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Women who worked full-time and those with high school diplomas or above were significantly more likely to use herbal medicines during pregnancy (P less then 0.001 each). Conclusion To the best of the authors' knowledge, this is the first study to determine the prevalence and associated factors of herbal medicine use during pregnancy in Hail. The results showed a high prevalence of herbal medicine use among pregnant women in the region. Healthcare providers should therefore ensure that patients disclose the use of herbal medi