Use of Indigenous Herbal Uterotonics in Pregnancy and Labour in Northern Ghana: Prevalence, Determinants, and Health System Complexities

Introduction

Concerns remain regarding the safety of indigenous herbal uterotonics and their potential adverse effects on maternal and neonatal outcomes; nevertheless, their use remains common in sub-Saharan Africa. These practices are deeply embedded in sociocultural belief systems and are often sustained by long-standing traditions, perceived effectiveness, and limited availability of formal healthcare services. This study assessed the prevalence, determinants, and health-system complexities associated with the use of indigenous herbal uterotonics among women during pregnancy and labour in the Northern Region of Ghana.