Effectiveness Of Lime (Citrus Aurantifolia) Combined With Honey On The Intensity Of Nausea And Vomiting In 1St Trimester Of Pregnant Women

Alyxia Gita Stellata, Silvani Putri Aditya, Arneti Arneti, Ghezi Lhoura M

Abstract


Latar Belakang: Prevalensi mual muntah di dunia mencapai 70-80 % dari jumlah ibu hamil. Dampak dari mual muntah dapat menyebabkan dehidrasi, masalah nutrisi, ketidakseimbangan elektrolit, penurunan berat badan, yang merupakan penyebab komplikasi pada janin seperti abortus, BBLR, dan kejadian pertumbuhan janin terhambat (Intrauterine growth retardation/IUGR). Penanganannya meliputi terapi farmakologi dan secara non farmakologi dengan pemberian jeruk nipis  dan madu yang merupakan salah satu cara terbaik mengatasi mual dan muntah.

Tujuan: Penelitian ini bertujuan untuk menilai efektivitas Pemberian Jeruk Nipis Kombinasi Madu Terhadap Intensitas Mual dan Muntah Pada Ibu Hamil Trimester 1.

Metode: Metode penelitian adalah Quasi-experiment dengan nonequivalent control group design. Populasi penelitian ini adalah seluruh  Ibu hamil TM 1 di wilayah kerja Puskesmas Guguk Panjang dengan total populasi sebanyak 58 orang. Jumlah samplenya diambil secara total sampling sehingga diperoleh kelompok intervensi sebanyak 13 orang dan kelompok kontrol sebanyak 18 orang yang memenuhi kriteria inklusi. Pengumpulan data berlangsung pada bulan Mei-Juni 2025 dengan intervensi 2 kali dalam sehari untuk masing-masing responden. Analisis penelitian menggunakan Wilcoxon  dan Mann-Whitney.

Hasil: Ada perbedaan yang signifikan antara kelompok intervensi (p=0.033; △=2.7) dan kontrol (p=0.002; △=1.6) dalam penurunan intesitas mual muntah sebelum dan sesudah perlakuan. Hasil uji  Mann-Whitney  diperoleh nilai p = 0.005 (α=0.05 atau p < 0,05). Hal ini menunjukkan bahwa pemberian jeruk nipis kombinasi madu lebih efektif menurunkan intensitas mual muntah dibandingkan dengan vitamin B6.

Kesimpulan: Pemberian jeruk nipis kombinasi madu lebih efektif dalam menurunkan intensitas mual muntah pada ibu hamil trimester 1 karena adanya kandungan flavonoid dan peridoksin alami dari keduanya. Diharapkan agar terapi komplementer jeruk nipis kombinasi madu dapat menjadi penolong pertama ketika terjadi mual muntah karena mudah diperoleh dan merupakan herbal lokal yang mudah ditemui di Bukittinggi.

 

Kata Kunci: Intensitas mual-muntah,  Jeruk nipis ( Citrus Aurantifolia), Madu, Vitamin B6

 

ABSTRACT

 

Background: The prevalence of nausea and vomiting worldwide reaches 70-80% of pregnant women. The effects of nausea and vomiting can cause dehydration, nutritional problems, electrolyte imbalance, and weight loss, which are causes of complications in the fetus such as abortion, low birth weight, and intrauterine growth retardation (IUGR). Treatment includes pharmacological and non-pharmacological therapies, with the administration of lime and honey being one of the best ways to overcome nausea and vomiting.

Objectives: This study aimed to assess the effectiveness of lime juice combined with honey on the intensity of nausea and vomiting in pregnant women in their first trimester.

Method: The research method was a quasi-experimental study with a nonequivalent control group design. The study population consisted of all pregnant women in their first trimester in the working area of the Guguk Panjang Community Health Center, with a total population of 58 people. The sample size was determined using total sampling, resulting in an intervention group of 13 people and a control group of 18 people who met the inclusion criteria. Data collection took place in May-June 2025 with twice interventions per day for each respondent. The research analysis used Wilcoxon and Mann-Whitney Test.

Results: There was a significant difference between the experimental group (p=0.033; △=2.7) and the control group (p=0.002; △=1.6) in the reduction of nausea and vomiting intensity before and after treatment. The Mann-Whitney  test yielded a p-value of 0.005 (α=0.05 or p < 0.05). This indicates that the combination of lime and honey is more effective in reducing the intensity of nausea and vomiting than vitamin B6.

Conclusion: The administration of lime combined with honey is more effective in reducing the intensity of nausea and vomiting in pregnant women in the first trimester due to the natural flavonoid and pyridoxine content of both. It is hoped that complementary therapy with lime combined with honey can be the first aid when nausea and vomiting occur because it is easily obtained as a local herb that is easily found in Bukittinggi.

 

Keywords: Intensity of nausea and vomiting, Lime ( Citrus Aurantifolia), Honey, Vitamin B6


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DOI: https://doi.org/10.33024/jkm.v12i5.26045

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