Medication use pattern among breastfeeding mothers in Benin City, Nigeria …… a multicenter sampling
https://doi.org/10.51412/psnnjp.2022.21
Keywords:
compatibility, breastfeeding, medication, PatternAbstract
Background: Due to the risk associated with the use of medications among breastfeeding mothers, the study evaluates the pattern of medication and safety in three health facilities in Benin City, Nigeria.
Method: Structured questionnaires were distributed among consented breastfeeding mothers whose children were below twelve months old when visiting immunization clinics at the centers. Medication compatibility with breastfeeding was assessed using the World Health Organization and Lactation Risk Category classififications.
Results: Out of 634 breastfeeding women that participated in the study, the married respondents were 609(96.1%), 604(95.3%) attended prenatal class and 206(32.4%) were between 28 and 32 years. Higher baby weight of 3.3-5 kg was recorded among 425(67.0%) respondents. Breastfeeding information was common among 580(96.0%) respondents and 557(92.2%) agreed that breastfeeding was useful. Participants 290(45.7%) and 269(42.4%) had secondary and tertiary education respectively. Medications were used during breastfeeding by (95.3%) respondents. Total of 52 difffferent types were identifified and most of them (71.3%) were on medication compatible with breastfeeding. Analgesics 519(27.9%), antibiotics 274(14.7%), hematinic 433(23.3%) and anti-malarial drugs 235(12.6%) were commonly utilized. Respondents not counseled when taking medication during breastfeeding were 452(71.3%). Respondents that used medications requiring side effect monitoring were 3.6%. Healthcare givers prescribed medications for 60.2% and 39.85% self-medicated. The respondents that breastfed while on drugs were 575(95.5%) while 2% stopped breastfeeding because of drugs. Higher respondents 151(82.9%) claimed that nurses were the common healthcare givers.
Conclusion: The study revealed most medications used pattern and the compatibility pattern among breastfeeding mothers in the health facilities.
References
WHO (2009). Collaborative Study Team on the Role of Breastfeeding in the Prevention of Infant Mortality. Effect of breastfeeding on infant and childhood mortality due to infectious diseases in less developed countries: a pooled analysis Lancet 355:451-5.
Horta BL and Victora CG. (2013) Long-term effects of breastfeeding. Geneva, Switzerland: World Health Organization. Pp 1-174.
Kimura S, Morimoto K, Okamoto H, Ueda H, Kobayashi J, Morioto Y (2006) Development of a human mammary epithelial cell culture model for evaluation of drug transfer into milk. Archives of Pharmacology Research 29:424-429.
Hale TW. Medications and mother's Milk (2012) A manual of Lactational pharmacology (15th edition). Pharmasoft Medical Publishing, Pp 1-938.
Humphrey S (2003) The Nursing Mother's Herbal. Minneapolis, Mn: Fairview Press (13) 978-1577491187
AAP(American Academy of Pediatrics). Working Group on Breastfeeding (2001): The transfer of drugs and other chemicals into human milk. Pediatrics 108, 776-789.
Jeanne P, Spancer M.D, Luis S. (2001). Medications in the breast feeding mother. American Family Physician, 64(1): 119-127.
Ito S. Drug therapy. (2000). Drug therapy for breastfeeding women. New England Journal of Medicine, 343:118-126.
World Health Organization. (2002). Breastfeeding and maternal medication: recommendations for drugs in the Eleventh WHO Model List of Essential Drugs. World Health Organization. https://apps.who.int/iris/handle/10665/62435
Chaves RG, Lamounier JA, Cesar CC. (2011). Association between duration of breastfeeding and drug therapy. Asian Pacific Journal of Tropical Diseases. 1:216-21.
Uppal R, Karmakar S, Singh MM, Dhall GI, Gupta I, Sharma PL (1993) Prescription drugs use in lactating mothers: an experience at a referral hospital and in a community in India. International Journal of Clinical Pharmacology and Therapeutic Toxicology 31:93-5.
Mannion C and Mansell D. (2012). Breastfeeding Self-efficacy and the use of prescription Medication. Obstetrics and Gynecology International 1-8 Article ID 562704, doi:10.1155/2012/562704.
StulzEE, Stokes JL, Shaffer ML (2007). Extent of medication use in breastfeeding women. Breastfeeding Medicine; 2(3):145-51.
Gussler J.D and Briesemeister L.H (1980) “The insufficient milk syndrome: a biocultural explanation;” Medical Anthropology, 4(2) 13-24.
Lucinda E. Ruth B, Brinda B, Bruce S, Abhik D, Mary R, Nitin MandJohn C. (2003) Breastfeeding practices in a cohort of inner-city woman: the role of contraindication. BMC Public Health, 3:28.
Roberto G. Chaves; Joel A. Lamounier and Cbele C. Cesar. (2009). Self-medication in nursing mothers and its influence on the duration of breastfeeding. Journal of Pediatrics. 85(2).
Centre for Disease Control and Prevention (2008). Division of Adolesent and School Health. HHS effort to combat the obesity epidemic among children and adolescents. Pp1-2
Sim TF, Jillian S, Laettia H. (2013). The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. British Medical Council Complementary and Alternative Medicine 13:31-7.
Schirm E, Schwagermann P, Tobi H and de Jongvan den Berg L. (2004). Drug use during breastfeeding. A survey from Netherlands. European Journal of Clinical Nutrition 58, 386-390.
Frank J.N and Amy C.l. (2012). Medications and breastfeeding: Current concepts Journal American Pharmacy Association. 52:86-94.
Pallavi P, Rajesh K, Purushothama R. (2013). Drug use pattern among Lactating Women in a tertiary Care Teaching Hospital. Journal of Global Trends in Pharmaceutical Sciences 4(3)1138- 1143.
Ronai C, Taylor JS, Dugan E, and Feller E. (2009). The identifying and counseling of breastfeeding women by pharmacists. Breastfeeding medicine: 4(2), 91-95.
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
