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 service-related 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.
Published in | Central African Journal of Public Health (Volume 5, Issue 3) |
DOI | 10.11648/j.cajph.20190503.14 |
Page(s) | 120-128 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Labour, Kaligu-tim, Pregnancy, Tolon, Postnatal, Oxytocin
[1] | Attah, A. F., O’Brien, M., Johannes, K., Mubo, A. S., Moody, J. O., Smith, T. J., & Gruber, C. W. (2012). Uterine contractility of plants used to facilitate childbirth in Nigeria, Ethnomedicine, Journal of Ethnopharmacology 143 (1) 377-382. |
[2] | Eardley, S., Bishop, F. L., Prescott, P., Cardini, F., Brinkhaus, B., Santos-Rey, K., Vas, J., von Ammon, K., Hegyi, G., Dragan, S., Uehleke, B., Fonnebo, V., & Lewith, G. (2012). A systematic literature review of complementary and alternative medicine prevalence in EU. Forsch Komplementmed, 19 (Suppl 2): 18–28. |
[3] | Holst, L., Wright, D., Haavik, S., & Nordeng, H. (2009). The use and the user of herbal remedies during pregnancy. J Altern Complement Med, 15 (7): 787–792. |
[4] | Ramasubramaniam, S., Renganathan, L., Vijayalakshmi, G. & Mallo-Banatao, M. V. (2015) Use of herbal preparations among parturient women: Is there enough evidence-A review of literature. International Journal of Herbal Medicine 2: 20-26. |
[5] | Gichangi, P. (2014). Traditional medicines and their potential yeratogenic effects. Anatomy Journal of Africa, 3 (1), 1-3. |
[6] | Lu, Y., Hernandez, P., Abegunde, D. & Edejer, T. (2011). The World Medicine Situation 2011, Geneva: Medicine expenditures, WHO. |
[7] | Titilayo, O. & Fakeye, R. A. (2009). Attitude and use of herbal medicines among pregnant women in Nigeria, BioMed Central. |
[8] | Razak, M. G., Asante, F., Yeboah, J. Y., Kabila, A., Mensah, C. M., & Lawrencia, P. S. (2016). Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana; Int J. Qual Stud Health Well-being. |
[9] | Dika, H., Dismas, M., Iddi, S., & Richard, R. (2017). Prevalent use of herbs for reduction of labour duration in Mwanza, Tanzania: are Obstetricians aware? Tanzania Journal of Health Research, 19 (2) 1-8. |
[10] | Women's, T. (2013). Herbal and Traditional Medicines in Pregnancy. the women's royal hospital. Victoria Australia, 1-3. The Royal Women’s Hospital Fact Sheet / www.thewomens.org.au |
[11] | Adusi-Poku, Y., Vanotoo, L., Detoh, E. K., Oduro, J., Nsiah, R. B. & Natogmah, A. Z. (2015). Type of herbal medicines utilized by pregnant women attending ante-natal clinic in Offinso north district: are orthodox prescribers aware? Ghana Medical Journal, 49 (4). 227-232. http: //dx.doi.org/10.4314/gmj.v49i4.2 |
[12] | Frawley, J., Adams, J., Steel, A., Broom, A., Gallois, C., & Sibbritt, D. (2015). Women use and Self-prescription of herbal medicine during pregnancy, an examination of 1,835 pregnant women. Women Health Issues, 25 (4): 396-402. |
[13] | Holst, L., Nordeng, H., & Haavik, S. (2008). Use of herbal drugs during early pregnancy in relation to maternal characteristics and pregnancy outcome. Pharmacoepidemiol Drug Saf, 17 (2): 151–159. |
[14] | Addo, V. N. (2007). Herbal Medicines: Socio-demographic Characteristics and Pattern of Use by Patients in a Tertiary Obstetrics and Gynaecology Unit. J Sci Technol, 27 (3):149–160. |
[15] | Uzzolin, L. & Benoni, G. (2009). Safety issues of phytomedicines in pregnancy and paediatrics. In: Herbal drugs: Ethnomedicine to modern medicine. Edn. springer, 381–396. |
[16] | John, L. J. & Nisha, S. (2015). Herbal Medicine Use during Pregnancy: A review from the Middle East, Oman Medical Journal, 30 (4): 229-236. |
[17] | Deborah, A. K., Angela, L., Gideon K., & Hedvig, N. (2013). Herbal medicine use in pregnancy: results of a multinational study; BMC Complementary and Alternative Medicine. University of Toronto, M5G 1X8 Ontario, Canada, P: 2-10. |
[18] | Azriani, A. & Rahman, Z. A. (2008). The use of herbal medicines during pregnancy and perinatal mortality in Tumpat district, Kelantan, Malaysia. Southeast Asian j trop med public health, 38 (6), 1150-1158. |
[19] | Mamothena, C. M. (2014). Use of herbal medicine during pregnancy among women with access to public healthcare in Nairobi, Kenya: a cross-sectional survey, BMC Complement Altern Med, 14: 432. doi: 10.1186/1472-6882-14-4. |
[20] | Nyeko, R., Tumwesigye, M. N., & Halage, A. A. (2016). Prevalence and factors associated with use of herbal medicines during pregnancy among women attending postnatal clinics in Gulu district, Northern Uganda. BMC Pregnancy and Childbirth, 16:296DOI 10.1186/s12884-016-1095-5 https: //www.ncbi.nlm.nih.gov/pmc/articles/PMC5053208/ |
[21] | Ngoma, M. C. & Siachapa, B. (2017). Use of Herbal Medicines to Induce Labour by Pregnant Women: A Systematic Review of Literature. JO J. Nurse Health Care, 2 (3) 1-5. DOI: 10.19080/JOJNHC.2017.02.555590 |
[22] | Mothupi, M. C. (2014). Use of herbal medicine during pregnancy among women with access to public healthcare in Nairobi, Kenya: a cross-sectional survey. BMC Complementary and Alternative Medicine, 1-8. |
[23] | Malan, D. F. & Neuba, D. F. R. (2011). Traditional Practices and Medicinal Plants Use during Pregnancy by Anyi-Ndenye Women (Eastern Côte d'Ivoire) Afr J Reprod Health, 15 [1]: 85-93. |
[24] | Namuddu, B., Kalyango, N. J., Karamagi, C., Mudiope, P., Sumba, S., Kalende, H., Wobudeya, E., Kigozi, K. B. & Waako, P. (2011). Prevalence and factors associated with traditional herbal medicine use among patients on highly active antiretroviral therapy in Uganda. BMC Public Health, 11:855. 2-9 http: //www.biomedcentral.com/1471-2458/11/855 |
[25] | Gardiner, P., Graham, R., Legedza A. T. R., Ahn, A. C., Eisenberg, D. M., & Phillips, R. S. (2007). Factors associated with herbal therapy use by adults in the United States, Herbal Therapy Use in the United States, Alternative Therapy, 13 (2). 22-29. |
[26] | Kaadaaga, F. H., Ajeani, J., Ononge, S., Alele, E. P., Nakasujja, N., Manabe, C. Y., & Kakaire, O. (2014). Prevalence and factors associated with use of herbal medicine among women attending an infertility clinic in Uganda. BMC Complementary and Alternative Medicine, 14 (27) http: //www.biomedcentral.com/1472-6882/14/27 retrieved on 17/12/2017. |
[27] | Tamuno, I., Omole-Ohonsi, A., & Fadare, J. (2011). Use of Herbal Medicine among Pregnant Women Attending a Tertiary Hospital in Northern Nigeria. Internet J of Gyn and Obstet, 15 (2). doi:10.5580/2932. |
[28] | Ondicho, J., Ochora, J., Matu, E., & Mutar, J. (2015). Factors associated with use of herbal medicine among patients in herbal clinics in Gucha district, Kenya, The 2015 JKUAT Scientific Conference, Basic and Applied Sciences, 174-187. |
[29] | Jo, J., Haeng, S., Moo, J., Lee, H., & Jun, S. (2016). European Journal of Integrative Medicine Use and safety of Korean herbal medicine during pregnancy : A Korean medicine literature review. European Journal of Integrative Medicine, 8 (1), 4–11. https: //doi.org/10.1016/j.eujim.2015.10.008. |
APA Style
Beatrice Ayelyini, Adadow Yidana, Shamsu-Deen Ziblim. (2019). The Use of Indigenous Medicine Among Women During Pregnancy and Labour in Rural Ghana. Central African Journal of Public Health, 5(3), 120-128. https://doi.org/10.11648/j.cajph.20190503.14
ACS Style
Beatrice Ayelyini; Adadow Yidana; Shamsu-Deen Ziblim. The Use of Indigenous Medicine Among Women During Pregnancy and Labour in Rural Ghana. Cent. Afr. J. Public Health 2019, 5(3), 120-128. doi: 10.11648/j.cajph.20190503.14
AMA Style
Beatrice Ayelyini, Adadow Yidana, Shamsu-Deen Ziblim. The Use of Indigenous Medicine Among Women During Pregnancy and Labour in Rural Ghana. Cent Afr J Public Health. 2019;5(3):120-128. doi: 10.11648/j.cajph.20190503.14
@article{10.11648/j.cajph.20190503.14, author = {Beatrice Ayelyini and Adadow Yidana and Shamsu-Deen Ziblim}, title = {The Use of Indigenous Medicine Among Women During Pregnancy and Labour in Rural Ghana}, journal = {Central African Journal of Public Health}, volume = {5}, number = {3}, pages = {120-128}, doi = {10.11648/j.cajph.20190503.14}, url = {https://doi.org/10.11648/j.cajph.20190503.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190503.14}, abstract = {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 service-related 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.}, year = {2019} }
TY - JOUR T1 - The Use of Indigenous Medicine Among Women During Pregnancy and Labour in Rural Ghana AU - Beatrice Ayelyini AU - Adadow Yidana AU - Shamsu-Deen Ziblim Y1 - 2019/05/15 PY - 2019 N1 - https://doi.org/10.11648/j.cajph.20190503.14 DO - 10.11648/j.cajph.20190503.14 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 120 EP - 128 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20190503.14 AB - 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 service-related 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. VL - 5 IS - 3 ER -