High Protein Milk Affected the Increase of the Hb Levels of Third-trimester of Pregnancy with Anemia

Authors

  • Dian Mayasari Mayang Malang Institute of Health Technology Widya Cipta Husada
  • Ratih Mega Septiasari Malang Institute of Health Technology Widya Cipta Husada
  • Ita Nurfadilah Malang Institute of Health Technology Widya Cipta Husada

DOI:

https://doi.org/10.26699/jnk.v11i2.ART.p223-229

Keywords:

High Protein Milk, Hb Level, Pregnant Women

Abstract

Anemia is a risk factor that contributes to 50% of all maternal deaths. The main factors causing anemia are low iron intake and infection. Protein intake, especially animal protein intake, helps increase iron absorption. This study aims to determine the effect of providing high protein milk intake on increasing hemoglobin levels in pregnant women in the third trimester with iron deficiency. This type of research is Pre-Experimental with One Group Pretest-Posttest Design. The population in this study was all third-trimester of pregnant women with pale faces in the of the Gondanglegi Public Health Center Kabupaten Malang. The sample was 33 people taken by using the total sampling technique. The measuring test was the Wilcoxon Marked Rank Test. The examination results showed that the average hemoglobin level before treatment was 10.1 gr/dl, and after treatment was 11.1 gr/dl. The results showed that there was an effect of giving high-protein milk on increasing hemoglobin levels in third-trimester pregnant women with pale skin in Gondanglegi Health Center (p-value = 0.000). This study concludes that milk protein consumption basically affects the increase in hemoglobin levels in pregnant women. It is recommended for pregnant women who get anemia to focus on their food intake, especially protein consumption.

Author Biographies

Dian Mayasari Mayang, Malang Institute of Health Technology Widya Cipta Husada


Dian Mayasari Mayang
Malang Institute of Health Technology Widya Cipta Husada
(mceclip0-905761ed59ff714eb37d683dba99ba7c.pngGoogle Scholarmceclip1-541b1dd4a7da27093e56094ab46e9493.pngSinta)

 

Ratih Mega Septiasari, Malang Institute of Health Technology Widya Cipta Husada

Ratih Mega Septiasari
Malang Institute of Health Technology Widya Cipta Husada
(mceclip2-6253a3ef398f46a86834d58224da9e47.pngGoogle Scholar, mceclip3-eafd7c945b36b4df3509e6e33546088f.pngSinta)

Ita Nurfadilah, Malang Institute of Health Technology Widya Cipta Husada

Ita Nurfadilah
Malang Institute of Health Technology Widya Cipta Husada

References

Al-Bayyari, N., Al Sabbah, H., Hailat, M., AlDahoun, H., & Abu-Samra, H. (2024). Dietary diversity and iron deficiency anemia among a cohort of singleton pregnancies: a cross-sectional study. BMC Public Health, 24(1), 1–14. https://doi.org/10.1186/s12889-024-19294-z

Ayensu, J., Annan, R., Lutterodt, H., Edusei, A., & Peng, L. S. (2020). Prevalence of anaemia and low intake of dietary nutrients in pregnant women living in rural and urban areas in the Ashanti region of Ghana. PLoS ONE, 15(1), 1–15. https://doi.org/10.1371/journal.pone.0226026

Çakmak, B. D., Türker, Ü. A., Öztaş, S., Arık, M., & Üstünyurt, E. (2018). The effect of first trimester hemoglobin levels on pregnancy outcomes. Turkish Journal of Obstetrics and Gynecology, 15(3), 165–170. https://doi.org/10.4274/tjod.87269

Daru, J., Zamora, J., Fernández-Félix, B. M., Vogel, J., Oladapo, O. T., Morisaki, N., Tunçalp, Ö., Torloni, M. R., Mittal, S., Jayaratne, K., Lumbiganon, P., Togoobaatar, G., Thangaratinam, S., & Khan, K. S. (2018). Risk of maternal mortality in women with severe anaemia during pregnancy and post partum: a multilevel analysis. The Lancet Global Health, 6(5), e548–e554. https://doi.org/10.1016/S2214-109X(18)30078-0

Dyah Fitriyawardhani, N., & Hermawati, S. (2024). The Effect of Liquidity on Profitability Through the Activities of Stateowned Bank in Indonesia Period 2018 - 2022. International Journal of Scientific and Management Research, 07(01), 127–142. https://doi.org/10.37502/ijsmr.2024.7112

Erningtyas, C., Amalia, R. B., & Faizah, Z. (2023). Overview of Protein and Fe Intake With The Event of Anemia In Adolescent: Systematic Review. PLACENTUM: Jurnal Ilmiah Kesehatan Dan Aplikasinya, 10(3), 170. https://doi.org/10.20961/placentum.v10i3.58355

Fikawati, S., & Syafiq, A. (2023). Milk Supplementation as a Potential Intervention for Overcoming Anemia and Chronic Energy Deficiency during Pregnancy. Jurnal Gizi Dan Pangan, 18(Supp.1), 43–45. https://doi.org/10.25182/jgp.2023.18.supp.1.43-45

Fitri, N. L., Sari HS, S. A., Nurhayati, S., Pakarti, A. T., Supardi, S., & Hasanah, U. (2023). Hubungan Usia Gestasi Dengan Kejadian Anemia Pada Ibu Hamil. Jurnal Wacana Kesehatan, 8(1), 57. https://doi.org/10.52822/jwk.v8i1.519

Gedefaw, L., Tesfaye, M., Yemane, T., Adisu, W., & Asres, Y. (2015). Anemia and iron deficiency among school adolescents: burden, severity, and determinant factors in southwest Ethiopia. Adolescent Health, Medicine and Therapeutics, 189. https://doi.org/10.2147/ahmt.s94865

Harahap, D. A., Afrinis, N., & Hamidi, M. N. S. (2021). Perbedaan Konsumsi Pangan Ibu HamilAnemia dan Nonanemia di Puskesmas Tapung Hilir 1. Jurnal Kesehatan Komunitas, 7(3), 387–391. https://doi.org/10.25311/keskom.vol7.iss3.1015

Huang, D., Wu, Q., Xu, X., Ji, C., Xia, Y., Zhao, Z., Dai, H., Li, H., Gao, S., Chang, Q., & Zhao, Y. (2022). Maternal Consumption of Milk or Dairy Products During Pregnancy and Birth Outcomes: A Systematic Review and Dose-Response Meta-Analysis. Frontiers in Nutrition, 9(June). https://doi.org/10.3389/fnut.2022.900529

Jwa, S. C., Fujiwara, T., Yamanobe, Y., Kozuka, K., & Sago, H. (2015). Changes in maternal hemoglobin during pregnancy and birth outcomes. BMC Pregnancy and Childbirth, 15(1), 1–10. https://doi.org/10.1186/s12884-015-0516-1

Khaskheli, M. N., Baloch, S., Sheeba, A., Baloch, S., & Khaskheli, F. K. (2016). Iron deficiency anaemia is still a major killer of pregnant women. Pakistan Journal of Medical Sciences, 32(3), 630–634. https://doi.org/10.12669/pjms.323.9557

Khoirunisa, O. B., Wirjatmadi, B., Kesehatan Masyarakat, F., & Airlangga, U. (2023). Hubungan Tingkat Konsumsi Protein, Zat Besi, Vitamin C Dan Vitamin a Terhadap Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Mejayan. Jurnal Kesehatan Tambusai, 4(3), 3034–3054. https://doi.org/10.31004/jkt.v4i3.16872

Okia, C. C., Aine, B., Kiiza, R., Omuba, P., Wagubi, R., Muwanguzi, E., Apecu, R. O., Okongo, B., & Oyet, C. (2019). Prevalence, morphological classification, and factors associated with anemia among pregnant women accessing antenatal clinic at Itojo Hospital, south western Uganda. Journal of Blood Medicine, 10, 351–357. https://doi.org/10.2147/JBM.S216613

Rahmi, N., & Husna, A. (2020). Analisis Faktor Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Baitussalam Kabupaten Aceh Besar. Journal of Healthcare Technology and Medicine, 6(2), 1250. https://doi.org/10.33143/jhtm.v6i2.1183

Salsabil, I. S., & Nadhiroh, S. R. (2023). Literature Review: Hubungan Asupan Protein, Vitamin C, dan Zat Besi dengan Kejadian Anemia pada Remaja Putri. Media Gizi Kesmas, 12(1), 516–521. https://doi.org/10.20473/mgk.v12i1.2023.516-521

Samuel, S., Darebo, T., Desta, D. T., & Mulugeta, A. (2020). Socio-economic and dietary diversity characteristics are associated with anemia among pregnant women attending antenatal care services in public health centers of Kembata Tembaro Zone, Southern Ethiopia. Food Science and Nutrition, 8(4), 1978–1986. https://doi.org/10.1002/fsn3.1485

Septiasari, R. M., & Dian Mayasari. (2023). Buku Ajar Asuhan Kebidanan Kehamilan. Rena Cipta Mandiri.

Setyawati, B., & Syauqy, A. (2014). Perbedaan Asupan Protein, Zat Besi, Asam Folat, Dan Vitamin B12 Antara Ibu Hamil Trimester Iii Anemia Dan Tidak Anemia Di Puskesmas Tanggungharjo Kabupaten Grobogan. Journal of Nutrition College, 3(1), 228–234. https://doi.org/10.14710/jnc.v3i1.4601

Skolmowska, D., Głąbska, D., Kołota, A., & Guzek, D. (2022). Effectiveness of Dietary Interventions in Prevention and Treatment of Iron-Deficiency Anemia in Pregnant Women: A Systematic Review of Randomized Controlled Trials. Nutrients, 14(15), 1–15. https://doi.org/10.3390/nu14153023

Stevens, G. A., Finucane, M. M., De-Regil, L. M., Paciorek, C. J., Flaxman, S. R., Branca, F., Peña-Rosas, J. P., Bhutta, Z. A., & Ezzati, M. (2013). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: A systematic analysis of population-representative data. The Lancet Global Health, 1(1), 16–25. https://doi.org/10.1016/S2214-109X(13)70001-9

Wirawan, F., & Nurrika, D. (2022). Maternal pre-pregnancy anemia and childhood anemia in Indonesia: a risk assessment using a population-based prospective longitudinal study. Epidemiology and Health, 44, 1–10. https://doi.org/10.4178/epih.e2022100

World Health Organitasion. (2021). The Global Health Observatory. World Health Organitasion. https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children

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Published

04-11-2024

How to Cite

Mayang, D. M., Ratih Mega Septiasari, & Ita Nurfadilah. (2024). High Protein Milk Affected the Increase of the Hb Levels of Third-trimester of Pregnancy with Anemia. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 11(2), 223–229. https://doi.org/10.26699/jnk.v11i2.ART.p223-229

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