Impact of Maternal Nutritional Status on Morning Sickness Severity and Fetal Health: A Correlational Study

https://doi.org/10.56303/jhnresearch.v4i2.396

Authors

  • Israini Suriati Midwifery Study Program, Faculty of Health Sciences, University Muhammadiyah Palopo, Indonesia
  • Reski Juliani Midwifery Study Program, Faculty of Health Sciences, University Muhammadiyah Palopo, Indonesia

Keywords:

Fetal health, Morning sickness, Nutrition pregnant mothers

Abstract

Morning sickness is a common symptom of pregnancy that occurs in the first trimester, characterized by nausea, vomiting, and fatigue due to hormonal changes such as hCG and estrogen. Although physiological, this condition can interfere with the mother's nutritional intake and have a negative impact on fetal health, especially if it is severe and prolonged. Masih there are still many pregnant women who face obstacles in meeting nutritional needs and optimally handling morning sickness. This study aims to determine and analyze the relationship between the severity of morning sickness, nutritional status of pregnant women, and fetal health. Method This study used a quantitative design with a cross-sectional approach. A sample of 100 pregnant women who experienced morning sickness in the first or second trimester, selected by purposive sampling at five Health Centers in Palopo City during July–November 2024. Data were collected through questionnaires and interviews, then analyzed using the Chi-square test with a significance level of p <0.05. A total of 36% of respondents had good nutritional status, 36% were undernourished, and 28% were overnourished. The severity of morning sickness was categorized as mild in 28% of respondents, moderate in 40%, and severe in 32%. Fetal health was considered good in 58% of respondents and poor in 42%. There was a statistically significant relationship between maternal nutritional status and the severity of morning sickness (P-value = 0.005), as well as between nutritional status and fetal health (P-value = 0.003). Additionally, a significant association was found between the severity of morning sickness and fetal health.

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References

Zalfa T, Muh A, Irawan A, Umami Z, Anindia L, Yusuf AM. Relationship Between Energy , Protein , Iron , and Calcium Intake with Hemoglobin Levels of Pregnant Women. J Health Nutr Res. 2024;3(3):177–84.

Marbun U, Irnawati, Dahniar, Asrina A, Kadir A, Jumriani, dkk. Asuhan Kebidanan Kehamilan. 2023. 1–23 hlm.

Hijrawati N, Sari YO, Wulandatika D. Faktor-Faktor Yang Berhubungan Dengan Kejadian Hiperemesis Gravidarum Pada Ibu Hamil Di Poliklinik Rumah Sakit Islam Banjarmasin. J Keperawatan Suaka Insan Jksi. 2023;8(2):106–14.

Mudlikah S, Munisah M, Yunita N. Cemas dan Berat Badan Ibu Hamil Terhadap Kejadian Emesis Gravidarum. Jik J Ilmu Kesehat. 2022;6(2):409.

Rahmawati N, Kartika I, Meliyana E. Gambaran Perilaku Ibu Hamil Berdasarkan Karakteristik Ibu Dalam Mengatasi Emesis Gravidarum Di BPM Bidan A Kecamatan Warung Kondang Kabupaten Cianjur. J Sehat Masada. 2019;13(1):1–9.

Oktalia & Harizasyam. Kesiapan Ibu Menghadapi Kehamilan Dan Faktor-Faktor Yang Mempengaruhinya. Ilmu Dan Teknol Kesehat. 2019;3(2):147–59.

Endarwati J, Wardani E. Efektifitas aromaterapi jahe terhadap mual dan muntah pada ibu hamil di ruang kreativa rs universitas sebelas maret. 2025;9:37–43.

Abednego Bakay, Sitti Nurbaya SSS. Faktor-Faktor yang Mempengaruhi Hiperemesis Gravidarum. J Bina Sehat PPNI. 2023;2(1):100–10.

Qomari SN, Setiawati I. Jarak Kehamilan Dan Penerimaan Diri Terhadap Kejadian Emesis Gravidarum. J Kebidanan. 2022;XIV(02):125–35.

Kementrian Kesehatan. Profil Kesehatan. 2023. 100 hlm.

Annisa. 1035325 Suplementasi Vitamin B1 dan B6 Sebagai Tatalaksanan Hiperemesis Gravidarum. J Kebidanan J Med Sci Ilmu Kesehat Akad Kebidanan Budi Mulia Plb. 2019;9(2):147–51.

Murniati IA, Waresa KV, Ilmi MuhA. Hubungan Psikologis Ibu Hamil Terhadap Kejadian Hiperemesis Gravidarumse. J Ilm Ecosyst. 2024;24(2):289–300.

Sari ID, Wulan M, Effendi Y, Nasution NH. Faktor yang Mempengaruhi Terjadinya Hiperemesis Gravidarum Pada Ibu Hamil Trimester I di RSU Haji Medan. MAHESA Malahayati Health Stud J. 2024;4(2):426–38.

Mbungo HSS, Purwiandari H. Hiperemesis Gravidarum Dengan Riwayat Gerd : Laporan Kasus. Prepotif J Kesehat Masy. 29 September 2024;8(3):5709–18.

Sanusi HK, Darmawansyih, Nadyah, Sari JI. Hubungan Status Paritas Dengan Kejadian Hiperemesis Gravidarum Ibu Hamil di Kecamatan Tinambung. J Midwifery. 2023;1(2):68–78.

Erick M. Hyperemesis gravidarum: A case of starvation and altered sensorium gestosis (ASG). Med Hypotheses. 1 Mei 2014;82(5):572–80.

Yanti FD, Ginting RMS, Susanti E. The Effect of Chronic Energy Deficiency, Anemia, and Compliance with Iron Supplement Consumption in Pregnant Women on Low Birth Weight. J Health Nutr Res. 9 April 2024;3(1):68–73.

Nukpezah RN, Abanga EA, Adokiya MN, Aninanya GA, Odiakpa LO, Shehu N, dkk. Preterm birth, low birth weight, and their co-occurrence among women with preexisting chronic diseases prior to conception: a cross-sectional analysis of postpartum women in a low-resource setting in Ghana. Matern Health Neonatol Perinatol. 3 September 2024;10(1):18.

Nelly Mariyam, Idha Budiarti. 1035325 Hubungan Paritas dengan Kejadian Hiperemesis Gravidarum Pada Ibu Hamil di RS Muhammadiyah Palembang Tahun 2018. J Kebidanan J Med Sci Ilmu Kesehat Akad Kebidanan Budi Mulia Plb. 2019;9(1):32–6.

Fejzo MS, Trovik J, Grooten IJ, Sridharan K, Roseboom TJ, Vikanes Å, dkk. Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nat Rev Dis Primer. 2019;5(1).

Susanti NMD, Lainsamputty F, Ilestari V. Stres dengan Hiperemesis Gravidarum Pada Ibu Hamil. J Ilm Kesehat Sandi Husada. 2021;10(2):635–42.

Sari Nurmalita MH, Mona S, Handiana CM, Ulya N, Suriati I, Kartikasari MND, dkk. Metodologi Penelitian Kebidanan. 2022. 79 hlm.

Mahanani D, Kamalah R. Pendidikan Ilmu Kebidanan - Google Books. 2022.

Wajdi F, Seplyana D, Juliastuti, Rumahlewang E, Fatchiatuzahro, Halisa NN, dkk. Metode Penelitian Kuantitatif. Vol. 7, Jurnal Ilmu Pendidikan. 2024. 1–63 hlm.

Choufani J, Kim SS, Nguyen PH, Heidkamp R, Grummer-Strawn L, Saha KK, dkk. Measuring coverage of infant and young child feeding counselling interventions: A framework and empirical considerations for survey question design. Matern Child Nutr. 2020;16(4):1–11.

Lee NM, Saha S. Nausea and Vomiting of Pregnancy. Gastroenterol Clin North Am. Juni 2011;40(2):309–vii.

Rondanelli M, Perna S, Cattaneo C, Gasparri C, Barrile GC, Moroni A, dkk. A Food Pyramid and Nutritional Strategies for Managing Nausea and Vomiting During Pregnancy: A Systematic Review. Foods. Januari 2025;14(3):373.

Napirah MR, Vidyanto V, Fadjriah RN, Rohimah N. Evaluation of Pregnant Class Implementation in Work Area of Community Health Center. J Health Nutr Res. 9 April 2024;3(1):62–7.

Harahap AN, Hikmayani NH, Sumardiyono S. Factors Related to Overnutrition in Early Childhood in Urban and Rural Areas of Bangka Belitung Islands Province (An Analysis Of 2023 SKI Data). J Health Nutr Res. 27 April 2025;4(1):220–34.

Nasriyah N, Ediyono S. Dampak Kurangnya Nutrisi Pada Ibu Hamil Terhadap Risiko Stunting Pada Bayi Yang Dilahirkan. J Ilmu Keperawatan Dan Kebidanan. 2023;14(1):161–70.

Dwipayana CAP, Bayuningrat IGNM, Permatananda PANK, Lestarini A. Anemia in pregnant mothers and the apgar score of newborn babies at secondary refferal hospital, Bali. Sci Midwifery. 2023;11(1):69–75.

Habibilah R, Purwayantie S. Study of the Correlation Between Vitamins and Iron on the Antioxidant Activity of Soy Milk Yogurt Enriched with Purslane (Portulaca oleracea L.). J Health Nutr Res. 30 April 2024;3(1):99–104.

Marshall NE, Abrams B, Barbour LA, Catalano P, Christian P, Friedman JE, dkk. The importance of nutrition in pregnancy and lactation: lifelong consequences. Am J Obstet Gynecol. Mei 2022;226(5):607–32.

Ekawati H, Martini DE, Rohmawati AR. Hubungan Stress Dengan Derajat Morning Sickness Pada Ibu Hamil Trimester 1 Dan 2 Di Desa Sukobendu Kecamatan Mantup Kabupaten Lamongan. Surya. 2022;14(3):99–107.

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Published

01-08-2025

How to Cite

1.
Suriati I, Juliani R. Impact of Maternal Nutritional Status on Morning Sickness Severity and Fetal Health: A Correlational Study. J. Health Nutr. Res [Internet]. 2025 Aug. 1 [cited 2025 Sep. 13];4(2):435-43. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/396

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