Evidence map›Paper›PMID 34482524›Full record

ArticleDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences2021

Safety of English ivy (Hedera helix) leaf extract during pregnancy: retrospective cohort study.

Abdullah Alkattan, Raad Alameer, Eman Alsalameen, Maram Almaary, Mansour Alkhairat, Ahmed Alkhalifah, Fatimah Alghanim, Nashwa Radwan

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Abdullah AlkattanDepartment of Research and Development, General Directorate of School Health, Ministry of Health, Riyadh, Saudi Arabia. abdullahalkattan@gmail.com.ORCID http://orcid.org/0000-0001-5294-8088
Raad AlameerDepartment of Pharmacy, Dr. Sulaiman Alhabib Hospital, Riyadh, Saudi Arabia.
Eman AlsalameenDepartment of Pharmacy, King Khalid University Hospital, Medical City King Saud University, Riyadh, Saudi Arabia.
Maram AlmaaryDepartment of Pharmacy, King Khalid University Hospital, Medical City King Saud University, Riyadh, Saudi Arabia.
Mansour AlkhairatDepartment of Telemedicine, General Directorate of Medical Consultations, Ministry of Health, Riyadh, Saudi Arabia.
Ahmed AlkhalifahDepartment of Sales, Fresenius Kabi, Alhaya Medical Company, Riyadh, Saudi Arabia.
Fatimah AlghanimDepartment of General Medicine, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Nashwa RadwanDepartment of Research, Assistant Deputyship for Primary Healthcare, Ministry of Health, Riyadh, Saudi Arabia.
King Saud University · SAMinistry of Health · SAImam Abdulrahman Bin Faisal University · SATanta University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnglish ivy (Hedera helix) is commonly used to reduce productive cough symptoms by acting as expectorant therapy. The safety of Hedera helix extract during pregnancy was not established yet. This study aims to determine the safety of English ivy leaf extract on newborns.

objectivesTo determine the weight, APGAR (Activity-Pulse-Grimace-Appearance-Respiration) score, and health status of the newborns among the studied groups.

methodsA retrospective multicenter cohort study was conducted during the fourth quarter of 2020 on 245 pregnant women and their newborns in two hospitals located in Riyadh, Saudi Arabia. The women were divided into an exposed group (N = 165) who used English ivy leaf extract syrup during pregnancy, and a control group (N = 80) who were not using any natural-pharmaceutical product for cough.

resultsThe mean weight of the newborns in the exposed group was 3 kg compared to 2.8 kg in the control group (p-value < 0.05). The median APGAR score of the newborns in the exposed group was 8.5/10 compared to 8.0/10 in the control group (p-value > 0.05). There were no significant differences regarding the percentages of full-term and preterm newborns in the exposed and control groups (78.8% vs. 76.3%, and 21.0% vs. 24.0%, respectively, odds ratio [OR] = 0.86, 95% confidence interval [CI] = 0.45-1.63, p-value > 0.05). Regarding the newborns' health complications reported, there was no statistical difference in the percentages of full-term newborns diagnosed with at least one health complication between the exposed and control groups (0.6 vs. 3.8, OR = 0.15, 95% CI = 0.01-1.47, p-value > 0.05).

conclusionHedera helix (English ivy) leaf extract syrup was safe to be used in short term during pregnancy for the fetus.

Indexed as

AdultAntitussive AgentsApgar ScoreBirth WeightCase-Control StudiesFemaleHederaHumansInfant, NewbornMaternal AgePlant ExtractsPlant LeavesPregnancyPregnancy OutcomeRetrospective StudiesSaudi ArabiaAntitussive AgentsPlant ExtractsEnglish ivyHederacoside CHedera helix leaf extractNewbornsPregnancy

Identifiers

PMID34482524
PMCPMC8602585
OpenAlexW3196667445

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.