Overview

The use of medicinal plants to address infertility, maintain pregnancy, ease the birthing process, and aid in milk production or its cessation has been identified in many cultures, several of whom have complex medical systems.Over 400 plants have been identified as ethnomedically affecting lactation.However, most resources provide little information on the data used to evaluate reproductive toxicity apart from reports of historical use of herbs as abortifacients or uterine stimulants or animal data of genotoxicity or teratogenicity. Data on efficacy during pregnancy is similarly scarce from most texts. To our knowledge, ours is the first text that aims to specifically address the lack of data of natural health product use in pregnancy and lactation. While it is not an exhaustive compendium of available supplements, it is a comprehen-sive listing of common herbs, vitamins and supplements used by pregnant women. Drawing on all available studies obtained through meta-analytic tech-niques, we have graded the quality of evidence on natural product safety during pregnancy and breastfeeding. Statements in traditional texts such as 'use of this herbal product should occur only after careful assessment of the benefits and risks' need clarification with up-to-date evidence from the medical literature. Busy healthcare providers need to have access to quick and reliable information they can use to help address patient concerns with regards to natural health product use in pregnancy or lactation. We hope that this text will be received as a valuable resource for all clinicians who treat pregnant patients. As natural health supplements continue to gain popularity, we anticipate that the utility for a text such as this will grow too.

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9781985118775

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