Main Article Content

Abstract

In a quasi-experimental study, we investigated the impact of ginger and lemon boiled water on level 1 hyperemesis gravidarum in pregnant women. Utilizing a one-group pretest-posttest design, the study involved 20 participants who reported experiencing severe hyperemesis gravidarum symptoms. Following the intervention, the incidence of severe symptoms was reduced to zero among the participants. Statistical analysis with the Wilcoxon signed-rank test revealed a significant reduction in symptoms (p=0.001), indicating the potential of ginger and lemon boiled water as an effective non-pharmacological remedy for nausea and vomiting in pregnancy. These results advocate for the inclusion of alternative therapies in health education for pregnant women and highlight the necessity of seeking professional healthcare advice when experiencing such symptoms.

Keywords

Ginger, lemon boiled water, pregnant women, hyperemesis gravidarum, Wilcoxon

Article Details

How to Cite
1.
Evitasari D, Amalia M, Suyanti S, Listiani I, Purnamasari D, Po Yuan Wang, Juan Anthonio. Investigating the Efficacy of Ginger and Lemon Boiled Water: A New Approach to Treating Mild Hyperemesis Gravidarum in Pregnant Women. EKSAKTA [Internet]. 2024Mar.30 [cited 2024Jun.21];25(01):24-37. Available from: https://eksakta.ppj.unp.ac.id/index.php/eksakta/article/view/388

References

  1. Bolan, N., Cowgill, K. D., Walker, K., Kak, L., Shaver, T., Moxon, S., & Lincetto, O. (2021). Human resources for health-related challenges to ensuring quality newborn care in low-and middle-income countries: a scoping review. Global Health: Science and Practice, 9(1), 160-176.
  2. Ayaz, B., Martimianakis, M. A., Muntaner, C., & Nelson, S. (2021). Participation of women in the health workforce in the fragile and conflict-affected countries: a scoping review. Human Resources for Health, 19, 1-14.
  3. Ara, I., Maqbool, M., & Gani, I. (2022). Reproductive Health of Women: implications and attributes. International Journal of Current Research in Physiology and Pharmacology, 8-18.
  4. Kingsley, J. P., Vijay, P. K., Kumaresan, J., & Sathiakumar, N. (2021). The changing aspects of motherhood in face of the COVID-19 pandemic in low-and middle-income countries. Maternal and child health journal, 25, 15-21.
  5. Kingsley, J. P., Vijay, P. K., Kumaresan, J., & Sathiakumar, N. (2021). The changing aspects of motherhood in face of the COVID-19 pandemic in low-and middle-income countries. Maternal and child health journal, 25, 15-21.
  6. Dunbar, K., Yadlapati, R., & Konda, V. (2022). Heartburn, Nausea, and Vomiting During Pregnancy. Official journal of the American College of Gastroenterology| ACG, 117(10S), 10-15.
  7. SINHA, P. (2022). COMMON AILMENTS IN THE FIRST TRIMESTER. A Guide to Problems in Early Pregnancy and Their Management, 44.
  8. Liu, C., Zhao, G., Qiao, D., Wang, L., He, Y., Zhao, M., ... & Jiang, E. (2022). Emerging progress in nausea and vomiting of pregnancy and hyperemesis gravidarum: challenges and opportunities. Frontiers in Medicine, 8, 809270.
  9. Bottone-Post, C. (2022). Nausea and vomiting of pregnancy. In Clinical Pharmacology During Pregnancy (pp. 155-176). Academic Press.
  10. Paquette, H. J. (2021). Pregnant Women’s Experiences with Gastrointestinal Discomforts and Strategies They Use to Cope (Doctoral dissertation, Marquette University).
  11. Jordan, R. G., & Cockerham, A. Z. (2023). Common discomforts of pregnancy. Prenatal and Postnatal Care: A Person-Centered Approach, 233.
  12. Nelson‐Piercy, C., Dean, C., Shehmar, M., Gadsby, R., O'Hara, M., Hodson, K., ... & Royal College of Obstetricians and Gynaecologists. (2024). The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green‐top Guideline No. 69). BJOG: An International Journal of Obstetrics & Gynaecology.
  13. Lentern, B. (2022). The relationship between diet, supplement use, and the prevalence and severity of nausea and vomiting during the 1st and 2nd trimesters of pregnancy.
  14. Ibrahim, A., A El-Sheikh, M., & Mostafa, E. (2021). Application of Evidence Based Measures for Alleviating Minor Discomforts during 1st Trimester of Pregnancy. Egyptian Journal of Health Care, 12(3), 723-736.
  15. Dewi, N. R., & Wahyuni, S. (2022). Knowledge and Attitude of Pregnant Women Related to Hyperemesis Gravidarum at Jagong Health Center, Jagong Jeget District, Central Aceh Regency in 2021. Bioscientia Medicina: Journal of Biomedicine and Translational Research, 6(4), 1613-1616.
  16. Brox, C. (2022). Evaluation of antiemetic treatment of women hospitalised for Hyperemesis gravidarum at Muhimbili National Hospital, Dar es Salaam, Tanzania (Master's thesis, The University of Bergen).
  17. Prama, S. O., & Ramadhani, S. P. (2022). The Relationship Of Characteristics Of Pregnant Women In Trimester 1 With The Event Of Hyperemesis Gravidarum In Shafaa Marwa Clinic, Batam City In 2020. Science Midwifery, 10(2), 863-870.
  18. Ibrahim, W. H., Mohamed, H. M., & Abdel-fatah, W. H. (2020). Relationship between Fetal Sex and pattern of Nausea, Vomiting and Cholasma among Pregnant women at Assuit city. Assiut Scientific Nursing Journal, 8(20), 200-208.
  19. Fadhilah, N., Mayetti, M., & Rasyid, R. (2021). Effect of Pericardium Point Acupressure 6 on Gravidarum Emesis Trimester I Pregnant Women at the Working Area Public Halth Center Koto Berapak In 2020. Science Midwifery, 10(1, October), 367-378.
  20. Abidah, S. N., Anggraini, F. D., Nisa, F., & Hasina, S. N. (2022). The effect of ginger herbal drink on hyperemesis gravidarum in the first trimester pregnant women. Open Access Macedonian Journal of Medical Sciences, 10(G), 64-68.
  21. Laili, U., & Zuwariah, N. (2022). Analysis of socio-demographic factors affecting the management options for emesis gravidarum in pregnant women. Jurnal Ners dan Kebidanan Indonesia, 10(2), 116-123.
  22. Medved, V. I., Zhuk, S. I., Konkov, D. H., Litvinov, S. K., & Ocheretna, O. L. (2023). The evidence bases of etiopathophysiology and preventive clinical management of nausea and vomiting in pregnancy. Reprod Health Women, 4, 13-28.
  23. Paquette, H. J. (2021). Pregnant Women’s Experiences with Gastrointestinal Discomforts and Strategies They Use to Cope (Doctoral dissertation, Marquette University).
  24. Vaamonde, D., Hernandez, P., Bonnifield, E., & Rosenthal, L. (2022). Traditional Chinese medicine and Ayurvedic care during pregnancy. In Fertility, Pregnancy, and Wellness (pp. 415-438). Elsevier.
  25. Elkins, J. R., Oxentenko, A. S., & Nguyen, L. A. B. (2022). Hyperemesis gravidarum and nutritional support. Official journal of the American College of Gastroenterology| ACG, 117(10S), 2-9.
  26. Clark, S. M., Zhang, X., & Goncharov, D. A. (2022). Inpatient Management of Hyperemesis Gravidarum. Obstetrics & Gynecology, 10-1097.
  27. Asi, M., Aisa, S., & Usman, A. N. (2021). Eating habits and history of hyperemesis gravidarum as a risk factor of preeclampsia. Gaceta Sanitaria, 35, S501-S505.
  28. Tan, P. C., Kartik, B., Thanendran, P., Zakaria, R., Win, S. T., & Omar, S. Z. (2020). Taste, smell and food-related nausea and vomiting responses in hyperemesis gravidarum: a case-controlled study. Scientific reports, 10(1), 4445.
  29. Lu, H., Zheng, C., Zhong, Y., Cheng, L., & Zhou, Y. (2021). Effectiveness of acupuncture in the treatment of hyperemesis gravidarum: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine, 2021, 1-14.
  30. Brox, C. (2022). Evaluation of antiemetic treatment of women hospitalised for Hyperemesis gravidarum at Muhimbili National Hospital, Dar es Salaam, Tanzania (Master's thesis, The University of Bergen).
  31. Shaukat, M. N., Nazir, A., & Fallico, B. (2023). Ginger Bioactives: A Comprehensive Review of Health Benefits and Potential Food Applications. Antioxidants, 12(11), 2015.
  32. Tian, F. (2023). New Product Development of a Premenstrual Syndrome Supplement, Focusing on the Nutraceutical ctive Ingredients; Pycnogenol, Lemon Balm, Ginger, and Saffron. London Journal of Medical and Health Research, 23(7), 55-85.
  33. Kamali, A., Beigi, S., Shokrpour, M., & Pazuki, S. (2020). The efficacy of ginger and doxedetomidine in reducing postoperative nausea and vomiting in patients undergoing abdominal hysterectomy. Alternative Therapies in Health and Medicine, 26(2), 28-33.
  34. Schulz, R. M., Ahuja, N. K., & Slavin, J. L. (2022). Effectiveness of Nutritional Ingredients on Upper Gastrointestinal Conditions and Symptoms: A Narrative Review. Nutrients, 14(3), 672.
  35. Ramadhanu, A. (2022). Effectiveness of Ginger in Treating Nausea and Vomiting of Pregnancy. Eureka Herba Indonesia, 3(1), 111-115.
  36. Hollmann, S., Frohme, M., Endrullat, C., Kremer, A., D’Elia, D., Regierer, B., ... & Cost Action CA15110. (2020). Ten simple rules on how to write a standard operating procedure. PLoS Computational Biology, 16(9), e1008095.
  37. Rizki, F., Noor, N. B., & Mangilep, A. U. (2020). Analysis of Standard Operational Procedures implementation on medical records completion at Stella Maris Hospital in Makassar, Indonesia. Enfermería Clínica, 30, 35-39.
  38. Lissenden, N., Armistead, J. S., Gleave, K., Irish, S. R., Martin, J. L., Messenger, L. A., ... & Lees, R. S. (2021). Developing consensus standard operating procedures (SOPs) to evaluate new types of insecticide-treated nets. Insects, 13(1), 7.
  39. Doloksaribu, M. (2023). Administration of Lemon Water Towards Emesis Gravidarum. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(S1), 51-56.
  40. Akbar, F., Ayunniawati, R., & Ulya, A. F. (2022). The Effectiveness of Giving Ginger Hot Drinks to Reduce Nausea and Vomiting Complaints in Pregnant Women: Literature Review. UNEJ e-Proceeding, 60-71.
  41. Laili, U., & Zuwariah, N. (2022). Analysis of socio-demographic factors affecting the management options for emesis gravidarum in pregnant women. Jurnal Ners dan Kebidanan Indonesia, 10(2), 116-123.
  42. Salim, Y. H. (2023). Effectiveness of Ginger and Lemon Generation on Nau, Vovoging in Trimester I Pregnant Women. Asian Journal of Community Services, 2(1), 103-116.
  43. Siregar, E. L. A., Nasution, Z., & Lumbanraja, S. (2022). The Effect of Ginger Booking and the Aroma of Lemon Inhalation Therapy Towards Gerdadian Emesis Gravidarum for Pregnant Mothers in Trimester I. Science Midwifery, 10(4), 3256-3266.
  44. Maframi, R. (2022). The effectiveness of ginging ginger candy towards nausea and vomiting in pregnant women in air teluk ki village in 2022. Science Midwifery, 10(2), 636-641.
  45. Dahab, A., Qurban, S., Altowyrqi, G., Aljuhani, R., Haij, J., Alkhunaizi, N., ... & Alshalawi, S. (2023). Presentation, Treatment, and Complications of Acute Dehydration in Hyperemesis Gravidarum.
  46. Beck, C. T. (2023). Survivors' Experiences of Hyperemesis Gravidarum. Journal of Infusion Nursing, 46(6), 338-346.
  47. MacGibbon, K. W. (2020). Hyperemesis gravidarum: strategies to improve outcomes. Journal of Infusion Nursing, 43(2), 78-96.
  48. Safajou, F., Soltani, N., Taghizadeh, M., Amouzeshi, Z., & Sandrous, M. (2020). The effect of combined inhalation aromatherapy with lemon and peppermint on nausea and vomiting of pregnancy: A double-blind, randomized clinical trial. Iranian journal of nursing and midwifery research, 25(5), 401.
  49. Simbolon, M., & Koli, T. M. (2022). The Influence of Giving Lemon Aromatherapy on Pregnant Women with Emesis gravidarum. Science Midwifery, 10(5), 4088-4093.
  50. Novita, W., Pusvita, H., Susanti, H., & Intan, M. (2023). The effectiveness of giving lemon aromatherapy to reduce the frequency of emesis gravidarum in pregnant women. International Journal on ObGyn and Health Sciences, 1(3), 98-103.

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