Dietary Supplements in Preconception Care. Paula Gardiner MD MPH Katherine Gergen-Barnett MD Christine Pecci MD Brian Jack MD Boston University Medical School. How are herbs regulated in the U.S. ?. DSHEA’s Definition of Dietary Supplements.
Dietary Supplements in Preconception Care
Paula Gardiner MD MPH
Katherine Gergen-Barnett MD
Christine Pecci MD
Brian Jack MD
Boston University Medical School
Overall Herbal Therapy Use in the U.S.
U.S. Adult Population Using Herbal Therapies
(1) Eisenberg DM et al. NEJM 1993; 1998
(3) Kaufman et al. JAMA 2002;287:337-44.
(4) NHIS (Barnes et al. CDC No. 343, 2002).
(5) NHIS (Barnes et al. CDC 2007).
What about preconception?
“DURING THE PAST 12 MONTHS, did you use natural herbs for your own health or treatment?”
Methods - a pilot cross-sectional survey of post-partum inpatients (n=160) and a chart review of birth outcomes English speaking, over 18 years old
Patients were asked about: “herbs, plant medicines, and home remedies” use during pregnancy
Outcomes - disclosure of herbal use with prenatal health care providers
satisfaction with their providers’ counseling on herbs
Specific Herb Use
Black seed’s in wine
Omega fatty acids