Kar tini, Muh Syafar, A. Arsunan Arsin, Burhanuddin Bahar, Farming -, Fitri yanti


Background: Energy metabolism speeds up during pregnancy that requires pregnant women to have extra amount of nutritions. Provision of education on nutrition during pregnancy is an effort to prevent and tackle malnutrition.

Aim: This study aimed to determine the effect of education using modification module towards nutritional intake during pregnancy in Kendari, Indonesia

Methods: This was Quasi Experimental study with pre-post design. There were 4 groups in this study, which were: 1) The group that received educational intervention using a modification module from the MHC book of the Department of Health, 2) The group that received educational intervention using MHC book of the Department of Health, 3) The group that only used modification modules from MHC book of the Department of Health, and 4) The group that only used the MHC book of Department of Health. The intervention was given for 6 months. Seventy eight of 4-months pregnant women were selected in this study. Data were collected by using 24 hours food recall instrument, and questionnaire adopted from Child and Maternal Nutrition Survey’s Questionnaire of Faculty of Public Health, Hasanuddin University. Data were analyzed by using Wilcoxon test and Kruskal Wallis test.

Results: Results showed there was an effect of education by using the module modifications to the intake of nutritions during pregnancy. Increased nutrient intake was higher in pregnant women using a module class modifications.

Conclusion: Education affects nutritional intake of pregnant women. Changes in nutritional intake was higher in group 1 (education modules with modifications), compared with the education group MCH handbook. It is suggested that mothers should improve the nutrition during pregnancy for the better growth of the fetus, composition and metabolic changes in the mother's body.



education, nutrient intake, pregnancy care

Full Text:



Badan Pusat Statistik, Kantor Menteri Negara Kependudukan/Badan Koordinasi Keluarga Berencana Nasional, Departemen Kesehatan, & Macro International Inc, Survei Demografi dan Kesehatan Indonesia 2012. Jakarta, 2013.

Saimin, J. Manoe, Murah, Hubungan Antara Berat Badan Lahir Dengan Status Gizi Ibu Berdasarkan Ukuran Lingkar Lengan Atas. Makassar: Bagian Obstetri Dan Ginekologi Fakultas Kedokteran Universitas Hasanuddin, 2006.

Wegierek, D.S, Intrauterine nutrition: long-term consequences for vascular health. INTERNATIONAL JOURNAL OF WOMEN’S HEALTH, 2014. 6: 647–656.

Wegierek, D.S. (2011) Szamotulska K., Fetal development and risk of cardiovascular diseases and diabetes type 2 in adult life. MED WIEKU ROZWOJ, 2011. 15(3):203–215.

Kramer, M.S., The epidemiology of adverse pregnancy outcomes: an overview. J NUTR,2013. 133:1592S–1596S.

Zhang, Z., Kris-Etherton, P.M., Hartman, T.J., Birth weight and risk factors for cardiovascular disease and type 2 diabetes in US Children and adolescents: 10 year results from NHANES. MATERN CHILD HEALTH J. Epub, 2013.

Levin, B.E., Metabolic imprinting: critical impact of the perinatal environment on the regulation of energy homeostasis. PHIL TRANS R SOC B, 2006. 361(1471):1107–1121.

Bolesta, M., Szostak-Wegierek, D., Zywienie kobiety podczas ciazy., Czesc II. Witaminy i skladniki mineralne [Nutrition during pregnancy. Part II. Vitamins and minerals]. ZYW CZLOW METAB, 2009. 36(4):656–664. Polish.

Beard, J., Iron requirements and adverse outcomes. In: Lammi-Keefe CJ, Couch SC, Philipson EH, editors. Handbook Of Nutrition In Pregnancy. TOTOWA, NJ: HUMANA PRESS, 2008; 233–254.

Williamson, C.S., Nutrition in pregnancy. NUTRITION BULLETIN, 2006. 31(1):28–59.

Drake, A.J. Reynolds RM., Impact of maternal obesity on off¬spring obesity and cardiometabolic disease risk. REPRODUCTION, 2010. 140(3):387–398.

Widodo, S., Abu, A., Psikologi Belajar. Jakarta: PT Rineka Cipta, 2012.

Notoatmodjo,S., Ilmu Perilaku Kesehatan. Jakarta: PT Rineka Cipta, 2010.

Morisky., Donald E, Ang., Alfonso, Krousel-Wood, J. Ward., Harry., Predictive Validity of a Medication Adherence Measure in an Outpatient Setting.THE JOURNAL OF CLINICAL HYPERTENSION (ISSN 1524-6175), 2008. 10 No.5.

Kemenkes RI., Kelas Ibu Hamil. Jakarta: Kemenkes RI, 2012.

Svensson, J., Barclay, L., Cooke, M., Effective Antenatal Education: Strategies Recomemended By Expectant an New Parent. THE JOURNAL OF PERINATAL EDUCATION, 2008. 17:4.

Ahlden, I., Ahlehagen, S., Dahlgren, L.O., Josefsson, A., Parents’ Expectations About Participating in Antenatal Parenghood Education Classes. THE JOURNAL OF PERINATAL EDUCATION, 2012.21:11-17.

Ummah, F., Peningkatan Perawatan Kehamilan Melalui Kelas Ibu Hamil di Puskesmas Lamongan. SURYA, 2013.02(XV).

Pangesti, W.D., Kusuma, I.R., Pengaruh Kelas ibu Hamil Terhadap Perilaku Ibu Dalam Asuhan Antenatal di Puskesmas Patikraja Banyumas. JURNAL ILMIAH ILMU-ILMU KESEHATAN, 2013.

Al-Ateeq, M., Al-Rusaiess, A., Al-Dughaither, A., Perceptions and effects of antenatal education. SAUDI MED J, 2013. 34(12):1287.

Escott, D., Slade P., Spiby, H., Preparation for pain management during childbirth: The psychological aspects of coping strategy development in antenatal education. ELSEVIER CLINICAL PSYCHOLOGY REVIEW, 2009. 29:617–622.

Benediktsson, I., McDonald, S.W., Vekved,M., McNeil, D.A., Dola, S.M., Tough, S.C., Comparing Centering Pregnancy to Standard Prenatal Care Plus Prenatal Education. BMC PREGNANCY AND CHILDBIRTH, 2013. 13:55.

Bahrami, N., Simbar, M., Bahrami, S., The Effect of Prenatal Education on Mother’s Quality of Life During First Year Postpartum Among Iranian Women: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 2013. 7;3:169-174.

Thangaratinam, S., Rogozinska, E., Jolly, K., Glinkowski, S., Roseboom, T., Tomlison, J.W., Kunz, R., Mol, B.W., Coomarasamy, A., Khan, K.S., Effect of Interventions in Pregnancy on Maternal Weight and Obstetric Outcomes: meta-analysis of Randomised Evidence. BMJ, 2012. 344:e2088.

Girard, A.W., Oludea, O., Nutrition Education and Counselling Provided during Pregnancy: Effects on Maternal, Neonatal and Child Health Outcomes. PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2012. 26 (1): 191–204.

Arrish, J., Yeatman, H., Williamson, M., Midwives And Nutrition Education During Pregnancy: A Literature Review. WOMEN AND BIRTH, 2014. 27(1):2-8.

Fallah, F., Pourabbas, A., Delpisheh, A., Veisani, Y., Shadnoush, M., Effects of Nutrition Education on Levels of Nutritional Awareness of Pregnant Women in Western Iran. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM, 2013. 13:175-178.

Hossain, B., Sarwar, T., Reja, S., Akter, N., Nutritional Status of Pregnant Women in Selected Rural and Urban Area of Bangladesh. J NUTR FOOD SCI, 2013.

Almatsier, S., Prinsip Dasar Ilmu Gizi.. Jakarta: PT.Gramedia Pustaka Utama, 2003.

Kruger, H.S., Pharm, M., Maternal Anthropometry and Pregnancy Outcomes: a Proposal For the Monitoring of Pregnancy Weight Gain in Outpatient Clinics in South Africa. CURATIONIS, 2005. 28(4):40-49



  • There are currently no refbacks.

Copyright (c) 2016 Public Health of Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PHI is Indexed in:

PHI is registered and being evaluated by:

Copyright 2015-2018 Public Health of Indonesia | e-ISSN 2477-1570 | p-ISSN 2528-1542 licensed under a Creative Commons Attribution-NonCommercial 4.0 International License