Changes in Hemoglobin Levels Following Corn and Date Pudding Supplementation Among Anemic Pregnant Women: A Quasi-Experimental Study

Eva Zuli Oktavia; Raffiky Pinandia Sustamy

doi:10.21070/midwiferia.v12i2.1890

Authors

Eva Zuli Oktavia Program Studi S1 Kebidanan dan Profesi Bidan, Sekolah Tinggi Ilmu Kesehatan (STIKES) Rajekwesi Bojonegoro, Jawa Timur, Indonesia
Raffiky Pinandia Sustamy Sekolah Tinggi Ilmu Kesehatan (STIKES) Rajekwesi Bojonegoro

DOI:

https://doi.org/10.21070/midwiferia.v12i2.1890

Keywords:

anemia in pregnancy, hemoglobin, corn, date, suplmentary food

Abstract

Introduction Anemia commonly affects pregnant women and continues to pose a nutritional challenge, particularly because low hemoglobin levels can compromise maternal health and pregnancy outcomes. Improving dietary intake through supplementary foods prepared from locally available ingredients may help meet the increased nutritional needs of pregnant woman and support the management of anemia during pregnancy. This study was conducted to determine the change in hemoglobin levels among pregnant women after consuming corn and date pudding in the working area of Ngumpakdalem Community Health Center, Bojonegoro Regency.

Methods A quasi-experimental study with a one-group pretest-posttest design was carried out involving 30 pregnant women who were selected through total sampling. The participants received corn and date pudding for seven days. Hemoglobin levels were assessed before the intervention and again after the intervention. We analyzed the data using the Wilcoxon signed-rank test

Results found a significant increase in hemoglobin levels following the intervention. The median hemoglobin level increased from 9.30 g/dL before the intervention to 11.10 g/dL afterward (p,0.001).

Conclusion these findings suggestthat corn and date pudding could serve as a supplementary food option pregnant womenwith anemia. Incorporating locally available ingredients, such as corn and dates. may providean accessible nutritional alternative to support effort to improve hemoglobin levels and reduce the risk of anemia during pregnancy

References

[1] E. Araujo et al., “Global profile of anemia during pregnancy versus country income overview : 19 years estimative ( 2000 – 2019 ),” Ann. Hematol., vol 102, no. 8, pp. 2025–2031, 2023, doi: 10.1007/S00277-023-05279-2. Available: https://doi.org/10.1007/s00277-023-05279-2

[2] A. Elvira et al., “Faktor risiko kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Sidomulyo Kota Bengkulu,” MAHESA: Malahayati Health Student Journal, vol. 5, no. 10, pp. 4690–4702, 2025, doi: 10.33024/mahesa.v5i10.19631. Available: https://doi.org/10.33024/mahesa.v5i10.19631

[3] M. B. Fite et al., “Prevalence and determinants of anemia among pregnant women in Sub-Saharan Africa : A Systematic Review And Meta- Analysis,” Archives of Public Health, vol. 79, no. 1, pp. 1–11, 2021, doi: 10.1186/s13690-021-00711-3. Available: https://doi.org/10.1186/s13690-021-00711-3.

[4] Hafizah et al., “Penyuluhan pemanfaatan pangan lokal untuk mencegah anemia pada ibu hamil,” J. Altifani Penelit. Dan Pengabdi. Kpd. Masy., vol. 3, no. 4, pp. 603–609, 2023, doi: 10.59395/altifani.v3i4.455. Available: https://doi.org/10.59395/altifani.v3i4.455.

[5] A. V. N. Mutoharoh et al., “Faktor risiko kejadian anemia pada ibu hamil,” Higeia J. Public Health Res. Dev., vol. 8, no. 1, pp. 22–30, 2024, doi: 10.15294/higeia.v8i1.65548. Available: https://doi.org/10.15294/higeia.v8i1.65548.

[6] N. A. Nurdin et al., “Effectiveness of consuming dates in increasing hemoglobin levels in pregnant women with anemia,” Health Science International Journal, vol. 3, no. 1, pp. 80–92, 2025, doi: 10.71357/hsij.v3i1.57. Available: https://doi.org/10.71357/hsij.v3i1.57.

[7] A. Yulianti et al., “Hubungan Asupan zat besi dan kepatuhan konsumsi suplementasi tambah darah dengan nilai Hb ibu hamil di Puskesmas Simpur,” J. Gizi Aisyah, vol. 5, no. 2, 2023, doi: 10.30604/jnf.v5i2.770. Available: https://doi.org/10.30604/jnf.v5i2.770

[8] N. Huda, “Pengaruh pengetahuan ibu terhadap kejadian anemia pada ibu hamil di puskesmas gandapura: Studi observasional analitik," Nursing Applied Journal, vol. 3, no. 3, pp. 84–92, 2025, doi: 10.57213/naj.v3i3.819. Available: https://doi.org/10.57213/naj.v3i3.819.

[9] K. Farhan et al., “Anemia ibu hamil dan efeknya pada bayi,” Muhammadiyah Journal of Midwifery, vol. 2, no. 1, pp. 27–33, 2021, doi: 10.24853/myjm.2.1.27-33. Available: https://doi.org/10.24853/myjm.2.1.27-33.

[10] N. Firdaus et al., “Literature review : Kehamilan dengan anemia faktor risiko dan dampaknya terhadap ibu dan janin,” Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluyo, vol. 4, no. 1, pp. 1402–1409, 2025.

[11] M. F. Young et al, “Maternal low and high hemoglobin concentrations and associations with adverse maternal and infant health outcomes: an updated global systematic review and meta-analysis,” BMC Pregnancy and Childbirth, vol. 23, no. 1, p. 264, 2023, doi: 10.1186/s12884-023-05489-6. Available: https://doi.org/10.1186/s12884-023-05489-6.

[12] J. Deng et al., “Efficacy of vitamin C with Fe supplementation in patients iron deficiency anemia: A systematic review and meta-analysis,” Blood Vessels, Thrombosis & Hemostasis, vol. 1, no. 4, p. 100023, 2024, doi: 10.1016/j.bvth.2024.100023. Available: https://doi.org/10.1016/j.bvth.2024.100023

[13] S. D. Pratiwi et al., “Pemberian buah kurma meningkatkan kadar hemoglobin pada ibu hamil,” J. Kebidanan Malakbi, vol. 5, no. 1, pp. 48–56, 2024, doi: 10.33490/b.v5i1.1103. Available: https://doi.org/10.33490/b.v5i1.1103.

[14] N. A. Fauziah et al, “Konsumsi buah kurma untuk meningkatkan kadar hemoglobin ibu hamil trimester iii dengan gangguan anemia,” Maj. Kesehat. Indones., vol. 2, no. 2, pp. 49–54, 2021, doi: 10.47679/makein.202136. Available: https://doi.org/10.47679/makein.202136.

[15] C. Winarti et al., “Nutrient Composition of Indonesian specialty cereals: rice, corn, and sorghum as alternatives to combat malnutrition,” Prev. Nutr. Food Sci., vol. 28, no. 4, pp. 471–482, 2023, doi: 10.3746/pnf.2023.28.4.471. Available: https://doi.org/10.3746/pnf.2023.28.4.471.

[16] Y. Xiao et al, “A genome-wide association study of folates in sweet corn kernels,” Front. Plant Sci., vol. 13, p. 1004455, 2022, doi: 10.3389/fpls.2022.1004455. Available: https://doi.org/10.3389/fpls.2022.1004455

[17] Jumiati et al, “Non-pharmacological management of pregnancy anemia and labor acceleration : the role of date fruit consumption,” Maj. Kesehat. Indones., vol. 6, no. 2, pp. 57–64, 2025, doi: 10.47679/makein.2025239. Available: https://doi.org/10.47679/makein.2025239

[18] Erika et al, “The effect of dates and honey extracts (Phoenix dactylifera and Apis mellifera) for increasing pregnant women’s haemoglobin.,” J. Pak. Med. Assoc., vol. 74, no. 5 (Suppl. 5), pp. S36–S38, 2024, doi: 10.47391/JPMA.Ind-RINC-10. Available: https://doi.org/10.47391/JPMA.Ind-RINC-10.

[19] M. Niknami et al, “The effect of date fruit consumption on early postpartum hemorrhage : A randomized clinical trial,” BMC Women’s Health, vol. 23, no. 1, p. 441, 2023, doi: 10.1186/s12905-023-02604-9. Available: https://doi.org/10.1186/s12905-023-02604-9.

[20] A. Rahmawati et al., “The effect of dates and honey on hemoglobin enhancement in pregnant women with anemia,” Int. J. Islam. Complement. Med., vol. 3, no. 2, pp. 57–64, 2022, doi: 10.55116/IJICM.V3I2.43. Available: https://doi.org/10.55116/IJICM.V3I2.43.

[21] T. R. Handayani et al., “Pengaruh konsumsi buah kurma terhadap kadar hemoglobin ibu hamil dengan anemia,” J. Anestesi: J. Ilmu Kesehatan dan Kedokteran, vol. 2, no. 3, pp. 268–274, 2024, doi: 10.59680/anestesi.v2i3.1265. Available: https://doi.org/10.59680/anestesi.v2i3.1265.

[22] W. O. N. Mutia et al., “Pemanfaatan jagung dan ubi dalam bentuk cookies sebagai terapi komplementer pada ibu hamil anemia,” J. Kreat. Pengabdi. Kpd. Masy., vol. 9, no. 1, pp. 320–333, 2026, doi: 10.33024/jkpm.v9i1.23452. Available: https://doi.org/10.33024/jkpm.v9i1.23452

[23] R. Wati et al., “Perbandingan pemberian susu kedelai dan jagung manis terhadap peningkatan kadar hemoglobin pada ibu hamil dengan anemia di TPMB Rinawati,” Malahayati Nurs. J., vol. 6, no. 5, pp. 1939–1947, 2024, doi: 10.33024/mnj.v6i5.11260. Available: https://doi.org/10.33024/mnj.v6i5.11260.

[24] R. Marlina et al., “Pendekatan STEM dalam proyek puding labu kuning untuk menguatkan kearifan lokal bahan pangan,” INCARE: Int. J. Educ. Resour., vol. 5, no. 4, pp. 386–409, 2024, doi: 10.59689/incare.v5i4.1058. Available: https://doi.org/10.59689/incare.v5i4.1058.

[25] M. C. B. Wijayanti et al., “Perilaku kepatuhan konsumsi tablet tambah darah pada ibu hamil yang mengalami anemia di wilayah kerja Puskesmas Bener Kabupaten Purworejo,” Media Kesehat. Masy. Indones., vol. 21, no. 5, pp. 321–328, 2022, doi: 10.14710/mkmi.21.5.321-328. Available: https://doi.org/10.14710/mkmi.21.5.321-328.

[26] S. L. Chillo et al., “Intermittent versus daily oral iron folic acid supplementation and pregnancy outcome in low- and middle-income countries: A systematic review and meta-analysis of experimental studies,” Reprod. Health, vol. 22, p. 2, 2025, doi: 10.1186/s12978-024-01917-8. Available: https://doi.org/10.1186/s12978-024-01917-8.

[27] F. O’Toole et al., “Screening and treatment of iron deficiency anemia in pregnancy: A review and appraisal of current international guidelines,” Int. J. Gynecol. Obstet., vol. 166, no. 1, pp. 214–227, 2024, doi: 10.1002/ijgo.15270. Available: https://doi.org/10.1002/ijgo.15270.

[28] M. Mufidah et al., “Pengaruh konsumsi buah kurma terhadap peningkatan hemoglobin pada remaja putri di Universitas Muhammadiyah Pringsewu Lampung,” J. Ners, vol. 8, no. 1, pp. 324–329, 2024, doi: 10.31004/jn.v8i1.23171. Available: https://doi.org/10.31004/jn.v8i1.23171.

[29] P. Meo-Meo et al., “Peningkatan kadar hemoglobin ibu hamil anemia melalui pemberian cookies jagung (Zea mays) di wilayah kerja,” vol. 4, no. 2, pp. 192–203, 2026.

[30] A. Mahmudah et al., “Efektivitas kombinasi tablet tambah darah dengan suplementasi vitamin C terhadap peningkatan hemoglobin pada mahasiswi,” Holistik J. Kesehatan, vol. 18, no. 11, pp. 1355–1361, 2025, doi: 10.33024/hjk.v18i11.580. Available: https://doi.org/10.33024/hjk.v18i11.580

[31] A. Asyima et al., “Anemia pada kehamilan: Dampak klinis, komplikasi, dan strategi manajemen,” Detector: J. Inov. Ris. Ilmu Kesehat., vol. 3, no. 4, pp. 235–249, 2025, doi: 10.55606/detector.v3i4.5875. Available: https://doi.org/10.55606/detector.v3i4.5875.