Pemberian jahe instan terhadap kejadian mual muntah dan asupan energi pada ibu hamil trimester pertama

Nurfalah Setyawati; Mae Sri Hartati Wahyuningsih; Detty Siti Nurdiati

doi:10.22146/ijcn.18871

Pemberian jahe instan terhadap kejadian mual muntah dan asupan energi pada ibu hamil trimester pertama

https://doi.org/10.22146/ijcn.18871

Nurfalah Setyawati^(1*), Mae Sri Hartati Wahyuningsih⁽²⁾, Detty Siti Nurdiati⁽³⁾

(1) Jl. Indrakila No.107 RT 04, Kel. Gunung Samarinda Baru, Balikpapan, Kalimantan Timur
(2) Departemen Farmakologi dan Terapi Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Background: Pregnancy causes increased energy metabolism, therefore needs of energy and other nutrients increase during pregnancy. Lack of energy and nutrients could adversely affect the mother and fetus. Nausea and vomiting is a common problem in the first trimester of pregnancy. If not treated the mother and fetus can be at risk of malnutrition due to lack of energy intake. Traditional treatment is an option that is considered safe. Ginger has been used to treat a variety of medical problems including nausea and vomiting. Ginger works in the digestive tract by increasing the gastric and intestinal motility.

Objective: This study aimed to determine the effectiveness of instant ginger containing 290 mg ginger juice, to reduced the incidence of nausea and vomiting of pregnancy and increased maternal energy intake during the 24 hours.

Method: The study design is experimental, the pre-post control group, involving 101 pregnant women with gestational age less than 15 weeks in RSB Sayang Ibu, puskesmas Klandasan Ilir and Sepinggan in Balikpapan. Research subjects were drawn at random and given the instant ginger or placebo, 2 times a day for a week. All of the subjects were assessed on the level of nausea, vomiting and a 24-hour energy intake during pre and post intervention. The use of drugs or supplementation from the doctor/midwife were recorded and not be stopped.

Results: The rate of nausea and vomiting decreased significantly in the ginger group (52%) compared to placebo (17.7%) (p<0.05). Instant ginger may reduce nausea and vomiting rate 6 times higher than placebo (p<0.05). The average amount of energy intake (calories) for 24 hours increased significantly in the ginger group (1629.58 kcal ± 468.04 kcal; p<0.05) compared to placebo (1160.27 kcal ± 341.85 kcal; p>0.05). Instant ginger may increase the average amount of energy intake 24.5 times higher than placebo (p<0.05).

Conclusion: Instant ginger effective to reduce nausea and vomiting of pregnancy and increase the amount of energy intake (calories) in pregnant women who experience nausea and vomiting of pregnancy.

Keywords

ginger; nausea and vomiting of pregnancy; energy intake

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References

Waryono. Gizi reproduksi. Yogyakarta: Pustaka Rihama; 2010.

Chomaria N. Five in one, the series of pregnancy: makanan sehat seimbang untuk ibu hamil. Jakarta: Elex Media Komputindo. 2012.

Sherman PW, Flaxman SM. Nausea and vomiting of pregnancy in an evolutionary perspective. Am J Obstet Gynecol [series online] 2002 [cited 2012 Mei 28];186(5):S190-7. Available from: URL: http://www2.uah.es/salud-

yenfermedad/pdf/Nausea%20and%20vomiting%20of%20pregnancy%20in%20an%20evolutionary%2perspective.pdf

Chrubasik S, Pittler MH, Roufogalis BD. Review: zingiberis rhizoma: a comprehensive review on the ginger effect and efficacy profiles. Phytomedicine [series online] 2005 [cited 2012 Mei 28];12(9):684-701. Available from: URL:

http://nutraxin.com.tr/pdf/ZingiberOfficinale/Zingiber_03.pdf

World Health Organization. WHO monographs on select medicinal plants. [series online] 1999 [cited 2012 Mei 28]. Available from: URL: http://whqlibdoc.who.int/publications/1999/9241545178.pdf

Vutyavanich T, Kraisarin T, Ruangsri RA. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial. Obstet Gynecol [series online] 2001 [cited 2012 Mei 28];97(4):577-82. Available from: URL: http://journals.lww.com/greenjournal/Fulltext/2001/04000/Ginger_for_Nausea_and_Vomiting_in_Pregnancy_.17.aspx

Willetts KE, Ekangaki A, Eden JA. Effect of a ginger extract on pregnancy-induced nausea: A randomised controlled trial. Aust N Z J Obstet Gynaecol 2003;43(2):139-44.

Smith C, Crowther C, Willson K, Hotham N, McMillian V. A randomized controlled trial of ginger to treat nausea and vomiting in pregnancy. Obstet Gynecol [series online] 2004 [cited 2012 Mei 28];103(4):639-45. Available from: URL: http://journals.lww.com/greenjournal/Fulltext/2004/04000/A_Randomized_Controlled_Trial_of_Ginger_to_Treat.6.aspx.

Chittumma P, Kaewkiattikun K, Wiriyasiriwach B. Comparison of the effectiveness of ginger and vitamin b6 for treatment of nausea and vomiting in early pregnancy: a randomized double-blind controlled trial. J Med Assoc Thai [series online] 2007 [cited 2012 Mei 28];90(1):15-20. Available from: URL: http://www.mat.or.th/journal/files/Vol90_No.1_15_7334.pdf

Pongrojpaw D, Somprasit C, Chanthasenanont A. A randomized comparison of ginger and dimenhydrinate in the treatment of nausea and vomiting in pregnancy. J Med Assoc Thai [series online] 2007 [cited 2012 Mei 28];90(9):1703-9. Available from: URL: http://www.mat.or.th/journal/files/Vol90_No.9_1703_5990.pdf

Ozgoli G, Goli M, Simbar M. Effects of ginger capsules on pregnancy, nausea, and vomiting. J Altern Complement Med [series online] 2009 [cited 2012 Mei 28];15(3):243-6. Available from: URL: http://69.164.208.4/files/Effects%20of%20Ginger%20Capsules%20on%20Pregnancy,%20Nausea,%20and%20Vomiting.pdf

Arianto K. Keefektifan pemberian ekstrak jahe dan kombinasi ekstrak jahe dengan piridoksin untuk mual dan muntah pada emesis gravidarum [Tesis]. Yogjakarta: Universitas Gadjah Mada; 2008.

Bryer, E. A literature review of the effectiveness of ginger in alleviating mild-to-moderate nausea and vomiting of pregnancy. J Midwifery Womens Health [series online] 2005 [cited 2012 Mei 28];50(1):e1-3. Available from: URL: http://www.ncbi.nlm.nih.gov/pubmed/15637501

Matthews A, Dowswell T, Haas DM, Doyle M, O’Mathúna DP. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev 2010;9:CD007575. doi: 10.1002/14651858.CD007575.pub2.

Dinas Kesehatan Kota Balikpapan. Profil kesehatan 201. [series online] 2011 [cited 2012 Nov 10]. Available from: URL: http://dkk.balikpapan.go.id/index.php?option=com_content&task=view&id=137&Itemid=103

Lemeshow S, Hosmer DW, Klar J, Lwanga S. Besar sampel dalam penelitian kesehatan. Alih bahasa: Pramono D. Yogjakarta: Gadjah Mada University Press; 1997.

King TL, Murphy PA. Evidence-based approaches to managing nausea and vomiting in early pregnancy. J Midwifery Womens Health [series online] 2009 [cited 2012 Mei 28]; 54(6):430-44. Available from: URL: http://www.medscape.com/viewarticle/712662

Davis M. Nausea and vomiting of pregnancy an evidence-based review. J Perinat Neonatal Nurs [series online] 2004 [cited 2012 Mei 28];18(4):312-28. Available from: URL: http://www.utilis.net/Morning%20Topics/Obstetrics/Hyperemesis.pdf

American College of Obstetricians and Gynecologists (ACOG) Comitte. Nausea and vomiting of pregnancy. ACOG practice guideline: clinical management guidelines for obstetrician and gynecologist No. 52 [series online] 2004 [cited 2012 Mei 28]. Available from: URL: http://www.molinahealthcare.com/medicaid/providers/mo/pdf/acog%20nausea%20%20vomiting%20pregnancy.pdf

Einarson A, Maltepe C, Boskovic R, Koren G. Treatment of nausea and vomiting in pregnancy: an updated algorithm. Can Fam Physician [series online] 2007 [cited 2012 Mei 28];53(12):2109-11. Available from: URL: http://www.cfp.ca/content/53/12/2109.full.pdf+html

Kristiyanasari W. Gizi ibu hamil. Yogyakarta: Nuha Medik; 2010.

DOI: https://doi.org/10.22146/ijcn.18871