title: MotherNature: establishing a Canadian research network for natural health products (NHPs) during pregnancy and lactation.
abstract: BACKGROUND
  It has been estimated that between 7% and 55% of expectant mothers use herbal medicines or other types of natural health products (NHPs). Unfortunately, the safety and efficacy of NHPs during pregnancy and lactation is largely unknown. The Motherisk Program, at the Hospital for Sick Children, Toronto, Ontario, Canada, the is the major Canadian group to counsel and monitor outcomes of women using medications or NHPs, or of women exposed to chemicals, radiation or infection during pregnancy and lactation.
  
  
  OBJECTIVE
  To create a network for research on NHPs during pregnancy and lactation by forming longstanding collaborations among Canadian medical and complementary and alternative medicine (CAM) practitioners and scientists.
  
  
  METHODS
  MotherNature Network members participated in three 2-day workshops and three conference calls throughout the length of this study. Each member was responsible to lead discussions surrounding one theme and address the following: initiation; development; presentation; and synthesis of comments of all members on the designated theme.
  
  
  RESULTS
  We prioritized areas in high need for future research and collaborative means to conduct such research. NHPs were prioritized for their importance for future study. Areas for the prospective collection of data on NHP use in pregnancy and lactation were identified. A research and business plan was developed for the long-term sustainability of the Network.
  
  
  CONCLUSIONS
  The MotherNature Network is well-situated to create a new climate in Canada, where data are collected and interpreted on the effects and safety of NHPs during pregnancy and lactation.
authors.affiliation: Motherisk Program, Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: Gideon
authors.initials: G
authors.lastname: Koren
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Dugoua
authors.forename: Laura
authors.initials: L
authors.lastname: Magee
authors.forename: Sunita
authors.initials: S
authors.lastname: Vohra
authors.forename: Doreen
authors.initials: D
authors.lastname: Matsui
authors.forename: Anick
authors.initials: A
authors.lastname: Bérard
authors.forename: Brad
authors.initials: B
authors.lastname: Johnson
authors.forename: Myla
authors.initials: M
authors.lastname: Moretti
authors.forename: Adrienne
authors.initials: A
authors.lastname: Einarson
mesh_terms: D000328:Adult; D001294:Attitude to Health; D019058:Community Networks; D000529:Complementary Therapies / Q000592:standards; D004346:Drug Information Services / Q000592:standards*; D005260:Female; D033161:Government Regulation; D006801:Humans; D033183:Interdisciplinary Communication; D008419:Materia Medica / Q000592:standards; D008427:Maternal Health Services / Q000458:organization & administration; D009035:Mothers / Q000193:education*; D009324:Naturopathy / Q000592:standards*; D009864:Ontario; D010353:Patient Education as Topic / Q000458:organization & administration*; D008517:Phytotherapy / Q000592:standards*; D011247:Pregnancy; D011446:Prospective Studies
chemical_list: D008419:Materia Medica