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Table 4 The most frequently used herbs, route of administration and reported traditional indications during pregnancy

From: Safety classification of herbal medicines used among pregnant women in Asian countries: a systematic review

No.

Herba

Number of users (Total = 1283)

Route

Time of use (Trimester of gestation)b

Reported traditional use

1

Peppermint (Mentha piperita)2, 3, 4, 5, 6, 8

292 (22.8%)

Oral

1st, 2nd, 3rd

Flu, cough, heartburn, bloating, flatulence, stomach/abdominal pain, nausea, vomiting, facilitate delivery, relaxation

2

Aniseed (Pimpinella anisum)1, 2, 3, 6

188 (14.7%)

Oral

1st, 2nd, 3rd

Flu, cough, stomach/abdominal pain, vomiting, diuretic, chest pain, laxative, flatulence, infections, relaxation

3

Olibanum (Frankincense - Boswellia sacra)4, 8

166 (12.9%)

Oral

1st, 2nd

Increasing neonate’s intelligence

4

Flixweed seed (Descurainia sophia)4, 8

156 (12.2%)

Oral

3rd

Cold, constipation, prevention of neonatal hyperbilirubinemia

5

Ginger (Zingiber officinale)1,2,3,4,5,6,8

147 (11.5%)

Oral

1st, 2nd, 3rd

Flu, cold, cough; nausea, vomiting; weight reduction

6

Chamomile (Matricaria chamomilla)2, 5, 8

121 (9.4%)

Oral

1st, 3rd

Flu, cough, stomach/abdominal pain, vomiting, diuretic, chest pain, laxative, flatulence, pharyngitis, relaxation

7

Sage (Salvia officinalis)2, 3

112 (8.7%)

Oral, vaginal

NR

Flu, vomiting, heartburn, abdominal pain, infections, teeth pain

8

Cinnamon (Cinnamomum verum)2, 4, 5, 8

100 (7.8%)

Oral

1st, 2nd, 3rd

Anemia, bloating, stomach/abdominal pain, laxative, facilitate delivery

9

Fenugreek (Trigonella foenum-graecum) 2, 3, 6

80 (6.2%)

Oral

1st, 2nd, 3rd

Cough, infections, constipation, piles,

10

Black seed (Nigella sativa)1, 3, 5

79 (6.2%)

Oral

NR

Colic, gases, nutritional supplement, infections

11

Pennyroyal (Mentha pulegium)4

78 (6.1%)

Oral

1st, 2nd, 3rd

Breathing problems

12

Coconut oil (Cocos nucifera)7

69 (5.4%)

Oral, topical

NR

Nausea, vomiting, heartburn, constipation, smooth body and hair

13

Borage (Borago officinalis)4, 8

66 (5.1%)

Oral

1st, 2nd, 3rd

Cold, constipation, tranquilizer

14

Thyme (Thymus vulgaris)1, 2, 3, 5

56 (4.4%)

Oral

NR

Flu, cough, digestive disorders, infections (pharyngitis, urinary tract, bronchitis)

15

Ammi (Ammi visnaga)8

50 (3.9%)

Oral

1st, 2nd, 3rd

Nausea, vomiting, and other gastrointestinal problems

16

Chicory (Cichorium intybus)4

47 (3.7%)

Oral

3rd

Prevention of neonatal jaundice

17

Green tea (Camellia sinensis)4, 6

47 (3.7%)

Oral

1st, 2nd, 3rd

Sedative

18

Chahar tokhmeh [Quince + Alyssum + Greater plantain + Basil] (Cydonia oblonga + Lobularia maritima + Plantago major + Ocimum basilicum) 4

41 (3.2%)

Oral

1st, 2nd, 3rd

Respiratory infections

19

Garlic (Allium sativum)5, 6

37 (2.9%)

Oral

1st, 2nd, 3rd

Enhance immune system for herself and healthy baby

20

Dates (Phoenix dactylifera)2

34 (2.6%)

Oral

NR

Energy, facilitate delivery, laxative

21

Castor oil (Ricinus communis)5

33 (2.6%)

Oral

NR

Induce labor

22

Egyptian willow (Salix aegyptiaca)4

32 (2.5%)

Oral

3rd

Sedative

23

Licorice (Glycyrrhiza glabra)4, 5, 8

31 (2.4%)

Oral

1st, 2nd, 3rd

Cold, bloating, stomach-ache

24

Basil (Ocimum basilicum) 8

28 (2.2%)

Oral

2nd, 3rd

Prevention of neonatal hyperbilirubinemia

25

Oregano (Origanum vulgare)4

27 (2.1%)

Oral

1st, 2nd, 3rd

Cough

26

Cumin (Cuminum cyminum)2, 5, 8

24 (1.9%)

Oral

1st, 2nd

Flatulence, abdominal pain, facilitate labor

27

Jujube (Zyzyphus jujube)4

23 (1.8%)

Oral

1st

Nausea

28

Aloe (Aloe vera)4

18 (1.4%)

Topical

3rd

Skin cracks

29

Kacip Fatimah (Labisia pumila)7

13 (1.0%)

Oral

NR

Facilitate labor, loss of libido

30

Eucalyptus (Eucalyptus globulus)4

12 (0.9%)

Inhalation

1st, 2nd, 3rd

Breathing problems

31

Olive oil (Olea europaea)5

11 (0.9%)

Oral

NR

Healthy development of fetus

  1. asuperscript numbers from 1 to 8 on every herbal modality indicate the study which reported use of that modality: Al-Riyami et al.1 ; Jaradat et al.2 ; Amasha et al.3 ; Hashem Dabaghian et al.4 ; Hwang et al.5 ; Orief et al.6; Rahman et al.7 ; Tabatabaee8
  2. bplease note that information on time of use of the herbs was available only from three studies [36, 42, 49]
  3. NR = Not reported