Modern drug self-medication and associated factors among pregnant women at Settat city, Morocco

Abstract

Purpose: The consumption of drugs during pregnancy without medical advice constitutes a risk for the mother and the fetus. It is a public health problem. This study aimed to assess self-medication practices among pregnant women, the most used medicines, and factors associated with this practice.Methods: A cross-sectional study was conducted using a structured questionnaire on pregnant women who were attending Settat health centers. A simple random sampling technique was used to select the study participants. Descriptive and inferential statistics were computed using the SPSS version 19.Results: Among 364 pregnant women, 118 (32%) practiced self-medication in modern medicine. Paracetamol was the most used medication, and nausea and vomiting were the most frequent symptoms reported by self-medicated pregnant women. Multivariate logistic regression analysis showed that women over 30 years old were four-fold more likely to practice self-medication than the other groups [AOR: 4.19; 95% CI (1.80–9.77)]. Similarly, unemployed women [AOR: 3.93; 95% CI (0.80–19.23)], those in third trimester [AOR: 2.63; 95% CI (1.29–5.36)], multiparous [AOR: 6.03; 95% CI (3.12–11.65)], without chronic illness [AOR: 2.84; 95% CI (1.26–6.41)], without therapeutic treatment [AOR: 10.1; 95% CI (2.81–37.03)] and who have attended ANC at least once, were more likely to practice self-medication than the other groups.Conclusion: The prevalence of modern drug self-medication among pregnant women in Morocco is classified as lower. Health professionals can exert positive pressure through education and information provided during ANC about OTC medications to significantly reduce the rate of self-medication.

Self-medication practice among pregnant and postpartum women attending the regional hospital center of Souss Massa, Morocco: a cross-sectional study

“…The use of drugs matches common illnesses compelling self-medication among pregnant women as discussed above. This type of drug is commonly used by pregnant women’s communities, these findings have already been observed in other studies ( Nsimba and Rimoy, 2005 ; Araujo et al, 2013 ; Afshary et al, 2015 ; Gbagbo and Nkrumah, 2021 ; Chergaoui et al, 2022 ). The use of analgesics during pregnancy can be related to different disorders.…”

“…The prevalence of self-medication during pregnancy is 24.8% with a CI of 95% (20.9%-29.1%) which is high. These findings are lower than the findings of a study conducted in Settat, a Moroccan city located in the Casablanca-Settat region which is 32% (Chergaoui et al, 2022). The prevalence of selfmedication found in our study is the same compared to other studies, 25.1% in Ethiopia (Abeje et al, 2015a), 27.7% in Brazil (Lutz et al, 2020), 21.9% in Mexico (Alonso-Castro et al, 2018, and 25.8% in Iran (Rafiee et al, 2018).…”

“…We used the prevalence of self-medication in pregnant women from a previous study conducted in Morocco ( Chergaoui et al, 2022 ). The sample size was calculated by using the assumption that for the proportional variable, the level of acceptable error is 5% (d = 0.05), and the expected proportion in the population is 32% ( p = 0.32).…”