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A Retrospective Cohort Study of Herbal Medicines Use During Pregnancy: Prevalence, Adverse Reactions, and Newborn Outcomes Publisher



Raoufinejad K1 ; Gholami K1, 2 ; Javadi M2 ; Rajabi M3, 4 ; Torkamandi H5 ; Moeini A6 ; Mohebbi N1, 2
Authors
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Authors Affiliations
  1. 1. Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, Islamic Azad University of Medical Sciences, Tehran, Iran
  4. 4. Department of Clinical Pharmacy, University Hospitals of North Midlands, Stoke-on-Trent, Staffordshire, United Kingdom
  5. 5. Department of Pharmaceutical Care, Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Gynecology and Obstetrics, Roointan Arash Obstetrics and Gynecology Specialty Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Traditional and Integrative Medicine Published:2020


Abstract

This study aimed to investigate the herbal medicines use prevalence and adverse drug reactions (ADRs) during pregnancy as well as the probable effects on newborn outcomes. Postpartum women with a live singleton infant were eligible if declared consent before discharge. Data was collected retrospectively by face-to-face interviews. Generally, 400 pairs of mother/ infant were recruited. At least one herbal medicine was used by 325/400 (81.3%) women. Peppermint, frankincense, flixweed, olive oil, and cinnamon were the most common herbs. Overall, 26 ADRs were reported by 19/325 (5.8%) women. Gastrointestinal complaints were the most frequent herbal ADRs (18/26, 69.2%). Gestational age, Apgar scores, birthweight, complications, and malformations of newborns were similar between groups. In conclusion, herbal medicines were highly used by pregnant women, while they did not affect newborn outcomes either positively or adversely. Despite low frequency rate of herbal ADRs during pregnancy, their safety, efficacy, interactions, and potential risks need further studies. © 2020 Traditional and Integrative Medicine.