Effectiveness of Roselle (Hibiscus sabdariffa) Tea for Gestational Hypertension in Grande Multigravida Pregnant Women

Abstract

Grande multigravida complicated by gestational hypertension is considered a very high-risk pregnancy because it significantly increases the likelihood of preeclampsia, postpartum hemorrhage, and adverse maternal and perinatal outcomes. Roselle (Hibiscus sabdariffa) tea has been suggested as a complementary non-pharmacological intervention for blood pressure control. This case report describes comprehensive midwifery care provided to a 36-year-old woman (G10P90009) at 35–36 weeks of gestation with gestational hypertension at TPMB Ny. I. Midwifery management followed a comprehensive care approach, including assessment, diagnosis, planning, implementation, evaluation, and documentation using the SOAP format. Interventions consisted of health education, maternal and fetal monitoring, antihypertensive medication, a low-sodium diet, and daily consumption of roselle tea for seven consecutive days. The initial assessment identified multiple risk factors, including advanced maternal age, grande multigravidity, a short interpregnancy interval (<2 years), obesity (body mass index: 38 kg/m²), gestational hypertension, and a Poedji Rochjati Score Card (KSPR) score of 18, indicating a very high-risk pregnancy. During the intervention period, the patient's blood pressure showed a temporary reduction following roselle tea consumption. However, near term, her blood pressure increased to 203/124 mmHg, progressing to severe preeclampsia, which required magnesium sulfate (MgSO₄) therapy and immediate referral to a tertiary hospital. This case highlights the importance of comprehensive midwifery care, continuous antenatal surveillance, and early identification of risk factors in preventing severe maternal and fetal complications. Roselle tea may be considered a complementary therapy to assist blood pressure management in women with gestational hypertension; however, it should be used only as an adjunct to standard medical treatment rather than as a substitute. Regular antenatal care, adherence to prescribed therapy, and timely referral remain essential for optimizing maternal and perinatal outcomes.
Keywords: grande multigravida, gestational hypertension, Hibiscus sabdariffa, roselle tea, preeclampsia