title: Determinants of prescribed drug use among pregnant women in Bahir Dar city administration, Northwest Ethiopia: a cross sectional study.
abstract: BACKGROUND
  Drug use during pregnancy may be dangerous to the fetus. There is high consumption of prescribed drugs among pregnant women. This condition may be much higher in developing countries. There is no sufficient evidence on prescribed drug use among pregnant women in Bahir Dar town. The aim of this study was to assess the level of prescribed drug use and associated factors among pregnant women attending antenatal care (ANC) service at government health centers in Bahir Dar city administration.
  
  
  METHODS
  Institution based cross sectional study was used. Data were collected from randomly selected 510 pregnant women. Data were analyzed using SPSS version 16.0. Back ward stepwise logistic regression model was used and p-values <0.05 were considered statistically significant.
  
  
  RESULTS
  A total of 510 pregnant women were included in the study of which 88.4% were prescribed at least one drug during pregnancy. Nearly 11% of the pregnant women were prescribed with drugs from category D or X of the US-FDA risk classification.Prescribed drug use among pregnant women was more likely when the pregnancy is wanted, (AOR = 2.4, 95% CI: 1.3 - 4.6), if the mother had maternal illness (AOR = 8.5, 95% CI: 5.4-13.4), when the educational level of ANC provider is diploma (AOR = 2.7, 95% CI: 1.5-4.7) and when number of pregnancies is more (AOR =2.1, 95% CI: 1.3-3.3).
  
  
  CONCLUSIONS
  Prescribed drug use including those with potential harm to the fetus during pregnancy was very high in Bahir Dar city administration. Prescribed drug use is more when the woman had illness, when the woman was multi gravida and when the educational level of ANC provider was low (diploma). It is important to upgrade providers' educational level and institute prevention of diseases like malaria to reduce the level of prescribed drug use during pregnancy.
authors.forename: Chanie
authors.initials: C
authors.lastname: Admasie
authors.forename: Belaynew
authors.initials: B
authors.lastname: Wasie
authors.affiliation: School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. abejegedefaw@gmail.com.
authors.forename: Gedefaw
authors.initials: G
authors.lastname: Abeje
mesh_terms: D003430:Cross-Sectional Studies; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D004522:Educational Status; D005002:Ethiopia; D005260:Female; D020073:Gravidity; D006282:Health Personnel / Q000193:education; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D055553:Prescription Drugs / Q000145:classification / Q000627:therapeutic use*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D055553:Prescription Drugs