PDF(Pubmed)
Abstract：
Pregnant women in rural Uganda largely rely on medicinal plants for inducing labor, treating postpartum hemorrhage (PPH), and inducing abortion. 90% of the women in both rural and urban Uganda use plants to manage pregnancy symptoms like constipation, heartburn, morning sickness, body aches, nausea, and vomiting. After delivery women continue using plants to manage postpartum complications and for infant care especially herbal baths. This study documented how ethnomedical folklore has been used to aid childbirth, manage postpartum hemorrhage, and induce abortion.
METHODS: A cross-sectional ethnobotanical survey was conducted from May - December 2023 in Najjemebe sub-county, Buikwe district. 206 respondents from 12 villages were selected using snowball sampling. Key informants included Traditional Birth Attendants (TBAs) and herbalists. Data was collected using semi-structured questionnaires and focus group discussions. Voucher specimens of the plants were identified and authenticated at Makerere University Herbarium. Data were analyzed using descriptive statistics, Informant Consensus factor (ICF), Use Reports (URs), paired comparisons, and GraphPad Prism® version 9.0.0 software.
RESULTS: All respondents (N = 206, 100%), used plants to induce labour, treat PPH, and induce abortion. One hundred four plant species were documented: most cited or preferred were: Hoslundia opposita (N = 109, 53%), Phytolacca dodecandra (N = 72, 35%), and Commelina erecta (N = 47, 23%). The plants belonged to 49 families, Lamiaceae (16.3%) and Fabaceae (14.3%) having the majority of the species. Herbs were 42 (40%) and trees 23 (22%). Oral administration 95(72%) was the commonest, then topical 19 (14.4%) and vaginal 14(10.6%).
CONCLUSIONS: Health surveys revealed that about 27% of deliveries in Uganda take place outside a health facility. Due to the oxytocic effects of plant species reported in this study, they play a triple role of being uterotonics, abortifacients, and treating postpartum haemmorhage. The dilemma lies in the unknown dosages and toxicity levels that could endanger both the mother\'s and the unborn child\'s lives. Due to Uganda\'s high rates of population growth, overall fertility, maternal mortality, and morbidity, policies, and programmes on gendered health provision need to be reevaluated. Integrating herbal medicine into health care systems appears to be a feasible solution.
METHODS: A cross-sectional ethnobotanical survey was conducted from May - December 2023 in Najjemebe sub-county, Buikwe district. 206 respondents from 12 villages were selected using snowball sampling. Key informants included Traditional Birth Attendants (TBAs) and herbalists. Data was collected using semi-structured questionnaires and focus group discussions. Voucher specimens of the plants were identified and authenticated at Makerere University Herbarium. Data were analyzed using descriptive statistics, Informant Consensus factor (ICF), Use Reports (URs), paired comparisons, and GraphPad Prism® version 9.0.0 software.
RESULTS: All respondents (N = 206, 100%), used plants to induce labour, treat PPH, and induce abortion. One hundred four plant species were documented: most cited or preferred were: Hoslundia opposita (N = 109, 53%), Phytolacca dodecandra (N = 72, 35%), and Commelina erecta (N = 47, 23%). The plants belonged to 49 families, Lamiaceae (16.3%) and Fabaceae (14.3%) having the majority of the species. Herbs were 42 (40%) and trees 23 (22%). Oral administration 95(72%) was the commonest, then topical 19 (14.4%) and vaginal 14(10.6%).
CONCLUSIONS: Health surveys revealed that about 27% of deliveries in Uganda take place outside a health facility. Due to the oxytocic effects of plant species reported in this study, they play a triple role of being uterotonics, abortifacients, and treating postpartum haemmorhage. The dilemma lies in the unknown dosages and toxicity levels that could endanger both the mother\'s and the unborn child\'s lives. Due to Uganda\'s high rates of population growth, overall fertility, maternal mortality, and morbidity, policies, and programmes on gendered health provision need to be reevaluated. Integrating herbal medicine into health care systems appears to be a feasible solution.
摘要：
乌干达农村地区的孕妇主要依靠药用植物引产,治疗产后出血（PPH），诱导流产。乌干达农村和城市90%的妇女使用植物来控制便秘等怀孕症状，胃灼热,晨吐,身体疼痛,恶心,和呕吐。分娩后，妇女继续使用植物来管理产后并发症和婴儿护理，尤其是草药浴。这项研究记录了民族医学民间传说是如何被用来帮助分娩的，管理产后出血，诱导流产。
方法：从2023年5月至12月在Najjemebe县进行了横断面民族植物学调查，别克韦区。来自12个村庄的206名受访者使用滚雪球抽样进行了选择。主要线人包括传统助产士（TBA）和草药医师。使用半结构化问卷和焦点小组讨论收集数据。在Makerere大学植物标本室鉴定并鉴定了植物的凭证标本。数据采用描述性统计分析，线人共识因素(ICF)，使用报告(UR)，配对比较，和GraphPadPrism®9.0.0版软件。
结果：所有受访者（N=206，100％），用植物诱导劳动，治疗PPH，诱导流产。记录了104种植物：最被引用或首选的是：Hoslundiaopposita（N=109，53％），商陆(N=72,35%),和Commelina直立（N=47，23％）。这些植物属于49个家庭，唇科（16.3％）和豆科（14.3％）占该物种的大多数。草本为42(40%)，乔木为23(22%)。口服95（72％）是最常见的，然后外用19（14.4%）和阴道14（10.6%）。
结论：健康调查显示，乌干达约27%的分娩发生在医疗机构之外。由于本研究中报道的植物物种的氧化作用，它们扮演着子宫内的三重角色，堕胎药,和治疗产后出血。困境在于未知的剂量和毒性水平，可能危及母亲和未出生的孩子的生命。由于乌干达的高人口增长率，总体生育率,孕产妇死亡率,和发病率，政策,和性别健康提供方案需要重新评估。将草药纳入医疗保健系统似乎是一个可行的解决方案。
方法：从2023年5月至12月在Najjemebe县进行了横断面民族植物学调查，别克韦区。来自12个村庄的206名受访者使用滚雪球抽样进行了选择。主要线人包括传统助产士（TBA）和草药医师。使用半结构化问卷和焦点小组讨论收集数据。在Makerere大学植物标本室鉴定并鉴定了植物的凭证标本。数据采用描述性统计分析，线人共识因素(ICF)，使用报告(UR)，配对比较，和GraphPadPrism®9.0.0版软件。
结果：所有受访者（N=206，100％），用植物诱导劳动，治疗PPH，诱导流产。记录了104种植物：最被引用或首选的是：Hoslundiaopposita（N=109，53％），商陆(N=72,35%),和Commelina直立（N=47，23％）。这些植物属于49个家庭，唇科（16.3％）和豆科（14.3％）占该物种的大多数。草本为42(40%)，乔木为23(22%)。口服95（72％）是最常见的，然后外用19（14.4%）和阴道14（10.6%）。
结论：健康调查显示，乌干达约27%的分娩发生在医疗机构之外。由于本研究中报道的植物物种的氧化作用，它们扮演着子宫内的三重角色，堕胎药,和治疗产后出血。困境在于未知的剂量和毒性水平，可能危及母亲和未出生的孩子的生命。由于乌干达的高人口增长率，总体生育率,孕产妇死亡率,和发病率，政策,和性别健康提供方案需要重新评估。将草药纳入医疗保健系统似乎是一个可行的解决方案。
