The Impact of Snakehead Fish Administration on Post-Caesarean Section Wound Healing at Bunda Hospital Gorontalo
Keywords:
Caesarean Delivery, Channa Argus, Postpartum Woman, REEDA Assessment, Tissue RegenerationAbstract
Post-cesarean section wound healing necessitates regular care support and sufficient nutritional intake, particularly protein. The snakehead fish (Channa striata) possesses the potential to serve as a local supplementary diet due to its protein, albumin, and amino acid content, which facilitate tissue repair. This study is to examine the impact of administering snakehead fish on post-surgical wound healing in postpartum moms at RS Bunda Gorontalo. This quantitative research used a one-group pretest-posttest design. The sample comprised 37 post-SC moms chosen through purposive sampling. The intervention involved the administration of 100 grams of fried snakehead fish daily for a duration of seven days. The REEDA score was utilised to assess wound healing prior to and during the intervention. The data were evaluated via the Wilcoxon Signed-Rank test, with a significance threshold of p < 0.05. The mean REEDA score diminished from 6.05 ± 1.11 prior to the intervention to 2.16 ± 0.76 subsequent to the intervention, reflecting an average reduction of 3.89 ± 0.86. The Wilcoxon test yielded a Z value of −5.303 and a p-value less than 0.001. The administration of snakehead fish for seven days resulted in enhanced post-surgical wound healing. Nonetheless, the findings must be approached with caution due to the study's utilisation of a one-group design lacking a control group.
References
Ab Wahab, S. Z., Abdul Kadir, A., Nik Hussain, N. H., Omar, J., Yunus, R., Baie, S., Mohd Noor, N., Hassan, I. I., Wan Mahmood, W. H., Abd Razak, A., & Wan Yusoff, W. Z. (2015). The effect of Channa striatus (Haruan) extract on pain and wound healing of post-lower segment caesarean section women. Evidence-Based Complementary and Alternative Medicine, 2015, 849647. https://doi.org/10.1155/2015/849647
Alvarenga, M. B., Francisco, A. A., de Oliveira, S. M. J. V., da Silva, F. M. B., Shimoda, G. T., & Damiani, L. P. (2015). Episiotomy healing assessment: Redness, oedema, ecchymosis, discharge, approximation (REEDA) scale reliability. Revista Latino-Americana de Enfermagem, 23(1), 162–168. https://doi.org/10.1590/0104-1169.3633.2538
American College of Obstetricians and Gynecologists. (2018). ACOG practice bulletin no. 199: Use of prophylactic antibiotics in labor and delivery. Obstetrics & Gynecology, 132(3), e103–e119. https://doi.org/10.1097/AOG.0000000000002833
Broughton, G., II, Janis, J. E., & Attinger, C. E. (2006). The basic science of wound healing. Plastic and Reconstructive Surgery, 117(7 Suppl.), 12S–34S. https://doi.org/10.1097/01.prs.0000225430.42531.c2
Fajri, U. N., Hadisaputro, S., & Soejoenoes, A. (2018). The effect of snake fish extract (Channa striata) on post-caesarean section wound status in postpartum anaemia mothers. Indonesian Journal of Medicine, 3(2), 84–88. https://doi.org/10.26911/theijmed.2018.03.02.04
Ghasemi, A., & Zahediasl, S. (2012). Normality tests for statistical analysis: A guide for non-statisticians. International Journal of Endocrinology and Metabolism, 10(2), 486–489. https://doi.org/10.5812/ijem.3505
Guo, S., & DiPietro, L. A. (2010). Factors affecting wound healing. Journal of Dental Research, 89(3), 219–229. https://doi.org/10.1177/0022034509359125
Haniffa, M. A. K., Jeya Sheela, P. A., Kavitha, K., & Mat Jais, A. M. (2014). Salutary value of haruan, the striped snakehead Channa striatus: A review. Asian Pacific Journal of Tropical Biomedicine, 4(Suppl. 1), S8–S15. https://doi.org/10.12980/APJTB.4.2014C1015
Hapsari, R., & Tjandrawinata, R. R. (2025). Nutritional composition and action mechanism of Channa striata meat in wound healing: A systematic review. Narra J, 5(3), e2903. https://doi.org/10.52225/narra.v5i3.2903
Kawakita, T., & Landy, H. J. (2017). Surgical site infections after caesarean delivery: Epidemiology, prevention and treatment. Maternal Health, Neonatology and Perinatology, 3, 12. https://doi.org/10.1186/s40748-017-0051-3
Kwan, S. H., Abdul Aziz, N. H. K., & Ismail, M. N. (2020). Bioactive proteins in Channa striata promote wound healing through angiogenesis and cell proliferation. Protein and Peptide Letters, 27(1), 48–59. https://doi.org/10.2174/0929866526666190730121711
Mohd Shafri, M. A., & Abdul Manan, M. J. (2012). Therapeutic potential of the haruan (Channa striatus): From food to medicinal uses. Malaysian Journal of Nutrition, 18(1), 125–136.
Purba, T. J., & Manalu, A. B. (2020). Percepatan penyembuhan luka post operasi sectio caesarea dengan konsumsi ikan gabus (Channa striata) di Rumah Sakit Grandmed Lubuk Pakam Deli Serdang. Jurnal Doppler, 4(2), 55–60.
Purnani, W. T. (2019). Perbedaan efektivitas pemberian putih telur dan ikan gabus terhadap penyembuhan luka perineum ibu nifas. Journal of Public Health Research and Community Health Development, 2(2), 126–134. https://doi.org/10.20473/jphrecode.v2i2.12190
Purwati, A., & Kurniatie, A. (2025). Pengaruh pemberian ekstrak ikan gabus (Channa striata) terhadap penyembuhan luka operasi SC hari ke-1-10 di ruangan nifas RSUD H. Badaruddin Kasim Tabalong Kalimantan Selatan. Jurnal Kesehatan, 14(2), 63–69. https://doi.org/10.37048/kesehatan.v14i2.613
Rosyidi, R. M., Januarman, J., Priyanto, B., Islam, A. A., Hatta, M., & Bukhari, A. (2019). The effect of snakehead fish (Channa striata) extract capsule to the albumin serum level of post-operative neurosurgery patients. Biomedical and Pharmacology Journal, 12(2), 893–899. https://doi.org/10.13005/bpj/1714
Sahid, N. A., Hayati, F., Rao, C. V., Ramely, R., Sani, I., Dzulkarnaen, A., Zakaria, Z., Hassan, S., Zahari, A., & Ali, A. A. (2018). Snakehead consumption enhances wound healing? From tradition to modern clinical practice: A prospective randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2018, 3032790. https://doi.org/10.1155/2018/3032790
Seth, I., Lim, B., Cevik, J., Gracias, D., Chua, M., Kenney, P. S., Rozen, W. M., & Cuomo, R. (2024). Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review. JPRAS Open, 39, 291–302. https://doi.org/10.1016/j.jpra.2024.01.006
Stechmiller, J. K. (2010). Understanding the role of nutrition and wound healing. Nutrition in Clinical Practice, 25(1), 61–68. https://doi.org/10.1177/0884533609358997
Ummah, W., & Ningrum, N. B. (2022). Penyembuhan luka post sectio caesarea dengan ekstrak ikan gabus (Channa striata). Care: Jurnal Ilmiah Ilmu Kesehatan, 10(3), 413–420. https://doi.org/10.33366/jc.v10i3.3853
Velnar, T., Bailey, T., & Smrkolj, V. (2009). The wound healing process: An overview of the cellular and molecular mechanisms. Journal of International Medical Research, 37(5), 1528–1542. https://doi.org/10.1177/147323000903700531
Wijayanti, T. R. A., & Safitri, R. (2018). Uji aktivitas antibakteri ekstrak daun belimbing wuluh (Averrhoa bilimbi Linn) terhadap pertumbuhan bakteri Staphylococcus aureus penyebab infeksi nifas. Care: Jurnal Ilmiah Ilmu Kesehatan, 6(3), 277–285. https://doi.org/10.33366/jc.v6i3.999
Wijayanti, T. R. A., & Safitri, R. (2019). Efektivitas pemberian ekstrak daun belimbing wuluh (Averrhoa bilimbi Linn) terhadap penurunan leukosit pada mencit infeksi nifas. Siklus: Journal Research Midwifery Politeknik Tegal, 8(1), 87–92. https://doi.org/10.30591/siklus.v8i1.1040
World Health Organization. (2018). Global guidelines for the prevention of surgical site infection (2nd ed.). World Health Organization.
Yahya, Y. F., Kurniawati, Y., Bahar, E., Toruan, T. L., Kartowigno, S., Purwoko, M. I. H., & Octyvani, T. M. (2025). Effectiveness of 5% Channa striata extract gel in wound healing: A double-blind randomized controlled trial. Journal of General-Procedural Dermatology and Venereology Indonesia, 9(1), 4. https://doi.org/10.7454/jdvi.v9i1.1208
Zuarez-Easton, S., Zafran, N., Garmi, G., & Salim, R. (2017). Postcaesarean wound infection: Prevalence, impact, prevention, and management challenges. International Journal of Women's Health, 9, 81–88. https://doi.org/10.2147/IJWH.S98876
