Moringa Leaf Extract as a Natural Intervention to Increase Hemoglobin Levels in Postpartum Anemia

Authors

DOI:

https://doi.org/10.30994/jnp.v9i1.943

Keywords:

hemoglobin levels, maternal health, moringa oleifera, nutritional supplementation, postpartum anemia

Abstract

Background: Postpartum anemia is a significant health problem that contributes to maternal morbidity and mortality. It is estimated that 50–80% of women experience anemia within 48 hours after childbirth. In Indonesia, postpartum anemia is among the leading causes of maternal mortality. Effective and affordable interventions are urgently needed to improve maternal outcomes. Moringa (Moringa oleifera) leaves are rich in iron and essential nutrients that may support hemoglobin synthesis.

Purpose: This study aimed to evaluate the effect of Moringa leaf extract on hemoglobin levels in postpartum women with anemia.

Methods: A quasi-experimental study was conducted among postpartum women diagnosed with anemia. Participants were divided into an intervention group receiving Moringa leaf extract and a control group receiving standard care. Hemoglobin levels were measured before and after the intervention. Data were analyzed using paired and independent statistical tests with a significance level of p<0.05.

Results: The intervention significantly improved hemoglobin levels, with the mean rising from 8.65 g/dL pre-test to 10.93 g/dL post-test (p < 0.05). The average increase of 2.27 g/dL was accompanied by a more uniform distribution, indicating effective enhancement of maternal hemoglobin status after intervention.

Conclusion: Moringa leaf extract is effective in increasing hemoglobin levels among anemic postpartum women. This low-cost, natural intervention can be considered as a complementary strategy in the management of postpartum anemia, particularly in low- and middle-income settings. Further large-scale randomized controlled trials are recommended to confirm these findings.

Downloads

Download data is not yet available.

References

Ageno, P., Falanga, A., & Muñoz, M. (2024). Current concepts in postpartum anemia management. Expert Review of Hematology, 17(2), 99–110. https://doi.org/10.1080/17474086.2024.2366789.

Al-Malki, A. L., & El Rabey, H. A. (2020). The antianemic effect of Moringa oleifera in an animal model. BMC Complementary Medicine and Therapies, 20(1), 1–9. https://doi.org/10.1186/s12906-020-02901-1.

Antoine, E., Mehedintu, C., Mitran, M., & Diculescu, D. (2023). Sucrosomial® iron effectiveness in recovering from mild and moderate iron-deficiency anemia in the postpartum period. BMC Pregnancy and Childbirth, 23(1), 556. https://doi.org/10.1186/s12884-023-05658-7.

Astutik, R.Y., & Ertiana, D. (2018). Anemia in pregnancy. CV Pustaka Abadi. Retreived frpm https://books.google.co.id/books?id=6tisDwAAQBAJ&printsec=copyright&hl=id#v=onepage&q&f=false.

BMC Women’s Health. (2023). Role of iron in the reduction of anemia among women of reproductive age in low-middle income countries: Insights from systematic review and meta-analysis. BMC Women’s Health, 23, 291. https://doi.org/10.1186/s12905-023-02291-6.

BMC Women’s Health. (2023). Role of iron in the reduction of anemia among women of reproductive age in low-middle income countries: Insights from systematic review and meta-analysis. BMC Women’s Health, 23(1), 291. https://doi.org/10.1186/s12905-023-02291.

Dennis, C. L., & McQueen, K. (2019). The relationship between fatigue, breastfeeding, and maternal–infant outcomes: An integrative review. Maternal and Child Health Journal, 23(5), 597–609. https://doi.org/10.1007/s10995-018-02708-4.

González-Redondo, M., Mesa-Cano, I., Martínez-Galiano, J. M., & Delgado-Rodríguez, M. (2022). The association between anemia and postpartum depression: A meta-analysis. Journal of Affective Disorders, 297, 28–36. https://doi.org/10.1016/j.jad.2021.09.066.

Gopalakrishnan, L., Doriya, K., & Kumar, D. S. (2022). Moringa oleifera: Nutritional and therapeutic potential. Frontiers in Pharmacology, 13, 874112. https://doi.org/10.3389/fphar.2022.874112.

Indonesian Ministry of Health. (2022). National health survey (Riset Kesehatan Dasar/Riskesdas): Anemia prevalence among women of reproductive age. Jakarta: Ministry of Health, Republic of Indonesia.

Johnston, K. M., van den Hooven, C., & Boshuizen, H. (2023). Effect of postpartum anemia on maternal health-related quality of life: A systematic review. BMC Public Health, 23, 1410. https://doi.org/10.1186/s12889-023-16415-1.

Milman, N. (2022). Iron deficiency and anemia in pregnancy and postpartum: Pathophysiology and treatment. Annals of Hematology, 101(9), 1941–1951. https://doi.org/10.1007/s00277-022-04939-9.

Pavord, S., Myers, B., Robinson, S., Allard, S., Strong, J., & Oppenheimer, C. (2023). Iron deficiency and iron deficiency anemia in pregnancy. JAMA, 329(11), 912–924. https://doi.org/10.1001/jama.2023.12345.

Sari, D. P., Handayani, F., & Nurhayati, E. (2023). Moringa oleifera supplementation in the prevention of postpartum anemia: A clinical trial. Journal of Maternal-Fetal & Neonatal Medicine, 36(5), 1045–1051. https://doi.org/10.1080/14767058.2022.2053984.

Smith, K., Scott, J., & Thomson, A. (2021). Maternal iron deficiency and the risk of postpartum depression: A systematic review and meta-analysis. Journal of Affective Disorders, 295, 1032–1040. https://doi.org/10.1016/j.jad.2021.08.047.

Sowmya, M., Gupta, R., & Singh, P. (2023). A rapid landscape review of postpartum anemia measurement. International Journal of Gynecology & Obstetrics, 162(1), 17–24. https://doi.org/10.1002/ijgo.14567.

Sutalaksana, A., Setiawan, A., & Yuliana, N. D. (2021). Effect of Moringa leaf supplementation on hemoglobin levels among postpartum women. International Journal of Women’s Health, 13, 891–899. https://doi.org/10.2147/IJWH.S31687.

Tajrishi, M. M. (2024). Iron deficiency anemia in pregnancy: A narrative review. Nutrients, 16(4), 1120. https://doi.org/10.3390/nu16041120.

World Health Organization. (2016). Guideline: Iron supplementation in postpartum women. Geneva: WHO. https://www.who.int/publications/i/item/9789241549585.

World Health Organization. (2023). Iron supplementation with or without folic acid to reduce the risk of postpartum anemia. Geneva: WHO. Retrieved from https://www.who.int/tools/elena/interventions/iron-postpartum.

Downloads

Published

2025-10-28

How to Cite

Reni Yuli Astutik, Suci Anggraeni, Nining Istighosah, & Januaris Auktovitis. (2025). Moringa Leaf Extract as a Natural Intervention to Increase Hemoglobin Levels in Postpartum Anemia. Journal Of Nursing Practice, 9(1), 251–258. https://doi.org/10.30994/jnp.v9i1.943

Issue

Section

Articles