Combined Iron Tablets and Ambon Banana Improve Hemoglobin in Anemic Second Trimester Pregnancy
Keywords:
Anemia, Pregnant Women, ambon banana, iron tablets, hemoglobinAbstract
Anemia during the second trimester of pregnancy poses significant health risks to both the mother and the fetus. Food-based strategies combined with iron supplementation may improve hemoglobin response in this critical period. This study aimed to analyze the effect of combining Fe tablets and Ambon banana consumption on hemoglobin levels among second-trimester pregnant women with anemia compared to Fe supplementation alone. A quasi-experimental pretest-posttest control group design was employed. A total of 54 anemic pregnant women in their second trimester from three public health centers in Pondok Kelapa District, Central Bengkulu, were evenly divided into two groups of 27 participants each. The intervention group received one Fe tablet daily and one Ambon banana twice daily for 30 days, while the control group received one Fe tablet daily. Hemoglobin levels were measured before and after intervention using an Easy Touch GCHb Hemoglobin Meter. Both groups showed increased hemoglobin after the intervention. The post-intervention mean hemoglobin level was 11.952 ± 0.6941 g/dL and 11.093 ± 0.6108 g/dL in the intervention and control groups, respectively, with a between-group difference of 0.8593 g/dL (p < 0.001). Confidence intervals could not be reported because summary data lacked the standard error or standard deviation of the change score. Fe tablets combined with Ambon banana consumption were associated with a greater hemoglobin increase than Fe tablets alone among anemic second-trimester pregnant women.
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