Document Detail


Traditional medicine in Nigeria and modern obstetric practice: need for cooperation.
MedLine Citation:
PMID:  10101436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the prevalent use of traditional medicine in pregnancy and labour and to find out if there is any association between the use of traditional medicine and obstetric outcomes. DESIGN: A cross sectional structured interview survey and case notes review. SETTING: Department of Obstetrics and Gynaecology, Ogun State University Teaching Hospital (OSUTH), Sagamu, Nigeria. SUBJECTS: 300 parturient mothers. MAIN OUTCOME MEASURES: a) Use or non-use of traditional medicines in pregnancy and labour. b) Maternal morbidity and mortality. c) Perinatal morbidity and mortality. RESULTS: 160 (53.3%) patients admitted to the use of traditional medicine in pregnancy and labour. The two groups (users and non-users) were similar with respect to age, parity and level of education. The three maternal deaths occurred in the users' group. The perinatal mortality was 91 per 1,000 among the users and 61.2 per 1,000 for the non-users. CONCLUSION: Mothers and neonates in the users' group fared worse than the controls. Delay in seeking hospital care was the major factor in the poorer outcomes for the users' group. Since the use of traditional medicine in pregnancy and labour is common among the population, efforts should be made by the two groups of physicians (traditional and Western) to co-operate.
The association between the use of traditional medicine and obstetric outcomes was determined using a cross-sectional structured interview and case notes at the Department of Obstetrics and Gynecology, Ogun State University Teaching Hospital in Sagamu, Nigeria. The subjects were 300 parturient mothers, who were divided into two groups. The 160 patients who used traditional medicine constituted the users or study group while the 140 nonusers were the control group. Both groups were similar with respect to maternal age, parity, and level of formal education. The perinatal mortality rates were 91/1000 for the study group and 61.2/1000 for the control group. Three maternal deaths occurred in the study group. A woman who used traditional medicine had a relative risk of 1.64 of morbidity, while a non-user had a relative risk of 1.43 of being delivered by caesarian section. Some patients used more than one traditional medicine. Use of traditional medication was suggested by in-laws in 49 cases (30%), by parents in 44 cases (27.5%), by the husband in 33 cases (20.6%), and by others in the 10 remaining cases (6.3%). In this survey, there are medical differences in the obstetric outcomes between the two groups. These differences are not statistically significant enough to justify the wholesale condemnation of traditional medicine in modern obstetrics. Delay in seeking hospital care was the major factor in the poorer outcome for the users' group. Considering the prevalence of the use of traditional medicine in pregnancy and labor among the population, efforts should be made by traditional and Western physicians to share knowledge and cooperate.
Authors:
A A Opaneye
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Central African journal of medicine     Volume:  44     ISSN:  0008-9176     ISO Abbreviation:  Cent Afr J Med     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-04-15     Completed Date:  1999-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372566     Medline TA:  Cent Afr J Med     Country:  ZIMBABWE    
Other Details:
Languages:  eng     Pagination:  258-61     Citation Subset:  IM; J    
Affiliation:
Middlesbrough General Hospital, England.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cooperative Behavior
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Interprofessional Relations
Medicine, African Traditional*
Mothers / education,  psychology*
Nigeria
Obstetrics*
Patient Acceptance of Health Care / psychology*
Pregnancy
Pregnancy Outcome
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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