Differences in Hemoglobin Levels in Pregnant Women through Multi-Micronutrient Supplements and Iron Tablets

Jamaludin Sakung; Dewi Tosae; Gunarmi Gunarmi; Andi Imam Arundhana

doi:10.3889/oamjms.2022.7794

Authors

Jamaludin Sakung Department of Health Biochemistry, Faculty of Teacher Training and Education, Tadulako University, Palu, Indonesia
Dewi Tosae Department of Midwifery, STIKES Guna Bangsa Yogyakarta, Depok, Indonesia
Gunarmi Gunarmi Department of Midwifery, STIKES Guna Bangsa Yogyakarta, Depok, Indonesia
Andi Imam Arundhana Department of Nutrition, School of Public Health, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.7794

Keywords:

Anemia, Multi-micronutrient, Pregnant women, Low-middle-income countries

Abstract

BACKGROUND: A high incidence of anemia, particularly severe anemia, among pregnant women has been a major cause of maternal mortality worldwide. Multi-micronutrient supplement (MMS) has been beneficial for health outcomes.

AIM: The study was aimed to examine the effect of MMS compared to iron-folic acid supplement (IFA) on hemoglobin (Hb) levels among pregnant women.

METHODS: The study was a quasi-experiment with a three-group pre-post-test design, namely, IFA group, MMS group, and MMS + IFA group. A total of 120 participants enrolled were divided equally in each group. The statistical analysis performed was paired t-test and one-way ANOVA using SPSS.

RESULTS: The study result shows that there was a significant difference in the Hb levels of pregnant women after the intervention in all groups (p < 0.001). The highest increase in Hb levels was in the IFA + MMS combining group by 1.1 g/dL of Hb followed by MMS and IFA (0.8 ± 0.37 and 0.4 ± 0.31, respectively).

CONCLUSION: The combination of Fe and MMS groups could increase Hb levels compared to IFA. Thus, replacing IFA with MMS is reasonably in preventing anemia among pregnant women.

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