Comparison Of The Effectiveness Of Moringa And Spinach Leaf Capsules In Increasing Hemoglobin Levels Among Anemic Pregnant Women In The Third

Ni Ketut Farida Agustini* -  Prodi DIV Kebidanan Universitas Malahayati, Indonesia
Sunarsih Sunarsih -  Prodi S1 Kebidanan Universitas Malahayati, Indonesia
Fijri Rachmawati -  Prodi Profesi Bidan Universitas Malahayati, Indonesia
Astriana Astriana -  Profesi Bidan Universitas Malahayati, Indonesia
DOI : 10.33024/jkm.v10i4.14879

Background Data from the Bandar Lampung City Health Office in 2022 shows the proportion of anemia in pregnant women is 37.25%, namely pregnant women with Hemoglobin levels < 8 gr%/dl is 2.41%, Hb is 8-11gr%/dl is 36.3%. Anemia occurs in pregnant women due to insufficient production of red blood cells by the consumption of nutrients, especially iron. Iron can be obtained by consuming Moringa leaves. Another vegetable that is believed to contain a lot of iron is spinach, especially green spinach.

The Purpose of the study was to find out the comparison of the effectiveness of moringa and spinach leaf capsules in increasing Hb levels in third trimester pregnant women with anemia in the Working Area of the Panjang Community Health Center, Bandar Lampung City, in 2023.

Methods This study uses a type of quantitative research, with a quasi-experimental design. The population in this study were all pregnant women with their third trimester of gestation who made ANC visits at the Panjang Community Health Center in Bandar Lampung City and experienced anemia with a total of 47 people. A sample of 36 respondents. The data collection technique uses a questionnaire sheet and the data analysis used is the independent t-test.

The results showed that the average hemoglobin level in third trimester pregnant women before consuming moringa leaf capsules was 10.46 gr/dl, and in the spinach leaf group was 10.37 gr/dl. The average hemoglobin level in third trimester pregnant women after consuming moringa leaf capsules was 11.87 gr/dl, and in the spinach leaf group was 11.24 gr/dl.

Conclusion There is a difference in the effectiveness of moringa and spinach leaf capsules in increasing Hb levels in TM III pregnant women with anemia in the Working Area of the Panjang Community Health Center, Bandar Lampung City, 2023 (p value 0.000).

Suggestion It is hoped that health workers can optimize counseling regarding the consumption of moringa leaf capsules to increase hemoglobin levels in third trimester pregnant women with anemia.

 

Keywords: Moringa leaf capsules, spinach leaves, Hb levels

  1. Alessandro Leono, et al. (2013). Moringa oleifera Seeds and oil : Characteristict and Use for Human Health. Article
  2. Almatsier. (2010). Prinsip Dasar Ilmu Gizi. Jakarta : Gramedia Pustaka Utama.
  3. Anggraeni, I. E., Supriyana, S., Rahayu, S., & Suhartono, S. (2014). Pengaruh suplemen bayam (Amaranthus) terhadap perubahan kadar hemoglobin (studi laboratorium mencit). Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal), 5(1), 13-13.
  4. Bungsu, P. (2012). Pengaruh Kadar Tanin pada Teh Celup terhadap Anemia Gizi Besi pada Ibu Hamil di UPT Puskesmas Citeureup Kab Bogor. Tesis. S2 Epidemiologi. FKM UI
  5. Cunningham, et al. (2013). Obstetri Williams Edisi 23 Volume 1. Jakarta : EGC
  6. Dartiwen & Nurhayati, (2019). Asuhan Kebidanan Masa Kehamilan. I ed. Yogyakarta : Graha Ilmu.
  7. Dinas Kesehatan Kota Bandar Lampung. (2020). Profil Kesehatan Kota Bandar Lampung.
  8. Elvi Nola D, (2016). Faktor-faktor yang berhubungan dengan Kejadian Intta Uterine Fetal Death (IUFD). Jurnal Ilmiah Bidan, Vol.4. No.1
  9. Eniyati, E., Yulaikhah, L., & Puspitasari, D. (2019). Faktor yang Berhubungan dengan Cakupan K4 di Puskesmas Sedayu II Kabupaten Bantul Tahun 2017. Jurnal Kebidanan Harapan Ibu Pekalongan, 5, 159-164.
  10. Ganatra, T. H. et al. (2012). A Panoramic View On Pharmacognostic, Pharmacological, Nutritional, Therapeutic And Prophylactic Values Of Moringa oleifera Lam. IRJP, 3(6).
  11. Gopalan. (2012). Nutritive Value Of Indian Foods. India: National Institute Od Nutrition
  12. Hutahaean, S. (2013). Perawatan antenatal. Penerbit Salemba Medika: Jakarta
  13. Iskandar, I., et al. (2015). Effect of Moringa oleifera Leaf Extracts Supplementation in Preventing Maternal Anemia and Low Birth Weight. IJSRP, 5(2), pp. 1-3.
  14. Isnainy, U. C. A. S., Arianti, L., & Rosalia, D. (2020). Pengaruh Konsumsi Ekstrak Daun Kelor Dan Madu Terhadap Peningkatan Hb Ibu Hamil Di Wilayah Kerja Puskesmas Way Halim Kota Bandar Lampung. Malahayati Nursing Journal, 2(1), 57-67.
  15. Istianah, I., Umaroh, M., Manggiasih, V. A., Patmawati, R. M., & Fibriana, F. D. (2019, December). Pengaruh Sayur Bayam Terhadap Kejadian Anemia pada Ibu Hamil di Klinik Fatimah Medika Terung Kulon Krian Sidoarjo. In Prosiding Seminar Nasional INAHCO 2019 (Vol. 1).
  16. Kasolo, J. N., Bimenya, G. S., Ojok, L., Ochieng, J., & Ogwal-Okeng, J. W. (2010). Phytochemicals and uses of Moringa oleifera leaves in Ugandan rural communities.
  17. Kemenkes RI. (2011). Penerapan Pola Konsumsi Makanan dan Aktivitas Fisik, Available at: http://gizi.depkes.go.id/download/pedoman gizi/stranas kt penganta.pdf-gabung.pdf.
  18. Kemenkes RI. (2015). Prevalensi Ibu hamil Di Indonesia. Jakarta : Badan Litbangkes Kemenkes RI
  19. Manuaba. (2016). Ilmu Kebidanan Penyakit Kandungan dan KB. Jakarta : EGC.
  20. Nadiyah, N., Briawan, D., & Martianto, D. (2014). Faktor risiko stunting pada anak usia 0—23 bulan di Provinsi Bali, Jawa Barat, dan Nusa Tenggara Timur. Jurnal gizi dan pangan, 9(2).
  21. Nur, F. (2017). Uji Daya Hambat dan Analisis KLT Bioautografi Fraksi dari Ekstrak Korteks Kelor (Moringa oleiferaI) terhadap Beberapa Mikroba Patogen (Doctoral dissertation, Universitas Islam Negeri Alauddin Makassar).
  22. Nuryati, N. (2023). Pengaruh Konsumsi Kapsul Daun Kelor (Moringa Oleifera) Terhadap Kenaikan Kadar Hb Pada Ibu Hamil Dengan Anemia Di Puskesmas Ketapang II Sampit (Doctoral dissertation, Poltekkes Kemenkes Palangka Raya).
  23. Paendong, F. T., Suparman, E., & Tendean, H. M. (2016). Profil zat besi (Fe) pada ibu hamil dengan anemia di Puskesmas Bahu Manado. e-CliniC, 4(1).
  24. Prasanna, V., & Sreelatha, S. (2014). Synergistic effect of Moringa oleifera attenuates oxidative stress induced apoptosis in Saccharomyces cerevisiae cells: evidence for anticancer potential. Int J Pharm Bio Sci, 5(2), 167-177.
  25. Pujiastutik, Y. E., Refina, R. C., Winarno, A. F. P., & Yuliana, E. T. (2020). Efikasi Fortifikasi sebagai Determinan Anemia Kehamilan dengan Biskuit Sweet Potato (Ipomoea Batatas L.). Jurnal Wiyata: Penelitian Sains dan Kesehatan, 7(1), 69-77.
  26. Razis, A. F. A. & Muhammad Din Ibrahim S. (2014). Health Benefit Moringa oleifera. Asian Pac J Cancer Prev, 15(20), pp. 8571-8576.
  27. Rismawati, R., Jana, V. A., Latifah, N. S., & Sunarsih, S. (2023). Manfaat Kapsul Daun Kelor Dalam Meningkatkan Kadar Hemoglobin Ibu Hamil. Jurnal Kebidanan Malahayati, 7(2), 229-233.
  28. Rohmatika, D., & Umarianti, T. (2017). Uji Laboratorium Pengukuran Kandungan Zat Besi (Fe) Pada Ekstrak Bayam Hijau (Amarathus Hybridus l). Jurnal Ilmiah Maternal, 2(2).
  29. Sari, Y. O., Darmayanti, D., & Ulfah, M. (2023). Pengaruh Pemberian Zat Besi Dan Sayur Bayam Terhadap Peningkatan Kadar Hemoglobin Ibu Hamil Dengan Anemia Di Wilayah Kerja Puskesmas Martapura I. Jurnal Keperawatan Suaka Insan (Jksi), 6(1), 20-27.
  30. Silva, M. F., Leticia Nishi & Ammad Far. (2014.) The Many Health Benefits Of Moringa oleifera. JMPI, 1(3), pp. 9-12
  31. Supariasa, I. D. N., Bakri, B., & Fajar, I. (2016). Penilaian status gizi edisi 2. Jakarta: EGC.
  32. Susiyanti, E., & Virgia, V. (2022). Perbedaan Efektifitas Rebusan Kapsul daun kelor Dan Daun Kelor Terhadap Peningkatan Kadar Hb Pada Ibu Hamil. Jurnal Keperawatan dan Kebidanan, 14(2), 7-15.
  33. Syahruni, (2015). Efek Pemberian Ekstrak Daun Kelor Terhadap Jumlah Eritrosit Dan Kadar Hemoglobin Pada Ibu Hamil Perokok Pasif Di Kab. Takalar. UNHAS, pp. 12-17. (Skripsi tidak dipublikasi)
  34. Utami, P., et al. 2(013). The Miracle Of Herbs. Jakarta Selatan: Argomedia Pustaka.
  35. World Health Organization. (2013). Guideline:Iintermittent Iron and Folic Acid Supplementation In Menstruating Women_978 92 4 150202
  36. Wulandari, C. (2019). Pengaruh Konsumsi Daun Bayam Terhadap Peningkatan Kadar Hemoglobin (Hb) Pada Ibu Hamil Dengan Anemia (Doctoral dissertation, Poltekkes Tanjungkarang)
  37. Zakaria, et al. 2015. The Effect of Moringa Leaf Extract in Breastfeeding Mothers against Anemia Status and Breast Milk Iron Content. IJSBAR, Volume 24, pp. 321-329.

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