Non-Pharmacologic Intervention for Nausea and Vomiting of Pregnancy: Systematic Review

Dene Fries Sumah(1), Devita Madiuw(2*), Fandro Armando Tasijawa(3), Vanny Leutualy(4)
(1) Universitas Kristen Indonesia Maluku
(2) Universitas Kristen Indonesia Maluku
(3) Universitas Kristen Indonesia Maluku
(4) Universitas Kristen Indonesia Maluku
(*) Corresponding Author
DOI : 10.30604/jika.v6i4.685


Nausea and vomiting of pregnancy affect almost 75% of pregnant women. In most cases, nausea, which is ended with or without vomiting, is a mild condition.However, the rest could become hyperemesis gravidarum, in which both mother and fetus are in danger. Non-pharmacological therapy is needed as an alternative or complementary treatment when pharmacological therapy causes side effects in some cases of nausea and vomiting. This systematic review aims to identify non-pharmacological therapies to help women deal with nausea and vomiting of pregnancy. Three electronic databases were used to conduct systematic research, namely Pubmed, CINAHL Ebsco, and Proquest between 2004 and 2019. Those studies included in the review were only a randomized controlled trial design. Of the 898 articles, 16 articles met the inclusion criteria and were analyzed. This systematic review provides evidence of non-pharmacological methods that can be used as an alternative to conquer nausea and vomiting of pregnancy, namely ginger, acupressure, acupuncture, and aromatherapy. Further research can examine which method is most effective in dealing with nausea and vomiting of pregnancy.



Mual dan muntah dalam kehamilan mempengaruhi hampir 75% wanita hamil. Dalam kebanyakan kasus, mual yang disertai atau tanpa muntah adalah kondisi ringan, namun beberapa kasus dapat berlanjut menjadi hyperemesis gravidarum, yang berakibat buruk bagi ibu dan janin. Mempertimbangkan efek samping terapi farmakologis bagi ibu dan janin, dan tidak cukup mengatasi mual dan muntah dalam kehamilan pada sebagian kasus, sehingga diperlukan terapi non farmakologi sebagai pilihan lain atau terapi tambahan. Sistematik review ini bertujuan untuk mengidentifikasi terapi non farmakologi untuk membantu mengatasi mual dan muntah dalam kehamilan. Tiga database elektronik digunakan untuk melakukan pencarian sistematis, yaitu Pubmed, CINAHL ebsco dan Proquest. Penelitian dilakukan dalam rentang waktu antara 2004 dan 2019. Desain penelitian yang dimasukkan dalam review hanya randomised controlled trial. Dari 898 artikel, sebanyak 16 artikel memenuhi kriteria inklusi, kemudian dianalisis. Sistematik review ini memberikan bukti tentang metode non farmakologi yang dapat digunakan untuk membantu mengatasi mual dan muntah dalam kehamilan, yaitu jahe, akupresur, akupuntur dan aromaterapi. Penelitian lebih lanjut dapat dilakukan untuk mengetahui metode mana yang paling efektif untuk mengatasi mual dan muntal dalam kehamilan.




Kehamilan; Mual dan muntah; Terapi non farmakologi


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