Volume 2, Number 1 (March 2022) e-ISSN: 2798-5067 p-ISSN: 2798-5059 5 The Effect of Ginger Decoction on Emesis Gravidarum among Trimester I Pregnant Women Nur Azizah 1 , Rini Kundaryanti 2 , Shinta Novelia 3* 1,2,3 Department of Midwifery, Faculty of Health Science Universitas Nasional; shinta.novelia@civitas.unas.ac.id (Corresponding Author) Article Info: ABSTRACT Submitted: 01-09-2021 Revised: 29-03-2022 Accepted: 29-03-2022 Based on data in Indonesia, the comparison of the incidence of nausea and vomiting leading to pathological or hyperemesis gravidarum is 4: 1000 pregnancies. It is estimated that 50% to 80% of pregnant women experience nausea and vomiting and approximately 5% of pregnant women require treatment for fluid replacement and correction of electrolyte imbalances. The occurrence of pregnancy causes hormonal changes in women because there is an increase in the hormones estrogen, progesterone, and the release of the placental chorionic gonadothropin (HCG) hormone. This study aimed to determine the effect of ginger decoction on the frequency of emesis gravidarum in the first trimester. The design used was a quasi-experimental design. The location of this study was carried out at PMB R. Agustina on July 29, 2021 to August 8, 2021. In this study, the number of samples taken by pregnant women who were experiencing emesis gravidarum were 15 experimental groups and 15 total control groups 30. Independent variable was the ginger decoction, and dependent Variable was emesis gravidarum in first trimester among pregnant women. Research instruments can be in the form of a questionnaire (a list of questions), an observation form. Using the Mann Whitney Test. The results showed that the emesis gravidarum before being given ginger boiled water was 9.07 after being given ginger boiled water was 5.27, it was known that the emesis gravidarum before the control was 8.20 after the control was 6.47. There was an Effect of Giving Ginger decoction on Emesis Gravidarum in Pregnant Women TM 1 (p-value 0.001). It is hoped that it can increase public knowledge and is expected to be useful for respondents in knowing about the effect of ginger drink on reducing the frequency of emesis gravidarum in first trimester pregnant women. Keywords: emesis gravidarum, ginger decoction, pregnant women INTRODUCTION Nausea and vomiting is a common complaint in early pregnancy. The occurrence of pregnancy causes hormonal changes in women because there is an increase in the hormones estrogen, progesteron, and the release of the placental chorionic gonadothropin (HCG) hormone (Zuraida, 2018). Factors causing nausea and vomiting include liver glycogen which is thought to be the trigger for nausea and vomiting complaints, but these complaints will disappear when there is compensation for glycogen metabolism in the body. The increase in the HCG hormone is able to stimulate nausea and vomiting through stimulation of the muscles of the stomach process. Emesis Gravidarum can cause various impacts on pregnant women, one of which is a decrease in appetite which results in changes in the electrolyte balance, namely potassium, calcium and sodium, causing changes in the body's metabolism. Another impact of Emesis Gravidarum is that it can result in weight loss of about 5% because the reserves of carbohydrates, proteins and fats are used for energy (Marianti, 2014; Darulis et al., 2021). Nausea and vomiting in the first trimester of pregnancy in the community still occur and most of the ways to overcome it still use pharmacological therapy. It would be better if pregnant women are able to overcome the problem of nausea in early pregnancy by using complementary non-pharmacological therapies that are non-instructive, non- invasive, inexpensive, simple, effective, and without adverse side effects. Nausea and vomiting in early pregnancy can also be overcome by using ginger decotion therapy, which can help pregnant women overcome nausea. Based on data in Indonesia, the comparison of the incidence of nausea and vomiting leading to pathological or hyperemesis gravidarum is 4: 1000 pregnancies. It is estimated that 50% to 80% of pregnant women experience nausea and vomiting and