Supplementation of eel sauge (monopterus albus) on the level of hemoglobin post-operating sesar with anemia

Abstract

Background

Postpartum anemia is a medical condition where the number of red blood cells or hemoglobin is less than 12 gr / dl. One of the causes of postpartum anemia is iron deficiency anemia because of bleeding during labor. One of the government programs for treating anemia is by giving Blood Add Tablets (TTD) and providing food supplementation. The nutritional content of 100 grams of eel is calories (303 kcal), protein (14 g), fat (27 g), carbohydrates (0 g), phosphorus (200 g), calcium (20 g), iron (20 g), vitamin A (1600 SI), vitamin B (0.1 mg), vitamin C (2 mg), water (58 g). Sausage is one of the food products that is currently popular with the public and easy to consume.

Objective

To prove the effect of eel sausage supplementation on postoperative hemoglobin levels with anemia.

Methods

Quasy Experiment, Purposive Random Sampling, Pre Post Control Group Design. The subjects of the study were post-cesarean section with anemia, 7-11 gr / dl Hb, no eel allergy, 32 respondents divided into 2 groups, intervention 16 respondents, control 16 respondents. The intervention group was given 35 gr eel sausage, Fe 60 mg tablets and vitamin C 100 mg 1x / day for 7 days while the control group was given Fe 60 mg tablets and vitamin C 100 mg 1x / day for 7 days. Hb was measured by Cyanmethaemoglobin. Hypothesis testing of T berpasangan, Wilcoxon Rank and Mann Whitney U Test.

Results

There was a significant difference in mean hemoglobin levels after cesarean section with anemia before and after eel sausage supplementation, Fe 60 mg tablets and vitamin C 100 mg 1x / day for 7 days, before treatment 9,450 (0.92) gr / dl after administration treatment of 10,900 (1.08) gr / dl with an average difference of 1,450 (0.63) gr / dl, p value = 0.001. There was a significant difference in mean hemoglobin levels before and after administration of Fe 60 mg tablets and vitamin C 100 mg 1x / day for 7 days, before being treated 10,425 (0.75) gr / dl after treatment was given 10,519 (0.73) gr / dl with a mean difference of 0.094 (0.77) gr / dl, p value = 0.002. There was a significant difference in mean hemoglobin level after cesarean section with anemia after being given Fe 60 mg tablets and vitamin C 100 mg with 35 gr eel sausage supplementation compared to without eel sausage supplementation, the mean difference was 1.356 gr / dl p value = 0.001

Conclusion

Eel sausage supplementation effectively increases hemoglobin levels after cesarean section with anemia.

Suggestion

After a cesarean section, the hospital can use eel sausage supplementation to increase hemoglobin levels.