ArticleEuropean journal of midwifery2026
Perceptions on the use of medicines, vaccines, and alternative medicine during pregnancy and breastfeeding: Population-based survey in Catalonia, Spain.
Article in European journal of midwifery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionEvidence on the use, safety, and decision-making related to medication, vaccination, and complementary and alternative medicine during pregnancy and breastfeeding, remains limited. This uncertainty may influence women's health behaviors and perceptions during these stages. The aim of this study is to identify the needs related to the use of medication, vaccination, and alternative medicine during pregnancy and breastfeeding in Catalonia.
methodsA descriptive cross-sectional survey was conducted among 889 pregnant and recently postpartum women attending public Sexual and Reproductive Health Care Services in Catalonia (2024-2025). The questionnaire assessed use, opinions, information sources, and decision-making regarding medication, vaccination, and alternative therapies during pregnancy and breastfeeding.
resultsMore than half of the participants reported health conditions requiring medication during pregnancy. Most women (84.6%) relied on healthcare professionals' prescriptions and recommendations, and about half felt safe and confident when using medication. Vaccination during pregnancy was widely accepted, with over 80% agreeing with it. Alternative therapy use was limited, with osteopathy being the most common. During breastfeeding, medication use remained cautious and largely guided by professional advice.
conclusionsPregnant and breastfeeding women generally adopt a cautious approach to medication and rely heavily on healthcare professionals for decision-making. Trust and shared decision-making play a key role in adherence and perceived safety, highlighting the importance of clear, evidence-based guidance to support maternal and infant health.
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