Aplication of Ethnomedicine-Based Complementary Midwifery Care in a Pregnant Woman with Mild Anemia: A Case Study
Keywords:
Anaemia, Midwifery care, Ethnomedicine, pregnant women, complementary therapyAbstract
Anemia in pregnancy remains a significant public health problem. The 2023 Indonesian Health Survey reported a prevalence of 27.7% among pregnant women compared to 48.9% in 2018. Mild anemia can interfere with maternal well-being and pregnancy outcomes if not properly treated. Complementary ethnomedicine therapy using natural plants rich in iron, such as red dragon fruit and moringa leaves, has the potential to increase hemoglobin (Hb) levels. The purpose of this study was to evaluate the effect of complementary ethnomedicine therapy on hemoglobin levels in pregnant women with mild anemia. The research method was a case study conducted in February 2024 at the Midwife Independent Practice in Limapuluh Kota District. The subjects were primigravida women in their second trimester who were diagnosed with mild anemia based on clinical signs and laboratory tests. Primary data were collected through physical assessment and Hb measurement. The intervention consisted of complementary therapy using red dragon fruit and moringa leaves, administered daily for two weeks along with standard nutritional advice. Hb levels were measured before and after the intervention. Hb levels before the intervention were 10.2 g%, and Hb levels after the intervention were 11.3 g/dL. This represents an increase of 1.1 g%. In conclusion, treatment was provided according to the mother's needs. At the second visit, the mother did not have anemia. Complementary ethnomedical therapy using dragon fruit and moringa leaves can help prevent mild anemia in pregnant women.
References
Abdullah, I. et al. (2024) ‘Group 1st of Non-pharmacological Therapy that Most Effective to Increase Hemoglobin in Pregnancy’, Jurnal Promkes, 12(SI 1), pp. 219–226. Available at: https://doi.org/10.20473/jpk.v12.isi1.2024.219-226.
Apriani, W., Herdiani, T.N. and Ningsih, D.A. (2020) ‘Faktor-Faktor yang Berhubungan dengan Inovasi Enterpreneur dalam Pelayanan Praktik Mandiri Bidan di Kota Bengkulu’, Jurnal Abdimas Saintika, 2(2), pp. 142–146. Available at: https://doi.org/10.36565/jak.v2i2.88.
Chen, Y. et al. (2024) ‘Maternal anaemia during early pregnancy and the risk of neonatal outcomes: A prospective cohort study in Central China’, BMJ Paediatrics Open, 8(1), pp. 1–10. Available at: https://doi.org/10.1136/bmjpo-2023-001931.
Cunngingham, G. et al. (2014) Williams Obstetrics. 24th edn, Mc. Graw Hill Education. 24th edn. New York: Mc. Graw Hill Education.
Georgieff, M.K. (2020) ‘Iron deficiency in pregnancy’, American Journal of Obstetrics and Gynecology, 223(4), pp. 516–524. Available at: https://doi.org/10.1016/j.ajog.2020.03.006.
Helmyati, S. et al. (2023) ‘Acceptance of Iron Supplementation Program among Adolescent Girls in Indonesia: A Literature Review’, Amerta Nutrition, 7(3SP), pp. 50–61. Available at: https://doi.org/10.20473/amnt.v7i3SP.2023.50-61.
Honaryati, H., Usman, N. and Ahmad, M. (2021) ‘Literatur Review: Pengaruh Pemberian Supplement Folamil dan Tablet Zat Besi pada Ibu Hamil dengan Anemia terhadap Peningkatan Kadar Hemoglobin’, Faletehan Health Journal, 8(03), pp. 173–181. Available at: https://doi.org/10.33746/fhj.v8i03.293.
Kemenkes.RI (2024) Survei Kesehatan Indonesia (SKI) Tahun 2023 Dalam Angka, BPPK. Jakarta.
Kemenkes RI (2023) Buku Saku Pencegahan Anemia Pada Ibu Hamil Dan Remaja Putri, IEEE Sensors Journal. Jakarta: Kemenkes RI. Available at: http://dx.doi.org/10.1016/j.snb.2010.05.051.
Krisnanda, R. (2020) ‘Vitamin C Helps in the Absorption of Iron in Iron Deficiency Anemia’, Jurnal Penelitian Perawat Profesional, 2(3), pp. 279–286. Available at: https://doi.org/10.37287/jppp.v2i3.137.
Lasepa, W., Hendarini, A.T. and Isnaeni, A. (2023) ‘Hubungan Antara Asupan Gizi dan Anemia pada Remaja Putri di MTS Muhammadiyah Penyasawan’, Jurnal Kesehatan Terpadu, 2(1), pp. 40–44. Available at: https://doi.org/https://doi.org/10.31004/sjkt.v2i1.12509.
Lewis, L. (2015) Fundamentals of Midwifery a Textbook for Students. I. Edited by L. Lewis. Hull, United Kingdom: Wiley Blackwell.
MENKESRI (2020) Rencana Strategis Kementerian Kesehatan Tahun 2020-2024, KEPMENKES RI. Jakarta.
Mintsopoulos, V. et al. (2024) ‘Identification and treatment of iron-deficiency anemia in pregnancy and postpartum: A systematic review and quality appraisal of guidelines using AGREE II’, International Journal of Gynecology and Obstetrics, 164(2), pp. 460–475. Available at: https://doi.org/10.1002/ijgo.14978.
Nomira, S.R. (2024) ‘Relevansi gizi dan kesehatan relevance of nutrition and health’, Public Health Journal, 1(2), pp. 443–451. Available at: https://doi.org/https://doi.org/10.62710/mxqfwp22.
Nugrahani, R.A. et al. (2021) Pengelolaan Dan Pemanfaatan Daun dan Biji Kelor. I. Yogyakarta: Samudra Biru.
Ramadhanti, I.P. et al. (2023) Asuhan Kebidanan Kehamilan. 1st edn, CV Eurika Media Aksara. 1st edn. Edited by J. Saimin, D. Yanthi, and J. Jingsung. Purbalingga: CV Eurika Media Aksara.
Ramadhanti, I.P., H, D.N., et al. (2025) ‘Pemberdayaan Satuan Petugas Unit Kesehatan Sekolah Kesehatan Reproduksi Remaja dalam Pemanfaatan Olahan Daun Kelor sebagai Langkah Preventif Anemia’, JURNAL EMPATHY Pengabdian Kepada Masyarakat, 5(2), pp. 117–127. Available at: https://doi.org/https://doi.org/10.37341/jurnalempathy.v5i1.273 Pemberdayaan.
Ramadhanti, I.P., Nova H, D., et al. (2025) ‘Red Dragon Pudding (Hylocereus Polyrhizus) on Hemoglobin Levels of Anemia Adolescents’, Indonesian Journal of Global Health Research, 7(3), pp. 567–574. Available at: https://doi.org/https://doi.org/10.37287/ijghr.v7i3.5916.
Ramadhanti, I.P. and Nova, D. (2025) Asuhan Kebidanan Anemia pada Remaja Indonesia. I. Padang: CV. Pustaka Inspirasi Minang.
Sudayana, I.P. et al. (2022) Pengantar Kesehatan Ibu dan Anak. I. Edited by S. Hajri and Juminten. Purbalingga: Eureka Media Aksara.
Unicef and Amref (2020) Antenatal Care, Part 1. I. Edited by O.H. Ethiopian Federal Ministry. Ethiopian: Health Education and Training (HEAT) in Africa.
Utomo, R.T.N. et al. (2023) ‘The Relationship between Sleep Quality with Hemoglobin Levels and Erythrocyte Index of Medical Students at Universitas Nusa Cendana’, East African Scholars Journal of Medical Sciences, 6(02), pp. 40–48. Available at: https://doi.org/10.36349/easms.2023.v06i02.003.
Wariyaka, M.R. (2021) Pengembangan Model Nomenklatur Diagnosa Kebidanan dalam Kehamilan. I, CV. Media Sains Indonesia. I. Edited by R.R. Rerung. Kota Bandung: CV. Media Sains Indonesia.
WHO (2024a) Anaemia. Available at: https://www.who.int/news-room/fact-sheets/detail/anaemia.
WHO (2024b) The Global Health Observatory: Anaemia in Women and Children, WHO. Available at: https://www.who.int/data/gho/data/themes/topics.
Downloads
Published
License
Copyright (c) 2026 Annisa, Indah Putri Ramadhanti, Dela Audina, Ikhtiarina Fakhri

This work is licensed under a Creative Commons Attribution 4.0 International License.



