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Self-medication for infants with colic in Lagos, Nigeria
Kazeem A Oshikoya1, Idowu O Senbanjo, Olisamedua F Njokanma
1Pharmacology Department, Lagos State University College of Medicine, P,M,B 21266, Ikeja, Lagos, Nigeria. med_modhospital@yahoo.com
Insights
Nigerian mothers often self-medicate infants for colic due to a lack of knowledge. Health education is crucial for improving the management of this common infant condition.
Area of Science:
- Pediatrics
- Public Health
- Pharmacology
Background:
- Infantile colic is a common, self-limiting condition often misdiagnosed.
- Existing research covers colic's causes and treatments but not maternal self-medication practices.
- This study addresses the knowledge gap regarding self-medication for infantile colic in Nigeria.
Purpose of the Study:
- To assess Nigerian mothers' knowledge of infantile colic.
- To investigate home-based management and self-medication practices for infant colic.
- To identify specific medications used in self-treatment of colic.
Main Methods:
- Prospective study conducted in 20 primary healthcare centers in Lagos, Nigeria.
- 800 mothers interviewed using open- and close-ended questionnaires during infant vaccination.
- Data collected on colic knowledge, home management, and self-medication patterns.
Main Results:
- 85.4% of mothers reported good knowledge of colic, identifying excessive crying as a key symptom.
- 67.7% of infants with colic were treated via self-medication, with herbal remedies (51.8%) being common.
- Nospamin (49.5%) and Gripe water (43.0%) were the most frequently used self-medicated drugs.
Conclusions:
- Nigerian mothers demonstrate a deficit in understanding infantile colic.
- Self-medication is the predominant home-based intervention for infant colic.
- Targeted health education is essential to enhance parental management of infantile colic.
Background:
Infantile colic is a self-limiting condition that is distributed worldwide. It is often misdiagnosed as an organic disease for which an infant is admitted to the hospital. Many studies have described the aetiopathogenesis, pharmacologic and non-pharmacologic management of colic but none has evaluated self-medication for infants with colic. The aim of this study was therefore to determine the knowledge of Nigerian mothers about colic, their home-based management, extent of self-medication for the infants with colic and the types of medicines involved.
Methods:
It is a prospective study conducted at the vaccination clinics of 20 primary health care centres, each from different Local Government Areas in Lagos, Nigeria. Eight hundred mothers that brought their infants for vaccination between April and September, 2006 were interviewed with open-and close-ended questionnaire.
Results:
Six hundred and eighty three (85.4%) mothers claimed they had a good knowledge of colic. Incessant and excessive cry was the main clinical feature of colic identified by 430(62.9%) mothers. Three hundred and seventy eight (67.7%) infants were treated by self-medication, 157 (28.1%) sought medical intervention and 17 (3.1%) were treated at a traditional birth attendant home. Herbal medicines constituted 51.8% of the self-medicated medicines, of which 48 (26.2%) were "Ororo Ogiri". Nospamin (49.5%) and Gripe water (43.0%) were the two frequently prescribed and self-medicated medicines for infants with colic.
Conclusion:
Nigerian mothers are deficient in their knowledge of colic. Self-medication was the most frequently used home-based intervention. Health education would appear necessary to improve parental management of this self-limiting condition.
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