Herbal medicine use and predictors among breastfeeding mothers attending primary healthcare centres in Lagos State, Nigeria.

https://doi.org/10.51412/psnnjp.2023.28

Authors

Keywords:

Herbal medicine, Breastfeeding, Mothers, Lagos State, Prevalence

Abstract

Background: Herbal medicines are increasingly used globally and are a more affordable and accessible therapeutic option than conventional medicines. Little is known about their use in breastfeeding mothers and their potential effects on both mother and child. This study aimed to determine the prevalence, socio-demographic determinants, and commonly used herbal medicines among breastfeeding mothers in Lagos state, Nigeria.

Methods: A cross-sectional survey of breastfeeding mothers attending primary healthcare centres across Lagos state was conducted. Data were collected using a structured and validated intervieweradministered questionnaire and analysed using descriptive and inferential statistics. The association between socio-demographic characteristics and herbal medicine use was assessed using bivariate analysis. Factors related to herbal medicine use were assessed using logistic regression and the effects were measured with odds ratio along with 95% confidence intervals. p-value <0.05 was considered significant.

Results: Of the 400 respondents, 68.3% used herbal medicines for various reasons; however, only 7% reported using them for breastfeeding-related reasons. Herbal medicines were mainly used to treat malaria and typhoid fever (27%). 'Agbo,' a multi-herbal concoction (49%), was the most frequently used herbal medicine. Identified predictors of herbal medicine use included location, tribe, religion, parity, and occupation. Almost 60% of the mothers believed that herbal medicines are more effective than conventional medicines in treating certain illnesses

Conclusion: Herbal medicine use is relatively common among breastfeeding mothers in Lagos, Nigeria. Factors related to herbal medicine use included religion, tribe, location, parity, and occupation. Herbal medicines commonly used by this population deserve further research for safety and efficacy for acclaimed use.

References

Ekor M (2014). The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol 4 (177). https://www.frontiersin.org/articles/10.3389/fphar.2013.0 0177

James PB, Wardle J, Steel A, Adams J (2018). Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review. BMJ Glob Health 3(5):e000895. https://doi.org/10.1136/bmjgh- 2018-000895

Shewamene Z, Dune T, Smith CA (2017). The use of traditional medicine in maternity care among African women in Africa and the diaspora: a systematic review. B M C C o m p l e m e n t A l t e r n M e d 1 7 ( 1 ) : 3 8 2 . https://doi.org/10.1186/s12906-017-1886-x

B u i l d e r s P ( 2 0 1 9 ) . H e r b a l M e d i c i n e . https://doi.org/10.5772/intechopen.69412. Accessed May 20, 2023

Oreagba IA, Oshikoya KA, Amachree M (2011). Herbal medicine use among urban residents in Lagos, Nigeria. BMC Complement Altern Med 11(1):117. https://doi.org/10.1186/1472-6882-11-117

Budzynska K, Gardner ZE, Dugoua JJ, Low Dog T, Gardiner P (2012). Systematic review of breastfeeding and herbs. Breastfeed Med 7(6):489-503.

Dali GL, Pappoe AN, Akotoye HK (2019). Plants used as abortifacients and contraceptives in some communities on the fringes of Subri River Forest Reserve in Ghana. Afr J Reprod Health 23(4):92-98. https://doi.org/10.29063/ajrh2019/v23i4.11

James PB, Kaikai AI, Bah AJ, Steel A, Wardle J (2019). Herbal medicine use during breastfeeding: a crosssectional study among mothers visiting public

health facilities in the Western area of Sierra Leone. BMC C o m p l e m e n t A l t e r n M e d 1 9 ( 1 ) : 6 6 . https://doi.org/10.1186/s12906-019-2479-7

Alimoradi F, Javadi M, Barikani A, Kalantari N, Ahmadi M (2014). An Overview of importance of b r e a s t f e e d i n g . J C o m p r P e d i a t r 5 ( 2 ) . https://doi.org/10.17795/compreped-14028

Binns C, Lee M, Low WY (2016). The long-term public health benefits of breastfeeding. Asia Pac J Public Health 28(1):7-14. https://doi.org/10.1177/1010539515624964

Saha MR, Ryan K, Amir LH (2015). Postpartum women's use of medicines and breastfeeding practices: a systematic review. Int Breastfeed J 10(1):28. https://doi.org/10.1186/s13006-015-0053-6

Sim TF, Sherriff J, Hattingh HL, Parsons R, Tee LBG (2013). The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC ComplementAltern Med 13:317. https://doi.org/10.1186/1472-6882-13-317

Aleandri V. The use of herbal products during breastfeeding (2014):Astudy from a public Italian hospital. J Food Process Technol 05(08) . https://doi.org/10.4172/2157-7110.1000354

L a w r e n c e R M , L a w r e n c e R A ( 2 0 2 2 ) . Medications, herbal preparations, and natural products in breast milk. In: Lawrence RA, Lawrence RM (eds). Breastfeeding (Ninth Edition). Elsevier:326-392. https://doi.org/10.1016/B978-0-323-68013-4.00011-0

Chuang CH, Chang PJ, Hsieh WS, Tsai YJ, Lin SJ, Chen PC (2009). Chinese herbal medicine use in Taiwan during pregnancy and the postpartum period: a populationbased cohort study. Int J Nurs Stud 46(6):787-795. https://doi.org/10.1016/j.ijnurstu.2008.12.015

Kochhar K, Saywell RM, Zollinger TW, et al. (2010) Herbal remedy use among Hispanic women during pregnancy and while breastfeeding: are physicians informed? Hisp Health Care Int 8(2):93-106 https://doi.org/10.1016/j.midw.2013.06.001

Millinga VP, Im HB, Hwang JH, Choi SJ, Han D (2022). Use of herbal medicines among breastfeeding mothers in Tanzania: a cross-sectional study. Front Pharmacol 13. https://doi.org/10.3389/fphar.2022.751129

Jackson P (2010). Complementary and alternative methods of increasing breast milk supply for lactating mothers of infants in the NICU. Neonatal Netw 29(4):225- 230. https://doi.org/10.1891/0730-0832.29.4.225

Kimani-Murage EW, Wekesah F, Wanjohi M, et al (2015). Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in K e n y a . M a t e r n C h i l d N u t r 11 ( 3 ) : 3 1 4 - 3 3 2 . https://doi.org/10.1111/mcn.12161

Amorha KC, Nwabunike IA, Okwumuo BM, Ayogu EE, Nduka SO, Okonta MJ (2018). Use of herbal medicines in a Nigerian community and their reported adverse effects: a pilot study. Trop J Pharm Res 17(10):2067-2072. https://doi.org/10.4314/tjpr.v17i10

Busari AA, Mufutau MA (2017). High prevalence of complementary and alternative medicine use among patients with sickle cell disease in a tertiary hospital in Lagos, South West, Nigeria. BMC Complement Altern Med 17(1):299. https://doi.org/10.1186/s12906-017-1812- 2

Fakeye TO,Adisa R, Musa IE (2009).Attitude and use of herbal medicines among pregnant women in Nigeria. BMC ComplementAltern Med 9(1):53. https://doi.org/10.1186/1472-6882-9-53

Li S, Odedina S, Agwai I, Ojengbede O, Huo D, Olopade OI (2020). Traditional medicine usage among adult women in Ibadan, Nigeria: a cross- sectional study. BMC Complement Med Ther 20(1):93. https://doi.org/10.1186/s12906-020-02881-z

Nnaemeka O, Phyllis N, Chinaza O (2021). The use of herbal medicines in pregnancy: a cross-sectional analytic study. Int J Sci Res Dent Med Sci 3(2):66-72. https://doi.org/10.30485/ijsrdms.2021.280771.1144

Mukherjee PK, Efferth T, Das B, et al (2022). Role of medicinal plants in inhibiting SARS-CoV-2 and in the management of post-COVID-19 complications. Phytomedicine Int J Phytother Phytopharm 98:153930. https://doi.org/10.1016/j.phymed.2022.153930

Onyeka TC, Ezike HA, Nwoke OM, et al (2012). Herbal medicine: a survey of use in Nigerian presurgical patients booked for ambulatory anaesthesia. BMC ComplementAltern Med 12:130. https://doi.org/10.1186/1472-6882-12-130

Adeleye I, Okogi G, Ojo E (2005). Microbial contamination of herbal preparations in Lagos, Nigeria. J Health Popul Nutr 23:296-297

Agbo BE, Mboto CI (2012). Phytochemical and antibacterial evaluation of selected locally produced herbal medicines sold in Calabar, Nigeria. Arch. Appl. Sci. Res 1974-1990. http://scholarsresearchlibrary.com/archive.html.

Aigberua A (2019). Composition of potential heavy metal contaminants in selected liquid and powdered herbal medicines commonly cold in Port Harcourt Metropolis, Nigeria. Int J Med Plants Nat Prod 5:30-39. https://doi.org/10.20431/2454-7999.0501005

Adebayo JO, Krettli AU (2011). Potential antimalarials from Nigerian plants: a review. J Ethnopharmacol 133(2):289-302. https://doi.org/10.1016/j.jep.2010.11.024

Akinyemi KO, Oyefolu AOB, Mutiu WB, et al (2018). Typhoid fever: tracking the trend in Nigeria. Am J Trop Med Hyg 99(3 Suppl):41-47. https://doi.org/10.4269/ajtmh.18-0045

Dickson I, Edagbo DE, Temitope B, Ahmed A, Michael C (2012). Herbs used by the Urhobo people in Delta state Nigeria for the treatment of typhoid fever. Int J Recent Sci Res 3:478-481

Zapantis A, Steinberg JG, Schilit L (2012). Use of herbals as galactagogues. J Pharm Pract. 25(2):222-231. https://doi.org/10.1177/0897190011431636

WHO 2002: Traditional medicine strategy 2002- 2005. https://apps.who.int/iris/handle/10665/67163. Accessed March 8, 2023

Anderson PO (2017). Herbal use during breastfeeding. Breastfeed Med 12(9):507-509 https://doi.org/10.1089/bfm.2017.0150

Rahayu Y, Araki T, Rosleine D (2020). Factors affecting the use of herbal medicines in the universal health coverage system in Indonesia. J Ethnopharmacol 260:112974. https://doi.org/10.1016/j.jep.2020.112974

Da Costa Ferreira E,Anselmo MD, Guerra NM, et al (2021). Local knowledge and use of medicinal plants in a rural community in the Agreste of Paraíba, Northeast Brazil. Evid Based Complement Alternat Med 2021:e9944357. https://doi.org/10.1155/2021/9944357

Tengku Mohamad TAS, Islahudin F, Jasamai M, Jamal JA (2019). Preference, perception and predictors of herbal medicine use among Malay women in Malaysia. Patient PreferAdherence 13:1829-1837. https://doi.org/10.2147/PPA.S227780

Adisa R, Fakeye T (2006). Assessment of the knowledge of community pharmacists regarding common phytopharmaceuticals sold in South Western Nigeria. Trop J Pharm Res 5(2):619-625. https://doi.org/10.4314/tjpr.v5i2.14640

Omoregie H, Aliyu J, Danjuma C, Folashade O (2015). Integrating traditional medicine practice into the formal health care delivery system in the new millennium–the Nigerian approach: a review. Int J Life Sci. 4(2): 120-128.

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Published

2023-10-08

How to Cite

Amaeze, O. U., Olugbake, O. O., Okpara, U. A., & Aiyeolemi, A. A. (2023). Herbal medicine use and predictors among breastfeeding mothers attending primary healthcare centres in Lagos State, Nigeria.: https://doi.org/10.51412/psnnjp.2023.28. The Nigerian Journal of Pharmacy, 57(2), 679–689. Retrieved from https://psnnjp.org/index.php/home/article/view/492