Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis
Introduction Lack of transparent communication between patients and physicians regarding the use of herbal medicine (HM) presents a major public health challenge, as inappropriate HM use poses health risks. Considering the widespread use of HM and the risk of adverse events, it is crucial for pregna...
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| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/9/3/e013412.full |
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| author | Dongwoon Han Hyea Bin Im Jung Hye Hwang Dain Choi Soo Jeung Choi |
| author_facet | Dongwoon Han Hyea Bin Im Jung Hye Hwang Dain Choi Soo Jeung Choi |
| author_sort | Dongwoon Han |
| collection | DOAJ |
| description | Introduction Lack of transparent communication between patients and physicians regarding the use of herbal medicine (HM) presents a major public health challenge, as inappropriate HM use poses health risks. Considering the widespread use of HM and the risk of adverse events, it is crucial for pregnant women to openly discuss their HM use with healthcare providers. Therefore, this systematic review and meta-analysis aims to estimate the pooled prevalence of pregnant women’s HM use and disclosure to healthcare providers and to examine the relationship between HM disclosure and various maternal and child health (MCH) measures.Methods A systematic search of five databases was conducted for cross-sectional studies on HM use during pregnancy published from 2000 to 2023. Data extraction followed a standardised approach, and Stata V.16.0 was used for data analysis. Also, Spearman’s correlation coefficient was calculated to examine the association between use and disclosure of HM and various MCH indicators.Results This review included 111 studies across 51 countries on the use of HM among pregnant women. Our findings showed that 34.4% of women used HM during pregnancy, driven by the perception that HM is presumably safer and more natural than conventional medical therapies. However, only 27.9% of the HM users disclosed their use to healthcare providers because they considered HM as harmless and were not prompted by the healthcare providers to discuss their self-care practices. Furthermore, a significant correlation was observed between HM disclosure and improved MCH outcomes.Conclusion Inadequate communication between pregnant women and physicians on HM use highlights a deficiency in the quality of care that may be associated with unfavourable maternal outcomes. Thus, physician engagement in effective and unbiased communication about HM during antenatal care, along with evidence-based guidance on HM use, can help mitigate the potential risks associated with inappropriate HM use. |
| format | Article |
| id | doaj-art-85e410c47b6044b9acf08eed72e0bb76 |
| institution | DOAJ |
| issn | 2059-7908 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-85e410c47b6044b9acf08eed72e0bb762025-08-20T02:50:49ZengBMJ Publishing GroupBMJ Global Health2059-79082024-03-019310.1136/bmjgh-2023-013412Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysisDongwoon Han0Hyea Bin Im1Jung Hye Hwang2Dain Choi3Soo Jeung Choi4Department of Preventive Medicine, Hanyang University, Seoul, Republic of KoreaDepartment of Global Health and Development, Hanyang University, Seoul, KoreaInstitute of Health Services Management, Hanyang University, Seoul, KoreaDepartment of Global Health and Development, Hanyang University, Seoul, KoreaDepartment of Global Health and Development, Hanyang University, Seoul, KoreaIntroduction Lack of transparent communication between patients and physicians regarding the use of herbal medicine (HM) presents a major public health challenge, as inappropriate HM use poses health risks. Considering the widespread use of HM and the risk of adverse events, it is crucial for pregnant women to openly discuss their HM use with healthcare providers. Therefore, this systematic review and meta-analysis aims to estimate the pooled prevalence of pregnant women’s HM use and disclosure to healthcare providers and to examine the relationship between HM disclosure and various maternal and child health (MCH) measures.Methods A systematic search of five databases was conducted for cross-sectional studies on HM use during pregnancy published from 2000 to 2023. Data extraction followed a standardised approach, and Stata V.16.0 was used for data analysis. Also, Spearman’s correlation coefficient was calculated to examine the association between use and disclosure of HM and various MCH indicators.Results This review included 111 studies across 51 countries on the use of HM among pregnant women. Our findings showed that 34.4% of women used HM during pregnancy, driven by the perception that HM is presumably safer and more natural than conventional medical therapies. However, only 27.9% of the HM users disclosed their use to healthcare providers because they considered HM as harmless and were not prompted by the healthcare providers to discuss their self-care practices. Furthermore, a significant correlation was observed between HM disclosure and improved MCH outcomes.Conclusion Inadequate communication between pregnant women and physicians on HM use highlights a deficiency in the quality of care that may be associated with unfavourable maternal outcomes. Thus, physician engagement in effective and unbiased communication about HM during antenatal care, along with evidence-based guidance on HM use, can help mitigate the potential risks associated with inappropriate HM use.https://gh.bmj.com/content/9/3/e013412.full |
| spellingShingle | Dongwoon Han Hyea Bin Im Jung Hye Hwang Dain Choi Soo Jeung Choi Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis BMJ Global Health |
| title | Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis |
| title_full | Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis |
| title_fullStr | Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis |
| title_full_unstemmed | Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis |
| title_short | Patient–physician communication on herbal medicine use during pregnancy: a systematic review and meta-analysis |
| title_sort | patient physician communication on herbal medicine use during pregnancy a systematic review and meta analysis |
| url | https://gh.bmj.com/content/9/3/e013412.full |
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