关于怀孕期间使用草药的患者与医生的沟通:系统性审查和元分析
Hyea Bin Im1,2, Jung Hye Hwang2,3, Dain Choi1,2
1Department of Global Health and Development, Hanyang University, Seoul, Korea.
BMJ global health
|March 6, 2024
概括
许多孕妇使用草药 (HM),但很少有人向医疗保健提供者披露. 关于HM使用的公开沟通对于改善母亲和儿童健康结果至关重要.
科学领域:
- 综合医学是一个整体的医学.
- 公共卫生 公共卫生
- 母婴健康 母婴健康
背景情况:
- 怀孕期间使用草药 (HM) 很普遍,但往往未向医疗保健提供者披露,造成潜在的健康风险.
- 怀孕妇女和医生之间关于HM使用的透明沟通存在重大差距,影响了护理质量.
- 了解HM使用和披露的流行程度对于减轻不良事件和改善母婴健康 (MCH) 至关重要.
研究的目的:
- 为了确定HM在孕妇中使用的流行率.
- 估计向医疗保健提供者披露HM使用率.
- 分析HM披露与母亲和儿童健康 (MCH) 结果之间的关联.
主要方法:
- 在五个数据库 (2000-2023) 中进行系统的文献搜索.
- 包括来自51个国家的111项横截面研究.
- 使用Stata V.16.0进行数据提取和元分析; Spearman对关联的相关性.
主要成果:
- 34.4%的孕妇报告使用HM,经常认为它比传统医学更安全.
- 只有27.9%的HM使用者向医疗保健提供者披露了他们的使用情况,受到无害性和缺乏提示的影响.
- 在HM披露和改善MCH结果之间发现了显著的正相关性.
结论:
- 关于怀孕期间HM使用的不充分沟通表明与潜在的不良孕产妇结果相关的护理质量缺陷.
- 在产前护理期间,医生参与关于HM的公正讨论对于降低风险至关重要.
- 基于证据的关于HM使用的指导,加上开放的对话,可以提高安全性和改善MCH结果.
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