Safety and efficacy of black cohosh (Cimicifuga racemosa) during pregnancy and lactation.

摘要: Background There is a lack of basic knowledge on the part both clinicians and patients as to indications for use safety herbal medicines in pregnancy lactation. This one article series that systematically reviews evidence commonly used herbs during Objectives To review literature use, safety, pharmacology black cohosh focusing issues pertaining Methods We searched 7 electronic databases compiled data according grade found. Results Black cohosh, alone or combination with other medicinal "mother's cordial", has long traditional frequently by midwives uterine stimulant labour-inducing aid. Low-level based theory expert opinion shows following concerns respect pregnancy: 1) effects, 2) hormonal 3) emmenagogue properties and, 4) anovulatory effects. During lactation, there low-level from theoretical having properties. Conclusions should be caution pregnancy, particularly first trimester where its purported effects could concern, undergo rigorous high quality human studies determine