Use of moringa oleifera for anemia in pregnant women at wini
Main Article Content
Abstract
Untreated anemia in pregnant women can have an impact on fetal development and even death in the mother. North Central Timor Regency, is very rich in Moringa (Moringaoleifera) plants which are well known for their benefits and are very easy to obtain. This study aims to determine the effect of using Moringa leaves on the treatment of anemia in pregnant women at the Wini Health Center. Design of this reseach Analytical observational study with cross sectional approach. By purposive sampling technique obtained a sample of 31 respondents, independent variables eating habits and consumption of tea and the dependent variable anemia. This research is an experimental research (pre-experiment) with a one group pre-post test design. This study only used one group of subjects, measurements were taken before and after treatment. The paired T-Test statistical test was used to determine the relationship between the two variables. The research results showed that after treatment, almost all pregnant women had hemoglobin levels in the normal range (> 11.5 g/dl; 67, 8%) and mild anemia as many as 10 respondents (<11.5g/dl; 32.2%). Analysis using the paired T-Test statistical test resulted in p = 0.000 < 0.05, which means there is an influence of the use of Moringa leaves on the treatment of anemia in pregnant women. Giving Moringa leaves as a preparation or vegetable helps to increase hemoglobin, therefore it is recommended to educate the public about consuming Moringa leaves, especially for pregnant women as an additional supplement besides Fe tablets.
Article Details
How to Cite
Fajriah, A. S., Sunariyah, S., & Mufida, R. T. . (2025). Use of moringa oleifera for anemia in pregnant women at wini. Journal of Midwifery and Nursing, 7(2), 213-223. https://doi.org/10.35335/jmn.v7i2.6210
References
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Berglund, S. K., Torres-Espínola, F. J., García-Valdés, L., Segura, M. T., Martínez-Zaldívar, C., Padilla, C., Rueda, R., Pérez García, M., McArdle, H. J., & Campoy, C. (2017). The impacts of maternal iron deficiency and being overweight during pregnancy on neurodevelopment of the offspring. British Journal of Nutrition, 118(7), 533–540. https://doi.org/10.1017/S0007114517002410
Daba, A. K., Xuan, T. D., & Tawata, S. (2020). Chemical Composition and Health-Promoting Benefits of Moringa Leaves: Review. Phytotherapy Research, 34(5), 1137–1145. https://doi.org/10.1002/ptr.6595
Data, N. P. H. O. (2024). Profil NTT. Sustainability (Switzerland), 280. http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps://www.researchgate.net/publication/305320484_SISTEM_PEMBETUNGAN_TERPUSAT_STRATEGI_MELESTARI
Fikawati, S., Syafiq, A., & Veratamala, A. (2017). Gizi Anak dan Remaja (1st ed.). Rajawali Press.
Gopalakrishnan, L., Doriya, K., & Kumar, D. S. (2016). Moringa oleifera: A review on nutritive importance and its medicinal application. Food Science and Human Wellness, 5(2), 49–56. https://doi.org/10.1016/j.fshw.2016.04.001
Goretik, M., Nazarius, Y. R., & Romina, F. (2021). The Relationship of Pregnant Woman’s Knowledge About Anemia With Compliance Consuming Iron (Fe) Tablets. Journal Of Nursing Practice, 5(1), 182–188. https://doi.org/10.30994/jnp.v5i1.170
Iqbal, S., & Ekmekcioglu, C. (2019). Maternal and neonatal outcomes related to iron supplementation or iron status: a summary of meta-analyses. Journal of Maternal-Fetal and Neonatal Medicine, 32(9), 1528–1540. https://doi.org/10.1080/14767058.2017.1406915
Iriani, F., Rakhmiati, R., Kertasari, V. D., Handayani, E. P., Zuyasna, Z., & Yanuastri, P. W. (2023). Secondary metabolite compounds of Moringa oleifera leaves in two different urban altitude locations, Indonesia. Caspian Journal of Environmental Sciences, 21(5), 1065–1071. https://doi.org/10.22124/cjes.2023.6414
Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & Marcenes, W. (2014). Global burden of severe periodontitis in 1990-2010: A systematic review and meta-regression. Journal of Dental Research, 93(11), 1045–1053. https://doi.org/10.1177/0022034514552491
Kemenkes RI. (2019). Profil Kesehatan Indonesia Tahun 2019. In Kementrian Kesehatan Repoblik Indonesia.
Kemenkes RI. (2021). Laporan Kinerja Kementerian Kesehatan 2021. Kementrian Kesehatan RI, 228. https://e-renggar.kemkes.go.id/file_performance/1-131313-1tahunan-314.pdf
Kurniasih, E., & Rahayu, D. (2021). Efektivitas Pemberian Serbuk Daun Kelor terhadap Peningkatan Kadar Hemoglobin Ibu Hamil. Jurnal Kesehatan Reproduksi, 12(2), 88-94.
Lauer, J. M., Bhaise, S., Dhurde, V., Gugel, A., Shah, M., Hibberd, P. L., Patel, A., & Locks, L. M. (2024). Maternal Anemia during Pregnancy and Infant Birth Outcomes: A Prospective Cohort Study in Eastern Maharashtra, India. Current Developments in Nutrition, 8(11), 104476. https://doi.org/10.1016/j.cdnut.2024.104476
Lestari, W., et al. (2019). Pengaruh Pemberian Daun Kelor terhadap Kadar Hb Remaja Putri. Jurnal Gizi Indonesia, 7(1), 22-28.
Lidia, K., Levina, E., Setianingrum, S., Folamauk, C., Riwu, M., Lidesna, A., & Amat, S. (2020). Peningkatan Kesehatan dengan Suplemen dan Gizi Seimbang di Era Pandemi Covid-19. Jurnal Lembaga Pengabdian Kepada Masyarakat Undana, 14(2), 63–68. http://ejurnal.undana.ac.id/jlppm/article/view/3445
Maharani, M., & Sutrisno, S. (2023). Analysis of Causes of Maternal Death in East Java Province, Indonesia. Open Access Macedonian Journal of Medical Sciences, 11(E), 34–40. https://doi.org/10.3889/oamjms.2023.9549
Mahmudiono, T., Nindya, T. S., & Pratiwi, R. G. (2020). Potential of Moringa Oleifera to Improve Iron Status in Pregnancy: A Review of Current Evidence. Journal of Nutrition and Health, 8(1), 12–20.
Manik, H., Triyoga, R. S., Siregar, M. F. G., Rochadi, R. K., & Poddar, S. (2021). Sustainability in Transformation of Maternal Mortality by Interaction Based Approach in Dairi, Indonesia. Journal of Public Health Research, 10(2_suppl). https://doi.org/10.4081/jphr.2021.2707
McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & De Benoist, B. (2009). Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutrition, 12(4), 444–454. https://doi.org/10.1017/S1368980008002401
Means, R. (2020). Iron Deficiency and Iron Deficiency Anemia: Implications and Impact in Pregnancy, Fetal Development, and Early Childhood Parameters. Nutrients, 12(2), 447.
Patil, S. V., Mohite, B. V., Marathe, K. R., Salunkhe, N. S., Marathe, V., & Patil, V. S. (2022). Moringa Tree, Gift of Nature: a Review on Nutritional and Industrial Potential. Current Pharmacology Reports, 8(4), 262–280. https://doi.org/10.1007/s40495-022-00288-7
Prautami, E. S. (2019). Sistem Pendukung Dengan Tingkat Kecemasan Ibu Hamil Trimester III Di Klinik Abi Ummi Dw Sarmadi Palembang. Journal Of Midwifery And Nursing, 1(1), 13–18.
Radlowski, E. C., & Johnson, R. W. (2013). Perinatal iron deficiency and neurocognitive development. Frontiers in Human Neuroscience, 7(SEP), 1–11. https://doi.org/10.3389/fnhum.2013.00585
Rahayu, R. F., Wiyono, N., Hastami, Y., Munawaroh, S., Maryetty, I. P., & Purwanto, B. (2024). Bibliometric analysis of research in Moringa oleifera Lam . and atherosclerosis. 12, 1–6.
Ristica, O. D. (2019). On Mother Midwifery Care Ruling With Moringa Leaves Utilization Production To Accelerate BPM Linda Asi In Asmita, Amd.Keb Pekanbaru. Journal Of Nursing And Midwifery, 2(1), 220–222. http://iocscience.org/ejournal/index.php/JMN/article/view/486
Saputri, N. S., Anbarani, M. D., Toyamah, N., & Yumna, A. (2020). Dampak Pandemi Covid-19 pada Layanan Gizi dan Kesehatan Ibu dan Anak (KIA): Studi Kasus di Lima Wilayah di Indonesia. SMERU Res Inst, 5(1), 1–8.
Simangunsong, S., Astriana, A., & Yantina, Y. (2023). The Effect Of Moringa Leaf Extract On Hemoglobin Levels Of Pregnant Women With Anemia. Jurnal Kebidanan Malahayati, 9(3), 501–511. https://doi.org/10.33024/jkm.v9i3.11209
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia, 2018. https://doi.org/10.1155/2018/1846280
Thenmozhi, P., & Bhuvaneshwari, K. (2020). Effectiveness of Aromatherapy on Menstrual Distress among Adolescent Girls. Journal of Complementary and Alternative Medical Research, 11(2), 25–32. https://doi.org/10.9734/jocamr/2020/v11i230182
Trigo, C., Castelló, M. L., Ortolá, M. D., García-Mares, F. J., & Soriano, M. D. (2021). Moringa oleifera: An unknown crop in developed countries with great potential for industry and adapted to climate change. Foods, 10(1). https://doi.org/10.3390/foods10010031
Unicef. (2015). Profil singkat provinsi?: Nusa Tenggara Timur. Unicef, 13–16. https://www.unicef.org/indonesia/sites/unicef.org.indonesia/files/2019-06/Bahasa NTB lowres2.pdf
WHO. (2016). Guideline: Daily Iron and Folic Acid Supplementation in Pregnant Women. World Health Organization
WHO. (2021). Department of Maternal, Newborn, Child and Adolescent Health. Maternal and Child Health Journal, September, 1–3.
Akande, & Olorunsogo. (2019). Journal of Agriculture and Agricultural Technology. Journal of Agriculture and Food, 10(1), 45–54. https://repository.unmul.ac.id/bitstream/handle/123456789/35837/3. JURNAL The Intensity of Agriculture in the Covid-19 from Indonesia – A Systematic.pdf?sequence=1&isAllowed=y
Amini, A., Pamungkas, C. E., & Harahap, A. P. H. P. (2018). Usia Ibu Dan Paritas Sebagai Faktor Risiko Yang Mempengaruhi Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Ampenan. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 3(2), 108. https://doi.org/10.31764/mj.v3i2.506
Berglund, S. K., Torres-Espínola, F. J., García-Valdés, L., Segura, M. T., Martínez-Zaldívar, C., Padilla, C., Rueda, R., Pérez García, M., McArdle, H. J., & Campoy, C. (2017). The impacts of maternal iron deficiency and being overweight during pregnancy on neurodevelopment of the offspring. British Journal of Nutrition, 118(7), 533–540. https://doi.org/10.1017/S0007114517002410
Daba, A. K., Xuan, T. D., & Tawata, S. (2020). Chemical Composition and Health-Promoting Benefits of Moringa Leaves: Review. Phytotherapy Research, 34(5), 1137–1145. https://doi.org/10.1002/ptr.6595
Data, N. P. H. O. (2024). Profil NTT. Sustainability (Switzerland), 280. http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps://www.researchgate.net/publication/305320484_SISTEM_PEMBETUNGAN_TERPUSAT_STRATEGI_MELESTARI
Fikawati, S., Syafiq, A., & Veratamala, A. (2017). Gizi Anak dan Remaja (1st ed.). Rajawali Press.
Gopalakrishnan, L., Doriya, K., & Kumar, D. S. (2016). Moringa oleifera: A review on nutritive importance and its medicinal application. Food Science and Human Wellness, 5(2), 49–56. https://doi.org/10.1016/j.fshw.2016.04.001
Goretik, M., Nazarius, Y. R., & Romina, F. (2021). The Relationship of Pregnant Woman’s Knowledge About Anemia With Compliance Consuming Iron (Fe) Tablets. Journal Of Nursing Practice, 5(1), 182–188. https://doi.org/10.30994/jnp.v5i1.170
Iqbal, S., & Ekmekcioglu, C. (2019). Maternal and neonatal outcomes related to iron supplementation or iron status: a summary of meta-analyses. Journal of Maternal-Fetal and Neonatal Medicine, 32(9), 1528–1540. https://doi.org/10.1080/14767058.2017.1406915
Iriani, F., Rakhmiati, R., Kertasari, V. D., Handayani, E. P., Zuyasna, Z., & Yanuastri, P. W. (2023). Secondary metabolite compounds of Moringa oleifera leaves in two different urban altitude locations, Indonesia. Caspian Journal of Environmental Sciences, 21(5), 1065–1071. https://doi.org/10.22124/cjes.2023.6414
Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & Marcenes, W. (2014). Global burden of severe periodontitis in 1990-2010: A systematic review and meta-regression. Journal of Dental Research, 93(11), 1045–1053. https://doi.org/10.1177/0022034514552491
Kemenkes RI. (2019). Profil Kesehatan Indonesia Tahun 2019. In Kementrian Kesehatan Repoblik Indonesia.
Kemenkes RI. (2021). Laporan Kinerja Kementerian Kesehatan 2021. Kementrian Kesehatan RI, 228. https://e-renggar.kemkes.go.id/file_performance/1-131313-1tahunan-314.pdf
Kurniasih, E., & Rahayu, D. (2021). Efektivitas Pemberian Serbuk Daun Kelor terhadap Peningkatan Kadar Hemoglobin Ibu Hamil. Jurnal Kesehatan Reproduksi, 12(2), 88-94.
Lauer, J. M., Bhaise, S., Dhurde, V., Gugel, A., Shah, M., Hibberd, P. L., Patel, A., & Locks, L. M. (2024). Maternal Anemia during Pregnancy and Infant Birth Outcomes: A Prospective Cohort Study in Eastern Maharashtra, India. Current Developments in Nutrition, 8(11), 104476. https://doi.org/10.1016/j.cdnut.2024.104476
Lestari, W., et al. (2019). Pengaruh Pemberian Daun Kelor terhadap Kadar Hb Remaja Putri. Jurnal Gizi Indonesia, 7(1), 22-28.
Lidia, K., Levina, E., Setianingrum, S., Folamauk, C., Riwu, M., Lidesna, A., & Amat, S. (2020). Peningkatan Kesehatan dengan Suplemen dan Gizi Seimbang di Era Pandemi Covid-19. Jurnal Lembaga Pengabdian Kepada Masyarakat Undana, 14(2), 63–68. http://ejurnal.undana.ac.id/jlppm/article/view/3445
Maharani, M., & Sutrisno, S. (2023). Analysis of Causes of Maternal Death in East Java Province, Indonesia. Open Access Macedonian Journal of Medical Sciences, 11(E), 34–40. https://doi.org/10.3889/oamjms.2023.9549
Mahmudiono, T., Nindya, T. S., & Pratiwi, R. G. (2020). Potential of Moringa Oleifera to Improve Iron Status in Pregnancy: A Review of Current Evidence. Journal of Nutrition and Health, 8(1), 12–20.
Manik, H., Triyoga, R. S., Siregar, M. F. G., Rochadi, R. K., & Poddar, S. (2021). Sustainability in Transformation of Maternal Mortality by Interaction Based Approach in Dairi, Indonesia. Journal of Public Health Research, 10(2_suppl). https://doi.org/10.4081/jphr.2021.2707
McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & De Benoist, B. (2009). Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutrition, 12(4), 444–454. https://doi.org/10.1017/S1368980008002401
Means, R. (2020). Iron Deficiency and Iron Deficiency Anemia: Implications and Impact in Pregnancy, Fetal Development, and Early Childhood Parameters. Nutrients, 12(2), 447.
Patil, S. V., Mohite, B. V., Marathe, K. R., Salunkhe, N. S., Marathe, V., & Patil, V. S. (2022). Moringa Tree, Gift of Nature: a Review on Nutritional and Industrial Potential. Current Pharmacology Reports, 8(4), 262–280. https://doi.org/10.1007/s40495-022-00288-7
Prautami, E. S. (2019). Sistem Pendukung Dengan Tingkat Kecemasan Ibu Hamil Trimester III Di Klinik Abi Ummi Dw Sarmadi Palembang. Journal Of Midwifery And Nursing, 1(1), 13–18.
Radlowski, E. C., & Johnson, R. W. (2013). Perinatal iron deficiency and neurocognitive development. Frontiers in Human Neuroscience, 7(SEP), 1–11. https://doi.org/10.3389/fnhum.2013.00585
Rahayu, R. F., Wiyono, N., Hastami, Y., Munawaroh, S., Maryetty, I. P., & Purwanto, B. (2024). Bibliometric analysis of research in Moringa oleifera Lam . and atherosclerosis. 12, 1–6.
Ristica, O. D. (2019). On Mother Midwifery Care Ruling With Moringa Leaves Utilization Production To Accelerate BPM Linda Asi In Asmita, Amd.Keb Pekanbaru. Journal Of Nursing And Midwifery, 2(1), 220–222. http://iocscience.org/ejournal/index.php/JMN/article/view/486
Saputri, N. S., Anbarani, M. D., Toyamah, N., & Yumna, A. (2020). Dampak Pandemi Covid-19 pada Layanan Gizi dan Kesehatan Ibu dan Anak (KIA): Studi Kasus di Lima Wilayah di Indonesia. SMERU Res Inst, 5(1), 1–8.
Simangunsong, S., Astriana, A., & Yantina, Y. (2023). The Effect Of Moringa Leaf Extract On Hemoglobin Levels Of Pregnant Women With Anemia. Jurnal Kebidanan Malahayati, 9(3), 501–511. https://doi.org/10.33024/jkm.v9i3.11209
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia, 2018. https://doi.org/10.1155/2018/1846280
Thenmozhi, P., & Bhuvaneshwari, K. (2020). Effectiveness of Aromatherapy on Menstrual Distress among Adolescent Girls. Journal of Complementary and Alternative Medical Research, 11(2), 25–32. https://doi.org/10.9734/jocamr/2020/v11i230182
Trigo, C., Castelló, M. L., Ortolá, M. D., García-Mares, F. J., & Soriano, M. D. (2021). Moringa oleifera: An unknown crop in developed countries with great potential for industry and adapted to climate change. Foods, 10(1). https://doi.org/10.3390/foods10010031
Unicef. (2015). Profil singkat provinsi?: Nusa Tenggara Timur. Unicef, 13–16. https://www.unicef.org/indonesia/sites/unicef.org.indonesia/files/2019-06/Bahasa NTB lowres2.pdf
WHO. (2016). Guideline: Daily Iron and Folic Acid Supplementation in Pregnant Women. World Health Organization
WHO. (2021). Department of Maternal, Newborn, Child and Adolescent Health. Maternal and Child Health Journal, September, 1–3.
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