Efektivitas Kombinasi Citrus Sinensis dan Akupresur terhadap Emesis Gravidarum dan Stabilitas Tekanan Darah Ibu Hamil Trimester 1 Kota Padang

Fafelia Rozyka Meysetri, Aprima Yona, Abdul Rahman

Abstract


Pendahuluan:Emesis gravidarum masih menjadi masalah kesehatan dengan tingginya kasus kematian ibu dan janin.Data Global kasus emesis gravidarum mencapai 90% pada ibu hamil. Di Indonesia 85% ibu hamil mengalami emesis gravidarum dan Sumatera Barat sebanyak 89% ibu hamil mengalami emesis gravidarum.EmesisgravidarumpadaibuhamilTrimester1yangmerupakan fase paling krusial penyebab komplikasi selama kehamilan yang mengganggu asupan nutrisi, meningkatkan stress, menghambat aliran darah yang membahayakan pertumbuhan perkembangan janin dan kematian. Tujuan: Dikombinasikan citrus sinensis dan akupresur terhadap penurunan emesis gravidarum dan stabilitas tekanan darahpadaibuhamilsebagaistrategimultimodalmenurunkanemesis gravidarum serta menurunkan angka kematian ibu dan janin. Metode: Penelitian ini menggunakan desain quasi-eksperimen dengan rancangan one grup pretest-posttest. Sampel dalam penelitian ini ibu hamil trimester 1 denganemesisgravidarumyang telahmemberikanpersetujuandengan besaran sampel 15 responden. Data dianalisis dengan uji paired sample t-test. Hasil: Rerata emesis gravidarum sebelum diberikan citrus sinensis dan terapi akupresur titik perikardium 6 yaitu 10,18 dan sesesudah5,64. Rata-rata tekanan darah sistolik berubah dari 116,4 ± 8,2 mmHg menjadi 114,1 ± 5,1 mmHg (p=0,041), sedangkan tekanan darah diastolik berubah dari 75,8 ± 5,4 mmHg menjadi 73,9 ± 3,7 mmHg (p=0,038). Kesimpulan: Kombinasi Citrus sinensis dan akupresur efektif menurunkan emesis gravidarum serta membantu mempertahankan stabilitas tekanan darah pada ibu hamil trimester I.

Keywords


Akupresur, Citrus Sinensis, Emesis Gravidarum, Kehamilan Trimester I, Tekanan Darah

Full Text:

PDF

References


Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th ed. New York: McGraw Hill Education; 2022.

Sia TE, Abdus Salam RA, Ismail R, et al. Effect of Acupressure At P6 on Nausea and Vomiting in Women with Hyperemesis Gravidarum: a Randomized Controlled Trial. Front Med (Lausanne). 2022;9(8):94-1056.

Ebrahimi N, Maltepe C, Einarson A. Emerging Progress in Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum. J Obstet Gynaecol. 2022;42(1):26–32.

Das A, Mandal A. Effect of the Aroma of Sweet Orange Peel (Citrus aurantium) on Emesis Gravidarum in First Trimester Pregnant Women: a Pharmacological Review. J Ethnopharmacol. 2020;2(6):113-33.

Li M, Santosa A, Weinhold F, Mandalari G. Stability and Delivery Challenges of Emesis Gravidarum in Gastrointestinal Conditions. Food Res Int. 2021;14(9).

Nahdiana N, Cholifah S. Effectiveness of Citrus Lemon Aromatherapy and PC6 Acupressure on Reducing Nausea and Vomiting in First Trimester Pregnancy. Info Kesehatan. 2023;5(2):1–10.

Niebyl JR. The Pharmacologic Management of Nausea and Vomiting of pregnancy. J Fam Pract Women’s Health Suppl. 2023;63(2):45–52.

Jeyabalan A, Caritis SN. Functional Gastroesophageal Reflux in Infancy. N Engl J Med. 2022;8(2):45–56.

Ghate S. Gastroesophageal reflux management guidance. Life Sci J. 2022;11(3):11–25.

Patil SB, Kodliwadmath MV, Sheela MK. Fanaroff and Martin’s Neonatal–Perinatal Medicine. 5th ed. India: J Obstet Gynecol Press; 2022.

Gupta S, Agarwal A, Banerjee J, Alvarez JG. The Role of Oxidative Stress in Spontaneous Abortion and Recurrent Pregnancy Loss: a Systematic Review. Obstet Gynecol Surv. 2007;62(5):335–347.

Lestari A, et al. Nausea and Vomiting of Pregnancy: Multiple Contributing Factors. Info Kesehatan. 2023;5(2):1–10.

Quinlan JD, Hill DA. Nausea and Vomiting of Pregnancy. Am Fam Physician. 2023;68(1):121–128.

Niebyl JR. The Pharmacologic Management of Nausea and Vomiting of Pregnancy. J Fam Pract Women’s Health Suppl. 2022;63(2):45–52.

World Health Organization (WHO). Interventions for Common Perinatal Mental Disorders in Women in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Geneva: WHO; 2024.

Koren G, Piwko C, Ahn E, et al. Nausea and Vomiting of Pregnancy: Using the 24-Hour Pregnancy-Unique Quantification of Emesis (PUQE-24) scale. J Obstet Gynaecol. 2021;29(8):722–728.

Eberhardt MK. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines. Boca Raton: CRC Press; 2021. p.174–179.

Lacasse A, Rey E, Ferreira E, Morin C, Bérard A. Validity of a Modified Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) Scoring Index to Assess Severity of Nausea and Vomiting of Pregnancy. Obstet Med. 2021;14(4):195–201.

Aprima Y, Abdur Rahman. Pengaruh Aromaterapi Citrus lemon dan Citrus sinensis terhadap Mual Muntah Ibu Hamil di Puskesmas Lubuk Buaya Padang. J Mater Process Technol. 2024;1–23.

Ontario Midwives. Pregnancy-Unique Quantification of Emesis (PUQE-24) Scale and NVP Algorithm. Ontario: Ontario Midwives Association; 2021.

Fafelia R, Aprima Y, Hartati. Efektivitas Ekstrak Citrus sinensis terhadap Penurunan Frekuensi Emesis Gravidarum pada ibu Hamil Trimester I di Puskesmas Andalas Kota Padang. J Pengabdian Masy Aufa (JPMA). 2022;4(1):1–10.

Fafelia R, Aprima Y. Pengaruh Akupresur pada Titik Neiguan (P6) terhadap Emesis Gravidarum pada Ibu Hamil Trimester 1. J Kesehatan Qamarul Huda.2023;11(1):271–275. doi:10.37824/jkqh.v11i1.2023.506.

Aprima Y, Fafelia R. Perbandingan Efektivitas Akupresur dan Aromaterapi Lemon terhadap Penurunan Emesis Gravidarum. J Kesehatan Qamarul Huda.2023;11(1):271–275.

Fafelia R, Aprima Y, Niken. Efek Pemberian Vitamin C terhadap Tekanan Darah Ibu Hamil Trimester I. Smart Kebidanan J. 2022;9(2):58–63.

Hadirsman H. Tanya Jawab Penelitian Kesehatan. Sleman: Gosyen Publishing; 2021.

Orenstein SR, Shalaby TM. The Effectiveness of A Combination of Lemon (Citrus) Aromatherapy and Acupressure Massage in Reducing Emesis Gravidarum in Pregnant Women. Indones J Global Health Res. 2024;6(2):80–87.




DOI: https://doi.org/10.33085/jbk.v9i2.7007

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Jurnal Bidan Komunitas

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

Sponsored/Supported by:

                     

Contact Person: Wardiah Suryani

Midwifery Department, Faculty of Pharmacy and Health, Institut Kesehatan Helvetia, Medan, Indonesia.

Jl. Kapt Sumarsono 107, Helvetia, Medan Helvetia, Medan, Sumatera Utara - 20124.

Call/WA : +6281993662783. Telp : (061) 42084106

email : bidankomunitas@helvetia.ac.id