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Prescription patterns and factors influencing the use of Chinese herbal medicine among pregnant women in Taiwan: a population-based retrospective study.
BMC Complement Med Ther. 2020 Jul 30; 20(1):240.BC

Abstract

BACKGROUND

The use of Chinese herbal medicine (CHM) has been widely promoted as a natural and safe way to treat illness during pregnancy. However, prescription patterns and factors influencing its use are largely unknown. Therefore, we conducted a population-based study to address these questions.

METHODS

Pregnant women aged 18-50 years were selected from Taiwan's National Health Insurance Research Database between 2001 to 2011. CHM prescriptions and diagnostic records were collected. Demographic data and pre-existing diseases were compared between CHM users and non-users. A multivariate logistic regression analysis was performed to identify possible factors influencing the use of CHM during pregnancy.

RESULTS

A total of 81,873 eligible prescription records were identified, and 16,553 pregnant women were prescribed CHM during pregnancy, yielding a CHM prescription rate of 20.2%. The three most frequently used herbs were Scutellariae Radix (Huang Qin) (4.4%), Eucommiae cortex (Du Zhong) (2.5%), and Atractylodes Rhizome (Bai Zhu) (2.4%). The most frequently used herbal formulae were Dang-Guei-Shao-Yao-San (4.1%), Jia-Wei-Xiao-Yao-San (3.5%), and Xiang-Sha-Liu-Jun-Zi-Tang (2.6%). Multivariate logistic regression revealed that subjects with an older age, a university education, a pre-pregnancy history of CHM use, asthma, chronic renal disease, and cardiac valvular disease and living in a residential area other than northern Taiwan had an increase in adjusted odds ratio for CHM use during pregnancy.

CONCLUSIONS

In this population-based study, we found that demographic factors and pre-existing diseases were associated with the use of CHM among pregnant women. It is worth noting that Leonuri Herba (Yi Mu Cao) and Shao-Fu-Zhu-Yu-Tang should be used with caution in the first trimester. Further research is needed to explore the safety and effectiveness of the use of CHM in pregnant women.

Authors+Show Affiliations

Department of Public Health, College of Medicine, Tzu Chi University, Hualien, Taiwan.Department of Medical Research, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.Department of Chinese Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan. School of Post-baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan.School of Post-baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan. dr30032@gmail.com. Department of Chinese Medicine, Taipei Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist, New Taipei City, 23142, Taiwan. dr30032@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32731888

Citation

Wen, Shu-Hui, et al. "Prescription Patterns and Factors Influencing the Use of Chinese Herbal Medicine Among Pregnant Women in Taiwan: a Population-based Retrospective Study." BMC Complementary Medicine and Therapies, vol. 20, no. 1, 2020, p. 240.
Wen SH, Chang WC, Shen HS, et al. Prescription patterns and factors influencing the use of Chinese herbal medicine among pregnant women in Taiwan: a population-based retrospective study. BMC Complement Med Ther. 2020;20(1):240.
Wen, S. H., Chang, W. C., Shen, H. S., & Wu, H. C. (2020). Prescription patterns and factors influencing the use of Chinese herbal medicine among pregnant women in Taiwan: a population-based retrospective study. BMC Complementary Medicine and Therapies, 20(1), 240. https://doi.org/10.1186/s12906-020-03032-0
Wen SH, et al. Prescription Patterns and Factors Influencing the Use of Chinese Herbal Medicine Among Pregnant Women in Taiwan: a Population-based Retrospective Study. BMC Complement Med Ther. 2020 Jul 30;20(1):240. PubMed PMID: 32731888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prescription patterns and factors influencing the use of Chinese herbal medicine among pregnant women in Taiwan: a population-based retrospective study. AU - Wen,Shu-Hui, AU - Chang,Wei-Chuan, AU - Shen,Hsuan-Shu, AU - Wu,Hsien-Chang, Y1 - 2020/07/30/ PY - 2019/07/03/received PY - 2020/07/24/accepted PY - 2020/8/1/entrez PY - 2020/8/1/pubmed PY - 2021/1/23/medline KW - Alternative medicine KW - Chinese herbal medicine KW - Perinatal KW - Peripartum KW - Pregnant women KW - Traditional Chinese medicine SP - 240 EP - 240 JF - BMC complementary medicine and therapies JO - BMC Complement Med Ther VL - 20 IS - 1 N2 - BACKGROUND: The use of Chinese herbal medicine (CHM) has been widely promoted as a natural and safe way to treat illness during pregnancy. However, prescription patterns and factors influencing its use are largely unknown. Therefore, we conducted a population-based study to address these questions. METHODS: Pregnant women aged 18-50 years were selected from Taiwan's National Health Insurance Research Database between 2001 to 2011. CHM prescriptions and diagnostic records were collected. Demographic data and pre-existing diseases were compared between CHM users and non-users. A multivariate logistic regression analysis was performed to identify possible factors influencing the use of CHM during pregnancy. RESULTS: A total of 81,873 eligible prescription records were identified, and 16,553 pregnant women were prescribed CHM during pregnancy, yielding a CHM prescription rate of 20.2%. The three most frequently used herbs were Scutellariae Radix (Huang Qin) (4.4%), Eucommiae cortex (Du Zhong) (2.5%), and Atractylodes Rhizome (Bai Zhu) (2.4%). The most frequently used herbal formulae were Dang-Guei-Shao-Yao-San (4.1%), Jia-Wei-Xiao-Yao-San (3.5%), and Xiang-Sha-Liu-Jun-Zi-Tang (2.6%). Multivariate logistic regression revealed that subjects with an older age, a university education, a pre-pregnancy history of CHM use, asthma, chronic renal disease, and cardiac valvular disease and living in a residential area other than northern Taiwan had an increase in adjusted odds ratio for CHM use during pregnancy. CONCLUSIONS: In this population-based study, we found that demographic factors and pre-existing diseases were associated with the use of CHM among pregnant women. It is worth noting that Leonuri Herba (Yi Mu Cao) and Shao-Fu-Zhu-Yu-Tang should be used with caution in the first trimester. Further research is needed to explore the safety and effectiveness of the use of CHM in pregnant women. SN - 2662-7671 UR - https://www.unboundmedicine.com/medline/citation/32731888/Prescription_patterns_and_factors_influencing_the_use_of_Chinese_herbal_medicine_among_pregnant_women_in_Taiwan:_a_population_based_retrospective_study_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32731888/ DB - PRIME DP - Unbound Medicine ER -