scholarly journals The Effect of Moringa Oleifera on Hemoglobin Level in Pregnancy

2021 ◽  
Vol 1 (2) ◽  
pp. 136-141
Author(s):  
Joyce Laiskodat ◽  
Rini Kundaryanti ◽  
Shinta Novelia

Anemia is a form of the body's compensation mechanism for decreasing hemoglobin levels. Anemia in pregnancy is a condition in which hemoglobin is below normal, which is below 11 g/dl. The most common cause of anemia in pregnancy is iron deficiency. Moringa leaves are one type of food that is rich in iron which can overcome anemia. The purpose of the study was to determine the effect of giving Moringa leaf soup on hemoglobin levels of pregnant women in the third trimester at the Oepoi Health Center, Kupang City in 2021. Quasy Experimental research design with a two group pre-test and post-test design. The study population was all pregnant women. The sampling technique is purposive sampling. The sample was 32 pregnant women. Statistical test using t-test. The location of this research was carried out at the Oepoi Health Center, Kupang City from July to August 2021. The research instrument was observation sheet and Hb measuring instrument. The results showed that the average hemoglobin of pregnant women before the intervention in the experimental group was 9.813 g/dl with a standard deviation of 0.57. The hemoglobin level of pregnant women after being given Moringa leaf soup in the experimental group was 11.494 g/dl with a standard deviation of 1.24. The average hemoglobin in pregnant women before intervention in the control group was 9.825 g/dl with a standard deviation of 0.61. The average hemoglobin in pregnant women after the intervention in the control group was 9.675 g/dl with a standard deviation of 1.28. Analysis using the t-test obtained a significance value of 0.000 <0.05. It can be concluded that there was a significant effect between giving Moringa leaf soup on hemoglobin levels in TM III pregnant women. It is hoped that in addition to consuming Fe tablets, it is also recommended to consume foods high in iron such as Moringa leaves to increase hemoglobin in pregnant women.

2021 ◽  
Vol 7 (1) ◽  
pp. 109-115
Author(s):  
Neneng Siti Lathifah ◽  
Zarma H ◽  
Nurul Isnaini

IMPROVEMENT OF HEMOGLOBIN (Hb) LEVELS IN PREGNANT WOMEN WITH ANEMIA WITH THE CONSUMPTION OF JAMBU SEEDS (PSIDIUM GUAJAVA. L) ABSTRACT Background Anemia in pregnancy is a national problem because it reflects the socio-economic condition of the community and its influence is very large on the quality of human resources. The incidence of anemia in pregnant women 2018 in Pesisir Barat Regency is 29.9%. The incidence of anemia in pregnant women at Krui Health Center is 67.5%. The purpose of this study is to know the effect of giving guava juice (Psidium Guajava. L) to the increase of hemoglobin (Hb) levels in pregnant women with anemia in Krui health center in 2019.Methods Quantitative Research Type, the research design is a quasi-experimental method with a Non-equivalent Control Group Design approach. The population in this study were as many as 60 second trimester pregnant women and third trimester who had anemia, a sample of 30 pregnant women. 15 people were given treatment with guava fruit juice and Fe tablets, and 15 people were given treatment with Fe tablets, with inclusion criteria Willing to be respondents, Willing to consume guava juice, Pregnant women with mild and moderate anemia with hemoglobin levels (Hb 7.9 - 10 g / dl). With purposive sampling sampling technique. Analyze data with T-test (univariat and bivariat).The results showed an average hemoglobin level before consumption of guava juice and Fe tablets of 9.72 gr / dl, the average hemoglobin level after consumption of guava juice and Fe tablets was 11.13 gr / dl, the average hemoglobin level before consumption of Fe tablets of 9.80 gr / dl, the average hemoglobin level after consumption of FE tablets was 10.60 gr / dl. Conclusion It was known that there was an effect of giving guava juice (Psidium Guajava. L) to Hb levels in pregnant women with anemia in Krui Public Health Center, West Coast District in 2019. The results of the t test were p value 0,000 <α (0.05).Suggestion  It is recommended for health workers, especially midwives, to encourage pregnant women to consume guava juice as a companion to Fe because it can raise hemoglobin levels in pregnant women. Keywords              : Guava Juice, Tablets Fe, Hemoglobin Level ABSTRAK Latar Belakang Anemia pada kehamilan merupakan masalah nasional karena mencerminkan keadaan sosial ekonomi masyarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Angka kejadian anemia pada ibu hamil tahun 2018 di Kabupaten Pesisir Barat adalah sebesar 29,9%. Angka kejadian anemia pada ibu hamil di Puskesmas Krui sebesar 67,5%.Tujuan dari penelitian ini adalah diketahui Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Peningkatan Kadar Hemoglobin (Hb) pada Ibu Hamil dengan Anemia di Puskesmas Krui Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan Non-equivalent Control Group Design. Populasi dalam penelitian ini adalah sebanyak 60 orang ibu hamil trimester II dan trimester III yang mengalami anemia, Sampel sebanyak 30 ibu hamil. 15 orang diberikan perlakuan dengan jus jambu biji dan tablet Fe, dan 15 orang diberikan perlakun dengan tablet Fe, dengan kriteria inklusi Bersedia menjadi responden, Bersedia mengkonsumsi jus jambu biji, Ibu hamil dengan anemia ringan dan sedang dengan kadar hemoglobin (Hb 7,9 – 10 g/dl). Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test (univariat dan bivariat).Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi jus jambu biji dan tablet Fe sebesar 9,72 gr/dl, rata-rata kadar hemoglobin setelah konsumsi jus jambu biji dan tablet Fe sebesar 11,13 gr/dl, rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,80 gr/dl, rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,60 gr/dl.Kesimpulan Diketahui Ada Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Kadar Hb pada Ibu Hamil dengan Anemia di Puskesmas Krui Kabupaten Pesisir Barat Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Saran bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi jus jambu biji sebagai pendamping Fe karena dapat menaikkan kadar hemoglobin pada ibu hamil. Kata Kunci            : Jus Jambu Biji, Tablet Fe, Kadar hemoglobin


2021 ◽  
Vol 7 (3) ◽  
pp. 555-561
Author(s):  
Dessy Hermawan ◽  
Yohana Christine Simatupang ◽  
Susilawati Susilawati ◽  
Devi Kurniasari ◽  
Ledy Octaviani Iqmy

Background AKI cases in Lampung continue to increase, based on information from the Lampung Provincial Health Office in 2015 there were 122 AKI in Lampung. That number increased to 144 cases in 2015 and in 2016 it reached 138 cases and in 2017 it reached 142 cases. While the incidence of anemia in pregnant women in Pesawaran Regency in 2016 was 14.4%, and in 2017 it was 15.4%.The purpose of this study was to determine the effect of consuming dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019.Methods Types of Quantitative Research, the research design is a quasi-experimental method with a pretest-posttest approach with a control group. The population in this study were all pregnant women in the second and third trimesters with anemia who performed Antenatal Care (ANC) at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency, namely 56 pregnant women who experienced anemia. With a sample of 30 people made into 2 groups, 15 people were treated with dates and Fe tablets, and 15 people were treated with Fe tablets, with the inclusion criteria of all pregnant women with mild anemia, Respondents with full awareness, Willing to be research subjects, Respondents taking FE tablets. By using purposive sampling technique. Analysis of univariate and bivariate data with independent T-test.The results showed the average hemoglobin level before consumption of dates and Fe tablets was 9.907 g/dl., the average hemoglobin level after consumption of dates and Fe tablets was 11.320 g/dl., the average hemoglobin level before consumption of Fe tablets was 9.867. gr/dl., the average hemoglobin level after consuming Fe tablets was 10,667 gr/dl.The conclusion is that there is an influence of the consumption of dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019. The t test results obtained p value 0.000 < (0.05).Suggest for health workers, especially midwives, to recommend pregnant women to consume dates as a supplement for Fe because it can increase hemoglobin levels in pregnant women. Keywords: Dates, Fe tablets, hemoglobin levels ABSTRAK Latar Belakang Kasus AKI di Lampung terus meningkat, berdasarakan keterangan Dinas Kesehatan Provinsi Lampung pada 2015 terdapat 122 AKI di Lampung. Jumlah itu meningkat menjadi 144 kasus di tahun 2015 dan tahun 2016 mencapai 138 kasus dan pada tahun 2017 mencapai 142 kasus. Sedangkan angka kejadian anemia pada ibu hamil di Kabupaten Pesawaran pada tahun 2016 sebanyak 14,4%, dan pada tahun 2017 sebanyak 15,4%.Tujuan dari penelitian iUntuk mengetahui pengaruh konsumsi buah kurma  dan tablet fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan pretest-posttest with control group. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester II dan trimester III dengan anemia yang melakukan Antenatal Care (ANC) di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran yaitu sebanyak 56 ibu hamil yang mengalami anemia. Dengan jumlah sampel 30 orang  di buat dalam 2 kelompok yaitu 15 orang diberikan perlakuan dengan kurma dan tablet fe, dan 15 orang diberikan perlakun dengan tablet fe, dengan kriteria inklusi seluruh ibu hamil dengan anemi ringan, Responden dengan kesadaran penuh, Bersedia menjadi subjekpenelitian, Responden mengkonsumsi tablet FE. Dengan teknik sampling purposive sampling. Analisa data univariat dan bivariate  dengan uji T-test independent.Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi kurma dan tablet Fe sebesar 9,907 gr/dl.,rata-rata kadar hemoglobin setelah konsumsi kurma dan tablet Fe sebesar 11,320 gr/dl., rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,867 gr/dl., rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,667 gr/dl.Kesimpulan diketahui ada perngaruh konsumsi buah kurma dan tablet Fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Sarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi kurma sebagai pendamping Fe karena dapat menaikan kadar hemoglobin pada ibu hamil. Kata Kunci : Kurma, Tablet Fe, Kadar hemoglobin 


Author(s):  
LISMAWATI ◽  
RICA TRI SEPTINORA

Objective: According to WHO, 40% of the maternal mortality rate in developing countries about the incidence of anemia in pregnancy. The incidence of anemia in pregnancy is caused by iron deficiency and acute hemorrhage. The frequency of pregnant women in Indonesia who are anemic are still very high at 63.5% compared to only 6% in the United States [1]. The aim of this research to determine differences in hemoglobin levels before and after supervised by officers to take medication to increase hemoglobin levels in pregnant women with anemia. Methods: The research was quasi-experiment using the control group conducted on July 11, s/d August 15th, 2019. The sample in this study was 30 respondents as the experimental group and 30 respondents as a control group, starting with the measurement of hemoglobin of respondents then monitoring the group given the intervention officer taking medication through an android-based application and subsequently re-measured hemoglobin level. Data were analyzed by univariate and bivariate through t-test with α = 0.05. Results: The result of the univariate analysis showed the average value of maternal age, parity and gestational age is homogeneous with p-value>0.05, which means there is no difference in the characteristics of groups of officers taking medication and without officers taking medication, and the bivariate analysis in getting p-value<0.001 so as to conclude that there are differences in hemoglobin level difference in the group taking medication and the clerk without officers taking medication. Conclusion: The conclusion of this research was hemoglobin levels increased in pregnant women with anemia after supervised by officers to take medication and increasing regularity in consuming Fe tablets in pregnant women.


2021 ◽  
Vol 7 (4) ◽  
pp. 857-864
Author(s):  
Nelly Indrasari ◽  
Firda Agustina

Background: Anemia is one of the indirect causes of death of pregnant women, therefore the condition of anemic pregnant women can have an impact on Low Birth Weight Babies. Efforts to prevent anemia in pregnancy can be given with pharmacological and non-pharmacological therapies. Pharmacological therapy has side effects such as stomach discomfort, nausea, difficulty in defecating, and black stools. While the non-pharmacological therapy that we can give to accelerate the increase in hemoglobin levels of pregnant women is one of them by consuming tempe (Fathonah, 2016).The purpose of the study: to determine the effect of tempeh consumption on the increase in hemoglobin levels in pregnant women with anemia at the Karta Raharja Public Health Center.Research method: This study uses a quasi-experimental or quasi-experimental method. In this study, the population was all pregnant women in the Kartaraharja Health Center in 2020, while the sample was 36 pregnant women. The sampling method of this study uses a non-probability sampling technique with purposive sampling. Intervention was carried out in the form of giving tempeh for 15 days, then after that the hemoglobin levels were checked again. Analysis of the data using the T-Dependent statistical test.Results: From the results of the research conducted, the average hemoglobin level in the intervention group before being given tempeh was 9.4278 gr%, after being given tempeh the average hemoglobin level rose to 10,7111 gr%. The average increase in hemoglobin levels of pregnant women after the intervention was 1.2833 gr%. The results of data analysis in the control group were 9.7111 gr%, while the average hemoglobin level after monitoring was 10.4333 gr%. The average increase in the control group was 0.7222 gr%.Conclusion: from this study it can be concluded that there is an effect of consuming tempeh and iron on anemic pregnant women at the Karta Raharja Tulang Bawang Barat Health Center in 2020.Suggestion: it is hoped that later it will become a place of knowledge for mothers so that they have good and right abilities and vice versa. The results of this study can be continuously improved to provide more relevant information and learning references regarding the treatment with non-pharmacological therapy of Anemia as an effort to prevent and support the achievement of Maternal Health in Tulang Bawang Barat, which is also very useful for scientific development in the future. And it is necessary to hold a program that helps handling cases of anemia, especially in Tulang Bawang Barat Regency which coordinates with other sectors such as religious leaders, community leaders, besides that health education is still provided by health workers and cadres to young women and women of childbearing age about danger of anemia. Keywords : Anemia, Hemoglobin, Tempe  ABSTRAK Latar Belakang: Anemia merupakan salah satu faktor penyebab tidak langsung kematian ibu hamil, oleh karena itu kondisi ibu hamil anemia dapat berdampak pada BBLR.  Upaya untuk mencegah terjadinya anemia pada kehamilan dapat diberikan dengan terapi farmakologi dan non farmakologi. Terapi farmakologi memberikan efek samping seperti perut terasa tidak enak, mual, susah buang air besar, dan feses berwarna hitam. Sedangkan terapi non farmakologi yang dapat kita berikan untuk mempercepat peningkatan kadar Hb ibu hamil salah satunya dengan konsumsi tempe (Fathonah, 2016).Tujuan penelitian: untuk mengetahui pengaruh konsumsi tempe terhadap kenaikan kadar hemoglobin pada ibu hamil yang mengalami anemia di puskesmas Karta Raharja.Metode penelitian: Penelitian ini menggunakan metode quasi eksperiment atau eksperimen semu.Dalam penelitian ini populasinya adalah seluruh ibu hamil yang ada di Puskesmas Kartaraharja tahun 2020, sampel sebanyak 36 ibu hamil. Metode sampling penelitian ini menggunakan non-probability dengan teknik sampling purposive sampling. Dilakukan intervensi berupa pemberian tempe selama 15 hari, kemudian setelah itu dilakukan pengecekan kadar Hemoglobin kembali. Analisis data menggunakan uji statistik uji T-Dependen.Hasil: Dari hasil penelitian yang dilakukan, rata-rata kadar Hemoglobin pada kelompok intervensi sebelum diberikan tempe adalah 9,4278 gr%, setelah diberikan tempe rata-rata kadar hb naik menjadi 10.7111 gr%. Peningkatan rata-rata kadar Hb ibu hamil setelah diberikan intervensi sebesar 1,2833 gr%. Hasil analisis data pada kelompok kontrol 9,7111 gr%, sedangkan rata-rata kadar Hb setelah dilakukan pemantauan sebesar 10.4333 gr%. Peningkatan rata-rata pada kelompok kontrol 0.7222 gr%.Kesimpulan: dari penelitian ini dapat disimpulkan bahwa adanya pengaruh konsumsi tempe dan Fe pada ibu hamil mengalami anemia di Puskesmas Karta Raharja Tulang Bawang Barat Tahun 2020.Saran : diharapkan nantinya menjadi wadah pengetahuan bagi ibu sehingga memiliki kemampuan yang baik dan benar begitu pula sebaliknya. Hasil penelitian ini dapat terus ditingkatkan untuk memberikan informasi dan referensi pembelajaran yang lebih relevan mengenai penanganan dengan terapi non farmakologi Anemia sebagai salah satu upaya pencegahan dan mendukung tercapainya Kesehatan Ibu di Tulang Bawang Barat, juga sangat berguna untuk pengembangan keilmuan dikemudian hari. Serta perlu diadakannya suatu program yang membantu penanganan kasus Anemia pada, khususnya di Kabupaten Tulang Bawang Barat yang berkoordinasi dengan sektor lain seperti Tokoh Agama, Tokoh Masyarakat, disamping itu pendidikan kesehatan yang tetap diberikan oleh tenaga kesehatan serta kader kepada remaja putri maupun PUS/WUS tentang bahaya Anemia.Kata Kunci : Anemia, Hemoglobin, Tempe Kata Kunci : Anemia, Hemoglobin, Tempe 


2020 ◽  
Vol 27 (03) ◽  
pp. 625-630
Author(s):  
Iffat Imran ◽  
Nusrat Zareen Bashir ◽  
Umber - Fatima ◽  
Imran Nazir ◽  
Rizwan Rasul Khan ◽  
...  

Objectives: To assess the correlation of different obstetrical factors with the hemoglobin level in multiparous pregnant females in Taif KSA. Anemia in pregnancy is a multifactorial phenomenon, among which obstetrical factors like parity, previous H/O abortions, inter pregnancy interval, mode of delivery etc are frequently associated. Study Design: Observational study. Setting: Outpatient department in King Faisal Hospital (KFH), Taif, Saudi Arabia. Period: 1st June 2018 and 31st August 2018. Material & Methods: Conducted in 200 pregnant women by random sampling technique. Hemoglobin value and all patient’s data was noted. All data was fed to SPSS version 23.0 and statistically analyzed using chi square test for qualitative and student’s t test for quantitative data. Results: The study was conducted in 200 patients that showed that there was no statistically significant association of increasing parity, inter pregnancy interval, mode of delivery (NVD or Cesarean section) & history of anemia and PPH in preceding pregnancy with the Hemoglobin level. While history of previous abortion is associated and a risk factor for anemia in pregnancy, 50% with history of 01 previous abortion had anemia while 100% of the cases with history of 02 previous abortions had moderate anemia. (Table-II). This association was observed statistically significant with p value of 0.001. Conclusion: This study concluded that anemia is a predictable as well as preventable entity. Obstetrical factors may be the contributory factors of anemia in pregnancy. Health education awareness programs, regular antenatal visits and iron supplements can be helpful to improve heath of pregnant women.


2021 ◽  
Vol 3 (4) ◽  
pp. 359
Author(s):  
Nadia Taqiyya ◽  
Djohar Nuswantoro ◽  
Muhammad Ardian C.L

Abstrak Latar belakang : Kejadian perdarahan postpartum merupakan penyebab kematian ibu tertinggi ketiga di Kota Surabaya Provinsi Jawa Timur. Hal tersebut diiringi oleh kejadian anemia pada ibu hamil di Indonesia yang meningkat pada tahun 2018 sebesar 48.9% daripada tahun 2013 sebesar 37.1%. Penelitian ini bertujuan untuk menganalisis hubungan anemia dalam kehamilan dengan perdarahan postpartum primer di Rumah Sakit DKT Gubeng Pojok Kota Surabaya. Metode : penelitian ini menggunakan metode analitik observasional dengan rancangan penelitian case control design. Jumlah sampel sebanyak 60 ibu bersalin secara pervaginam yang sesuai dengan kriteria eksklusi dan inklusi. Variabel bebas anemia dalam kehamilan adalah sedangkan variabel terikat adalah perdarahan postpartum primer. Hasil : Sebagian besar ibu bersalin secara pervaginam 60% mengalami anemia dalam kehamilan dengan analisis uji chi square menunjukkan p value = 0.000 (p < 0.05), Odds Ratio sebesar 21.35, dan berdasarkan hasil uji T test didapatkan rata-rata kadar Hb pada kelompok anemia sebesar 9.058 g% dengan standar deviasi 0.9782 dan rata-rata kadar Hb pada kelompok non-anemia sebesar 12.063 g% dengan standar deviasi 1.13792 yang menunjukkan bahwa terdapat perbedaan yang signifikan. Kesimpulan : Terdapat hubungan yang signifikan antara anemia dalam kehamilan dengan kejadian perdarahan postpartum primer sehingga bidan sebagai tenaga kesehatan di lini utama harus memperhatikan  kadar Hb pada masa kehamilan.Abstract Background : Primary postpartum hemorrhage was the third-highest cause of maternal death in the city of Surabaya, East Java Province. This was accompanied by the incidence of anemia in a pregnant women in Indonesia which increased in 2018 by 48.9% compared to 2013 at 37.1%. This study aimed to analyze the relationship anemia in pregnancy with primary postpartum hemorrhage in DKT Gubeng Pojok hospitals in Surabaya city East Java. Method : This study used analytic observational methods with a case-control study research design. The number of samples was 60 vaginal delivery mothers who were under the criteria of exclusion and inclusion. A sampling of this study used purposive sampling with independent variable is anemia in pregnancy and dependent variable is primary postpartum hemorrhage. Result : Most of mothers that gave birth pervaginally  60% had anemia in pregnancy with analysis chi-square test showing  p-value =0.000 (p<0.05) , Odds Ratio of 21.35, and based on the results of the T-test it was found that the mean Hb level in the anemic group was 9.058 g% with standard deviation of 0.9782 and the mean Hb level in the non-anemic group was 12.063 g% with standard deviation of 1.13792 indicating that there were significant differences. Conclusion : There is a significant relationship between anemia in pregnancy with the incidence of primary postpartum hemorrhage , so that midwives as health workers in the mainline must pay attention to Hb levels during pregnancy.


Author(s):  
Fahrurrozi Fahrurrozi ◽  
Untung Waluyo ◽  
Henny Soepriyanti

This study is intended to find out the effectiveness of group work technique in improving the students speaking : a survey at second semester student of English department of FPBS university of Mataram in academic years 20017-200, there are 48 students taken and are divided in two groups namely : experimental group and control group. D class was treated as experimental group and was taught by using group-work technique and E class was treated as control group and were taught by using individual work technique. The data was collected base on the result of pre-test and post-test, which was given after the student of two groups were given treatment, after gaining the data from the research, the writer process the score of the two group, the total of the mean score from the experimental group is 58 and the control group is 50,5. After the computation of the mean score we continues to calculate the standard deviation of the two groups and the standard deviation score from the experimental group is 198,96 and from the control group si 123,34 and the analyzed the significance of the mean score and the deviation score used a t-test formula and the value of the t-test is 2,953 where the writer checking on the t-table at 5 and 1 level of significance. After the statistical analysis of the date obtained, finally, the writer concludes that, that of use group work technique is effective in improving the student speaking skill.


2017 ◽  
Vol 3 (6) ◽  
pp. 771-777
Author(s):  
Rif’atun Nisa ◽  
Ariawan Soejoenoes ◽  
Sri Wahyuni

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.


2021 ◽  
Vol 5 (1) ◽  
pp. 32
Author(s):  
Febry Mutiariami Dahlan ◽  
Qomariah Ardhi

Anemia is a nutritional problem with a high prevalence in the world. Basic Health Reseacrch in 2018, around 48,9% of pregnant women in Indonesia experience anemia. This shows that anemia in pregnant women  is still a public health problem because the proportion  is quite high compared to the results of the 2013 Basic Health Research, which amounted to 37,1%. This research aims to identify the effect of Fe tablet and date palm on improving hemoglobin level among pregnant women in the third semester  at the Rita Marningsih Clinic 2020. This study was quasy-experiment by using two group pre-test and post-test and used dependent t test with control group. There were 30 respondents and purposive sampling was conducted, and an independent t-test was used to data analyzed.The Result  revealed that the experimental group the number of pregnant women whose Hb levels increased by 14 people (93,33%) and which decreased by 1 respondent (6,67%) and in the control group 13 respondents experienced an increase (86,67%) and 2 respondents (13,33%) decreased Hb levels. The bivariate result showed that the p value was 0,044<0,05, which means that there was an effect of giving Fe tablets and dates to the hemoglobin levels of pregnant women. Conclusion and recommendation : Fe tablets and dates affect the increase in hemoglobin levels. For pregnant women it is recommended to consume Fe tablets regularly and maintain the nutrition of their food, one of which adds dates to food consumed.


2018 ◽  
Vol 7 (2) ◽  
pp. 51
Author(s):  
Maryam Maryam ◽  
Ratman Ratman ◽  
Purnama Ningsih

This study aimed to determine the influence of advance organizer learning model toward learning achievements of students at SMA Negeri 3 Sigi on the topic electrolyte and non-electrolyte solutions. This study was a quasi-experiment with pretest-posttest control group design using two groups of students, i.e. 34 Class X B as an experimental group , and 34 Class X A as a control group. Data of learning achievements of students was analyzed using t-test two parties statistical analysis. Results showed that the average values of experiment class (X1) was 77.15 with a standard deviation of 11.59, while the average values of control class (X2) was 68.44 with a standard deviation of 10.73. This testing hypotheses with statistical t-test two parties obtained -ttable ≤ tcount ³ + ttable (tcount = 10.89 and ttable = 2.00) with a significant level a = 0.05, and degrees of freedom 66. Therefore, H0 was rejected, and HI was accepted. This study concluded that advance organizer learning model influenced learning achievements of students at SMA Negeri 3 Sigi on the topic electrolytes and non-electrolyte solutions.


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