Gebelik Döneminde Bitkisel Ürün Kullanımına Yönelik Aktarların Yaklaşımları: Nitel Bir Çalışma
Year 2025,
Volume: 14 Issue: 1, 48 - 56, 28.03.2025
Yasemin Sökmen
,
Emine Koç
Abstract
Amaç: Bu çalışmanın amacı, gebelik döneminde bitkisel ürün kullanımına yönelik aktarların yaklaşımını belirlemektir. Gereç ve Yöntem: Bu çalışmada, nitel araştırma yöntemlerinden tanımlayıcı fenomenolojik desen kullanıldı. Çalışma, Ocak-Mayıs 2023 tarihleri arasında Türkiye’nin kuzeyinde yer alan Samsun ilinde aktarlarda çalışan 16 bireyle yürütüldü. Aktarda çalışan bireylerin gebelerin bitkisel ürün kullanımı ile ilgili deneyimleri bireysel derinlemesine görüşme tekniği kullanılarak incelendi ve verilerin analizi, tematik analiz yöntemi kullanılarak yapıldı. Araştırmadan elde edilen sonuçlar ise SRQR kriterleri doğrultusunda rapor edildi. Bulgular: Analizin sonucunda dört ana tema belirlendi: (I) gebelerin başvurduğu şikayetler; (II) gebelerin aktardan aldığı bitkisel ürünler; (III) bitkisel ürün tavsiye eden kişi/kaynak; (IV) aktarların bitkisel ürün ile ilgili yaklaşımı. Gebelerin daha çok anne sütünü arttırmak, bulantı-kusma ve kabızlık şikayetleri için aktara başvurdukları, bu şikayetler için en fazla rezeneyi, zencefili ve anasonu satın aldıkları, bitkisel ürün kullanımı ile ilgili aktardan da tavsiye aldıkları, aktarlar meryem ana otunu, ıhlamuru ve rezeneyi gebelik döneminde yararlı olduğu düşüncesiyle tavsiye ederken civan perçemini zararlı olduğu düşüncesiyle tavsiye etmediği saptanmıştır. Sonuç: Gebelerin bitkisel ürün ile ilgili aktarlardan tavsiye aldığı, bazı aktarların gebelik döneminde kullanılması önerilmeyen bitkisel ürünleri tavsiye ettiği sonucuna varılmıştır.
Project Number
Bulunmamaktadır.
References
- Abdollahi, F., Khani, S., & Charati, J. Y. (2018). Prevalence and related factors to herbal medicines use among pregnant females. Jundishapur Journal of Natural Pharmaceutical Products, 13(3), e13785. https://doi.org/10.5812/jjnpp.13785
- Aksayan, S., & Emiroğlu, N. (2002). Hemşirelikte araştırma: İlke, süreç ve yöntemleri. Nobel Tıp Kitabevleri, İstanbul.
- Aljofan, M., & Alkhamaiseh, S. (2020). Prevalence and factors influencing use of herbal medicines during pregnancy in Hail, Saudi Arabia: A cross-sectional study. Sultan Qaboos University Medical Journal, 20, e71-e76. https://doi.org/10.18295/squmj.2020.20.01.010
- Almoayad, F., Assiri, I. A., Almarshoud, H. F., Safhi, A. M., Altahan, H. M., & Benajiba, N. (2021). Exploring the use of herbal treatments during pregnancy among saudi women: an application of the knowledge-attitude-practice model. Sultan Qaboos University Medical Journal, 21(4), 591-597. https://doi.org/10.18295/squmj.4.2021.045
- Anteneh, T. A., Solomon, A. A., Tamiru, A. T., Tibebu, N. S., Alemu, H. N., Desalegn, S. Y., Ayalew, H. G., Abegaz, M. Y., & Kebede, A. A. (2022). Knowledge and attitude of women towards herbal medicine usage during pregnancy and associated factors among mothers who gave birth in the last twelve months in dega damot district, Northwest Ethiopia. Drug Healthcare and Patient Safety 14, 37-49. https://doi.org/10.2147/DHPS.S355773
- Ayhan, Y. E., & Akalin, E. (2021). Evaluation of herbal medicine use in the obstetric and gynecology department. İstanbul Journal of Pharmacy 51(2), 243-255. https://doi.org/10.26650/IstanbulJPharm.2020.0064
- Başkale, H. (2016). Nitel araştırmalarda geçerlik, güvenirlik ve örneklem büyüklüğünün belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(1), 23-28. https://dergipark.org.tr/tr/download/article-file/753041
- Chevallier, A. (2016). Encyclopedia of herbal medicine. Penguin Random House, United States.
- Committee on Practice Bulletins Obstetrics, (2018). ACOG practice bulletin no. 189: Nausea and vomiting of pregnancy. Obstetrics Case Report Journal. 131(1), e15-e30. https://doi.org/10.1097/AOG.0000000000002456
- Dafam, D. G., Denou, A., Idoko, A., Jimam, N. S., Okwori, V. A., Ohemu, T. L., Yakubu, T. P., & David, S. (2021). Use of herbal medicine during pregnancy and attitudes of pregnant women in Jos, Nigeria. Journal of Pharmacy and Bioresources 18(1), 64-73. https://doi.org/10.4314/jpb.v18i1.9
- Demirci, Kayıran, S., & Kırıcı, S. (2019). Adana (Türkiye) aktarlarında tedavi amacıyla satılan bitkisel droglar. KSÜ Tarım ve Doğa Dergisi, 22(2), 183-192. https://doi.org/10.18016/ksutarimdoga.vi.485805
- Eid, A. M., & Jaradat, N. (2020). Public knowledge, attitude, and practice on herbal remedies used during pregnancy and lactation in West Bank Palestine. Front Pharmacol. 11, 46. https://doi.org/10.3389/fphar.2020.00046
- El, Hajj, M., & Holst, L. (2020). Herbal medicine use during pregnancy: A review of the literature with a special focus on sub-Saharan Africa. Front Pharmacol 11, 866. https://doi.org/10.3389/fphar.2020.00866
- European Medicines Agency. (2018). Committee on herbal medicinal products (hmpc). Assessment report on Malva sylvestris L. and/or Malva neglecta Wallr., folium and Malva sylvestris L. Retrieved April 25, 2023, from https://www.ema.europa.eu/en/documents/herbal-report/final-assessment-report-malva-sylvestris-l/malva-neglecta-wallr-folium-malva-sylvestris-l-flos-first-version_en.pdf
- Ghasemi, V., Kheirkhah, M., & Vahedi, M. (2015). The effect of herbal tea containing fenugreek seed on the signs of breast milk sufficiency in Iranian girl infants. Iranian Red Crescent Medical Journal, 17(8), e21848. https://doi.org/doi: 10.5812/ircmj.21848
- Ibanda, H. A., Ntuyo, P., Mubiru, F., & Namusoke, F. (2021). Prevalence and factors associated with use of herbal medicine among pregnant women in an urban tertiary hospital in Uganda–a cross-sectional survey. East and Central African Journal of Pharmaceutical Sciences, 24, 78-84. https://www.ajol.info/index.php/ecajps/article/view/229960
- Illamola, S. M., Amaeze, O. U., Krepkova, L. V., Birnbaum, A. K., Karanam, A., Job, K. M., Bortnikova, V. V., Sherwin, C. M. T., & Enioutina, E. Y. (2020). Use of herbal medicine by pregnant women: What physicians need to know. Front. Pharmacol. 10, 1483. https://doi.org/10.3389/fphar.2019.01483
- Jahan, S., Mazumder, Z. M., & Shill, D. K. (2022). Use of herbal medicines during pregnancy in a group of Bangladeshi women. Heliyon 8, e08854. https://doi.org/10.1016/j.heliyon.2022.e08854
- John, L. J., & Shantakumari, N. (2015). Herbal medicines use during pregnancy: A review from the Middle East. Oman Medical Journal 30(4), 229-236. https://doi.org/10.5001/omj.2015.48
- Kam, P., Barnett, D., & Douglas, D. (2019). Herbal medicines and pregnancy: A narrative review and anaesthetic considerations. Anaesth Intensive Care, 47(3), 226-234. https://doi.org/10.1177/0310057X19845786
- Kıssal, A., Güner, Ü. Ç., & Ertürk, D. B. (2017). Use of herbal product among pregnant women in Turkey. Complementary Therapies in Medicine, 30, 54-60. https://doi.org/10.1016/j.ctim.2016.11.001
- Kul, Uçtu, A., & Karakoç, H. (2018). Gebelikte bitkisel ürün kullanımı. Journal of Health Services and Education, 2(2), 47-50. https://doi.org/10.26567/JOHSE.2018250149
- Leke, A. Z., Dolk, H., Loane, M., Casson, K., Maboh, M. N., Maeya, S. E., Dibo, L., Nyenti, P. B., Obale, A., & Etiendem, D. (2022). Prevalence, determinants and attitude towards herbal medicine use in the first trimester of pregnancy in Cameroon: A survey in 20 hospitals. PLOS Glob Public Health, 2(8), e0000726. https://doi.org/10.1371/journal.pgph.0000726
- Nyeko, R., Tumwesigye, N. M., & Halage, A. A. (2016). Prevalence and factors associated with use of herbal medicines during pregnancy among women attending postnatal clinics in Gulu district, Northern Uganda. BMC Pregnancy Childbirth, 16(1), 296. https://doi.org/10.1186/s12884-016-1095-5
- Romm, A. (2017). Botanical medicine for women’s health E-book. Elsevier Health Sciences.
- Sarecka, Hujar, B., & Szulc, Musiol, B. (2022). Herbal medicines-are they effective and safe during pregnancy? Pharmaceutics. 4(1), 171. https://doi.org/10.3390/pharmaceutics14010171
- Schafer, W., Wentzell, N., Schink, T., & Haug, U. (2021). Characterization of pregnancies exposed to St. John’s wort and their outcomes: A claims data analysis. Reproductive Toxicology, 102, 90-97. https://doi.org/10.1016/j.reprotox.2021.04.005
- World Health Organization. (2013). WHO traditional medicine strategy 2014–2023. Retrieved April 10, 2023, from https://www.who.int/publications/i/item/9789241506096
- World Health Organization. (2019). Global report on traditional and complementary medicine. Retrieved April 10, 2023, from https://www.who.int/publications/i/item/978924151536
- Xiong, Y., Liu, C., Li, M., Qin, X., Guo, J., Wei, W., Yao, G., Qian, Y., Ye, L., Liu, H., Xu, Q., Zou, K., Sun, X., & Tan, J. (2023). The use of Chinese herbal medicenes throughout the pregnancy life course and their safety profiles: A population-based cohort study. American Journal of Obstetrics & Gynecology MFM 5(5), 100907. https://doi.org/10.1016/j.ajogmf.2023.100907
- Yıldırım, A., & Şimşek, H. (2018). Sosyal bilimlerde nitel araştırma yöntemleri. Nitel araştırma desenleri. Seçkin Yayıncılık, Ankara.
Herbalists’ Approaches to the Use of Herbal Products During Pregnancy: A Qualitative Study
Year 2025,
Volume: 14 Issue: 1, 48 - 56, 28.03.2025
Yasemin Sökmen
,
Emine Koç
Abstract
Objective: The aim of this study was to determine herbalists’ approaches to the use of herbal products during pregnancy. Materials and Methods: A descriptive, phenomenological design, one of the qualitative research methods, was used. The study was conducted with 16 individuals working as herbalists in Samsun province, located in the north of Turkey, between January and June 2023. The experiences of herbalists about herbal product use during pregnancy were examined using the individual in-depth interview technique, and the data analysis was performed using the thematic analysis method. The results obtained from the research were reported in accordance with the SRQR criteria. Results: As a result of the analysis, four main themes were identified: (1) presenting complaints of pregnant women; (2) herbal products that pregnant women purchase from herbalists; (3) the person(s) recommending the herbal product; (4) herbalists' approach to herbal products. Pregnant women mostly presented to herbalists to increase breast milk or with nausea-vomiting and constipation complaints. It was determined that they often purchased fennel, ginger, and anise for these complaints and got advice from herbalists about using herbal products. Herbalists mostly recommended rose of Jericho (Anastatica hierochuntica L.), linden, and fennel thinking that they were beneficial during pregnancy but they did not recommend yarrow as they thought it was harmful. Conclusion: It was concluded that pregnant women received advice from herbalists about herbal products and that some herbalists recommended herbal products that were not normally recommended for use during pregnancy.
Ethical Statement
Ethics approval to undertake this work granted by Ondokuz Mayıs University Social and Human Sciences Research Ethics Committee (Protocol No: 2022/1143; Date: 30.12.2022).
Supporting Institution
Not available.
Project Number
Bulunmamaktadır.
Thanks
The authors thank all herbalists’s participated in the study.
References
- Abdollahi, F., Khani, S., & Charati, J. Y. (2018). Prevalence and related factors to herbal medicines use among pregnant females. Jundishapur Journal of Natural Pharmaceutical Products, 13(3), e13785. https://doi.org/10.5812/jjnpp.13785
- Aksayan, S., & Emiroğlu, N. (2002). Hemşirelikte araştırma: İlke, süreç ve yöntemleri. Nobel Tıp Kitabevleri, İstanbul.
- Aljofan, M., & Alkhamaiseh, S. (2020). Prevalence and factors influencing use of herbal medicines during pregnancy in Hail, Saudi Arabia: A cross-sectional study. Sultan Qaboos University Medical Journal, 20, e71-e76. https://doi.org/10.18295/squmj.2020.20.01.010
- Almoayad, F., Assiri, I. A., Almarshoud, H. F., Safhi, A. M., Altahan, H. M., & Benajiba, N. (2021). Exploring the use of herbal treatments during pregnancy among saudi women: an application of the knowledge-attitude-practice model. Sultan Qaboos University Medical Journal, 21(4), 591-597. https://doi.org/10.18295/squmj.4.2021.045
- Anteneh, T. A., Solomon, A. A., Tamiru, A. T., Tibebu, N. S., Alemu, H. N., Desalegn, S. Y., Ayalew, H. G., Abegaz, M. Y., & Kebede, A. A. (2022). Knowledge and attitude of women towards herbal medicine usage during pregnancy and associated factors among mothers who gave birth in the last twelve months in dega damot district, Northwest Ethiopia. Drug Healthcare and Patient Safety 14, 37-49. https://doi.org/10.2147/DHPS.S355773
- Ayhan, Y. E., & Akalin, E. (2021). Evaluation of herbal medicine use in the obstetric and gynecology department. İstanbul Journal of Pharmacy 51(2), 243-255. https://doi.org/10.26650/IstanbulJPharm.2020.0064
- Başkale, H. (2016). Nitel araştırmalarda geçerlik, güvenirlik ve örneklem büyüklüğünün belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(1), 23-28. https://dergipark.org.tr/tr/download/article-file/753041
- Chevallier, A. (2016). Encyclopedia of herbal medicine. Penguin Random House, United States.
- Committee on Practice Bulletins Obstetrics, (2018). ACOG practice bulletin no. 189: Nausea and vomiting of pregnancy. Obstetrics Case Report Journal. 131(1), e15-e30. https://doi.org/10.1097/AOG.0000000000002456
- Dafam, D. G., Denou, A., Idoko, A., Jimam, N. S., Okwori, V. A., Ohemu, T. L., Yakubu, T. P., & David, S. (2021). Use of herbal medicine during pregnancy and attitudes of pregnant women in Jos, Nigeria. Journal of Pharmacy and Bioresources 18(1), 64-73. https://doi.org/10.4314/jpb.v18i1.9
- Demirci, Kayıran, S., & Kırıcı, S. (2019). Adana (Türkiye) aktarlarında tedavi amacıyla satılan bitkisel droglar. KSÜ Tarım ve Doğa Dergisi, 22(2), 183-192. https://doi.org/10.18016/ksutarimdoga.vi.485805
- Eid, A. M., & Jaradat, N. (2020). Public knowledge, attitude, and practice on herbal remedies used during pregnancy and lactation in West Bank Palestine. Front Pharmacol. 11, 46. https://doi.org/10.3389/fphar.2020.00046
- El, Hajj, M., & Holst, L. (2020). Herbal medicine use during pregnancy: A review of the literature with a special focus on sub-Saharan Africa. Front Pharmacol 11, 866. https://doi.org/10.3389/fphar.2020.00866
- European Medicines Agency. (2018). Committee on herbal medicinal products (hmpc). Assessment report on Malva sylvestris L. and/or Malva neglecta Wallr., folium and Malva sylvestris L. Retrieved April 25, 2023, from https://www.ema.europa.eu/en/documents/herbal-report/final-assessment-report-malva-sylvestris-l/malva-neglecta-wallr-folium-malva-sylvestris-l-flos-first-version_en.pdf
- Ghasemi, V., Kheirkhah, M., & Vahedi, M. (2015). The effect of herbal tea containing fenugreek seed on the signs of breast milk sufficiency in Iranian girl infants. Iranian Red Crescent Medical Journal, 17(8), e21848. https://doi.org/doi: 10.5812/ircmj.21848
- Ibanda, H. A., Ntuyo, P., Mubiru, F., & Namusoke, F. (2021). Prevalence and factors associated with use of herbal medicine among pregnant women in an urban tertiary hospital in Uganda–a cross-sectional survey. East and Central African Journal of Pharmaceutical Sciences, 24, 78-84. https://www.ajol.info/index.php/ecajps/article/view/229960
- Illamola, S. M., Amaeze, O. U., Krepkova, L. V., Birnbaum, A. K., Karanam, A., Job, K. M., Bortnikova, V. V., Sherwin, C. M. T., & Enioutina, E. Y. (2020). Use of herbal medicine by pregnant women: What physicians need to know. Front. Pharmacol. 10, 1483. https://doi.org/10.3389/fphar.2019.01483
- Jahan, S., Mazumder, Z. M., & Shill, D. K. (2022). Use of herbal medicines during pregnancy in a group of Bangladeshi women. Heliyon 8, e08854. https://doi.org/10.1016/j.heliyon.2022.e08854
- John, L. J., & Shantakumari, N. (2015). Herbal medicines use during pregnancy: A review from the Middle East. Oman Medical Journal 30(4), 229-236. https://doi.org/10.5001/omj.2015.48
- Kam, P., Barnett, D., & Douglas, D. (2019). Herbal medicines and pregnancy: A narrative review and anaesthetic considerations. Anaesth Intensive Care, 47(3), 226-234. https://doi.org/10.1177/0310057X19845786
- Kıssal, A., Güner, Ü. Ç., & Ertürk, D. B. (2017). Use of herbal product among pregnant women in Turkey. Complementary Therapies in Medicine, 30, 54-60. https://doi.org/10.1016/j.ctim.2016.11.001
- Kul, Uçtu, A., & Karakoç, H. (2018). Gebelikte bitkisel ürün kullanımı. Journal of Health Services and Education, 2(2), 47-50. https://doi.org/10.26567/JOHSE.2018250149
- Leke, A. Z., Dolk, H., Loane, M., Casson, K., Maboh, M. N., Maeya, S. E., Dibo, L., Nyenti, P. B., Obale, A., & Etiendem, D. (2022). Prevalence, determinants and attitude towards herbal medicine use in the first trimester of pregnancy in Cameroon: A survey in 20 hospitals. PLOS Glob Public Health, 2(8), e0000726. https://doi.org/10.1371/journal.pgph.0000726
- Nyeko, R., Tumwesigye, N. M., & Halage, A. A. (2016). Prevalence and factors associated with use of herbal medicines during pregnancy among women attending postnatal clinics in Gulu district, Northern Uganda. BMC Pregnancy Childbirth, 16(1), 296. https://doi.org/10.1186/s12884-016-1095-5
- Romm, A. (2017). Botanical medicine for women’s health E-book. Elsevier Health Sciences.
- Sarecka, Hujar, B., & Szulc, Musiol, B. (2022). Herbal medicines-are they effective and safe during pregnancy? Pharmaceutics. 4(1), 171. https://doi.org/10.3390/pharmaceutics14010171
- Schafer, W., Wentzell, N., Schink, T., & Haug, U. (2021). Characterization of pregnancies exposed to St. John’s wort and their outcomes: A claims data analysis. Reproductive Toxicology, 102, 90-97. https://doi.org/10.1016/j.reprotox.2021.04.005
- World Health Organization. (2013). WHO traditional medicine strategy 2014–2023. Retrieved April 10, 2023, from https://www.who.int/publications/i/item/9789241506096
- World Health Organization. (2019). Global report on traditional and complementary medicine. Retrieved April 10, 2023, from https://www.who.int/publications/i/item/978924151536
- Xiong, Y., Liu, C., Li, M., Qin, X., Guo, J., Wei, W., Yao, G., Qian, Y., Ye, L., Liu, H., Xu, Q., Zou, K., Sun, X., & Tan, J. (2023). The use of Chinese herbal medicenes throughout the pregnancy life course and their safety profiles: A population-based cohort study. American Journal of Obstetrics & Gynecology MFM 5(5), 100907. https://doi.org/10.1016/j.ajogmf.2023.100907
- Yıldırım, A., & Şimşek, H. (2018). Sosyal bilimlerde nitel araştırma yöntemleri. Nitel araştırma desenleri. Seçkin Yayıncılık, Ankara.