The Effect of Family Approach Model Education and Zinc Supplementation on Pregnant Women with Chronic Energy Lack from Poor Family

Halisah Halisah; Armiyati Nur; Nurpudji Astuti Taslim; Sitti Maisuri Chalid; Aidah Juliaty; Nasrudin Andi Mappaware; Mardiana Ahmad; Firdaus Hamid; Ema Alasiry; Aminuddin Aminuddin; Kiki Uniatri Thalib; Siti Suharni Hermanses; Fasiha Fasiha; Ismayanti H. Achmad; Mustardianto Mustardianto

doi:10.3889/oamjms.2022.9192

Authors

Halisah Halisah Doctoral Program, Graduate School of Medicine, Hasanuddin University, Makassar, Indonesia
Armiyati Nur Doctoral Program, Graduate School of Medicine, Hasanuddin University, Makassar, Indonesia
Nurpudji Astuti Taslim Department of Clinical Nutrition, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Sitti Maisuri Chalid Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Aidah Juliaty Department of Pediatrics, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Nasrudin Andi Mappaware Department of Obstetrics and Gynecology, Faculty of Medicine, University of Muslim Indonesia, Makassar, Indonesia
Mardiana Ahmad Department of Midwifery, Graduate School, Hasanuddin University, Makassar, Indonesia
Firdaus Hamid Department of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Ema Alasiry Department of Pediatrics, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Aminuddin Aminuddin Department of Clinical Nutrition, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
Kiki Uniatri Thalib Department of Midwifery, College of Health Science Andini Persada, Mamuju, Indonesia
Siti Suharni Hermanses Department of Midwifery, College of Health Science Andini Persada, Mamuju, Indonesia; Department of Midwifery, Maluku Health Polytechnic, Maluku, Indonesia
Fasiha Fasiha Department of Midwifery, Maluku Health Polytechnic, Maluku, Indonesia
Ismayanti H. Achmad Department of Midwifery, Maluku Health Polytechnic, Maluku, Indonesia
Mustardianto Mustardianto Master of Nursing Program, Jenderal Achmad Yani University, Cimahi, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9192

Keywords:

Education, Chronic energy deficiency, Zinc, Teenage pregnancy

Abstract

BACKGROUND: Pregnant women’s health and nutritional status must be maintained because they are indicators of perinatal growth and neonatal welfare; efforts to prevent fetal growth disorders must begin with pregnant women, one of which is through increased knowledge and nutritional supplementation.

AIM: This study aimed to examine the effect of family-based education and zinc supplementation on knowledge, weight, upper arm circumference, nutritional intake, serum zinc levels, insulin-like growth factor-1 (IGF-1), hemoglobin, infant anthropometry, and placenta in stunted pregnant women.

MATERIALS AND METHODS: Quasi-experiment with a pre-post-test control design was carried out from September 2020 to June 1, 2021, in four areas of the Mamuju Regency City Health Center. The subject population is pregnant women aged 20–26 weeks gestation, experiencing chronic energy deficiency.

RESULTS: The mean knowledge increased in the intervention group with a rate of change of 133.57%, while the control group did not experience a significant increase. Unpaired t-test showed a significant difference in the mean serum zinc, IGF-1, and hemoglobin levels with p < 0.001.

CONCLUSION: Zinc supplementation is very beneficial for pregnant women, especially teenage pregnant women who have chronic energy deficiency, but the results of zinc supplementation are better accompanied by providing education based on a family approach, as a form of community support system for mothers, because family diet has a strong impact on pregnant women diet.

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