Résumé
Introduction
The use of medicinal plants to prepare for childbirth is a widespread traditional practice in many communities. This practice is influenced by cultural beliefs and economic constraints that limit access to modern medical care. These plants are perceived to help shorten labour, relieve contraction pain, and prevent postpartum complications such as haemorrhage. However, scientific data on their actual effects remain limited.
Purpose
This study aims to explore the lived experiences and expectations of women who used medicinal plants during pregnancy, highlighting perceived benefits and any reported side effects associated with this practice.
Methods
A qualitative phenomenological study was conducted using an exploratory approach. Data were collected through semi-structured interviews with 20 women who had used medicinal plants during pregnancy, alongside participant observation of 15 of them. A categorical thematic analysis was performed to identify common motivations and perceptions regarding the effectiveness of these traditional practices.
Results
All participants were married, aged between 23 and 35 years, with a significant proportion having married early. Most (80%) had secondary education, and 55% were housewives. The most commonly used plants included Gynandropsis gynandra, Erythrophleum suaveolens, and Bridelia ferruginea. Deliveries were generally quick (between 5 and 9 hours), with regular contractions, and 95% of cases were eutocic. At one minute, 75% of newborns had an optimal APGAR score. The women reported benefits such as reduced pain, shorter labour, and easier recovery. However, some noted undesirable effects, including a decrease in sexual sensitivity.
Conclusion
The study highlights the cultural significance and perceived effectiveness of medicinal plants in childbirth preparation. Nonetheless, the occurrence of side effects points to the need for further clinical research to better understand their efficacy and ensure safe use.
Références
Alkhaldi, D. M., & Alkhammash, S. S. (2023). Prevalence, knowledge, and attitudes toward herbal medicines among pregnant women attending antenatal clinic in Prince Mansour Military Hospital in Taif. Journal of Family Medicine and Primary Care, 12(7), 1446–1453. https://doi.org/10.4103/jfmpc.jfmpc_295_23
Bayati, T., Dehghan, A., Bonyadi, F., & Bazrafkan, L. (2018). Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health center. Journal of Education and Health Promotion, 7, 127. https://doi.org/10.4103/jehp.jehp_65_18
Buor, D., Agyemang, S., & Awuku, P. (2023). The determinants of utilisation of herbal medicine among pregnant women in the Asante Akim North District, Ghana. Maternal and Child Health Journal, 27, 1886–1896. https://doi.org/10.1007/s10995-023-03676-7
Gruber, C. W., & O'Brien, M. (2011). Uterotonic plants and their bioactive constituents. Planta Medica, 77(3), 207–220. https://doi.org/10.1055/s-0030-1250317
Koren, G. (2013). Thèse de doctorat en Pharmacie. Université Toulouse, Paul Sabatier.
Mawunu, M., Malungo, A. D., Cuca Afonso, L., Luyeye, L., Ndiku, L., & Ngbolua, K. (2025). Medicinal plants traditionally used by the rural Kimalalu people in the municipality of Songo (Uíge province), Northern Angola. Natural Resources for Human Health, 5(1), 40–69. https://doi.org/10.53365/nrfhh/192950
Mawunu, M., Mandombe, J. L., Bránquima, M. F., Dunda, J. T., Ngbolua, K. N., Kafuti, M., Munkolo, P. M., Ndiku, L., & Luyeye, L. (2024). Ethnobotanical and phytopharmacological approaches to uterotonic medicinal plants in DRC. African Research Journal of Biosciences, 1(2), 17–40.
Menga, M. P., Gerengbo, G. K., Monizi, M., Mansengo, C. A., Mpiana, T. P., Virima, M., & Ngbolua, K. N. (2024). Integrating ethnobotany and artificial intelligence to validate the potential bioactivity of two medicinal plants traditionally used in the treatment of influenza in IBI-Village and surrounding areas, Democratic Republic of the Congo. Natural Resources for Human Health, 4(3), 230–246. https://doi.org/10.53365/nrfhh/187385
Ngbolua, K. N., Rafatro, H., Rakotoarimanana, H., Urverg, R. S., Mudogo, V., Mpiana, P. T., & Tshibangu, D. S. T. (2011). Antimalarial activity of some medicinal plants from the Democratic Republic of Congo: In vitro and in vivo evaluation. International Journal of Biological and Chemical Sciences, 5, 1797–1804. https://doi.org/10.4314/ijbcs.v5i5.3
Ngbolua, K. N., Rakotoarimanana, H., Rafatro, H., Urverg, S. R., Mudogo, V., Mpiana, P. T., & Tshibangu, D. S. T. (2011). Ethnobotanical survey and in vitro antiplasmodial activity of medicinal plants used in the Democratic Republic of Congo. International Journal of Biological and Chemical Sciences, 5, 345–353.
Ramazani, I. B., Ntela, S. M., Ahouah, M., Ishoso, D. K., & Monique, R. T. (2022). Use of traditional medicine among pregnant women in the Democratic Republic of Congo. BMC Pregnancy and Childbirth, 22(1), 452. https://doi.org/10.1186/s12884-022-04783-z
Siborurema, L., Vyankandonder, J., & Utz, B. (2012). Fistules urogénitales d'origine obstétricale : Aspects épidémiologiques, socioéconomiques, cliniques et thérapeutiques à l'Hôpital de Ruhengeri, Rwanda. Éditions Universitaires Européennes.
Sumankuuro, J., Soyen, C., Crockett, J., Ibrahim, M., Ngmenkpieo, F., & Wulifan, J. (2020). Women’s motivation and associated factors for herbal medicine use during pregnancy and childbirth: A systematic review. Health, 12, 572–597. https://doi.org/10.4236/health.2020.126044
Svendsen, M. T., Bak, C. K., Sørensen, K., Pelikan, J., Riddersholm, S. J., Skals, R. K., Mortensen, R. N., Maindal, H. T., Bøggild, H., Nielsen, G., & Torp-Pedersen, C. (2020). Associations of health literacy with socioeconomic position, health risk behavior, and health status: A large national population-based survey among Danish adults. BMC Public Health, 20, 565. https://doi.org/10.1186/s12889-020-08498-8
Tebeu, P. M., de Bernis, L., Boisrond, L., Le Duc, A., Mbassi, A. A., & Rochat, C. H. (2008). Connaissance, attitude et perception vis-à-vis des fistules obstétricales par les femmes camerounaises: Une enquête clinique conduite à Maroua, capitale de la province de l'extrême Nord du Cameroun. Progrès en Urologie, 18(6), 379–389. https://doi.org/10.1016/j.purol.2008.03.020
Tlhapi, D., Malebo, N., Manduna, I. T., Lautenschläger, T., & Mawunu, M. (2024). A review of medicinal plants used in the management of microbial infections in Angola. Plants, 13(21), 2991. https://doi.org/10.3390/plants13212991
Wake, G. E., & Fitie, G. W. (2022). Magnitude and determinant factors of herbal medicine utilization among mothers attending their antenatal care at public health institutions in Debre Berhan Town, Ethiopia. Frontiers in Public Health, 10, 883053. https://doi.org/10.3389/fpubh.2022.883053

Ce travail est disponible sous licence Creative Commons Attribution - Pas d’Utilisation Commerciale 4.0 International.