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Table 2. Prevalence and pattern of herbal medicine use, referral, and sources of information among pregnant women from the Middle East.

Study Prevalence of use Herbs used Reason for use Recommended by Source of information Trimester
Al-Riyami et al, 201111 23.8% Ginger: 7.9%; honey: 6.5%; thyme: 5.0%; green tea: 3.6% Flu and cold: 9.4%; flatulence: 6.5%
Nausea: 5.0%; infection: 4.3%
NR NR First:17.3%
Second:17.1%
Third:15.0%
Tabatabaee et al,
201112
82.3% Ammi: 22.6%; saatar: 12.6%; sweet basil: 28.0%; peppermint: 9.0%; ginger: 5.4%; cinnamon: 5.4%; chamomile: 4.5% GI related problem: 32.1%; nausea and vomiting:20.2%; prevent neonatal hyperbilirubinemia:14.7%; common cold:11.0%
Urinary tract infection:5.5%; sedation: 4.6%
increase child intelligence: 3.7%
Family: 87.3%; primary maternity care providers: 7.6%; friends; neighbors: 2.5%; midwife: 2.5% NR First: 36.7%
Second:15.2%
Third: 31.0%
Any time: 17.1%
Dabaghian et al, 201213 67.0%
Mean: 2.7±1.9 herbs/individual
Peppermint: 32.8%; olibanum: 26.3% Bloating, stomach ache:30.2%; respiratory infections:18.7%; nausea; vomiting:11.5%;
heart burn:8.7%; anxiety:4.7%,
Sleep disorders:4.7%; skin problems:2.9%
Family/friends: 77.5%; herbalists/pharmacist/other pregnant women; gynecologist: 9.7%; general physician: 5.2% Family, friends: 60.2%
Books/newspapers/magazines/internet: 49.7%
Herbal store/
pharmacy: 26.7%
Television: 15.5%
Physician: 12.8%
NR
Sattari et al, 201214 22.3% NR NR NR Physicians: 46.0%
Family/friends: 9.0%
Self: 44.9%
NR
Sawalha et al,
200715
45.8% Sage, aniseeds, chamomile,
thyme, fenugreek, mixture of herbs, garlic, ginger
Abdominal pain:36.0%; anxiety: 14.5%; Flu: 13.3%; cough: 9.6%. Self: 55.1%; families; friends:27.6%; herbalists; pharmacists; other pregnant women; gynecologist:9.7%; general physician:5.2% NR NR
Hashim et al, 200516 65.2% Herbal mixes: 24.0%; ginger:17.0%; aniseed: 1.0%; fenugreek: 9%; mint: 9.0%; thyme, sage; lemon: 8.0%;
chamomile: 6.0%
Indigestion, cold and flu, tension relief, urinary tract infection (UTI), constipation, stomach pain. vomiting, abdominal cramps, good for health NR Friends/family: 65%, Magazines/TV/newspapers: 13.0%, Internet: 7.0%,
General practitioner: 4.0%, Gynecologist: 4.0%
Herbalist: 2.0%
First:67.5%
Second:37.7%
Third: 28.9%
(usage of herbal medicine alone not reported)
Khadivzadeh et al, 201217 49.2% Traditional herb: 73.2%
Herb based drugs: 26.8%
Increase child’s intelligence: 49.5%; heartburn: 10.5%; cold and flu: 6.1%; nausea; vomiting: 5.7%; strong; beautiful child: 5.3%; gastric pain:1.4%; bloating:1.4% NR Friends/family: 33.5%; obstetricians/midwives: 41.5%; books/magazines: 6.7%; traditional; healers: 3.6%; Radio/TV: 5.1% First:64.3%
Second: 28.9%
Third: 5.4%
(usage of herbal medicine alone not reported)
Orief et al,
201218
27.3% Ginger: 29.3%; peppermint: 11.0%; fenugreek: 31.7%; green tea: 19.5%; garlic: 22.0%; aniseed: 40.2% Nausea/vomiting: 28.0%; abdominal colic: 47.6%; dysuria: 9.7%; headache: 2.4%
no indication: 18.2%
Physicians: 11.0%; self: 18.3%; friends: 28.0%
Family: 42.7%
Adawi et al,
201219
40.0% Anise: 61.7%; chamomile: 53.3%; sage: 45.8%; thyme: 29.0%; date: 28.3%; peppermint: 14.2%; cinnamon: 10.8%; fenugreek: 9.2%; cumin: 6.7%; ginger: 3.3% Flu and cough, abdominal pain, omiting; diuretic, chest pain, laxative, infection, flatulence, relaxation, pharyngitis, teeth pain, energy, facilitate delivery Self: 29.2%
Family: 35.8%
Doctor: 32.5%
Pharmacist: 0.8%
Family and doctor: 1.7%
First 7.5%
Second: 20.0%
Third: 35.8%
Throughout: 23.3%

NR: not reported