Prevalence of Traditional Medicine Use during Pregnancy, at Labour and for Postpartum Care in a Rural Area in Zimbabwe (original) (raw)
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Scientific Reports
Traditional medicine utilisation during antenatal care has been on the increase in several countries. Therefore, addressing and reinforcing the Sustainable Development Goal of maternal mortality reduction, there is a need to take traditional medicine utilisation during pregnancy into consideration. This paper explores traditional medicine utilisation during antenatal care among women in Bulilima District of Plumtree in Zimbabwe. A cross-sectional survey was conducted on 177 randomly selected women using a semi-structured questionnaire. Fisher's Exact Test, Odds Ratios, and Multiple Logistic Regression were utilised to determine any associations between different demographic characteristics and traditional medicine utilisation patterns using STATA SE Version 13. The prevalence of Traditional Medicine utilisation among pregnant women was estimated to be 28%. Most traditional remedies were used in the third trimester to quicken delivery. The majority of women used holy water and un...
African Health Sciences
Background: Traditional medicines are widely used in the rapidly growing health system and are of economic importance. The study aimed at determining the frequency, pattern of use and factors that influence traditional medicines use during pregnancy. Materials and methods: A cross-sectional study was carried out at four district hospitals in Manicaland, Zimbabwe, using questionnaire based convenience sampling. Results: Traditional medicines use was found to be high with 54% (n = 337) of pregnant women using traditional medicines during pregnancy. The major purpose of use of traditional medicine was found to be preparation for delivery; cervical dila- tion in particular. The following factors showed a significant statistical association for use of traditional medicines: previous mode of delivery (p = 0.006), level of education (p = 0.016), family income (p = 0.007), and residential settlement (p = 0.026). Some of the common traditional medicines used during pregnancy include Camellia...
Maternal Health, Neonatology and Perinatology, 2021
Background As part of the expectation enshrined in the Sustainable Development Goals, countries are expected to ensure maternal health outcomes are improved. It follows that under ideal circumstances, pregnant women should deliver safely without complications, neonatal, and maternal mortality. This paper analyses the relationship between traditional medicine utilisation and maternal complications during antenatal care among women in Bulilima, Plumtree, Zimbabwe. Methods A quantitative cross-sectional survey was conducted on 185 randomly selected women who responded to a pre-tested semi-structured questionnaire. The Fisher’s Exact Test and the Test of Proportions were used to probe the relationship between traditional medicine utilisation and the prevalence of maternal complications using STATA SE Version 13. Results Complications were reported by (51) 29% of the women who were under study. The proportion of women who developed complications was higher in those that did not use tradi...
Boletin Latinoamericano y del Caribe de Plantas Medicinales y Aromaticas
Use of herbal, complementary and alternative medicines during pregnancy, labour and delivery is common in Zimbabwe. This study aimed at documenting herbal, complementary and alternative medicines used during pregnancy in Makoni District in Zimbabwe. Snowballing was used to select 66 participants which included herbalists (45.5%), traditional birth attendants (18.2%), traditional healers (15.2%), and assistant traditional healers and herbal medicine vendors (10.6% each). Pregnant women in the study areaused a total of 47 plant species from 27 families, and 14 non-plant products as herbal, complementary and alternative medicines by. A total of 26 medical cases were treated with the majority of medicinal plants and non-plant products,used to dilate or widen the birth canal (55.3%) and to augment labour or speed up the delivery process (46.8%). This study showed that herbal, complementary and alternative medicines play an important role in the provision of basic health care in Zimbabwe.
Health Services Insights, 2021
Background: Traditional Health System has been reported to be the most accessible, affordable, and acceptable in resource-poor settings, particularly in Sub-Saharan Africa. It is utilised for different health needs, including pregnancy management. This study sought to explore traditional and Nurses’ perspectives on traditional medicine utilisation during antenatal care in Bulilima District, Plumtree, Zimbabwe. Methods: A qualitative survey was conducted on purposively selected nurses’ and snowballed traditional health practitioners who responded to unstructured interviews. Data were collected using a digital tape recorder, transcribed, and thematically analysed on Max Qualitative Data Analysis. Results: A total of 6 superordinate and 10 subordinate themes emerged from the collected and analysed data on both traditional practitioners and nurses. The superordinate themes associated with Traditional Medicine utilisation during pregnancy by women were: protective role, beliefs, shorteni...
The Use of Indigenous Medicine Among Women During Pregnancy and Labour in Rural Ghana
Central African Journal of Public Health, 2019
The increasing use of herbal medicine and related products in pregnancy has been noticed all over the world, however, the safety of these medicines becomes particularly important among pregnant women and children. In spite of the insufficient data to justify herbal use during pregnancy, exposure to herbal products in unspecified quantities among pregnant women is of great concern. This study assessed the determinants of herbal use (Kaligu-tim), a known local oxytocin and its impact on the maternal birth outcomes in a rural district in Ghana. Descriptive cross-sectional study design was used. It consisted of 339 women attending postnatal care and child welfare clinics across the district. Data collection was done using a structured questionnaire. The selection of respondents was done using a systematic sampling technique. The data were coded and entered into SPSS version 22.0 for analysis. From the study, 64.9% and 45.4% of respondents had used local oxytocin in their previous and current pregnancies respectively; 5.5% did so during the first trimester, 26.8% in the second trimester and 67.7% in the third trimester. The study found a significant relationship between the use of herbal medicine and health servicerelated challenges, maternal age, the gestational term at delivery, parity of the respondents and mothers' ethnicity. Previous and current use of Kaligu-tim reduced birth weight by 26g and 34.3g respectively, though these were not statistically significant. However, the previous history of Kaligu-tim was significantly associated with perinatal asphyxia, postpartum haemorrhage, obstructed labour and foetal distress in their subsequent deliveries. It can be concluded that the use of this Kaligu-tim possesses a greater long term health challenge for mothers and their babies.
Background: Indigenous herbal medicine use during pregnancy is a common phenomenon worldwide, particularly in low resource countries like Ethiopia, mainly due to their cost, perceived efficiency in treatment, and ease of access. But so far, studies across Ethiopia are variable and inconsistent and in the study area. Therefore, this study was aimed at assessing indigenous herbal medicine use and its associated factors among pregnant women. Methods: A facility-based cross-sectional study was conducted in public health facilities in the Dire Dawa Administration, eastern Ethiopia, from October 10 to November 10, 2022, among pregnant women selected using a simple random sampling technique. Data were collected through face-to-face interviews using a pre-tested structured questionnaire, and data were entered and cleaned by Epi DATA (Version 3.1) and analyzed using SPSS (Version 22). A P-value < 0.25 at bivariate to select variables for multivariate and ≤ 0.05 at multivariate with 95% co...
Forces behind the Use of Herbs during Pregnancy by Zimbabwean Women: A Case of Gweru District
Journal of Biosciences and Medicines, 2021
Purpose: The use of herbal remedies is gradually increasing worldwide and Zimbabwe is not left behind. This study therefore sought to explore the forces behind the use of herbs during pregnancy by Zimbabwean women. Materials and methods: A qualitative approach was chosen using the case study design to evaluate the forces. The study was carried out at three maternity hospitals in Gweru. Thirty (30) women who used herbs during pregnancy were purposefully samples and interviewed using a structured interview schedule. The date was analyzed thematically. Results: It was noted that culture and belief system, previous experience as well as significant people in the woman's life were the forces behind the use of herbs in pregnancy. Conclusion: The study concluded that these forces promoted the indiscriminate use of herbs which are passed from mother to daughter without considering the safety of the herbs to the mother and baby. Therefore, more research is needed to analyze the safety of these herbs to ensure that the mother and baby are safe.
2020
Labor comes with pain, hence expectant mothers would desire for procedures and materials that would quicken the process and provide relief to the extreme pain. Women in developing countries are known to patronize traditional medicines hence it is most probable traditional medicines will be used for labor purposes. This study therefore assessed the level of usage of traditional medicines among pregnant women in the Tamale metropolis, identified the products used and their reasons for usage. Using convenience sampling method, data was collected from 301 respondents from 20 suburbs within the Tamale metropolis using a semi-structured questionnaire. Data was analyzed using SPSS version 23 and association between variables obtained using appropriate tools. Up to 25.9% of respondents used traditional medicine immediately before or during their most recent labor. Lower educational status, staying with extended family members, being a believer in Islam, home delivery and ever using traditio...
Complementary Therapies in Clinical Practice, 2020
Background and purpose: No qualitative study on traditional medicine use among Zambian pregnant women has ever been conducted. Accordingly, this study was performed to explore the perceptions, motivations and experiences of Zambian women with regard to traditional medicine use during pregnancy. Materials and methods: In-depth, semi-structured interviews were conducted in June/July 2019 with 8 adult women residing in Lusaka, Zambia, who used traditional remedies during their pregnancies, and who were recruited through purposive and snowball sampling. Results: Reported reasons behind traditional medicine use during pregnancy included labour induction, prevention of childbirth complications in case of sexual infidelity by either spouse, and prevention and/or treatment of anaemia. In addition, family members and faith leaders played an important role in influencing traditional medicine use. Conclusion: Multiple, interconnecting factors influence traditional medicine use among pregnant women in Lusaka, Zambia. Traditional medicine use during pregnancy will likely continue to be widespread across Zambia.