CONCLUSION
A widespread use of herbs during pregnancy was
observed in the Middle East, similar to other parts
of the world. The wide ranges of herbal products
used were representative of the traditions and
geographical diversity of the region. Herbs with
documented untoward outcomes for pregnancy and
the fetus were also frequently used, which is a matter
of concern. The majority of women used these
herbs during the first trimester, the most critical
period in pregnancy. The relative dearth of evidence
of either their efficacy or safety is an important
concern to be addressed by researchers. Multicentric
research including representative samples from
different countries in the Middle East would more
accurately estimate the true prevalence in the region.
Randomized controlled trials are also required to
document the safety and efficacy of these therapies.