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DOI: 10.1055/s-0032-1328504
Application of Medicinal Plants in Maternal Healthcare and Infertility: A South African Perspective
Publication History
received 19 November 2012
revised 28 February 2013
accepted 14 March 2013
Publication Date:
22 April 2013 (online)
Abstract
Plants have played significant roles as medicine during pregnancy, birth, and postpartum care in many rural areas of the world. In addition to this, plants have been used for centuries to treat infertility and related reproduction problems. The aim of this paper was to review the current status of plant species used in maternal healthcare, including infertility, in South Africa, in terms of scientific evaluation for efficacy and safety. In addition to this, the role of medicinal plants as a tool in achieving the MDG5 of reducing maternal mortality by 2015 was evaluated. A search was done with the aid of Google Scholar, PubMed, Science Direct, peer-reviewed papers, and books, using keywords such as child birth, labour pain, maternal health, maternal mortality, menstrual pains, and postpartum. The plants listed in the different research articles were classified according to their use and the target effect of a plant extract or compound on reproductive function. Eighty-four plant species were found to be used to treat infertility and related problems. Twenty plant species are used during pregnancy, while 26 plant species are used to ease childbirth. For postpartum healing and any problems after childbirth, nine plant species were recorded. Unhealthy pregnancy and birth complications are among the factors that contribute to the loss of cognitive potential in the developing worldʼs children, condemning them to impoverished lives. The best way to keep a country poor is to rob its children of their full developmental potential. In this respect, medicinal plants play a significant role in reducing maternal mortality and ensuring the birth of healthy children.
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References
- 1 World Health Organization. Evaluating the quality of care for severe pregnancy complications. The WHO near-miss approach for maternal healthcare. Geneva: WHO; 2011
- 2 World Health Organization. Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFRA and the World Bank. Geneva: WHO; 2007
- 3 Sidhu K, Kaur R. Maternal healthcare through medicinal plants. J Ethnobiol Ethnomed 2007; 1: 157-160
- 4 United Nations International Childrenʼs Emergency Fund. Extreme risks for pregnant women and newborn babies in developing countries. UNICEF 2009. Available at www.unicef.org/media Accessed November 5, 2011.
- 5 World Health Report. Make every mother and child count. Geneva WHO 2005. Available at www.who.int/whr/2005/en/index.html Accessed October 26, 2011.
- 6 Science Daily. Most maternal death in Sub-Saharan Africa could be avoided. 2010. Available at www.sciencedaily.com Accessed November 5, 2011.
- 7 World Health Organization. Life tables for WHO member states. WHO 2010. Available at www.who.int/healthinfo/statistics/mortality-life-tables Accessed November 6, 2011.
- 8 Weiner R, Tollman S, Khan K, Penn-Kekana L. Health and demographic surveillance sites contribute population-based data on maternal deaths in rural areas. South Afr Med J 2007; 10: 944-945
- 9 Hogan MC. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet 2010; 375: 1608-1623
- 10 Prata N, Ejembi C, Fraser A, Shittu O, Minkler M. Community mobilization to reduce postpartum hemorrhage in home birth in northern Nigeria. Sci Med 2012; 74: 1288-1296
- 11 National Department of Health South Africa. A monograph of the management of postpartum haemorrhage. National Committee on Confidential Enquiries in Maternal Death in South Africa. South Africa: United Nations Population Fund; 2010
- 12 Saroja CSM, Nankani A, El-Hamamy E. Uterine compression sutures, an update: a review of efficacy, safety and complications of B-Lynch sutures and other uterine compression techniques for postpartum haemorrhage. Arch Gynecol Obstet 2010; 281: 581-588
- 13 Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord 2006; 91: 97-111
- 14 Halligan SL, Murray L, Martins C, Cooper PJ. Maternal depression and psychiatric outcomes in adolescent offspring: a 13-year longitudinal study. J Affect Disord 2007; 97: 145-154
- 15 Ramchandani P, Psychogiou L. Paternal psychiatric disorders and childrenʼs psychosocial development. Lancet 2009; 374: 646-655
- 16 Gaware VM, Parjane SK, Merekar AN, Pattan SR, Dighe NS, Kuchekar BS, Godge RK. Female infertility and its treatment by alternative medicine: A review. J Chem Pharm Res 2009; 1: 148-167
- 17 Veale DJH, Oliver DW, Arangies NS, Furman KI. South African traditional herbal medicine used during pregnancy and childbirth. J Ethnopharmacol 1992; 36: 185-191
- 18 Katsoulis LC, Veale DJ, Havlik I. The pharmacological action of Rhoicissus tridentata on isolated rat uterus and ileum. Phytother Res 2000; 14: 460-462
- 19 La Rochebrochard E. Long-term outcome of parenthood project during in vitro fertilization and after discontinuation of unsuccessful in vitro fertilization. Fertil Steril 2009; 92: 149-156
- 20 Steenkamp V. Traditional herbal remedies used by South African women for gynaecological complaints. J Ethnopharmacol 2003; 86: 97-108
- 21 Gelfand M. Diet and tradition in an African culture. London: Longman; 1964
- 22 Lewis W, Elvin-Lewis M. Medical botany. New York: Wiley; 1977
- 23 Ebin V. Interpretations of infertility: the Aowin people of South-West Ghana. In: MacCormack CP, editor Ethnography of fertility and birth. London: Academic Press; 1982: 145-159
- 24 MacCormack CP. Health, fertility and birth in Moyamba District, Sierra Leone. In: MacCormack CP, editor Ethnography of fertility and birth. London: Academic Press; 1982: 115-138
- 25 Mutambirwa J. Pregnancy, childbirth, mother and child care among the indigenous people of Zimbabwe. Int J Gynecol Obstet 1985; 23: 275-285
- 26 Varga CA, Veale DJH. Isihlambezo: utilization patterns and potential health effects of pregnancy related traditional herbal medicine. Soc Sci Med 1997; 44: 911-924
- 27 Kaido TL, Veale DJ, Havlik I, Rama DB. Preliminary screening of plants used in South Africa as traditional herbal remedies during pregnancy and labour. J Ethnopharmacol 1997; 55: 185-191
- 28 Gumede MV. Traditional Zulu practitioners and obstetric medicine. South Afr Med J 1978; 53: 823-825
- 29 Brindley M. Old woman in Zulu culture: the old woman and childbirth. South Afr J Ethnol 1985; 8: 98-108
- 30 Chalmers B. African childbirth in transition. Sandton: Berev River Club Publications; 1990
- 31 De Boer H, Lamxay V. Plants used during pregnancy, childbirth and postpartum healthcare in Lao PDR: a comparative study of the Brou, Saek and Kry ethnic groups. J Ethnobiol Ethnomed 2009; 5: 25
- 32 Ticktin T, Dalle S. Medicinal plant use in the practice of midwifery in rural Honduras. J Ethnopharmacol 2005; 96: 233-248
- 33 Gerstner J. Preliminary checklist of Zulu names of plants with short notes. Bantu Studies 1941; 15: 277-301
- 34 Broster JA. Amagqirha religion, magic and medicine in the Transkei. Cape Town: Via Afrika; 1981
- 35 Veale DJH, Furham K, Oliver D. South African traditional herbal medicines used during pregnancy and childbirth. J Ethnopharmacol 1989; 36: 185-191
- 36 Kaido TL, Veale DJH, Havlik I, Rama DBK. Preliminary screening of plants used in South Africa as traditional herbal remedies during pregnancy and labour. J Ethnopharmacol 1997; 55: 185-191
- 37 Veale DJH, Havlik I, Oliver DW, Dekker TG. Pharmacological effects of Agapanthus africanus on the isolated rat uterus. J Ethnopharmacol 1999; 66: 257-262
- 38 Katsoulis LC, Veale DJ, Havlik I. The pharmacological action of Rhoicissus tridentata on isolated rat uterus and ileum. Phytother Res 2000; 14: 460-462
- 39 Van Wyk B-E, Gericke N. Peopleʼs plants. A guide to useful plants of Southern Africa. Pretoria: Briza Publications; 2000
- 40 Arnold HJ, Gulumian M. Pharmacopoeia of traditional medicine in Venda. J Ethnopharmacol 1984; 12: 35-74
- 41 Bryant AT. Zulu medicine and medicine-men. Cape Town: C Struik; 1966
- 42 Mabogo DEN. The ethnobotany of the Vhavenda [dissertation]. Pretoria: University of Pretoria; 1990
- 43 Watt JM, Breyer-Brandwijk MG. The medicinal and poisonous plants of Southern and Eastern Africa. 2nd. edition. London: Livingstone; 1962
- 44 Hutchings A, Scott AH, Lewis G, Cunningham A. Zulu medicinal plants: an inventory. Pietermaritzburg: University of Natal Press; 1996
- 45 Hulme MM. Wild flowers of Natal. Pietermaritzburg: Shuter and Shooter; 1954
- 46 Pooley E. A field guide to wild flowers of KwaZulu-Natal and the east region. Durban: Natal Flora Publication Trust; 1998
- 47 Palmer E, Pitman N. Trees of Southern Africa. Cape Town: Balkema; 1972
- 48 Pujol J. Natur Africa: the herbalist handbook. Durban: Jean Pujol Natural Healers Foundation; 1990
- 49 Jacot Guillarmod A. Flora of Lesotho. Lehr: Cramer; 1971
- 50 Van Wyk P. Trees of the Kruger National Park. Cape Town: Purnell; 1972
- 51 Van Wyk B-E, Van Heerden FR, Van Oudtshoorn B. Poisonous plants of South Africa. Pretoria: Briza Publications; 2002
- 52 Batten A, Bokelmann A. Wild flowers of the eastern cape. Cape Town: Books of Africa; 1966
- 53 Stayt H. The Bavenda. London: Frank Cass and Co. Ltd.; 1968
- 54 Kokwaro JO. Medicinal plants of East Africa. Nairobi: East African Publishing Bureau; 1976
- 55 Samuelsson G, Farah MH, Claeson P, Hagos M, Thulin M, Hedberg O, Warfa AM, Hassan AO, Elmi AH, Abdurahman AD, Elimi AS, Abdi YA, Alin MH. Inventory of plants used in traditional medicine in Somalia. Part III. Plants of the families Lauraceae-Papilionaceae. J Ethnopharmacol 1992; 37: 93-112
- 56 Hedberg I, Staugard F. Traditional medicine in Botswana. Traditional medical plants. Botswana: Ipeleng Publishers; 1989
- 57 Bhat RB, Etejere EO, Oladipo VT. Ethnobotanical studies from central Nigeria. Econ Bot 1990; 44: 382-390
- 58 Chhabra SC, Mahunnah RLA, Mashiu EN. Plants used in eastern Tanzania. VI. Angiosperms (Sapotaceae) to zingiberaceae. J Ethnopharmacol 1993; 39: 83-103
- 59 Roberts M. Indigenous healing plants. 1st. edition. Halfway House: Southern Book; 1990
- 60 Van Wyk BE, van Oudtshoom B, Gericke N. Medicinal plants of South Africa. Pretoria: Briza Publications; 1997
- 61 Ernst E. Harmless herbs? A review of recent literature. Am J Med 1998; 104: 170-178
- 62 Chanabra RS, Bucher M, Wolfe M, Porter C. Toxicity characterization of environmental chemicals by US National Toxicology Progam: an overview. Int J Hyg Environ Health 2003; 206: 437-445
- 63 Motlhanka DMT, Nthoiwa GP. Ethnobotanical survey of medicinal plants of Tswapong North, in Eastern Botswana: A case of plants from Mosweu and Seolwane Villages. Eur J Med Plants 2013; 3: 10-24
- 64 Johns T, Kokwaro JO, Kimani EK. Herbal remedies of the Luo of Siaya District, Kenya: Establishing criteria for consensus. Econ Bot 1990; 44: 369-381