Effect of Moringa Leaves and Combination of Fe Tablets on the Increase of Hb in Pregnant Women with Anemia

Rina Delfina, Helmiyetti Helmiyetti, Deni Maryani

Abstract


Anemia during pregnancy can lead to complications during gestation, childbirth, and postpartum. The government recommends administering at least 90 Fe tablets to pregnant women to address this. Additionally, fulfilling nutritional needs is another strategy to combat anemia, with Moringa leaves emerging as a nutrient-rich food source known to elevate hemoglobin levels. This study investigated the impact of Moringa leaves and combined Fe tablet consumption on hemoglobin levels in anemic pregnant women. A quasi-experimental design incorporated pre-test and post-test evaluations with a control group in Bengkulu from June to November 2022. Purposive sampling yielded a cohort of 60 anemic pregnant women, divided equally into intervention and control groups. Data collected over two months were analyzed through univariate and bivariate methods using the Wilcoxon and Mann-Whitney tests at a 5% significance level. Findings indicated that the combination of Moringa leaves and Fe tablet significantly increased hemoglobin levels in pregnant women with anemia (p<0.05). Therefore, anemic pregnant women are encouraged to consume Moringa leaves as a potential measure to enhance their hemoglobin levels.


Keywords


Anemia; pregnant women; Moringa; Fe tablets

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References


Ewusie JE, Ahiadeke C, Beyene J, Hamid JS. Prevalence of anemia among under-5 children in the Ghanaian population: estimates from the Ghana demographic and health survey. BMC Public Health. 2014;14:626.

Kementerian Kesehatan Republik Indonesia. Pedoman program pemberian pemantauan mutu tablet tambah darah untuk ibu hamil di wilayah program kesehatan dan gizi berbasis masyarakat. Jakarta: Kementerian Kesehatan Republik Indonesia; 2015.

Kementerian Kesehatan Republik Indonesia. Pedoman penatalaksanaan pemberian tablet tambah darah. Jakarta: Kementerian Kesehatan Republik Indonesia; 2015.

Direktorat Jenderal Kesehatan Masyarakat, Kementerian Kesehatan Republik Indonesia. Pedoman pemberian tablet tambah darah (TTD) bagi ibu hamil pada masa pandemi COVID-19 bagi tenaga kesehatan. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.

Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Laporan nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.

World Health Organization. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.

World Health Organization. WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization; 2020.

Sivanganam S, Westa W. Gambaran tingkat kepatuhan ibu hamil mengkonsumsi tablet besi di wilayah kerja Puskesmas Sidemen tahun 2015. ISM. 2017;8(2):135–8.

Mutiarasari D. Hubungan status gizi dengan kejadian anemia pada ibu hamil di Puskesmas Tinggede. HTJ. 2019;5(2):42–8.

Rahmawati M, Daryanti MS. Pengaruh ekstrak daun kelor terhadap peningkatan kadar hemoglobin ibu hamil trimester 2 dan 3 di Puskesmas Semanu I [Internet]. Yogyakarta: Universitas ‘Aisyiyah; 2017 [cited 2022 June 10]. Available from: http://digilib.unisayogya.ac.id/2776/1/NASKAH%20PUBLIKASI%20bu%20mutia.pdf.

Oduro I, Ellis WO, Owusu D. Nutritional potential of two leafy vegetables: Moringa oleifera and Ipomoea batatas leaves. SRE. 2008;3(2):057–60.

Rani KC, Ekajayani NI, Darmasetiawan NK, Dewi ADR. Modul pelatihan: kandungan nutrisi tanaman kelor. Surabaya: Fakultas Farmasi Universitas Surabaya; 2019.

Kristina NN, Siti FS. Pemanfaatan tanaman kelor (Moringa oleifera) untuk meningkatkan produksi air susu ibu. War Penelit Pengemb Tanam Ind. 2014;20(3):26–9.

Khuzaimah A, Hadju V, As S, Abdullah N, Bahar B, Riu DS, et al. Effect of honey and Moringa oleifera leaf extracts supplementation for preventing DNA damage in passive smoking pregnancy. IJSBAR. 2015;24(1):138–45.

Sujatha BK, Patel P. Moringa oleifera—nature’s gold. IJIR. 2017;3(5):1175–9.

Idohou-Dossou N, Diouf A, Gueye A, Guiro A, Wade S. Impact of daily consumption of Moringa (Moringa oleifera) dry leaf powder on iron status of Senegalese lactating women. AJFAND. 2011;11(4):4985–99.

Hanif F, Berawi KN. Literature review: daun kelor (Moringa oleifera) sebagai makanan sehat pelengkap nutrisi 1000 hari pertama kehidupan. J Kesehat. 2022;13(2):398–407.

Islam Z, Islam SMR, Hossen F, Mahtab-Ul-Islam K, Hasan MR, Karim R. Moringa oleifera is a prominent source of nutrients with potential health benefits. Int J Food Sci. 2021;2021:6627265.

Gopalakrishnan L, Doriya K, Kumar DS. Moringa oleifera: a review on nutritive importance and its medicinal application. Food Sci Hum Wellness. 2016;5(2):49–56.

Koul B, Chase N. Moringa oleifera Lam.: panacea to several maladies. J Chem Pharm Res. 2015;7(6):687–707.

Udikala M, Verma Y, Sushma S, Lal S. Phytonutrient and pharmacological significance of Moringa oleifera. Int J Life Sci Sci Res. 2017;3(5):1387–91.

Manuaba IAC, Manuaba IBGF, Manuaba IBG. Ilmu kebidanan, penyakit kandungan, dan KB untuk pendidikan bidan. 2nd editiion. Jakarta: EGC; 2012.

Sjahriani T, Faridah V. Faktor-faktor yang berhubungan dengan kejadian anemia pada ibu hamil. JKM. 2019;5(2):106–15.

Abioye AI, Park S, Ripp K, McDonald EA, Kurtis JD, Wu H, et al. Anemia of inflammation during human pregnancy does not affect newborn iron endowment. J Nutr. 2018;148(3):427–36.

Hidayati I, Andyarini EN. Hubungan jumlah paritas dan umur kehamilan dengan kejadian anemia ibu. J Health Sci Prev. 2018;2(1):42–7.

Afriyanti D. Faktor risiko yang berhubungan dengan kejadian anemia pada ibu hamil di Kota Bukittinggi. Menara Ilmu. 2020;14(1):6–23.

Purwandari A, Lumy F, Polak F. Faktor-faktor yang berhubungan dengan kejadian anemia. J Ilm Bidan. 2016;4(1):62–8.

Badan Kependudukan dan Keluarga Berencana Nasional. Laporan kinerja BKKBN 2018 [Internet] Jakarta: Badan Kependudukan dan Keluarga Berencana; 2019 [2022 July 10]. Available from: https://www.bkkbn.go.id/storage/files/1/LAKIP%20BKKBN/LAKIP_BKKBN_2018.pdf.

Susiloningtyas I. Pemberian zat besi (Fe) dalam kehamilan. Maj Ilm Sultan Agung. 2012;50(128):73–99.

Wiknjosastro H. Ilmu kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2012.

Shija AE, Rumisha SF, Oriyo NM, Kilima SP, Massaga JJ. Effect of Moringa oleifera leaf powder supplementation on reducing anemia in children below two years in Kisarawe district, Tanzania. Food Sci Nutr. 2019;7(8):2584–94.

Fauziandari EN. Efektifitas ekstrak daun kelor terhadap peningkatan kadar hemoglobin pada remaja putri. JKKH. 2019;7(2):185–90.

Sindhu S, Mangala S, Sherry B. Efficacy of Moringa oleifera in treating iron deficiency anemia in women of reproductive age group. Int J Phytother Res. 2013;3(4):15–20.

Samuel SA, AO Francis AO, Onyinyechi UO, Ayomide O. Effects of Moringa oleifera leaf extract on red and white blood cells counts. IJCMPR. 2015;1(9):150–61.




DOI: https://doi.org/10.29313/gmhc.v11i2.10836

pISSN 2301-9123 | eISSN 2460-5441


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