Nutrition in pregnancy

2010 ◽  
pp. 2079-2084
Author(s):  
David J. Williams

Nutritional requirements for healthy pregnancy vary according to a woman’s prepregnancy nutritional state and her access to food during pregnancy: there is no unifying nutritional advice that is appropriate for all pregnant women throughout the world, or even within nations. The well-nourished mother—maternal adaptation to pregnancy requires few dietary changes during pregnancy. She should eat one or two portions of sea fish per week to -ensure intake of n-3 long-chain polyunsaturated fatty acids sufficient to provide at least 200 mg of docosahexaenoic acid per day, which is needed for the healthy development of the fetal central nervous system. Supplemental folic acid (400 µg/day) during the first trimester reduces the risk of neural tube defects, but with this exception extra vitamins and micronutrients are not necessary for well-nourished, healthy pregnant women who eat a balanced diet, and excessive amounts of some micronutrients can actually be harmful to the fetus. Thiamine replacement is essential for women with hyperemesis gravidarum....

2019 ◽  
Vol 1 (1) ◽  
pp. 36-44
Author(s):  
Ani Nurdiana ◽  
Betty Mangkuji ◽  
Rismahara Lubis

Pregnancy causes a lot of change in the mother’s body, so there are various kinds of physiological discomfort in the mother such as nause and vomiting, usually mild and controlable. This condition sometimes stops in the first trimester, but its effect may lead to nutritional disorder, dehydration, weakness, weight loss, and electrolyte imbalances. If not treated, it will worsen into Hyperemesis Gravidarum This study aimed to determine the effectiveness og ginger candy in reducing the frecuency of nause and vomiting in first trimester pregnant women in the Khairunida clinik with experimental Quasy design and tested by One Group Pretest Postest. About 15 samples were obtained through purposive sampling technique and the data were taken using the T-dependent test. Through the study, it was found that the frequency of nausea and vomiting before being given intervation was 10,93 and after being given intervation was 3,33 with an average decrease by 7,60. Through the statistical test, it was obtained the p value <(0.05) so that this study concluded that administration of ginger candy was effective in reduring nausea and vomiting in first trimester pregnant women. Further researchers are expected toreduce the use of non-pharmacological drugs to overcome nausea and vomiting in first trimester pregnant women and collaborate with the pharmacy department to facilitate the process of making good qualityy ginger candy.


2018 ◽  
Vol 5 (2) ◽  
pp. 201-211
Author(s):  
Iluh Meta Indrayani ◽  
Rialike Burhan ◽  
Desi Widiyanti

Emesis gravidarum is a usual complaint that is often experienced by the first trimester pregnant women, and coul develop become hyperemesis gravidarum thus increasing the risk of pregnancy. Ginger is kind of herbs which has been known to prevent nausea vomiting. The purpose of this study is the effectiveness of giving wedang ginger to the frequency of nausea and vomiting in pregnant women trimester I. The design of this research is Quasi experiment with One Group Pre test-Post test design. The sampling technique used purposive sampling with the sample of 10 first trimester pregnant women who experience emesis gravidarum. This research was conducted at Work Area of ​​Air Lais Puskesmas of North Bengkulu Regency on January 5, 2018 until February 6, 2018. Analysis of difference of frequency of nausea vomiting before and after intervention using Paired Sample T-Test. The results of this study indicate the average frequency of nausea vomiting pregnant women trimester I before given wedang ginger of 9.30. While the average frequency of nausea vomiting trimester pregnant women I after given ginger wedang of 4.50. The result of bivariate analysis showed that there was difference of mean of nausea vomiting frequency before and after intervention of wedang ginger equal to 4,80 with p = 0.000. Expected for the community can take advantage of ginger wedang as an alternative treatment before using antiemetic drugs, and can process other variants of ginger plants that can be used to lower the emesis gravidarum frequency.


2021 ◽  
Vol 3 (2) ◽  
pp. 123-130
Author(s):  
Basyariah Lubis ◽  
Latifah Hanim ◽  
Srimelda Br Bangun ◽  
Ronny Ajartha

The incidence of hyperemesis gravidarum in Indonesia ranges from 1% to 3% of all pregnancies. Hyperemesis gravidarum can cause problems in pregnancy such as anemia, while anemia itself can result in shock due to lack of nutritional intake, all of which are eaten and drunk. This study aims to determine the relationship between adaptation and psychological factors with the incidence of hyperemesis gravidarum in pregnant women in the first trimester in the Tanjung Pasir Health Center area. This research is an analytical survey with a cross sectional approach. The study was conducted in the Tanjung Pasir 2020 Public Health Center area from March to August 2020. The population in this study were 108 pregnant women in the first trimester at the Hamidah Clinic and a sample of 52 people. Data were obtained using a questionnaire, data analysis consisted of univariate and bivariate analysis. Bivariate analysis using the Chi Square statistical test at α = 5%. The results showed that there was no relationship between adaftation factors (anemia and primigravida) with hyperemesis gravidarum, while psychological factors (unwanted pregnancy, work pressure, income and family harmony) had a relationship with hyperemesis gravidarum. The conclusion of this study is there is a relationship between psychological factors and the incidence of hyperemesis gravidarum in pregnant women in the first trimester in the Tanjung Pasir Puskesmas area. It is suggested that the respondents should increase their knowledge about how to prevent and overcome hyperemesis gravidarum.


2018 ◽  
Vol 7 (1) ◽  
pp. 17-21
Author(s):  
Elvika Fit Ari Shanti ◽  
Liberty Barokah ◽  
Budi Rahayu

Background: Endocrine system changes during pregnancy are important to keep the pregnancy, fetal growth and post partum recovery. Around 50-90% of pregnant women experience vomit and nausea. To solve those problems, ‘pisang ambon’ (Musa paradisiacal) consumption is one of choices because of its flavonoid and vitamin B6 which can overcome vomit and nausea in pregnancy. Objective: The aim of this research was to identify the effectiveness between pisang ambon (Musa paradisiacal) consumption and vitamin B6 to reduce hyperemesis gravidarum in BPM Endah Bekti. Methods: A quasy experimental design with two-group posttest only was assigned to 20 pregnant women on their first trimester. First ten sample was given vitamin B6 and the other ten sample were given vitamin B6 plus pisang ambon. Data were then analyzed using two independent mean difference test. Results: The result shows that in vitamin B6 consumption for hyperemesis gravidarum in 10% pregnant women were in the effective category. While in the pisang ambon consumption shows 100% of pregnant women are in the effective category. Conclusion: There is difference in effectiveness between vitamin B6 and pisang ambon consumption to overcome hyperemesis gravidarum (p=0,003<α).   Keywords: Hiperemesis gravidarum, vitamin B6, Pisang ambon


2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Dewi Aprilia Ningsih ◽  
Metha Fahriani ◽  
Melly Azhari ◽  
Mika Oktarina

ABSTRAKEmesis atau mual dan  muntah pada kehamilan merupakan hal yang fisiologis, namun apabila terjadi berkelanjutan menjadi hiperemesis gravidarum dapat meningkatkan resiko terjadinya gangguan pada kehamilan. Mual dan muntah selama masa kehamilan dapat diatasi dengan terapi non farmakologi salah satunya menggunakan seduhan jahe. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian seduhan jahe terhadap frekuensi mual dan muntah pada ibu hamil timester I. Penelitian ini menggunakan desain quasi eksperimen dengan rancangan one group pretest-post test. Populasi dalam penelitian ini adalah ibu hamil trimester I yang mengalami mual dan muntah. Sampel diambil dengan teknik purposive sampling sebanyak 22 responden.  Analisis data menggunakan uji wilcoxon sign rank. Hasil penelitian didapatkan rata-rata frekuensi mual dan muntah sebelum dilakukan pemberian seduhan jahe sebesar 9,36 kali/hari, sedangkan rata-rata setelah dilakukan pemberian seduhan jahe sebesar 4,86 kali/hari. Terdapat perbedaan rata-rata frekuensi mual muntah sebelum dan sesudah intervensi seduhan jahe dengan nilai Z=-4,123 dan p value = 0,000 . Pemberian seduhan jahe efektif dalam mengurangi frekuensi mual dan muntah pada ibu hamil trimester I. Kata kunci : emesis gravidarum;  ibu hamil; seduhan jahe; mual dan muntah   THE EFFECTIVENESS OF STEEPING GINGER DRINK TO THE FREQUENCY OF GRAVIDARUM EMESISTS IN THE FIRST TRIMESTER PREGNANT WOMEN ABSTRACTNausea and vomiting in pregnancy is physiological symptom, but if it continues to be hyperemesis gravidarum it can increase the risk of pregnancy disorders. Nausea and vomiting during pregnancy can be overcome with non-pharmacological therapy, one of which uses ginger steeping. This study was aimed to determine the effectiveness of ginger steeping to the frequency of nausea and vomiting in the first trimester pregnant women. This study used a Quasi experimental design with a One Group Pretest-Post test design. Samples were taken by purposive sampling technique amounted to 22 respondents. Data analysis used the Wilcoxon Sign Rank test. The results showed an average frequency of nausea and vomiting before giving ginger was 9.36, while the average after giving ginger was 4.86. There is a difference in the average frequency of nausea and vomiting before and after the intervention of ginger steeping with Z value = -4,123 and p value = 0,000, which means that ginger steeping is effective in reducing the frequency of nausea and vomiting in first trimester pregnant women. . Keywords: emesis gravidarum;  pregnant women; steeping ginger; nausea and vomiting 


2019 ◽  
Vol 4 (2) ◽  
pp. 95-101
Author(s):  
Sih Rini Handajani ◽  
KH Endah Widhi Astuti

Background: Nausea and vomiting are common discomforts experienced by 50% of pregnant women.  Emesis gravidarum will gain weight into hyperemesis gravidarum.  Management to overcome the discomfort of nausea and vomiting in the first trimester of pregnancy is to use pharmacological and non-pharmacological therapies including ginger drink and green beans.  The purpose of this study was to determine the effect of ginger drink and green beans on the frequency of nausea and vomiting in trimester pregnant women. Methods: Used in this study was quasy experiment with a time series pretest-posttest design approach.  The population in this study was TM I pregnant women in the Ngawen II health center. The sample in this study was first trimester pregnant women who experienced nausea and vomiting. The analysis of this study used the Wilcoxon and Kruskal-wallis test. Results: Showed there was an effect of giving ginger drink and green beans to the frequency of nausea vomiting in first trimester pregnant women with p value 0.01 <α with ginger drink being the most influential in post hoc nausea frequency of vomiting 6.67 compared to green beans and standard drugs. Conclusion: Administration of ginger drink and green beans has an effect on reducing the frequency of nausea and vomiting in first trimester pregnant women.


2021 ◽  
Vol 3 (1) ◽  
pp. 39-49
Author(s):  
M. Ricko Gunawan ◽  
Rachmi Fitria Sari ◽  
Prima Dian Furqoni

ABSTRACT: EFFECT OF GINGER WITH SELLING MEDICAL AND EVEN THOUGHT IN PREGNANT WOMAN TRIMESTER I IN PUBLIC HEALTH  SUKARAME BANDAR LAMPUNG CITY  Introduction: Data from the Provincial Health Office of Lampung that the incidence of hyperemesis gravidarum in 2015-2016 is 385 people from 2093 pregnant women. Based on Lampung Province Health Profile in 2016 the high incidence of emesis gravidarum in pregnant women is 50-90%, while hyperemesis gravidarum reaches 10-15% in Lampung Province from the number of pregnant women there are as many as 186,319 people. The purpose of this research is to know the effect of  Ginger with the incidence of nausea and vomiting in first trimester pregnant women in public health sukarame Bandar Lampung City in 2018.Objective: It is know the effect of ginger extract consumption on first trimester pregnant women in reducing nausea and vomiting in public health sukarame Bandar Lampung city in 2019.Method: Quantitative research, quasi experimental design. The population was all pregnant women trimester 1 was 98. Samples was 30 women. Independent variable ginger extract. Dependent variable nausea vomiting in Pregnant Women. Data analysis was done by univariate (mean) and bivariate (t-test).Result: The results of the study found the average value of nausea and vomiting before given ginger extract is 13 times. The average value of nausea and vomiting after given ginger extract is 9 times. Effect of decreased nausea and vomiting in pregnant women trimester I (t-test> t arithmetic, p-value <0.05). (T-test 13,135, p-value <0,05) with difference of decrease of value average 3 times. It is expected that pregnant women do not forget to consume drugs to reduce nausea and vomiting given. It is necessary to conduct an activity by health personnel such as counseling about the benefits of ginger extract, early detection of danger signs in young pregnancies, and others. Activities that run (posyandu) should be improved so that it can control the health of mothers especially to pregnant women. Keywords: ginger extract, nausea vomiting in Pregnant Women   ABSTRAK: PENGARUH PEMBERIAN EKSTRAK JAHE DENGAN KEJADIAN MUAL DAN MUNTAH PADA IBU HAMIL TRIMESTER I DI WILAYAH KERJA PUSKESMAS SUKARAME BANDAR LAMPUNGPendahuluan: Data Dinkes Provinsi Lampung bahwa angka kejadian hiperemesis gravidarum pada tahun 2015- 2016 sebanyak 385 orang dari 2093 pasien ibu hamil. Berdasarkan Profil Kesehatan Propinsi Lampung tahun 2016 tingginya angka kejadian emesis gravidarum pada wanita hamil yaitu 50-90%, sedangkan hiperemesis gravidarum mencapai 10-15% di Propinsi Lampung dari jumlah ibu hamil yang ada yaitu sebanyak 186.319 orang..Tujuan: Diketahui pengaruh konsumsi ekstrak jahe pada ibu hamil Trimester I dalam mengurangi mual muntah di Puskesmas Sukarame Bandar Lampung Tahun 2019.Metode: Penelitian kuantitatif, rancangan quasi eksperiment. Populasi adalah seluruh ibu hamil trimester I sebanyak 98. Sampel sebanyak 30 ibu hamil trimester I Analisa data dilakukan dengan univariat (mean) dan bivariat (t-test). Variabel independen ekstrak jahe. Variabel dependen mual muntah pada Ibu Hamil.Hasil: Hasil Penelitian didapati rata-rata nilai mual dan muntah sebelum diberikan ekstrak jahe adalah 13 kali. Rata-rata nilai mual dan muntah setelah diberikan ekstrak jahe adalah 9 kali. Ada Pengaruh penurunan mual dan muntah pada ibu hamil trimester I (t-test > t hitung, p–value < 0,05). (t-test 13,135,p–value < 0,05) dengan selisih penurunan nilai rata-rata 3 kali. Diharapkan ibu hamil tidak lupa untuk mengkonsumsi obat untuk mengurangi mual dan muntah yang diberikan. Perlu diadakan suatu kegiatan oleh tenaga kesehatan seperti penyuluhan tentang manfaat ektrak jahe, pendeteksian secara dini tanda bahaya pada kehamilan muda, dan lain-lain. Kegiatan yang berjalan (posyandu) harus lebih ditingkatkan sehingga mampu mengontrol kesehatan ibu terlebih kepada ibu hamil. Kata kunci : ektrak jahe, mual muntah ibu hamil.


2021 ◽  
Author(s):  
Erika Chavira-Suárez ◽  
Alma Lilia Hernández-Olvera ◽  
Mariana Flores-Torres ◽  
Karen Rubí Celaya-Cruz ◽  
Sofía Gitler ◽  
...  

Abstract Background: Novel high-resolution tools for pregnancy monitoring, including early detection of prenatal disorders, are needed. Changes in circulating microRNAs (c-miRNAs) during pregnancy could potentially inform about the functional status of the mother, the placenta and/or the fetus. However, whether c-miRNA profiles actually reflect distinct pregnancy-specific events at all stages remains unclear.Methods: Longitudinal large-scale RNAseq c-miRNA profiles at early, middle and late pregnancy, and after birth derived from eight women with healthy term pregnancies (n=32 plasma samples) were compared against corresponding circulating profiles derived from age-matched non-pregnant women (n=10). Data of fetal sex and growth indicators obtained during pregnancy evolution of the same women, were used to identify specific c-miRNA correlates in circulation.Results: 1449 c-miRNAs were detected in circulation in both pregnant and non-pregnant women with only 48 c-miRNAs differentially expressed relative to non-pregnant controls in at least one of the four studied stages (FDR<0.05). Surprisingly, c-miRNA subpopulations with reported prominent expression in various pregnancy-associated compartments (placenta, amniotic fluid, umbilical cord plasma and breast milk) were found collectively under-expressed in maternal circulation throughout pregnancy (p<0.05). Furthermore, we found a bias in global miRNAs expression in direct association with fetal sex right from the first trimester, in addition to a specific c-miRNA signature of fetal growth (R = 0.7, p < 0.01).Conclusion: Our results demonstrate the existence of temporal changes in c-miRNAs populations associated to distinct aspects of pregnancy, including correlates of placental function and lactation, as well as fetal gender and growth, revealing a wider potential of c-miRNAs as biomarkers of specific aspects of maternal health and fetal growth.


2018 ◽  
Vol 13 (3) ◽  
Author(s):  
Eka Meiri K, Noviana Kibas

Keluhan yang dirasakan ibu hamil trimester I adalah mual muntah (emesis gravidarum). Mual dan muntah pada ibu hamil merupakan hal yang sering terjadi, terutama pada trimester I. Pada beberapa ibu hamil, mual dan muntah yang terjadi pada trimester I dapat berlanjut sampai masa kelahiran. Mual dan muntah yang berlangsung hebat, disebut dengan hiperemesis gravidarum, yang dapat membahayakan ibu dan fetus, karena sulitnya nutrisi untuk masuk. Tujuan penelitian ini adalah untuk mengetahui adakah pengaruh pemberian akupresur terhadap pengurangan mual muntah pada ibu hamil trimester I di BPM Afah Fahmi, Amd. Keb Surabaya.Teknik sampling dalam penelitian ini adalah Purposive sampling. Dengan menggunakan Rancangan penelitian One group pretest – Postest design. Populasi dalam penelitian ini adalah semua ibu hamil trimester I yang mengalami mual muntah sedangkan sampel penelitian sebanyak 15 responden. Instrumen yang digunakan adalah lembar observasi. Teknik yang digunakan untuk mengetahui pengaruh dari variabel dependen dan independen adalah uji Statistik Wilcoxon test.Hasil penelitian yang dilakukan di BPM Afah Fahmi, Amd.Keb Surabaya adalah ibu hamil trimester I yang mengalami mual muntah setelah diberikan akupresur terjadi penurunan mual muntah.  Dari hasil uji statistik Wilcoxon test di peroleh p-value 0,000 < α (0,05).Kesimpulan dalam penelitian ini adalah ada pengaruh pemberian akupresur terhadap pengurangan mual muntah pada ibu hamil trimester I di BPM Afah Fahmi, Amd Keb Surabaya. Oleh karena itu sebaiknya ibu hamil yang mengalami mual muntah dianjurkan untuk melakukan akupresur pada tenaga kesehatan yang profesional karena lebih mudah dan efektif. Kata kunci : akupresur, mual, muntah, ibu hamil ABSTRACTThe complaints felt by the first trimester pregnant women are nausea vomiting (emesis gravidarum). Nausea and vomiting in pregnant women is a common occurrence, especially in the trimester I. In some pregnant women, nausea and vomiting that occur in the trimester I may continue until delivery. Severe nausea and vomiting, called hyperemesis gravidarum, can be harmful to the mother and fetus, because of the difficult nutrients to enter. The purpose of this study was to determine whether there is an effect of acupressure on reducing nausea of vomiting in trimester pregnant women at BPM Afah Fahmi, Amd. Keb Surabaya.Sampling technique in this research is Purposive sampling. Using One group pretest - Postest design. The population in this study were all the trimester I pregnant women who experienced nausea vomiting while the study sample of 15 respondents. The instrument used is an observation sheet. The technique used to determine the effect of dependent and independent variables is the Wilcoxon Statistics test.The results of research conducted in BPM Afah Fahmi, Amd.Keb Surabaya is the trimester I pregnant women who experienced nausea vomiting after given acupressure decreased nausea vomiting. From Wilcoxon test results obtained p-value 0.000 <α (0.05).The conclusion in this research is there is effect of giving acupressure to the reduction of nausea vomiting in pregnant woman of trimester I at BPM Afah Fahmi, Amd Keb Surabaya. Therefore, pregnant women who experience nausea, vomiting is recommended to perform acupressure on health professionals because it is easier and more effective. Keywords: acupressure, nausea, vomiting, pregnant women


2019 ◽  
Vol 7 (1) ◽  
pp. 17-21
Author(s):  
Elvika Fit Ari Shanti ◽  
Liberty Barokah ◽  
Budi Rahayu

Background: Endocrine system changes during pregnancy are important to keep the pregnancy, fetal growth and post partum recovery. Around 50-90% of pregnant women experience vomit and nausea. To solve those problems, ‘pisang ambon’ (Musa paradisiacal) consumption is one of choices because of its flavonoid and vitamin B6 which can overcome vomit and nausea in pregnancy. Objective: The aim of this research was to identify the effectiveness between pisang ambon (Musa paradisiacal) consumption and vitamin B6 to reduce hyperemesis gravidarum in BPM Endah Bekti. Methods: A quasy experimental design with two-group posttest only was assigned to 20 pregnant women on their first trimester. First ten sample was given vitamin B6 and the other ten sample were given vitamin B6 plus pisang ambon. Data were then analyzed using two independent mean difference test. Results: The result shows that in vitamin B6 consumption for hyperemesis gravidarum in 10% pregnant women were in the effective category. While in the pisang ambon consumption shows 100% of pregnant women are in the effective category. Conclusion: There is difference in effectiveness between vitamin B6 and pisang ambon consumption to overcome hyperemesis gravidarum (p=0,003<α). Keywords: Hiperemesis gravidarum, vitamin B6, Pisang ambon


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