International Journal of Midwifery Nursing And Practices Original Research

A Study to Assess the Prevalence of Self-medication and Its Associated Factors Among Pregnant Women in Selected Tertiary Care Teaching Hospital at Kuppam, Chittoor District, Andhra Pradesh

  1. B. Aswini Priya Department of Obstetrics and Gynaecological Nursing, PES College of Nursing
  2. M.N. Pavithra Department of Obstetrics and Gynaecological nursing, PES College of Nursing
  3. J. Balalakshmi The Oxford college of Nursing
  4. V. Divya Sri Department of Obstetrics and Gynaecological Nursing, PES College of Nursing

Abstract

Self-medication, the practice of using medications without a doctor's prescription, is a growing global public health issue, particularly in resource-limited settings. In pregnancy, self-medication can pose serious risks, including misdiagnosis, incorrect dosages, drug interactions, and prolonged use. This study aimed to assess the prevalence of self-medication, and the factors associated with it among pregnant women at a tertiary care teaching hospital in Kuppam, Chittoor district, Andhra Pradesh. A descriptive cross-sectional survey design was used with a non-probability purposive sampling technique to select 200 pregnant women. Data were collected through structured interviews and organized into four sections: socio-demographic variables, maternal variables, a checklist on self-medication prevalence, and factors associated with self-medication. Descriptive and inferential statistics were used for data analysis. The study found that 49% of pregnant women reported using self-medication. Among them, 87.8% consumed medication rarely, 67.3% for headaches, and 78.5% used topical medications. The primary factors contributing to self-medication included lack of time to visit a hospital (70.4%), minor health issues (72.4%), convenience (77.5%), and financial constraints (37.7%). Significant associations were found between self-medication and factors such as educational qualification (p

Keywords

References (10)

  1. Lowdermilk DL, Perry SE, Bobak IM. Maternity and Women's Health Care. 6th ed. New York: Mosby, Incorporated; 1997. 269 p.
  2. World Health Organization. (1988). How to develop and implement a national drug policy. Updates and replaces: Guidelines for developing national drug policies [online]. Available from: https://www.who.int/publications/i/item/924154547X
  3. Paulo LG, Zanini AC. The prevalence and characterization of self-medication for obtaining pain relief among undergraduate nursing students. Rev Assoc Med Bras. 1988;34:69–75.
  4. World Health Organization. (2000). WHO guidelines for the regulatory assessment of medicinal products for use in self-medication [online]. Available from: https://iris.who.int/ handle/10665/66154
  5. Sema FD, Addis DG, Melese EA, Nassa DD, Kifle ZD. Prevalence and Associated Factors of Self-Medication among Pregnant Women on Antenatal Care Follow-Up at University of Gondar Comprehensive Specialized Hospital in Gondar, Northwest Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine. 2020;2020:1-12. doi:10.1155/2020/2936862
  6. Rashid M, Chhabra M, Kashyap A, Undela K, Gudi SK. Prevalence and Predictors of Self-Medication Practices in India: A Systematic Literature Review and Meta-Analysis. Current Clinical Pharmacology. 2020;15(2):90-101. doi:10.2174/1574884714666191122103953
  7. Wakjira GB, Boru BG, Labata BG. Prevalence of self-medication and its associated factors among pregnant women attending antenatal care at Nekemte referral hospital, Oromia regional state, West Ethiopia. J Bioanal Biomed. 2019;11:160.
  8. van Gelder MMHJ, van Rooij IALM, Miller RK, Zielhuis GA, de Jong-van den Berg LTW, Roeleveld N. Teratogenic mechanisms of medical drugs. Human Reproduction Update. 2010;16(4):378-394. doi:10.1093/humupd/dmp052
  9. Samuel N, Einarson A. Medication management during pregnancy: role of the pharmacist. International Journal of Clinical Pharmacy. 2011;33(6):882-885. doi:10.1007/s11096-011-9560-8
  10. Nordeng H, Ystrøm E, Einarson A. Perception of risk regarding the use of medications and other exposures during pregnancy. European Journal of Clinical Pharmacology. 2009;66(2):207-214. doi:10.1007/s00228-009-0744-2