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

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.

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AYURVEDIC MANAGEMENT OF GARBHINI CHARDI (Emesis Gravidarum) WITH CHATURJATA CHOORNA (CHATURJATA POWDER) - A PILOT STUDY

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj0308072020 ◽

2020 ◽

Vol 8 (9) ◽

pp. 4317-4323

Author(s):

Priyanka 1 ◽

Shreyes. S ◽

Yogitha Bali M.R

Keyword(s):

Pilot Study ◽

Pregnant Women ◽

First Trimester ◽

Nausea And Vomiting ◽

Morning Sickness ◽

Excessive Salivation ◽

First Trimester Of Pregnancy ◽

Rice Water ◽

Single Blind

Background: During pregnancy many demands are made by growing fetus, to meet these requirements maternal system has to undergo certain changes. Garbhinichardi (Emesis Gravidarum) is one among them and this has been termed as Gruhita Garbha Lakshanas (Immediate signs of conception) in Ayurvedic clas-sics. Approximately 80 % of pregnant women experience excessive salivation, nausea and vomiting during pregnancy, commonly known as “morning sickness”, which is seen frequently throughout the day. Design: This is single blind pilot study. 30 patients with complaints of Garbhinichardi (Emesis Gravidarum) in first trimester were included in this study. Patients were given Chaturjatachurna (Chatutjata powder)for a peri-od of 2 weeks in dose of 3gms thrice a day after meal with Anupana (Adjuvant) as Madhu (honey) of 5ml mixed with Tandulodaka (Raw rice water) Results: This pilot study showed statistically significant changes with Chaturjatachurna in reducing the complaints of pregnant women such as nausea (p<0.001), vomiting (p<0.001) and Aruchi (Anorexia) (p<0.001) in their first trimester of pregnancy. Conclusion: Chaturjata-churna was effective in the management of Garbhini Chardi (Emesis Gravidarum) and other symptoms in the first trimester of pregnancy.

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Zalacca fruit consumption to reduce nausea and vomiting in trimester I pregnant women in Banjarnegara District

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2021.9(1).11-15 ◽

2021 ◽

Vol 9 (1) ◽

pp. 11

Author(s):

Umi Fajri ◽

Dian Nirmala Sari

Keyword(s):

Treatment Group ◽

Pregnant Women ◽

First Trimester ◽

Nausea And Vomiting ◽

Repeated Measure ◽

Control Group ◽

Control Group Design ◽

A Value ◽

Test Assessment ◽

Post Test

Introduction : Nausea and vomiting occur in 80-85% of pregnancies during the first trimester with annoying vomiting symptoms in 52%. The way to deal with nausea and vomiting is pharmacochemical by consuming fresh fruit, namely zalacca. In 100 mg of zalacca fruit contains B6 0.2 mg which can reduce nausea. Objectives : To find out that zalacca fruit can reduce nausea and vomiting in pregnant women in the 1st trimester. Methods : The research used was a quasy experimental design with a pretest posttest control group design. The variables in this study were zalacca fruit, nausea and vomiting. The number of samples is 30 respondents. The treatment group received 100 mg of zalacca fruit and B6 3 x 10 mg per day for 10 days while the control group received anti-nausea therapy, namely B6 3 x 10 mg / day for 10 days, before the intervention, the control group and the treatment group would get pre-test (assessment of nausea and vomiting) and then continued with the intervention for 10 days and ended with a post test (assessment of nausea and vomiting). Data analysis was univariate, bivariate using the Repeated Measure Anova (Test of Between-Subjects Effect) test. Result : Showed that there was an effect of consuming zalacca fruit to reduce nausea (p = 0.000) and vomiting with a value of p = 0.012. Conclusion : Consumption of 100mg zalacca can reduce nausea and vomiting in 1st trimester pregnant women.

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Pengaruh Pemberian Extrak Jahe Dan Kacang Hijau Terhadap Pengurangan Mual Pada Ibu Hamil Semester 1 Di Puskesmas Ngawen 2 Wonosari Gunung Kidul

(JKG) JURNAL KEPERAWATAN GLOBAL ◽

10.37341/jkg.v4i2.75 ◽

2019 ◽

Vol 4 (2) ◽

pp. 95-101

Author(s):

Sih Rini Handajani ◽

KH Endah Widhi Astuti

Keyword(s):

Time Series ◽

Pregnant Women ◽

Hyperemesis Gravidarum ◽

First Trimester ◽

Nausea And Vomiting ◽

P Value ◽

Test Results ◽

Green Beans ◽

First Trimester Of Pregnancy ◽

Post Hoc

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.

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Efektifitas Pemberian Serbuk Jahe (Zingiber Officinale) Terhadap Tingkatan Mual Muntah Pada Ibu Hamil

Jurnal Ilmu Kesehatan ◽

10.32831/jik.v4i1.70 ◽

2017 ◽

Vol 4 (1) ◽

pp. 18

Author(s):

Finta Isti Kundarti ◽

Dwi Estuning Rahayu ◽

Reni Utami

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Zingiber Officinale ◽

First Trimester ◽

Nausea And Vomiting ◽

Systematic Sampling ◽

P Value ◽

Effective Administration ◽

Ginger Powder ◽

First Trimester Of Pregnancy

Nausea and vomiting is a common disorder experienced by 50% of pregnant women in the first trimester of pregnancy. Efforts to reduce the symptoms can be with food or drinks containing ginger. Ginger has antiemetic and anxiolytic activity. The aim of this study was to determine the effectiveness of ginger to decrease nausea and vomiting in pregnant women 0-16 weeks gestation. The type of research design used is quasy Experimental design. The population in this study were all pregnant women 0-16 weeks gestation who experience nausea and vomiting as many as 24 people in the sub-district Puskesmas Wonorejo Ngadiluwih Kediri. The sample in this study 24 people with using cluster random sampling and systematic sampling. The instrument used was a questionnaire and rhodes INVR. Analysis of the results using Wilcoxon Match Pairs Test test results obtained p value 0.033 ;0.05 then H0 is rejected so that there are differences decrease nausea and vomiting in pregnant women 0-16 weeks gestation who were not given the ginger and ginger. In conclusion the effective administration of ginger powder to decrease nausea and vomiting in pregnant women aged 0-16 weeks. Suggested for health workers to use ginger as a treatment alternative for reducing nausea and vomiting inpregnant women.Keywords: Giving of ginger powder, decrease of nausea and vomiting, pregnant women

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The Effect of Ginger Extract Consumption on Reducing Morning Sickness in First Trimester of Pregnant Women at Pratama Mariana Clinic Medan, North Sumatra

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.44 ◽

2020 ◽

Author(s):

Nurhidaya Fitria ◽

◽

Ida Lestari Tampubolon ◽

Keyword(s):

Pregnant Women ◽

First Trimester ◽

Nausea And Vomiting ◽

Wilcoxon Test ◽

Control Group ◽

Ginger Extract ◽

Morning Sickness ◽

First Trimester Pregnancy ◽

Trimester Pregnancy ◽

North Sumatra

ABSTRACT Background: Nausea and vomiting are common in pregnant women, and the condition may be a mild or severe disabling disease. Nausea and vomiting are common in the early stages of pregnancy, affecting 70-80% of pregnant mothers. In most women, vomiting begins between 4-7 weeks of pregnancy. Nausea and vomiting are usually mild and self-limiting, but some mothers have a deeper course and cause pregnancy vomiting. This study aimed to analyze the effectiveness of ginger extract consumption on reducing morning sickness in first trimester of pregnant women at Pratama Mariana Clinic Medan, North Sumatra. Subject and Method: This was a quasi experiment study with pretest-posttest control group design conducted in Pratama Mariana Clinic, Medan from July to August 2018. A sample of 15 pregnant women. The dependent variable was emesis gravidarum. The independent variable was extract of ginger. The data were collected by observation and analyzed by wilcoxon test. Result: The extract of ginger is effective to reduce nausea and vomiting in first trimester pregnancy women after ginger extract was given (Mean= 1.93; SD= 0.26) was higher than before (Mean= 1.20; SD= 0.41), and it was statistically significant (p <0.001). Conclusion: The extract of ginger is effective to reduce nausea and vomiting in first trimester pregnancy women after ginger extract Keywords: Emesis gravidarum, extract of ginger Correspondence: Nurhidaya Fitria. Helvetia Institute of Health, Sumatera Utara. Email: [email protected]. Mobile: 082385317328. DOI: https://doi.org/10.26911/the7thicph.03.44

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Effectiveness of Evidence-Based Measures on Nausea and Vomiting during First Trimester of Pregnancy

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v3i4.225 ◽

2021 ◽

Vol 3 (4) ◽

pp. 9

Author(s):

Asmaa I. Marak ◽

Mona A. El-Sheikh ◽

Eman M. S. Ahmed

Keyword(s):

Pregnant Women ◽

Lifestyle Modification ◽

First Trimester ◽

Maternity Hospital ◽

Nausea And Vomiting ◽

Evidence Based ◽

Herbal Therapy ◽

Sample Mean ◽

Significant Difference ◽

First Trimester Of Pregnancy

Context: Nausea and vomiting are the most common pregnancy symptoms that negatively affect many pregnant women. Severity varies from mild distaste for certain foods to more severe vomiting. Aim: The present study aimed to examine the effectiveness of applying evidence-based measures on nausea and vomiting during the first trimester of pregnancy. Methods: A quasi-experimental (pre/post-test) design was used. The study was conducted at the antenatal clinics at Ain Shams University Maternity Hospital. A purposive sample of forty-seven pregnant women was included in this study. All women received the evidence-based intervention. Data were collected using three tools. A structured interviewing questionnaire, pregnancy symptoms inventory (PSI), and weekly follow-up record. In addition to Arabic Evidence-based guide for alleviating nausea and vomiting during the first trimester of pregnancy. All pregnant women that suffered from nausea and vomiting followed the evidence-based guidelines designed by the researcher that involved instructions related to lifestyle modification. Besides, one of the following: herbal therapy, acupressure, and aromatherapy to relieve nausea and vomiting. Results: The study sample mean age was 28.1±6.42, with a mean gestational age of 9.43 ±3.88. 72% of them used nothing to overcome nausea and vomiting, while 18% used medication, and only 10% used a lifestyle modification before intervention. All women adopt lifestyle modification; 72.3% use herbal therapy after the intervention. The present study demonstrates a highly significant difference between responses before and after the intervention related to nausea and vomiting (p 0.004). There is a significant association between the evidence-based measure used and the relief of nausea and vomiting at p<0.01. Conclusion: The current study concluded that evidence-based measures positively alleviated nausea and vomiting during the first trimester of pregnancy. A leaflet or booklet about evidence-based measures for alleviating minor discomforts during pregnancy as a hospital protocol for guiding nurses in the application is strongly recommended.

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Hubungan Pengetahuan Dan Sikap Ibu Hamil Dengan Kejadian Mual Muntah Pada Kehamilan Trimester Pertama Di Poskesdes Ampalu Kota Pariaman Bidan Helfiati, Amd. Keb.

Jurnal Surya Medika ◽

10.33084/jsm.v6i1.1620 ◽

2020 ◽

Vol 6 (1) ◽

pp. 70-76

Author(s):

Rika Armalini ◽

Prasetyaningsih Prasetyaningsih

Keyword(s):

Pregnant Women ◽

Significant Relationship ◽

Health Workers ◽

Statistical Tests ◽

Univariate Analysis ◽

First Trimester ◽

Nausea And Vomiting ◽

Cross Sectional ◽

Significance Level ◽

First Trimester Of Pregnancy

Nausea, vomiting in pregnancy is physiological that occurs in the first trimester, which starts 6 weeks after the first day of the last menstrual period, and disappears 6-12 weeks later. The report shows that almost 50-90% of pregnant women experience it. Nausea, vomiting if not treated can cause severe dehydration until poisoning occurs. The purpose of this study was to link the knowledge and attitudes of pregnant women with the occurrence of nausea and vomiting in the first trimester of pregnancy in the Poskesdes Ampalu Midwife Helfiati, Amd. Keb. The study was conducted in July 2019. This type of research is analytic survey research with a cross-sectional design. The population in this study were all pregnant women who visited Helfiati Amd.Keb polindes as many as 40 pregnant women with a total sampling technique. Data were analyzed by univariate and bivariate by computerized statistical tests using SPSS Ver. 17 with a significance level α = 0.05 and a degree of confidence of 95%. The results of the univariate analysis showed that 52.5% of mothers experienced nausea, vomiting, 62.5% of low-knowledge mothers and 42.5% of mothers were negative about how to deal with nausea and vomiting. there is a significant relationship between knowledge (p = 0,000) and attitude (p = 0,000) with the incidence of nausea and vomiting in the first trimester of pregnancy in the Poskesdes Ampalu Midwife Helfiati, Amd.Keb 2019. The results of this study can be concluded that there is a significant relationship between knowledge and attitude with the occurrence of nausea, vomiting. With this research it is expected that health workers provide IEC services and improve health care counseling in an effort to increase the knowledge of pregnant women about how to cope with nausea, and also expect mothers to be more active in seeking information about physiological complaints during pregnancy, especially how to deal with nausea vomiting by following counseling activities held by health workers so that in the future more knowledge from mothers.

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Copeptin in Patients with Pregnancy-Induced Hypertension

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126470 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6470

Author(s):

Agnieszka Marek ◽

Rafał Stojko ◽

Agnieszka Drosdzol-Cop

Keyword(s):

Pregnant Women ◽

First Trimester ◽

Control Group ◽

Pregnancy Induced Hypertension ◽

Serum Samples ◽

Uterine Arteries ◽

Induced Hypertension ◽

Diagnostic Values ◽

First Trimester Of Pregnancy ◽

High Concentrations

Pregnancy-induced hypertension (PIH) occurs in 6–8% of pregnancies, and increases the risk of many severe obstetric complications. The etiology of PIH has not been fully explained, and hence, treatment is only palliative in nature, and prevention is not fully effective. It has been proposed that PIH development is influenced by the arginine vasopressin pathway, whose surrogate biomarker is copeptin. The aim of this study is a prospective assessment of the relationship between the level of copeptin in pregnant women and the occurrence of PIH, and to identify its usefulness in predicting complications. The study involved a group of 21 pregnant women who developed PIH and 37 women with uncomplicated pregnancies as a control group. Blood samples were collected at the three trimesters of gestation (<13 HBD, between 13 and 26 and> 26 HBD) and then frozen. Copeptin levels [pg/mL] were measured in serum samples obtained in the first, second and third trimesters of gestation from women in the PIH and control groups. The concentration of copeptin in the second and third trimesters of pregnancy was statistically significantly higher in the PIH group (p < 0.05). For copeptin determined in the first trimester, which could be used to screen for PIH, the area under the ROC curve was 0.650. The highest risk of PIH occurred in patients with high concentrations of copeptin in the first trimester of pregnancy and obesity OR = 5.5 (95% CI 1.0–31.3). The risk of PIH was augmented in patients with high levels of copeptin and an abnormal Doppler result of the uterine arteries OR = 28.4 (95% CI 5.3–152). In conclusion, copeptin levels were found to be elevated in pregnant women before the diagnosis of PIH; however, copeptin should not be used as a stand-alone marker. The combination of copeptin concentration with the other risk factors (diabetes, maternal age and preeclampsia in previous pregnancy) did not improve the diagnostic values of the use of copeptin in the PIH risk assessment, but the combination of copeptin concentration with BMI may be useful in clinical practice. Measurement of copeptin together with a Doppler examination of uterine arteries in the first trimester of pregnancy may be a useful marker in predicting the development of PIH.

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The Effect of Giving Mint Decoction of Mint Leaves on the Reduction Of Nausea And Vomiting In First Trimester Pregnant Women at The Puskesmas Cipondoh Of Tangerang

Jurnal Ilmiah Keperawatan Indonesia [JIKI] ◽

10.31000/jiki.v2i2.2070 ◽

2019 ◽

Vol 2 (2) ◽

pp. 81

Author(s):

Azizah Al Asri ◽

Leli Diniah ◽

Lilis Komariah

Keyword(s):

Pregnant Women ◽

Quantitative Research ◽

Health Workers ◽

Data Retrieval ◽

First Trimester ◽

Nausea And Vomiting ◽

P Value ◽

Quasi Experimental ◽

First Trimester Of Pregnancy ◽

Mint Leaf

The first trimester of pregnancy is the formation that starts from the conception of the ovum with a sperm cell. Pregnancy is the process of conception that is complete with gestational age at 1 week to 12 weeks during pregnancy. In the first trimester of pregnancy a woman experiences complaints of nausea, vomiting. Pregnant women who experience nausea and vomiting can consume decoction of mint leaves because mint leaves contain essential oils which can help relieve nausea and vomiting. The purpose of this study was to determine the effect of mint leaf decoction on the reduction of nausea and vomiting in first trimester pregnant women at Puskesmas Cipondoh of Tangerang. This study used quantitative research with quasi-experimental research methods with one group pretest-posttest design. The sample in this study amounted to 10 respondents, selected through purposive sampling. Data retrieval was done using the Pregnancy Unique Quantification of Emesis And Nausea (PUQE) questionnaire to measure nausea and vomiting. Data analysis used the Wilcoxon statistical test with a confidence level of 95%. The results of this study found that there was an effect of giving decoction of mint leaves to a decrease in nausea and vomiting in first trimester pregnant women in Puskesmas Cipondoh Kota Tangerang with p value= 0.008 (p < 0.05). The conclusion of this study is that giving mint leaves boiled for three days can reduce nausea and vomiting in pregnant women. This research can be recommended to add the number of samples so that they can be made into two intervention groups and control groups so that they can be used as comparative materials. Researchers expect health workers to be able to implement therapy to reduce nausea and vomiting by using mint leaves. Keywords: Mint leaves, Pregnancy, Nausea vomiting

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Literature Review: The Effectiveness of Giving Ginger (Zingiber Officinale Roscoe) to Pregnant Women Nausea Vomiting 1st Trimester Pregnancy

Eduvest - Journal Of Universal Studies ◽

10.36418/edv.v1i8.147 ◽

2021 ◽

Vol 1 (8) ◽

pp. 803-809

Author(s):

Mahayu Ciptaning Mulia ◽

Catur Leny Wulandari

Keyword(s):

Pregnant Women ◽

Zingiber Officinale ◽

First Trimester ◽

Nausea And Vomiting ◽

Electrolyte Balance ◽

Literature Study ◽

Morning Sickness ◽

Trimester Pregnancy ◽

Zingiber Officinale Roscoe ◽

First Trimester Of Pregnancy

Nausea and vomiting often occur when you wake up in the morning, which is also called morning sickness. Nausea and vomiting that occur in the first trimester of pregnancy are caused by increased levels of the hormone Estrogen and Human Chorionic Gonadotropine (HCG) in serum from the placenta and can cause a decrease in appetite so that there is a change in electrolyte balance with potassium, calcium and sodium which causes changes in body metabolism. Nausea and vomiting during pregnancy affects about 80-90% of pregnant women. Ginger (Zingiber officinale Roscoe) is the most widely used herbal therapy in the management of nausea and vomiting. The purpose of this study was to determine how effectiveness ginger was in reducing the frequency of nuesea and vomiting in pregnant women in the 1st trimester.This study uses a literature study method obtained through electronic media with keywords. There were 8 selected articles, consisting of 5 international and 3 national articles. This article provides information about the effectiveness of giving ginger to reduce the frequency of nausea and vomiting in pregnant women in the 1st trimester. The conclusions obtained from the analysis are that ginger can reduce nausea and vomiting in pregnant women in the 1st trimester.

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