Background: Postpartum mothers are susceptible to anemia, due to loss of blood count during labor. Postpartum anemia causes uterine subinvolution which causes postpartum hemorrhage, facilitates puerperium infection, decreases breastfeeding and causes mamae infection. One alternative to prevent anemia in postpartum is to consume vegetables with high iron one red spinach. Red spinach is one of the non-heme iron sources needed to synthesize hemoglobin.
Objective: To determine the effect of red spinach in increasing the levels of hemoglobin in postpartum mothers.
Methods: This was a quasi-experiment with pretest posttest with control group design in October-December 2017 at the Community Health Center of PONED Tarub, Tegal regency, Indonesia. Thirty postpartum mothers were included using purposive sampling, which 15 assigned in each group. Blood sampling and examination were performed in each respondent. Paired and Independent t-test were done for data analysis.
Results: The results of the 14-day intervention of given red spinach extract showed that there was a significant increase of hemoglobin level (1.25 g / dL) with p-value 0.047.
Conclusion: There is a significant effect of consuming red spinach extract (Amaranthus tricolor L.) on the increase of hemoglobin level in postpartum mother. It is recommended that midwives could apply this intervention and cooperate with agriculture and food processing in order to produce red spinach extract that increases hemoglobin, hematocrit and erythrocytes levels.
National Population and Family Panning Board. Indonesian health and demographic survey 2012. Jakarta: National Population and Family Panning Board; 2013.
Benoist Bd, McLean E, Egll I, Cogswell M. Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia. Geneva: WHO; 2008.
Taner CE, Ekin A, Solmaz U, et al. Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery. Journal of the Turkish German Gynecological Association. 2015;16(4): 231.
Department of Health of Tegal Regency. Health profile of Tegal Regency. Tegal, Indonesia: Department of Health of Tegal Regency;2014.
Prawirohardjo S. Obstetrics. 4th ed. Jakarta: Tridasa Printe; 2010.
Handayani T. Apotek hidup. Yogyakarta: CV. Ilmu Padi Infra Pustaka Makmur; 2013.
Fajria MA, Wuyung PE, Handayani S, Freisleben SKU, Freisleben H-J. Effect of red spinach amaranthus gangeticus vs commercial iron tablets to increase blood levels of iron & hemoglobin in iron-adequate mice. Asian Journal of Biochemical and Pharmaceutical Research. 2015;5(3):136-142.
Aryani RP, Widyaningrum T. Pengaruh dosis ekstrak air daun bayam merah (amaranthus tricolor l.) terhadap jumlah eritrosit dan kadar hemoglobin pada tikus putih (rattus norvegicus): Sebagai sumber belajar biologi siswa sma kelas XI pada materi pembelajaran sistem sirkulasi pada manusia [Effect of a dose of water extract of red spinach leaves (amaranthus tricolor l.) on the number of erythrocytes and hemoglobin levels in white rats (rattus norvegicus): As a source of biology learning for high school students in class XI on learning material in the circulation system in humans]. Jurnal Bioedukatika. 2013;1(1).
Hadwinata G, Jasaputra DK, Suhendra A. The effect of red amaranth (amaranthus gangeticus l.) on the level of fe serum in wistar female rats. Bandung, Indoensia: Faculty of Medicine, Maranatha Christian University; 2015.
Guyton AC. Human physiology and mechanisms of disease. Philadelphia: WB Saunders Co; 1992.
Bakta IM. Hematologi klinik ringkas [Brief clinical hematology]. Jakarta: EGC; 2006.
Astuti KH, Widyastuti AH. Pengaruh konsumsi jus bayam merah terhadap peningkatan kadar Hb pada ibu hamil di Kecamatan Tawangmangu [Effect of red spinach juice on the increase of Hb level in pregnant mothers at Tawangmangu district]. Jurnal Bidan Prada. 2015;6(1).
Muwakhidah M. efek suplementasi Fe, asam folat dan vitamin b12 terhadap peningkatan kadar hemoglobin (Hb) pada pekerja wanita di Kabupaten Sukoharjo [Effect of Fe supplementation, folat acid and vitamin b12 on the increase of hemoglobin level at working women at Sukoharjo district]. Semarang: Program Pascasarjana Universitas Diponegoro; 2009.
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