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Caramelia Caramelia
Anggi Vega
Yulia Ningsih

Abstract





Anemia during pregnancy is a common nutritional problem that can negatively affect maternal and fetal health, primarily caused by iron deficiency and inadequate nutritional intake. This condition can increase the risk of complications such as fatigue, infection, premature birth, and low birth weight. Therefore, effective interventions are needed to improve maternal nutrition and prevent anemia during pregnancy. This study aimed to analyze the role of nutritional counseling in reducing the incidence of anemia among pregnant women with iron deficiency. The research used a quantitative approach with a quasi-experimental pretest–posttest design involving 30 pregnant women diagnosed with iron deficiency, selected using purposive sampling. Data were collected through questionnaires to assess maternal nutritional knowledge, 24-hour dietary recall to evaluate iron intake, and hemoglobin measurements to determine anemia status. The intervention consisted of structured nutritional counseling sessions conducted during antenatal care visits. Data analysis was performed using descriptive statistics and paired t-tests to compare hemoglobin levels and knowledge scores before and after the intervention. The results showed that nutritional counseling significantly improved pregnant women’s knowledge regarding iron nutrition and anemia prevention, encouraged healthier dietary behavior, and increased the consumption of iron-rich foods and adherence to iron supplementation. In conclusion, nutritional counseling is an effective strategy to improve maternal nutritional knowledge, dietary practices, and hemoglobin levels, and its integration into routine antenatal care services can contribute to the prevention of anemia and the improvement of maternal and fetal health outcomes.





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How to Cite
Caramelia, C., Vega, A., & Ningsih, Y. (2026). The Role of Nutritional Counseling in Reducing the Incidence of Anemia among Pregnant Women with Iron Deficiency. International Journal of Nursing and Midwifery Research, 4(2), 69–78. Retrieved from https://journals.iarn.or.id/index.php/ners/article/view/634
References
Abu-Hasira, A. W. M. (2007). Iron Deficiency Anemia among Pregnant Women in Nablus District; Prevalence, Knowledge.
Ahrens, W., Bammann, K., Siani, A., Buchecker, K., De Henauw, S., Iacoviello, L., Hebestreit, A., Krogh, V., Lissner, L., & Mårild, S. (2011). The IDEFICS cohort: design, characteristics and participation in the baseline survey. International Journal of Obesity, 35(1), S3–S15.
Bekele, W. K. (2019). Food-based strategies to improve iron status of pregnant women: randomized controlled trial. University of South Africa (South Africa).
Benson, A. E., Shatzel, J. J., Ryan, K. S., Hedges, M. A., Martens, K., Aslan, J. E., & Lo, J. O. (2022). The incidence, complications, and treatment of iron deficiency in pregnancy. European Journal of Haematology, 109(6), 633–642.
Chemir, F., Alemseged, F., & Workneh, D. (2014). Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town, Jimma zone, South West Ethiopia; a facility based cross-sectional study triangulated with qualitative study. BMC Research Notes, 7(1), 164.
Enawgaw, B., Birhanie, M., Terefe, B., & Asrie, F. (2019). Prevalence of Anemia and Iron Deficiency Among Pregnant Women Attending Antenatal Care Service at University of Gondar Hospital, Northwest Ethiopia. Clinical Laboratory, 65(4).
Fagarasanu, M., & Kumar, S. (2002). Measurement instruments and data collection: a consideration of constructs and biases in ergonomics research. International Journal of Industrial Ergonomics, 30(6), 355–369.
Fathnezhad-Kazemi, A., & Hajian, S. (2019). Factors influencing the adoption of health promoting behaviors in overweight pregnant women: a qualitative study. BMC Pregnancy and Childbirth, 19(1), 43.
Galloway, R., Dusch, E., Elder, L., Achadi, E., Grajeda, R., Hurtado, E., Favin, M., Kanani, S., Marsaban, J., & Meda, N. (2002). Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries. Social Science & Medicine, 55(4), 529–544.
Georgieff, M. K. (2020). Iron deficiency in pregnancy. American Journal of Obstetrics and Gynecology, 223(4), 516–524.
Isoldi, K. K. (2020). Effective Communication and Counseling Approaches. Nutrition in Kidney Disease, 635–651.
Jarrah, S. S., Halabi, J. O., Bond, A. E., & Abegglen, J. (2007). Iron deficiency anemia (IDA) perceptions and dietary iron intake among young women and pregnant women in Jordan. Journal of Transcultural Nursing, 18(1), 19–27.
Milman, N., Paszkowski, T., Cetin, I., & Castelo-Branco, C. (2016). Supplementation during pregnancy: beliefs and science. Gynecological Endocrinology, 32(7), 509–516.
Mora, J. O. (2002). Iron supplementation: overcoming technical and practical barriers. The Journal of Nutrition, 132(4), 853S-855S.
Nahrisah, P., Somrongthong, R., Viriyautsahakul, N., Viwattanakulvanid, P., & Plianbangchang, S. (2020). Effect of integrated pictorial handbook education and counseling on improving anemia status, knowledge, food intake, and iron tablet compliance among anemic pregnant women in Indonesia: a quasi-experimental study. Journal of Multidisciplinary Healthcare, 43–52.
Rowe, R. E., Garcia, J., Macfarlane, A. J., & Davidson, L. L. (2002). Improving communication between health professionals and women in maternity care: a structured review. Health Expectations, 5(1), 63–83.
Safer, W. H. O. D. of M. P., & Organization, W. H. (2010). Counselling for maternal and newborn health care: A handbook for building skills. World Health Organization.
Simpson, F., Sweetman, E. A., & Doig, G. S. (2010). A systematic review of techniques and interventions for improving adherence to inclusion and exclusion criteria during enrolment into randomised controlled trials. Trials, 11(1), 17.
Sonkar, V. K., Khan, N. M., Domple, V. K., & Inamdar, I. F. (2017). Knowledge and practices of pregnant women regarding the iron supplementation during pregnancy. Int J Community Med Public Health, 4(8), 2891–2894.
Sunguya, B. F., Poudel, K. C., Mlunde, L. B., Urassa, D. P., Yasuoka, J., & Jimba, M. (2013). Nutrition training improves health workers’ nutrition knowledge and competence to manage child undernutrition: a systematic review. Frontiers in Public Health, 1, 37.
Thompson, B. (2007). Food-based approaches for combating iron deficiency. Nutritional Anemia, 337, 1–21.
Wise, N. J. (2015). Pregnant adolescents, beliefs about healthy eating, factors that influence food choices, and nutrition education preferences. Journal of Midwifery & Women’s Health, 60(4), 410–418.
Wu, G., Imhoff‐Kunsch, B., & Girard, A. W. (2012). Biological mechanisms for nutritional regulation of maternal health and fetal development. Paediatric and Perinatal Epidemiology, 26, 4–26.