Medicinal plants and pharmaceutical medicines use in pregnant and lactating women in Ethiopia

Abstract

Medicinal plants and pharmaceutical medicines are widely used in Africa; however, there is scarcity of studies about their use in pregnant and lactating women. This study investigated the use and safety of medicinal plants and pharmaceutical medicines among pregnant and lactating women. A systematic review; followed by interview, prospective follow-up and clinical audit of hospitalized pregnant or lactating women were conducted at Jimma University Medical Center in Ethiopia. The results show that pharmaceutical and plant medicines are commonly used in pregnancy separately or concomitantly in Africa at large and in Ethiopia. Most pharmaceutical medicines used by pregnant women in Ethiopia were classified as probably safe to use; however, only a fifth of medicinal plants used by pregnant women had sufficient evidence to be categorized as safe to use. Medication related problems are also common among hospitalized pregnant and lactating women. Ensuring access to health facilities and essential medicines, and creating awareness about appropriate use of various treatment modalities among pregnant women, healthcare professionals and other stakeholders are vital for improved maternal healthcare.