■尽管自我药物治疗有潜在的胎儿和产妇风险,在我们的环境中,对自我药疗实践和怀孕期间使用的药物安全性的研究很少。这项研究确定了孕妇使用的药物的自我药疗实践和安全性。
■这项横断面研究是在塞拉利昂三家医院对345名孕妇进行的面对面访谈中进行的。使用描述性统计和二元逻辑回归分析数据,以确定自我药疗的患病率和相关因素。
■共有345名孕妇参加了这项研究。使用常规和/或草药的孕妇的自我药疗患病率为132(38.3%)。此外,93(75%)的常规药物(CM)被归类为可能安全的,其中扑热息痛36(29.0%)是常用的,其次是阿莫西林23(18.5%)和抗疟药22(17.7%),常见疾病如头痛30(25.4%),尿路感染23例(19.4%)和疟疾22例(18.6%)。自我药物治疗的最常见原因是以前的疾病24(27.3%)。丝瓜19(30.2%)是最常用的草药(HM),水肿30(47.6%)是报告最多的疾病。在HM用户中,34(54.0%)认为他们比CM更有效。中学教育(AOR=2.128,95CI=1.191-3.804,p=0.011),高等教育(AOR=2.915,95CI=1.104-7.693,p=0.031),月收入大于NLe1,000(AOR=4.084,95%CI=1.269-13.144,p=0.018),和感知的母亲疾病(AOR=0.367,CI=0.213-0.632,p=<0.001)是自我药物治疗的预测因素。
■自我药疗非常普遍,并且与教育状况有关,月收入,和怀孕期间感知到的产妇疾病。因此,应设计和实施干预计划,以最大程度地减少孕妇自我药物治疗的做法和风险。
UNASSIGNED: Despite the potential foetal and maternal risks of self-medication, studies on self-medication practice and the safety profile of medicines used during pregnancy are scarce in our setting. This study determined the self-medication practice and safety profile of medicines used among pregnant women.
UNASSIGNED: This cross-sectional study was conducted in face-to-face interviews among 345 pregnant women at three hospitals in Sierra Leone. Data were analysed using descriptive statistics and binary logistic regression to determine the prevalence and associated factors of self-medication.
UNASSIGNED: A total of 345 pregnant women participated in the study. The prevalence of self-medication prevalence among pregnant women with conventional and/or herbal medicine was 132 (38.3%). Also, 93 (75%) of the conventional medicines (CMs) were categorised as probably safe, of which paracetamol 36 (29.0%) was commonly used, followed by amoxicillin 23 (18.5%) and antimalarials 22 (17.7%) for common illnesses such as headache 30 (25.4%), urinary tract infection 23 (19.4%) and malaria 22 (18.6%). The most common reason for self-medication was previous experience with the disease 24 (27.3%). Luffa acutangula 19 (30.2%) was the most used herbal medicine (HM), and Oedema 30 (47.6%) was the most reported ailment. Among the HM users, 34 (54.0%) believe they are more effective than CMs. Secondary school education (AOR = 2.128, 95%CI = 1.191-3.804, p = 0.011), tertiary education (AOR = 2.915, 95%CI = 1.104-7.693, p = 0.031), monthly income of greater than NLe 1,000 (AOR = 4.084, 95% CI = 1.269-13.144, p = 0.018), and perceived maternal illness (AOR = 0.367, CI = 0.213-0.632, p = <0.001) were predictors of self-medication.
UNASSIGNED: Self-medication practice was highly prevalent and was associated with educational status, monthly income, and perceived maternal illness during pregnancy. Therefore, intervention programmes should be designed and implemented to minimise the practice and risk associated with self-medication among pregnant women.