Use of herbal products among 392 Italian pregnant women: focus on pregnancy outcome

Use of herbal products among 392 Italian pregnant women: focus on pregnancy outcome
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DOI:
10.1002/pds.2040
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发表时间:
2010-11-01
影响因子:
2.6
通讯作者:
Benoni, Giuseppina
Benoni, Giuseppina
中科院分区:
医学4区
文献类型:
--
作者:
Cuzzolin, Laura;Francini-Pesenti, Francesco;Benoni, Giuseppina

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目的本研究旨在探讨意大利孕妇使用中草药产品的情况,以及中草药消费对妊娠结局的可能影响。通过面对面访谈的方式收集数据,问卷内容包括受试者的社会人口学特征、关于草药使用的具体问题、关于怀孕和新生儿的信息。在392名妇女中,109名(27.8%)报告在怀孕期间服用过一种或多种草药产品,在整个怀孕期间有36.7%的病例服用过。受访者最常服用的草药是洋甘菊、甘草、小茴香、芦荟、藜草、紫锥菊、杏仁油、蜂胶和小红莓。109名女性中有4名(3.7%)报告了副作用:局部涂抹芦荟或杏仁油后出现便秘、皮疹和瘙痒。使用草药产品的决定主要是基于个人判断,并坚信这些天然物质将比传统药物更安全。使用者更多地受到与怀孕有关的疾病的影响,他们的新生儿往往比他们的胎龄小。在经常服用甘菊和甘草的人群中,危险流产和早产的发生率更高。结论本研究强调,意大利妇女在怀孕期间使用草药产品是很常见的,但并不总是合适的,在某些情况下还具有潜在的危害。版权所有(C)2010 John Wiley&Sons,Ltd.
Purpose The present study aimed to explore the use of herbal products among a sample of Italian pregnant women and the possible influence of herbal consumption on pregnancy outcome.Methods The study was conducted over a 10-month period (2 days a week, from January to October 2009) at the Maternity wards of Padua and Rovereto Hospital. Data were collected through a face-to-face interview on the basis of a prestructured questionnaire including socio-demographic characteristics of the enrolled subjects, specific questions on herbal use, information about pregnancy and newborn.Results In total, 392 interviews were considered. One hundred and nine out of 392 women (27.8%) reported to have been taking one or more herbal products during pregnancy, in the 36.7% of cases throughout all pregnancy. The most frequently herbs taken by interviewees were chamomile, licorice, fennel, aloe, valerian, echinacea, almond oil, propolis, and cranberry. Four out of 109 women (3.7%) reported side-effects: constipation after a tisane containing a mix of herbs, rash and itching after local application of aloe or almond oil. The decision to use herbal products was mainly based on personal judgement and on the conviction that these natural substances would be safer than traditional medicines. Users were more often affected by morbidities pregnancy-related and their neonates were more frequently small for their gestational age. An higher incidence of threatening miscarriages and preterm labours was observed among regular users of chamomile and licorice.Conclusions This research underlines that the use of herbal products during pregnancy is common among Italian women, not always appropriate and in some cases potentially harmful. Copyright (C) 2010 John Wiley & Sons, Ltd.