Læknablaðið - jan. 2019, Síða 16

16 LÆKNAblaðið 2019/105
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Heimildir
Barst til blaðsins 10. ágúst 2018, samþykkt til birtingar 27. nóvember 2018.
Unnur Sverrisdóttir1
Freyja Jónsdóttir1,2
Anna Ingibjörg Gunnarsdóttir1,2
Hildur Harðardóttir3,4
Ragnheiður Ingibjörg Bjarnadóttir4,5
Introduction: Evidence-based information regarding the use
of medication during pregnancy is lacking, even though the use
of medication during pregnancy is considered common and
often neccesary. The aim of this study was to obtain reliable
information on the use of medications during the first 20 weeks
of pregnancy and the use of vitamins, minerals, fatty acids, herbs
and other natural products. Women´s attitude and beliefs towards
the use of medications was also examined.
Material and methods: The study was conducted at the Prenatal
Diagnosis Unit at Landspitali from January to April 2017. Women
who attended routine ultrasound examination at 20 weeks were
offered to participate. A questionnaire was submitted to partici-
pants in an interview with the researcher following the doctor’s
appointment.
Results: Of the 213 participants, 90% used medication at least
once during the first 20 weeks of pregnancy. Approximately 80%
of these medications belong to FASS safety classes A and B and
are considered safe during pregnancy. The proportion of women
who did not use folic acid was 14% which was associated with
residence in rural areas (p=0.03) and younger age (p=0.019).
Natural products were used by 14% but information about
their safety is lacking. The majority (81%) was satisfied with the
information they received when a drug was prescribed and 94%
said they had sufficient access to information about medication
use during pregnancy. The most commonly used sources of
information were the internet (51%) and the local midwive (44%).
Conclusion: The use of medications and supplements during
pregnancy is common. Most medications being used are
considered safe during pregnancy. The majority of pregnant
women take folic acid. Pregnant women have a logical and gener-
ally a positive attitude towards medication use during pregnancy.
Use of medication, supplements and natural products during pregnancy
ENGLISH SUMMARY
1Faculty of Pharmaceutical sciences, The University of Iceland, 2Pharmacy department, The National University Hospital, 3Obstetrics and gynecology, The National
University Hospital, 4Faculty of Medicine, The University of Iceland, 5The Primary health care of the capital area.
Key words: pregnancy, medication, natural product, supplement, attitude, knowledge.
Correspondence: Unnur Sverrisdóttir, unnursve@gmail.com