Knowledge Practice and Lifestyle among Pregnant Women regarding Nausea and Vomiting in Primary Health Care Centers in Erbil City

Authors

  • Shaymaa Sameer Maqsood Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Kurdistan Region, Iraq.
  • Ibrahim Hasan Mustafa Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Kurdistan Region, Iraq. https://orcid.org/0000-0002-8961-8565

DOI:

https://doi.org/10.15218/ejnm.2025.07

Keywords:

Knowledge, Practice, Lifestyle, Nausea, Vomiting, Pregnant women

Abstract

Background and objectives: Nausea and vomiting during pregnancy affect pregnant women to varying degrees. Over the years, a large number of modalities have been used to deal with debilitating conditions and the health state of pregnant women. The study aimed to find the prevalence of nausea and vomiting among pregnant women in the first trimester and to study the effect of an educational program on their knowledge and practices regarding complementary and alternative medicine to reduce nausea and vomiting in the first trimester.

Methods: A quasi experimental study was conducted from January 2022 to July 2022 among pregnant women who had nausea and vomiting who attended eight primary health care centers in Erbil city. The purposive sampling method was used to select 200 pregnant women. The Rhodes index test was used to assess the rate of nausea and vomiting.

Results: The prevalence of nausea and vomiting among pregnant women in the first trimester was 68% in Erbil City. The largest proportion of the participants (46.3%) belonged to the age group 25-34 years. The median of the participants' knowledge score before the intervention was 3, while it significantly increased to 14 after the intervention (p<0.001). The median of their lifestyle score increased significantly from 0 before the intervention to 32 after the intervention (p<0.001).

Conclusion: The prevalence of nausea and vomiting among the pregnant women, their complaint about this condition, and their knowledge, practice, and lifestyle regarding nausea and vomiting before and after and experienced changed significantly for the better.

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References

SuryaningrumKC ,Titisari I , Mediawati M. HubunganAntara Status GravidadanUsiaI-buDenganKejadian Emesis Gravidarum. JurnalIlmuKesehatan. 2018; 7(2): 12–20 doi.org/10.32831/jik.v7i2.213.

Kjeldgaard HK, VikanesA, Benth JS, Junge C, Garthus-Niegel S, Eberhard-Gran M. The association between the degree of nausea in pregnancy and subsequent posttraumatic stress. Archives Womens Mental Health. 2019; 22(4):493-501.doi.org/10.1007/s00737-018-0909.

Fatwa T. PENGARUH REBUSAN JAHE TER-HADAP KELUHAN MUAL MUNTAH IBU HAM-IL. Jurnal Medika Hutama.2020; 2(1): 48–59. https://jurnalmedikahutama.com/index.php/JMH/article/view/77.

Wahyuningsih S. Buku Ajar KeperawatanMa-ternitas .Bondowoso .2019 ; 188: doi :978-602-51757-9-4

RamdhaniIP,AyudiaF.PengaruhPemberianMinumanJahe (Zingiber Officinale Var. Rubrum) TerhadapPenurunan Emesis Gravidarum Tri-mester Pertama. JurnalIlmuKesehatan. 2019;3(2): 97. doi.org/10.33757/jik.v3i2.231

Kallen B, Lundberg G, Aberg A. Relationship between vitamin use, smoking and nausea and vomiting of pregnancy. ActaObstetri-ciaetGynecologicaScandinavica .2003;82:916-920.:doi:10.1034/j.1600-0412.2003.00307

Wulandari DA , Kustriyanti D , Aisyah R. MinumanJaheHangatUntukMengurangi Emesis GravidarumPadaIbuHamil Di Puskesmas-NalumsariJepara.JournalSMARTKebidanan.2019; 6(1): 42.https://doi.org/10.34310/sjkb.v6i1.246.

World Health Organization. Hyperemesis gravidarum: current perspectives. International Journal of Women’s Health. 2014 :6: 719–725.doi: 10.2147/IJWH.S37685.

Rahmawati NA, Rosyidah T, Marharani A. HubunganPelaksanaanSenamHamilDengan-KetidaknyamananIbuHamil Trimester Iii Di BidanPraktekMandiriSupadmi, KundenBulu, Sukoharjo. InvolusiJornalIlmuKebidanan. 2016; 7(12):42-50.: http://dx.doi.org/10.32497bangunrekaprima.v5i1.1404.

Viljoen E, VisserJ ,Koen N, Musekiwa A. A systematic review and meta-analysis of the effect our and safety of ginger in the treatment of pregnancy-associated nausea and vomiting. Nutritional Journal .2014; (19):13-20.doi: 10.1186/1475-2891-13-20.

Dabaghian FH .Knowledge of pregnant women about the efficacy and safety of herbal medicine and their practice during pregnancy.Complementary Medicine Journal. 2012;2(3): 246-256. http://cmja.arakmu.ac.ir/article-1-149-en.html

Hemminki E, Mantyranta T, Malin M, Kopo-nen P. A survey on the use of alternative

drugs during pregnancy. Scand Journal Social Medicine. 1991; 19(3): 199 - 204.doi: 10.1177/140349489101900310.

Forster D, Denning A, Wills G, Bolger M , McCarthy E. Herbal medicine use during

pregnancy in a group of Australian women. BMC Pregnancy Childbirth. 2006; 6: 21 30.doi:10.1186/1471-2393-6-21.

Hepner DL, Harnett M, Segal S, Camann W, Bader A, Tsen L. Herbal use in parturients. An International Journal of Obstetrics and Gynecology. 2002;94:690–3.doi: 10.1097/00000539-200203000-00039

Maats F, Crowther C. Patterns of vitamin, mineral and herbal supplement use prior to and during pregnancy. Australian and NewZeland Journal of Obstetetrics and Gynecology .2002;42:4946.doi.org/10.1177/0310057X19845786

Nordeng H, Havnen G. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemioly& Drug Safety.2004;13:371–80. doi:10.1002/pds.945

Barnes J. Quality. Efficacy and safety of complementary medicines: fashions, facts and the future. Part1. Regulation and quality.British Journal of Clinical Pharmacology l. 2003;55(3):226–33.doi: 10.1046/j.1365-2125.2003.01810.x

Somoyani, Ni Ketut. Literature Review: Tera-pi Komplementer Untuk Mengurangi Mual Muntah Pada Masa Kehamilan. Journal Ilmi-ah Kebidanan. The Journal Of Midwifery. 2020; 8(1):10–17. doi.org/10.33992/jik.v8i1.1193

National Center for Complementary and Alternative Medicine (NCCAM).: http://nccam.nih.gov/.

Goldbeck-Wood S, Dally M. Complementary medicine is booming worldwide. BMJ 2007;313:131–3. doi:10.1093/ecam/nen031

World Health Organization. Fact Sheet No 134: Traditional Medicine. 2013.:http://www.who.int/mediacentre/factsheets/ fs134/en/index.html.

Forster DA, Denning A, Wills G, Bolger M, McCarthy E. Herbal medicine use during pregnancy in a group of Australian women. BMC Pregnancy Childbirth .2006;19:21. doi: 10.1186/1471-2393-6-21

Posadzki P, Watson LK, Alotaibi A, Ernst E. . Prevalence of use of complementary and alternative medicine (CAM) by patients/consumers in the UK: systematic review of surveys. Clinical Medicine. 2013;13 (2): 126–131. doi: 10.7861/clinmedicine.13-2-126

Yang PR, Shih WT , Chu YH, Chen PC , Wu CY .Frequency and co-prescription pattern of Chinese herbal products for hypertension in Taiwan: a Cohort study. BMC Complementary and Alternative Medicine. 2015;15 (1):1: doi.org/10.1186/s12906-015-0690-8

Holst L,Wright D , NordengH, HaavikS. Use of herbal preparations during pregnancy: focus group discussion among expectant mothers attending a hospital antenatal clinic in Norwich UK. Complementary Therapy of Clinical prectice. Pract.2009;15 (4): 225–229.doi: 10.1016/j.ctcp.2009.04.001.

John LJ, ShantakumariN.Herbal medicines use during pregnancy: a review from the Middle East. Oman Medical Journal. 2015;30 (4): 229.doi:10.5001/omj.2015.48

NordengH ,Havnen GC. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemioly &Drug Safety. 2004; 13(6): 371–380. doi:10.1002/pds.945

Close C, SinclairM, LiddleSD, Madden E , McCullough J E , Hughes C .A systematic review investigating the effectiveness of Complementary and Alternative Medicine (CAM) for the management of low back and/or pelvic pain (LBPP) in pregnancy. Journal of Advance Nursing research.2014; 70 (8): 1702–1716. doi:10.1111/jan.12360

Crozier SR, Inskip HM, Godfrey KM, Cooper C,RobinsonSM. Nausea and vomiting in early pregnancy: Effects on food intake and diet quality .Maternal and Child Nutrition. 2017 ; 13(4): 123-.89. doi: 10.1111/mcn.12389

Pakniat H, Memarzadeh MR, Azh N, Mafi M, Ranjkesh F. Comparison of the effect of chamomile, Ginger and vitamin B6 on treat-ment of nausea and vomiting in pregnancy: a randomized clinical trial. The Iranian Jour-nal of Obstetrics, Gynecology and Infertility 2018;21(8):47-54. doi: 10.22038/IJOGI.2018.11969

Elolemy AT, AlBedahAM. Public Knowledge, Attitude and Practice of Complementary and Alternative Medicine in Riyadh Region, Saudi Arabia.Oman Medical Journal.2012;( 27) 1: 20-26. Available from :Available from: doi 10. 5001/omj.2012.04

Mohamed H, Abdin J. “Knowledge, attitude and practice of complementary and alternative medicine (CAM) among pregnant women: a preliminary survey in Qatar.” Middle East Journal of Family Medicine.2010;(7)10:5–14.doi: 10.1155/2021/8829313

Ni H, Simile C, Hardy AM. Utilization of complementary and alternative medicine by United States adults: results from the 1999 national health interview survey. Medical Care 2002;40(4):353-358.doi:10.1097/00005650-200204000-00011

Hashem FD , Abdollahi MF, Sho-jaeiA,Kianbakht S (Ph.D.)4, Zafarghandi N, Goushegir A. Use and Attitude on Herbal Medicine in a Group of Pregnant Women in Tehran. Journal of Medicinal Plants. 2012; 41(11): 22-33. doi: 20.1001.1.2717204.2012.11.41.3.9

Zaki NM, Albarraq AA. Use, attitudes and knowledge of medications among pregnant women: A Saudi study. Saudi Pharmaceutical Journal. 2014; 22 (5):419–428. doi:10.1016/j.jsps.2013.09.001

Zaffani S, Cuzzolin L, Benoni G. Herbal products: behaviors and beliefs among Italian women. Pharmacoepidemioly& Drug Safety. 2006; 15: 354-9.doi:10.1002/pds.1190

Ni H, Simile C, Hardy AM. Utilization of complementary and alternative medicine by United States adults: results from the 1999Na-tional health Interview Survey. Medical care.2002; 40:353-358. doi:10.1097/00005650-200204000-00011.

Al-Faris EA,Al-RowaisN , Mohamed AG ,Al-RukbanM O ,Al-KurdiA, Al-Noor et al. Prevalence and pattern of alternative medicine use: the results of a household survey. Annals of Saudi Medicine. 2008;28 (1):4-10. doi:10.5144/0256-4947.2008.

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Published

2025-05-30

How to Cite

1.
Sameer Maqsood S, Hasan Mustafa I. Knowledge Practice and Lifestyle among Pregnant Women regarding Nausea and Vomiting in Primary Health Care Centers in Erbil City. Erbil j. nurs. midwifery [Internet]. 2025 May 30 [cited 2025 Aug. 6];8(1):57-66. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/277

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