate measures by relevant authorities to tackle this problem.

socio-demographic determinants Herbal use pregnancy hospital Nigeria

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[1]  World Health Organization (WHO). General guidelines for methodology on research and evaluation of traditional medicine document. Geneva: World Health Organization, 2000.
[2]  Furnharm A. Why do people choose and use complementary therapies? In complementary medicine an objective appraisal. Edited by: Ernst E. Oxford: Butterworth-Heinemann; 1996.
[3]  Ernst E. Herbal medicines put into context. Brit. Med. J., 2003:327:881-882.
[4]  Tiran D. The use of herbs by pregnant and child bearing women: a risk benefit assessment complement Ther. Nurs. Midwifery, 2003;9:176-181.
[5]  Frawley J, Adams J, Sibbrit D, Steel A, Broom A, Gallois C. Prevalence and determinants of complementary and alternative medicine use during pregnancy: results from a nationally representative sample of Australian women. Aust. NZ. Obstet. Gynaceol., 2013; 53(4): 347-352.
[6]  Hoist L, Wright D, Haavik S, Nordeng H. Safety and efficacy of herbal remedies in obstetrics-review and clinical implications. Midwifery, 2011:27(1): 80-86.
[7]  Nordeng H, Bayne K, Haven GC, Paulsen BS. Use of herbal drugs during pregnancy among 600 Norwegian women in relation to concurrent use of conventional drugs and pregnancy outcome. Complement Ther. Clin. Pract., 2011:17(3): 147-151.
[8]  Lapi F. Vannacci A, Moschiri M, Cipollini F, Morsuillo M, Gallo E, Banchelli G, Ceechi E, DiPirro M, Giovannini MG, Cariglia MT, Gori L, Firenzuoli F, Mugelli A. Use, attitude and knowledge of complementary and alternative drugs (CADs) among pregnant women. A preliminary survey in Tuscany. Evid Based Complement Alternat. Med., 2010;7(4)477-486.
[9]  Mousally K, Orachi D, Berard A. Herbal products use during pregnancy: prevalence and predictors. PharmaCoepidemiol Drug Saf., 2009; 18(6): 454-461.
[10]  Louik C, Gardiner P, Kelly K, Mitchelt AA. Use of herbal treatments in pregnancy. Am Jobstet Gynecol., 2010; 202(5): 439.e431-439.e410.
[11]  Gharoro EP, Igbafe AA. Pattern of drug use amongst antenatal patients in Benin City, Nigeria. Med. Sci. Monit, 2000;6(1): 84-87.
[12]  Fakeye T.O, Adisa R, Musa I.E. Attitude and use of herbal medicines among pregnant women in Nigeria. BMC Complementary and Alternative Medicine 2009; 9:53-59.
[13]  Tamuno I, Omole-Ohonsi A, Fadare J. Use of Herbal Medicine among pregnant women attending a Tertiary Hospital in Northern Nigeria. The Internet Journal of Gynecology and Obstetrics, 2010; 15(2).
[14]  Orief YI, Farghaly NF, Ibtahim MIA. Use of herbal medicines among pregnant women attending family health centers in Alexandria Middle East Fertility Society, 2014; 19:42-50.
[15]  Mbura JS, Mgaya HN, Heggenhougen HK. The use of oral herbal medicine by women attending antenatal clinics in urban and rural Tsanga district in Tanzania. East African Med. Journal, 1985; 62(8) 540-550.
[16]  Tamuno I. Traditional Medicine for HIV Infected patients in Anti-Retroviral therapy in a Tertiary Hospital in Kano, North West, Nigeria. Asian Pac Trop Med; 2011:4(2): 152-155.
[17]  Elvin-Lewis M. Should we be concerned about herbal remedies? Journal of Ethnopharmacology, 2000; 75(2-3):141-164.
[18]  Drew AK. Safety issues in herbal medicine: Implication for the Health Progression. Med. J. Austr., 1997; 166:538-541.
[19]  Conover E.A. Herbal Agents and over the counter medications in Pregnancy: Best practice and Research. Clin.Endor. Met., 2003; 17(2): 237-251.
[20]  Becaw J, Maheshwari BSangi-Haphpeykar H. The use during of prescription, over ther counter, and alternative medication among Hispanic women. Birth, 2010; 37(3): 211-218.
[21]  Wilkinson JM. Effect of ginger tea on the fetal development of Sprague-Dawley Rates. Reproductive Toxicology, 2000; 160:3141-3143.
[22]  Hepner DI, Harnet M, Segal S, Camann W, Bader A, Tsen L. Herbal use in pastueients. Anesth. Analg., 2002; 94(3):690-693.
[23]  Broussard CS,Louik C, Honein MA, Mitchel AA, and the National Birth Defects Prevention Study. Herbal use before and during pregnancy. Am. J. ObstetGynecol, 2009; 201-205.
[24]  Hollyer T, Boon H, Georgousis A, Smith M, Einarson A. The use of CAM by women suffering from Nausea and vomiting during pregnancy. BMC complementary and Alternative Medicine, 2002; 2:1-6.
[25]  Maats F, Crowder C. Patterns of vitamins, mineral and herbal supplement use prior to and during pregnancy. Aust NZJ. Obstet Gynecol., 2002; 42:494-496.
[26]  Nordeng H, Harven G. Use of herbal drugs in Pregnancy: a survey among 400 Norwegian women. PharmacoEpidemiol Drug Sad., 2004; 13:371-380.
[27]  Tsui B, Denneny C, Tsourcounis C. A survey of Dietry Supplement use during pregnancy at an Academic Medical Center. Am J. Obstet Gynecol., 2001; 185:433-437.
[28]  Hemminki E, Mantyranta T, Malim M, Koponen P. A survey on the use of alternative drugs during pregnancy. Scand J. Soc. Med., 1991; 19:199-204.
[29]  Wambebe C. Regulatory framework for local production of herbal medicine in Africa BoletinLatinoamericonoy del Caribe de plantas. Medicinales Y Aromaticu, 2009; 8:2-6.
[30]  Hoist L, Wright D, Haavik S, Nordeng H. The use of the user of herbal remedies during pregnancy. J. Altern. Complement Med., 2009; 15(7):787-782.
[31]  Hoist L, Nordeng H, Honvik S. Use of herbal drugs during early pregnancy in relation to maternal characteristics and pregnancy outcome. Pharmacoepidemiol Drug Saf., 2008;17(2): 151-159.
[32]  Foster DA, Denning A, Wills G, Bolger M, McCarthy E. Herbal medicine use during pregnancy in a group of Australian women. BMC Pregnancy and Child Birth, 2006; 6:21.
[33]  Nordeng H, Haven GC. Impact of socio-demographic factors, knowledge and altitude on the use of herbal drugs in pregnancy. ActaObstetGynecolScaned 2005; 84:26-33.
[34]  Rashmi S, Bhuvneshvar K, Ujala V. Drug utilization pattern during pregnancy in North India. Indian Journal of Medical Science, 2006; 60(7): 277-287.
[35]  Moussalhy K, Oraichi D, Berard A. Herbal products use pregnancy: Prevalence and predictors. Pharmaco Epidemiology and Drug Safety, 2008; 42:151-159.
[36]  Gibson P, Powrie R, Star J. Herbal and alternative medicine use during pregnancy. A cross sectional survey. Obstet Gynecol., 2001; 97:s44-45.
[37]  Henry A, Crowder C. Patterns of Medication use during and prior to pregnancy: the MAP Study. Aust. NZJ. ObstetGynecol, 2000: 40:165-172.
[38]  Kennedy DA, Lupattelli A, Koren G, Nordeng H. Herbal Medicine use in pregnancy: Results of multinational study. BMC Complementary and Alternative Medicine, 2013; 13:355.