EFEK EKSTRAK KURMA (Phoenix dactylifera L) TERHADAP STATUS BESI PADA IBU HAMIL (Studi Di Kabupaten Jepara)

Abstract

Latar Belakang : Tingginya Angka Kematian Ibu di Indonesia, tahun 2012 sebanyak 359/100.000 kelahiran hidup. Angka Kematian Ibu Kabupaten Jepara terjadi penurunan dari tahun 2014 (19 orang) menjadi 11 orang (2015). Penyebab kematian maternal tersebut antara lain karena perdarahan yang disebabkan anemia defisiensi besi pada kehamilan. Tujuan: Mengetahui efek ekstrak kurma (Phoenix dactylifera L) terhadap status besi pada ibu hamil di wilayah kerja Puskesmas Bangsri I Kabupaten Jepara. Metode : True experimental dengan rancangan penelitian Randomize pretest posttest control group design dengan teknik Proportionated Random Sampling. Sampel adalah ibu hamil trimester II di wilayah kerja Puskesmas Bangsri I yang memenuhi syarat inklusi. Total sampel 34 responden terbagi dalam 2 kelompok dan tiap kelompok terdiri dari 17 responden. Kelompok 1 diberikan tablet Fe, asam folat dan ekstrak kurma (kelompok perlakuan) sedangkan kelompok 2 diberikan tablet Fe, asam folat saja (kelompok kontrol). Pengukuran kadar hemoglobin dan kadar ferritin menggunakan cyanmethemoglobin dan ELISA. Hasil : Terjadi peningkatan kadar hemoglobin dan kadar ferritin setelah pemberian intervensi pada kelompok perlakuan. Ada pengaruh pemberian ekstrak kurma (Phoenix dactylifera L) terhadap peningkatan kadar hemoglobin pada ibu hamil dengan p-value = 0,00. Ada pengaruh pemberian ekstrak kurma (Phoenix dactylifera L) terhadap peningkatan kadar ferritin pada ibu hamil dengan p-value = 0,042. Simpulan : Pemberian tablet Fe, folat dan ekstrak kurma berpengaruh terhadap peningkatan kadar hemoglobin dan kadar ferritin pada ibu hamil primipara trimester II di wilayah kerja Puskesmas Bangsri I Kabupaten Jepara. Kata kunci : Ibu Hamil, Kadar Hemoglobin, Kadar Ferritin, Ekstrak Kurma Background: The high maternal mortality rate in Indonesia, on 2012 is 359 / 100,000 live births. Maternal Mortality Rate in Jepara also increased from 2014 (19 people) to 11 people(2015). The cause of maternal death is due to bleeding caused iron deficiency anemia in pregnancy. Aim:To purpose of the effect extract (Phoenix dactylifera L) on iron status in pregnant women in work area of Bangsri I Public Health Center of Jepara Regency. Method: True experimental with Randomize pretest posttest control group design with Proportionated Random Sampling technique. The sample is the second trimester pregnant woman in the working area of Bangsri I Public Health Center with the inclusion criteria requirement. The total sample of 34 respondents is divided into 2 groups and each group consists of 17 respondents. Group 1 was gived Fe tablet, folic acid and date palm extract (treatment group) while group 2 was just gived Fe tablet and folic acid (control group). Measurement of hemoglobin and ferritin levels using Cyanmethemoglobin and ELISA. Results: There was an increase in hemoglobin and ferritin levels following intervention in the treatment group. There is an effect of giving date palm extract (Phoenix dactylifera L) to the increase of hemoglobin level in pregnant women with p-value = 0.001. There is influence of the extract of date palm extract (Phoenix dactylifera L) to the increase of ferritin in pregnant women with p-value = 0,042. Conclusion: The giving of Fe tablet, folate, and date palm extract have an effect on the increase of hemoglobin and ferritin levels in pregnant women of primipara trimester II in the working area of Puskesmas Bangsri I of Jepara Regency. Keywords: Pregnant Mother, Hemoglobin Levels, Ferritin Levels, Date Palm Extract