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<p>In Morocco, phytotherapy is commonly used by pregnant women to facilitate labor and delivery. However, research on the safety and effectiveness of medicinal plants (MP) during this period remains limited. This retrospective cohort study conducted at the maternity department of the Regional Hospital Center of Guelmim (RHC Guelmim) aims to assess the effects and potential risks associated with MP use during labor and delivery. Data from medical records of women who gave birth from 2015 to 2021 were analyzed using univariate and bivariate logistic regression models to compare outcomes between MP users and non-users. Among 432 medical records examined, 216 indicated MP use. Results revealed significant correlations between MP use and labor and delivery outcomes. MP users had shorter labor durations but higher rates of cesarean Sect.&#xa0;(17.4% vs. 8.1%) and increased incidences of obstetric complications such as fetal distress, postpartum hemorrhage, neonatal asphyxia, and stained amniotic fluid (meconium). <i>Lepidium sativum</i> L., <i>Crocus sativus</i> L., and <i>Cinnamomum verum</i> J. Presl were the most frequently used medicinal plants. Due to the retrospective nature of the study, the obstetric records did not contain detailed information on the dosages and preparation methods of medicinal plants, because of the absence of a dedicated section; midwives only recorded the plant name in the header of the record, limiting precise monitoring of these practices. While medicinal plants appear effective in reducing labor duration, their potential risks require careful attention. Further prospective studies are essential to better understand the pharmacological and toxicological effects of these plants and to establish evidence-based guidelines for their safe use during labor and delivery.</p>

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Potential risks of using medicinal plants during labor and delivery - case of the Guelmim Oued Noun region (Southern Morocco)

  • 期刊论文

  • 发表日期：

    2026年2月17日

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  • Nadia Kamel,
  • Rachida El Boullani,
  • Yahia Cherrah

摘要

In Morocco, phytotherapy is commonly used by pregnant women to facilitate labor and delivery. However, research on the safety and effectiveness of medicinal plants (MP) during this period remains limited. This retrospective cohort study conducted at the maternity department of the Regional Hospital Center of Guelmim (RHC Guelmim) aims to assess the effects and potential risks associated with MP use during labor and delivery. Data from medical records of women who gave birth from 2015 to 2021 were analyzed using univariate and bivariate logistic regression models to compare outcomes between MP users and non-users. Among 432 medical records examined, 216 indicated MP use. Results revealed significant correlations between MP use and labor and delivery outcomes. MP users had shorter labor durations but higher rates of cesarean Sect. (17.4% vs. 8.1%) and increased incidences of obstetric complications such as fetal distress, postpartum hemorrhage, neonatal asphyxia, and stained amniotic fluid (meconium). Lepidium sativum L., Crocus sativus L., and Cinnamomum verum J. Presl were the most frequently used medicinal plants. Due to the retrospective nature of the study, the obstetric records did not contain detailed information on the dosages and preparation methods of medicinal plants, because of the absence of a dedicated section; midwives only recorded the plant name in the header of the record, limiting precise monitoring of these practices. While medicinal plants appear effective in reducing labor duration, their potential risks require careful attention. Further prospective studies are essential to better understand the pharmacological and toxicological effects of these plants and to establish evidence-based guidelines for their safe use during labor and delivery.