• Document: International Journal of Sciences: Basic and Applied Research (IJSBAR) ISSN (Print & Online)
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International Journal of Sciences: Basic and Applied Research (IJSBAR) ISSN 2307-4531 (Print & Online) http://gssrr.org/index.php?journal=JournalOfBasicAndApplied --------------------------------------------------------------------------------------------------------------------------- The Extract of Moringa Leaf Has an Equivalent Effect to Iron Folic Acid in Increasing Hemoglobin Levels of Pregnant Women: A randomized Control Study in the Coastal Area of Makassar Nadimina*, Veni Hadjub, Suryani As’adc, Agussalim Bucharid a Department of Nutrition, Health Polytechnic of Makassar, Indonesia b Study Program of Nutrition Science, Public Health Faculty of Hasanuddin University, Indonesia c,d Department of Nutrition, Medical Faculty of Hasanuddin University, Indonesia a Email: dimin_rangga@yahoo.co.id Abstract Moringa is a tropical plant that is often found in South Sulawesi, but the use is still limited as a vegetable. Moringa leaf contain a number of nutrients such as protein, iron and vitamin C potentially to prevent anemia were more common in pregnant women. This study aimed to determine the effect of Moringa leaf extract for anemia prevention in pregnant women. This study used a Randomized Double Blind design, Pretest-Posttest controlled by using a sample of non-anemic pregnant women. Hemoglobin (Hb) level was measured by cyanment hemoglobin method using a hemocue. Hb levels of pregnant women in a group of moringa leaf extract before intervention (11 283 ± 0777 g/dL) increased to 11 754 ± 1089 g/dL after intervention (p = 0.040). Hb levels of pregnant women in folic iron group also increased between before and after intervention (p = 0.002). The amount of increase in hemoglobin concentration of pregnant women in folic iron group of 0.9886 ± 1.7638 g/dL) higher than moringa leaf extract group (0.4771 ± 1.3051 g/dL), but a large increase in hemoglobin levels between the two groups was not significant (p = 0168). ------------------------------------------------------------------------ * Corresponding author. E-mail address: dimin_rangga@yahoo.co.id. 287 International Journal of Sciences: Basic and Applied Research (IJSBAR)(2015) Volume 22, No 1, pp 287-294 Moringa leaf extract can improve hemoglobin levels and have equal ability with iron supplements of folic acid in preventing anemia in pregnant women. Moringa leaf extract can be used as an alternative to prevention of anemia in pregnant women. Keywords: Pregnant women; Moringa leaf extract; Anemia. 1. Introduction Nutrient deficiency is a public health problem that is often found in pregnant women in Indonesia, thus increasing the risk of morbidity and mortality in mothers and infants. Maternal mortality rate in 2007 was 228 per 100,000 live births, still two times more than MDG’s target by 2015 in the amount of 102 per 100,000 live births [1]. A factor that contributes to the high rate of maternal mortality is due to deficiency of micronutrients. Pregnant women who are anemic at greater risk for morbidity and perinatal mortality [2]. Micronutrient deficiency problems that are often found in pregnant women are iron deficient. Iron deficiency is the most common nutritional problems found throughout the world, which causes iron deficiency anemia in 500 to 600 million people [3]. Based on Health Research in 2013, the prevalence of anemia in pregnant women in Indonesia reached 37.1% [4], and in South Sulawesi is 46.7% [5]. Iron deficiency has been known not only cause anemia in pregnant women. Iron substances usually interact with other micro nutrients in the body, such as zinc (Zn) and vitamin C. In pregnant women with anemia was also found to have deficiencies of micronutrients such as Zn and folic acid [6]. In coastal communities and urban suburban areas often encountered poor environmental health conditions, the low level of education and lack of awareness about healthy lifestyle, as well as low levels of family economy. In poor societies or low-income families, people’s ability to maintain and improve the health status are also low so the impact on the nutritional status and public health, especially mothers and children health. Pregnant women are one of vulnerable groups to the nutritional problems. Based on [7] research showed a housewife who suffered with Chronic Energy Deficiency (CED) during pregnancy of 40.

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