The effectiveness of bay leaf extract (Syzygium polyanthum (Wight) Walp.) as a local food-based nutritional therapy to reduce hypertension in pregnant women

Minarti Minarti* -  Diploma Three in Midwifery, Politeknik Baubau, Kota Baubau, Sulawesi Tenggara., Indonesia
Wa Ode Nesya Jeni Samrida -  Diploma Three in Midwifery, Politeknik Baubau, Kota Baubau, Sulawesi Tenggara., Indonesia
Sitti Aisyah Ansi -  Diploma Three in Midwifery, Politeknik Baubau, Kota Baubau, Sulawesi Tenggara., Indonesia

Hypertension during pregnancy requires timely management because it can compromise maternal and fetal health. Local food-based plant preparations are often used as complementary approaches, but evidence of their measurable effects on blood pressure in pregnant women remains limited. This study examined changes in systolic and diastolic blood pressure before and after seven days of treatment with Syzygium polyanthum (Wight) Walp. decoction in pregnant women with hypertension. Methods: A quasi-experimental one-group pretest-posttest study was conducted from June to July 2025 in the working area of the Sulaa Primary Health Center, Baubau City, Indonesia. Twenty pregnant women with hypertension, defined as blood pressure ≥140/90 mmHg, were selected using purposive sampling method. The participants received S. polyanthum decoction for seven days. Systolic and diastolic blood pressures were measured before and after the intervention. Data were analyzed using paired sample t-tests. The mean systolic blood pressure decreased from 143.50 ± 2.33 mmHg to 133.95 ± 2.11 mmHg, with a mean reduction of 9.55 mmHg (p < 0.001). The mean diastolic blood pressure decreased from 94.45 ± 1.50 mmHg to 88.60 ± 2.72 mmHg, with a mean reduction of 5.85 mmHg (p < 0.001). In conclusion, a seven-day administration of S. polyanthum decoction was followed by lower systolic and diastolic blood pressure in this one-group study. The decoction may be considered a complementary local food-based approach to support blood pressure management in pregnant women with hypertension; however, randomized controlled studies are needed to confirm its effectiveness and safety.

Keywords : Blood pressure, complementary therapies, hypertension, pregnancy-induced, pregnant women, syzygium

  1. Arikah, T., Rahardjo, T. B. W., & Widodo, S. (2020). Kejadian hipertensi pada ibu hamil. Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia, 1(2), 115–124. https://doi.org/10.15294/jppkmi.v1i2.40329
  2. Collins, H. E., Alexander, B. T., Care, A. S., Davenport, M. H., Davidge, S. T., Eghbali, M., Giussani, D. A., Hoes, M. F., Julian, C. G., LaVoie, H. A., Olfert, I. M., Ozanne, S. E., Bytautiene Prewit, E., Warrington, J. P., Zhang, L., & Goulopoulou, S. (2024). Guidelines for assessing maternal cardiovascular physiology during pregnancy and postpartum. American Journal of Physiology-Heart and Circulatory Physiology, 327(1), H191–H220. https://doi.org/10.1152/ajpheart.00055.2024
  3. Ekawati, F. M., Emilia, O., Brennecke, S., Gunn, J., Licqurish, S., & Lau, P. (2020). Opportunities for improving hypertensive disorders of pregnancy management in primary care settings: A review of international published guidelines in the context of pregnancy care in Indonesia. Pregnancy Hypertension, 19, 195–204. https://doi.org/10.1016/j.preghy.2020.01.012
  4. Escobar, M. F., Benitez-Díaz, N., Blanco-Londoño, I., Cerón-Garcés, C., Peña-Zárate, E. E., Guevara-Calderón, L. A., Libreros-Peña, L., & Galindo, J. S. (2024). Synthesis of evidence for managing hypertensive disorders of pregnancy in low- and middle-income countries: A scoping review. BMC Pregnancy and Childbirth, 24(1), Article 622. https://doi.org/10.1186/s12884-024-06796-2
  5. Febrianti, A. I. (2022). Evaluasi rasionalitas penggunaan obat antihipertensi pada pasien preeklampsia berat tahun 2021 di RSUD Syarifah Ambami Rato Ebu Bangkalan [Skripsi sarjana, Universitas Islam Negeri Maulana Malik Ibrahim Malang]. UIN Maulana Malik Ibrahim Malang Institutional Repository. http://etheses.uin-malang.ac.id/37772/
  6. Fitriani, I., Jayatmi, I., & Hanifa, F. (2024). Efektivitas pemberian rebusan daun salam dan pisang kepok terhadap penurunan tekanan darah pada ibu hamil di TPMB I Kabupaten Garut tahun 2024. Journal of Innovation Research and Knowledge, 4(6), 3451–3462. https://bajangjournal.com/index.php/JIRK/article/view/8857
  7. Harun, N. H., Rasdi, N. A., Mohd Salleh, R., Safuan, S., Wan Ahmad, W. A. N., & Mohd Fuad, W. E. (2021). Subacute toxicity evaluation of methanolic extract of Syzygium polyanthum in rats. Tropical Life Sciences Research, 32(2), 65–81. https://doi.org/10.21315/tlsr2021.32.2.5
  8. Haryanto, F. K., Jesica, I. A., Arafi, A. R., Pranasti, E. A., & Rosa, D. (2023). Review jurnal: Pemanfaatan daun salam (Syzygium polyanthum (Wight) Walp.) sebagai pengobatan tradisional di Indonesia. PharmaCine: Journal of Pharmacy, Medical and Health Science, 4(1), 20–33. https://doi.org/10.35706/pc.v4i1.8714
  9. Jiang, L., Tang, K., Magee, L. A., von Dadelszen, P., Ekeroma, A., Li, X., Zhang, E., & Bhutta, Z. A. (2022). A global view of hypertensive disorders and diabetes mellitus during pregnancy. Nature Reviews Endocrinology, 18(12), 760–775. https://doi.org/10.1038/s41574-022-00734-y
  10. Julizan, N., Ishmayana, S., Zainuddin, A., Van Hung, P., & Kurnia, D. (2023). Potential of Syzygium polyanthum as a natural food preservative: A review. Foods, 12(12), Article 2275. https://doi.org/10.3390/foods12122275
  11. Kinshella, M.-L. W., Omar, S., Scherbinsky, K., Vidler, M., Magee, L. A., von Dadelszen, P., Moore, S. E., Elango, R., & The PRECISE Conceptual Framework Working Group. (2022). Maternal nutritional risk factors for pre-eclampsia incidence: Findings from a narrative scoping review. Reproductive Health, 19(1), Article 188. https://doi.org/10.1186/s12978-022-01485-9
  12. Kusuma, L. A., Rahmadhani, S. E., Anam, Z. K., Nadhira, S., Yasa, A., Saensouk, S., & Setyawan, A. D. (2025). Ethnobotanical assessment of edible plant diversity in homegarden of Semarang District, Central Java, Indonesia. Asian Journal of Ethnobiology, 8(1), 116–139. https://doi.org/10.13057/asianjethnobiol/y080110
  13. Liu, H.-Y., Jay, M., & Chen, X. (2021). The role of nature-based solutions for improving environmental quality, health, and well-being. Sustainability, 13(19), Article 10950. https://doi.org/10.3390/su131910950
  14. Muhidin, A., Susaldi, S., & Lestari, N. E. (2024). Effectiveness of combination therapy of bay leaf decoction and honey on blood pressure in hypertension sufferers. Journal of Complementary Nursing, 3(1), 239–245. https://doi.org/10.53801/jcn.v3i1.130
  15. Nugroho, A., Fadlilah, S., Sucipto, A., & Mindarsih, E. (2022). Bay leaves (Syzygium polyanthum) and rosella flowers (Hibiscus sabdariffa) are effective in reducing blood pressure. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(2), 395–404. https://doi.org/10.30604/jika.v7i2.908
  16. Perry, A., Stephanou, A., & Rayman, M. P. (2022). Dietary factors that affect the risk of pre-eclampsia. BMJ Nutrition, Prevention & Health, 5(1), 118–133. https://doi.org/10.1136/bmjnph-2021-000399
  17. Sabandar, C. W., Jalil, J., Ahmat, N., Aladdin, N.-A., Nik Abdullah Zawawi, N. K., & Sahidin, I. (2022). Anti-inflammatory and antioxidant activity of Syzygium polyanthum (Wight) Walp. Sains Malaysiana, 51(5), 1475–1485. https://doi.org/10.17576/jsm-2022-5105-17
  18. Susaldi, S., Rahayu, P., & Okstoria, M. R. (2023). Penerapan senam hipertensi dan rebusan air daun salam untuk hipertensi. Jurnal Pengabdian Masyarakat Saga Komunitas, 2(2), 182–189. https://doi.org/10.53801/jpmsk.v2i2.104
  19. Syaripudin, A. (2025). The effect of bay leaf (Syzygium polyanthum) decoction on lowering blood pressure in hypertensive patients. Journal of Health and Nutrition Research, 4(3), 1412–1417. https://doi.org/10.56303/jhnresearch.v4i3.976
  20. Tirtanirmala, P., Mun’im, A., & Firdayani. (2024). Pharmacological and molecular mechanism of Syzygium polyanthum leaves as antihypertensive with a network pharmacology approach. Jurnal Ilmiah Farmasi, 20(1), 63–79. https://doi.org/10.20885/jif.vol20.iss1.art5
  21. Tita, A. T. N., Szychowski, J. M., Boggess, K., Dugoff, L., Sibai, B., Lawrence, K., Hughes, B. L., Bell, J., Aagaard, K., Edwards, R. K., Gibson, K., Haas, D. M., Plante, L., Metz, T., Casey, B., Esplin, S., Longo, S., Hoffman, M., Saade, G. R., . . . Andrews, W. W. (2022). Treatment for mild chronic hypertension during pregnancy. The New England Journal of Medicine, 386(19), 1781–1792. https://doi.org/10.1056/NEJMoa2201295
  22. Veri, N., Lajuna, L., Mutiah, C., Halimatussakdiah, H., & Dewita, D. (2024). Preeklampsia: Patofisiologi, diagnosis, skrining, pencegahan, dan penatalaksanaan. Femina: Jurnal Ilmiah Kebidanan, 4(1), 283–296. https://doi.org/10.30867/femina.v4i1.588
  23. Xavier, I. M., Simões, A. C. Z., Oliveira, R. de, Barros, Y. E., Sarmento, A. C. A., Medeiros, K. S. de, Costa, A. P. F., Korkes, H., & Gonçalves, A. K. (2023). Maternal-fetal outcomes of women with hypertensive disorders of pregnancy. Revista da Associação Médica Brasileira, 69(6), Article e20230060. https://doi.org/10.1590/1806-9282.20230060
  24. Yi, L., Min, J. T., Jun, C. L., Long, H. X., Khoo, H. E., Ying, Z. J., & Le, S. J. (2024). Buffalo yogurt fermented with commercial starter and Lactobacillus plantarum originating from breast milk lowered blood pressure in pregnant hypertensive rats. Journal of Dairy Science, 107(1), 62–73. https://doi.org/10.3168/jds.2023-23566

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