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Prevalence and Reasons of Self-Medication in Pregnant Women: A Systematic Review and Meta-Analysis | ||
International Journal of Community Based Nursing & Midwifery | ||
مقاله 1، دوره 6، شماره 4، دی 2018، صفحه 272-284 اصل مقاله (1.72 M) | ||
نوع مقاله: Review article | ||
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2018.40835 | ||
نویسندگان | ||
Mohammad Mohseni1؛ Saber Azami-Aghdash2؛ Sepideh Gareh Sheyklo3؛ Ahmad Moosavi4؛ Majid Nakhaee1؛ Fatemeh Pournaghi-Azar5؛ Aziz Rezapour* 6 | ||
1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran | ||
2Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran | ||
3Department of Obstetrics and Gynecology, Dezful University of Medical Sciences, Dezful, Iran | ||
4Department of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran | ||
5Dental and Periodental Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran | ||
6Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran;and Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran | ||
چکیده | ||
Background: Given the importance of having valid information about the prevalence and reasons of self-medication among pregnant women for preventing self-medication during this period, this study aimed to systematically review and perform a meta-analysis on the prevalence and reasons of self-medication during pregnancy.Methods: This systematic review and meta-analysis was conducted in 2018 to estimate the overall self-medication prevalence based on the database sources PubMed, Scopus, Google Scholar, MagIran, IranMedex and SID. Required data were collected using keywords: medication, self-medication, over-the-counter, non-prescription, prevalence, etiology, and occurrence and pregnant. Descriptive and cross-sectional studies in English and Persian languages were included. There was no time limitation for search. R software was applied for meta-analysis. Random-effects model was applied to estimate the self-medication prevalence with 95% confidence interval. Q statistics and I2 were used to measure the heterogeneity.Results: Out of 490 retrieved articles, finally 13 studies were included in meta-analysis, 6 studies of which reported the cause of self-medication. The overall estimated prevalence of self-medication based on the random effect model was 32% (95% CI, 22% - 44%). The most important reasons of self-medication were previous experience of the disease. The most important group of disease in which patients self-medicated was anemia. Also, the most important group of medication was herbal.Conclusion: The results of this study showed that the prevalence of self-medication among pregnant women was relatively high and required effective interventions to reduce and prevent self-medication among this group. Providing required information and raising awareness about complications resulting from self-medication, in particular herbal medicines and dietary supplements, should be taken into account. | ||
کلیدواژهها | ||
Meta-Analysis؛ Pregnant؛ Prevalence؛ Self-medication | ||
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