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

Objective The 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.Design Cross-sectional study.Setting Maternity and Gynaecology...

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Main Authors: Johanne Sundby, Hedvig Nordeng, Seid Mussa Ahmed, Yesuf Ahmed Aragaw
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e046495.full
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author Johanne Sundby
Hedvig Nordeng
Seid Mussa Ahmed
Yesuf Ahmed Aragaw
author_facet Johanne Sundby
Hedvig Nordeng
Seid Mussa Ahmed
Yesuf Ahmed Aragaw
author_sort Johanne Sundby
collection DOAJ
description Objective The 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.Design Cross-sectional study.Setting Maternity and Gynaecology wards at JUMC.Participants 1117 hospitalised pregnant women or postpartum women.Main outcome measures Our primary outcomes of interest were the prevalence of use, types of medicinal plants used and their utilisation among pregnant women.Methods Data 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.Results Overall, 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.Conclusions Almost 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.
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spelling doaj-art-1b44ade70ccf4ec2af00c90d741d73cb2024-12-09T09:40:09ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-046495Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional studyJohanne Sundby0Hedvig Nordeng1Seid Mussa Ahmed2Yesuf Ahmed Aragaw3Department of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, NorwayPharmacoepidemiology and Drug Safety Research Group, Department of Pharmacy, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, NorwayDepartment of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, NorwayDepartment of Obstetrics and Gynaecology, Faculty of Medical Sciences, Institute of Health, Jimma University, Jimma, EthiopiaObjective The 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.Design Cross-sectional study.Setting Maternity and Gynaecology wards at JUMC.Participants 1117 hospitalised pregnant women or postpartum women.Main outcome measures Our primary outcomes of interest were the prevalence of use, types of medicinal plants used and their utilisation among pregnant women.Methods Data 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.Results Overall, 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.Conclusions Almost 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.https://bmjopen.bmj.com/content/11/8/e046495.full
spellingShingle Johanne Sundby
Hedvig Nordeng
Seid Mussa Ahmed
Yesuf Ahmed Aragaw
Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study
BMJ Open
title Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study
title_full Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study
title_fullStr Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study
title_full_unstemmed Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study
title_short Medicinal plants used among pregnant women in a tertiary teaching hospital in Jimma, Ethiopia: a cross-sectional study
title_sort medicinal plants used among pregnant women in a tertiary teaching hospital in jimma ethiopia a cross sectional study
url https://bmjopen.bmj.com/content/11/8/e046495.full
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AT seidmussaahmed medicinalplantsusedamongpregnantwomeninatertiaryteachinghospitalinjimmaethiopiaacrosssectionalstudy
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