Nutritional Status Of Pregnant Women Research Articles

The Relationship Between Gestational Age, Parity, Nutritional Status with the Incidence of LBP in Pregnant Women

Background: Low Back Pain (LBP) is pain that arises in the lower back of the body, including the lower spine, waist, pelvis, and can radiate to the buttocks or legs. low back pain is one of the most common pains in pregnant women with an incidence of about 60%-90%. Objective: The purpose of the study was to determine the relationship between gestational age, parity and nutritional status of pregnant women with the incidence of low back pain based on the Oswestry Disablity Index (ODI). Method: The research design used was non-experimental with a cross sectional research approach. This research was conducted at Wirahusada Medical Center Clinic Makassar 2022 and there were 95 research samples. This research data uses primary data from the results of filling out questionnaires by respondents. Data were processed using SPSS with the Chi-Square test. Result: The results showed that gestational age with low back pain had a p-value of 0.000, parity with low back pain had a p-value of 0.000, nutritional status based on upper arm circumference with low back pain had a p-value of 0.020, and nutritional status based on upper arm circumference with low back pain had a p-value of 0.000. Conclusion: The results showed that there was a relationship between gestational age, parity, and nutritional status of pregnant women with the incidence of low back pain based on the Oswestry Disability Index at the Wirahusada Medical Center Clinic Makassar 2022 with a p-value <0.05.

Accelerating Stunting Reduction by Empowering Posyandu Cadres and Village Officials in Monitoring Nutritional Status and Providing Additional Food to Pregnant Women

The low nutritional status of pregnant mother during pregnancy can result various adverse effects for mother and baby. Poor nutritional status in toddlers possible happen problems/delays development. In Dairi Regency has 189 toddlers (0.2 %) living in Bottom of the Line Red (BGM). Prevalence stunted toddlers in Dairi Regency in 2018 amounted to 23.3 %. That's why it's done empowerment cadres and village officials to monitor nutritional status and giving complementary food for pregnant mother and toddler to prevent stunting. Through increasing the knowledge and skills of cadres and village officials for achievement reducing the incidence of stunting in improving the nutritional status of pregnant women and toddlers can be done with nutritional surveillance by monitoring activities: recovery food complementary, administration of vitamin A, TTD, taburia, zinc, stimulation. This activity was attended by pregnant women, mothers of toddlers, cadres and village officials who were very enthusiastic about listening to the presentation by the service team about what is meant by stunting, its causes, treatment, and the role of cadres and village officials regarding the stunting problem. Discussions and questions and answers were also very interactive, showing the great attention paid to service activities. Apart from that, this service activity also provides complementary food to pregnant women and toddlers. Based on this, community service activities empowering the role of cadres and village officials to monitor nutritional status of pregnant mother and toddler for prevent stunting can increase knowledge and skills of partner in give knowledge and skills to pregnant and toddler for increase their nutritional status. It is hoped that this service activity can reduce the prevalence of stunting and other malnutrition problems.

The Importance of Optimal Nutritional Intake for The Health of Pregnant Women in Indonesia: Key Challenges and Strategic Solutions

Optimal nutrition during pregnancy plays a vital role in ensuring maternal health and healthy fetal development. Appropriate nutritional needs, including macronutrients and micronutrients, are essential to support fetal growth, prevent pregnancy complications, and reduce the risk of premature birth and low birth weight. In Indonesia, maternal nutrition is still a major challenge, with a high prevalence of anemia and chronic energy deficiency. Factors such as economic constraints, unequal access to health services, lack of education about the importance of nutrition, and socio-cultural influences on diet, exacerbate this condition. The challenge in meeting the nutritional needs of pregnant women is also related to the low awareness and knowledge of nutrition among the community, especially in remote areas. To overcome this problem, a multi-sectoral approach is needed involving government intervention, community empowerment, and increasing access to health services. Continuous education and targeted nutritional assistance programs can be effective solutions in improving the nutritional status of pregnant women in Indonesia. Thus, strong cooperation is needed between various stakeholders to ensure optimal maternal health, which will ultimately improve the quality of future generations.

Effectiveness of moringa biscuit (Moringa oleifera) and snakehead fish (Channa striata) in improving the nutritional status of pregnant women with chronic energy deficiency

The objective of this study was to analyse the effectiveness of moringa biscuits and snakehead fish in improving the nutritional status of pregnant women with chronic energy deficiency (CED). The study was a randomized control trial carried out in two stages. The first stage was carried out in 2020, while the second stage was implemented in 2021 in Sigi Regency, Central Sulawesi Province, Indonesia. Thirty pregnant women with CED were divided into two groups. Five pieces of biscuits (60g) were given every day for three months to women in the intervention group while the control group were given biscuits without moringa and snakehead fish. The analysis consisted of paired t-test statistics. The results showed that giving biscuits significantly improved the nutritional status of pregnant women with CED, with the mean body mass index Centre (BMI) having a value of (P 0.000). In contrast, the upper arm circumference did not differ between the intervention and control groups. (P 0.247). We conclude that the consumption of moringa and snakehead fish biscuits provides a higher average contribution of energy and nutrients in pregnant women with CED.

Vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023

Improving maternal and perinatal outcomes can be achieved by identifying factors affecting successful vaginal delivery following induction of labor, particularly in developing countries with low rates of induction. Besides this, evidence regarding the magnitude of successful vaginal delivery following induction and associated factors is limited in Ethiopia. Therefore, this study aimed to assess the magnitude of vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023. An institutional-based cross-sectional study was conducted among 385 from April 1 to June 15, 2023. A systematic random sampling method was used to select each participant. A pretested structured interviewer-administered questionnaire and checklist were used to collect data. Epi-Data version 4.6 and SPSS version 26 software were used for data entry and analysis, respectively. Multivariable binary logistic regression was used to identify associated factors and an adjusted odds ratio with a 95% confidence interval was used to identify significant variables. Model fitness was checked using the Hosmer-Lemeshow goodness of fit test. The study reported that 75.6% of participants gave vaginal delivery following induction with a 95% CI (71.00-79.80). Mid-upper arm circumstance 23–28 cm (AOR = 2.55, 95% CI: 1.19–5.47), multiparty (AOR = 3.01, 95% CI: 1.430–6.33), favorable bishop (AOR = 3.79, 95% CI: 1.74–8.26), oxytocin with cervical ripening method (AOR = 3.74, 95% CI: 1.99–7.04), and birth weight less than 4000gram (AOR = 5.40, 95% CI: 1.54–18.91) were factors significantly associated with successful vaginal delivery following induction. Therefore, obstetric caregivers should consider pre-induction assessments such as bishop score of the cervix and fetal weight estimation and improving the nutritional status of pregnant women.

Effectiveness of cocoa bean extract mouthwash against gingivitis in pregnant women in Aceh Besar

Background: Gingivitis and periodontitis are the most common dental support tissue problems in dentistry. Gingivitis is an inflammation of the gingiva due to the body's response to the accumulation of dental plaque bacteria in the form of Streptococcus mutans, Streptococcus sanguis, Actinomyces, and Spirochaeta on the surface of the teeth. Gingivitis and nutritional status in pregnant women are related to the risk of 8.75 times the birth of low-birth-weight babies (BBLR) and premature babies. Prevention of gingivitis can be done chemically through gargling with antibacterial mouthwash. Therefore, herbal ingredients are needed that can prevent plaque and control gingivitis. This study aims to determine the effectiveness of mouthwash of cocoa bean extract against gingivitis. Methods: This study used the post-test only control group design method. The study was conducted on pregnant women in Bayu Aceh Besar village with a total of 30 samples. The sample was divided into 3 groups that received different treatments. Group 1 was instructed to do a mouthwash with cocoa extract mouthwash while Group 2 with chlorhexidine, group 3 with mineral water. Each pregnant woman gargles for 30 seconds (20 ml) for 3 days. Results: Analysis of the gingival index before and after using cocoa seed extract mouthwash showed that this mouthwash was more effective in reducing the gingival index with a value of p=0.012 (p<0.05). Conclusions: Gargling with cocoa bean extract is more effective in reducing gingivitis. We recommend further studies to investigate the potential of cocoa bean extract for use in mouthwashes.

The association between macrosomia and glucose, lipids and hormones levels in maternal and cord serum: a case-control study

BackgroundThe formation of macrosomia is associated with excessive nutrition and/or unable to regulate effectively. This case-control study aims to explore the relationship between macrosomia and glucose, lipids and hormones levels in maternal and cord serum.MethodsIn the case-control study, 78 pairs of mothers and newborns were recruited who received care at one hospital of Hebei, China between 2016 and 2019. According to the birth weight (BW) of newborns, participants were divided into macrosomia group (BW ≥ 4000 g, n = 39) and control group (BW between 2500 g and 3999 g, n = 39). Maternal vein blood and cord vein blood were collected and assayed. All data were compared between the two groups. Unconditional logistics regression analysis was used to test the relationship between macrosomia and glucose, lipids and hormones in maternal and cord serum.ResultsIn maternal and cord serum, the levels of leptin, leptin/adiponectin ratio (LAR), glucose and triglyceride (TG) in macrosomia group were higher than those in control group, and the levels of high-density lipoprotein cholesterol (HDL-C) were lower. The percentage of maternal glucose and lipids transfer to cord blood did not differ between the two groups. High levels of TG in maternal serum were positively correlated with macrosomia, and high levels of LAR, TG and glucose in cord serum were positively correlated with macrosomia.ConclusionIn conclusion, the results of the current study, suggest that the nutrients and metabolism-related hormones in maternal and umbilical cord are closely related to macrosomia. During pregnancy, the nutritional status of pregnant women should be paid attention to and to obtain a good birth outcome.

The Effect of Giving Iodized Salt and Multi Micro Nutrients to Pregnant Women on the Nutritional Status of Pregnant Women in Majene Regency

The Effect of Giving Iodized Salt and Multi Micro Nutrients to Pregnant Women on the Nutritional Status of Pregnant Women in Majene Regency

Nutrition Education and Nutritional Status of Chronic Lack of Energy Pregnant Women in PUSKESMAS Work Areas Throughout Kupang City

One of the indirect causes of preventable maternal and child mortality is the health status of pregnant women. Pregnant women with SEZ conditions are at risk of experiencing decreased muscle strength, which is needed in the process of labor so that it can result in fetal death, premature birth, birth defects, low birth weight babies, short birth babies and even infant death. The design used is quantitative with a cross sectional approach with univariate and bivariate analysis using the Chi-Square test. The population of this study were all pregnant women who did pregnancy checks at the Puskesmas in Kupang City in 2022. Sample technique using purposive sampling technique. This study was conducted from January to December 2022. The results showed that of all pregnant women who were given nutrition education in the form of counseling and provision of additional food, most experienced weight gain. In contrast to the increase in LiLA, although there is a change in the size of LiLA after being given education, there are still pregnant women who do not experience changes in LiLA. The statistical test results obtained a p-value <0.005, which means that there is a relationship between the provision of nutrition education and the improvement of the nutritional status of pregnant women with SEZ. It is expected for health workers to carry out special monitoring of pregnant women at risk of SEZ in conducting health checks and consuming additional nutritionally balanced foods.

Effect of nutrition education on the nutritional status of pregnant women in Robe and Goba Towns, Southeast Ethiopia, using a cluster randomized controlled trial

Maternal malnutrition is pervasive throughout the world, notably in sub-Saharan Africa (SSA), including Ethiopia. This study aimed to assess the effect of nutrition education on the nutritional status of pregnant women in urban settings in Southeast Ethiopia. A community-based two-arm parallel cluster randomized controlled trial was conducted among 447 randomly selected pregnant women attending antenatal care (224 intervention and 223 control). We used a multistage cluster sampling technique followed by systematic sampling to select the pregnant women. Pregnant women who participated in the intervention arm received six nutrition education sessions. Women in the control group received standard care. A nonstretchable mid-upper arm circumference (MUAC) tape was used to measure the MUAC. A linear mixed effects model (LMM) was used to evaluate the effect of the intervention on MUAC, accounting for the clustering. The net mean ± standard error of MUAC between the intervention and control groups was 0.59 ± 0.05 (P < 0.0001). The multivariable LMM indicated that having received nutrition education interventions (β = 0.85, 95% CI 0.60, 1.12, P < 0.0001) improved the MUAC measurement of pregnant women. Thus, nutrition education during pregnancy will combat undernutrition among pregnant women.Trial Registration: Clinicaltrials.gov (PACTR202201731802989), retrospectively registered on 24/01/2022.

Penerapan Metode Clustering pada Status Gizi Ibu Hamil

Pregnancy is a process in a woman's life, where major changes occur in her physical, mental and social aspects. These changes cannot be separated from the factors that influence them, namely physical factors, psychological factors and environmental, social, cultural and economic factors. One of the nutritional problems of pregnant women is chronic energy deficiency (KEK). Chronic energy deficiency (KEK) is a nutritional problem caused by a lack of food intake over a long period of time, a matter of years. Datar City Health Center is one of the agencies that provides health services for the local community and helps resolve problems with the health and nutritional development of mothers and children to prevent problems with malnutrition in pregnant women. The aim of the research is to make it easier for agencies to manage data and obtain complete information about the nutritional status of pregnant women. From 20 data, 3 groups were obtained, Cluster 1 had 4 data on the nutritional status of pregnant women, Cluster 2 had 4 data on the nutritional status of pregnant women and Cluster 3 had 12 data on the nutritional status of pregnant women. And the largest group obtained was cluster 3 with the data group on the nutritional status of pregnant women found in the gestational age group (X), namely 14-27 weeks old, with screening results (Y) namely adequate nutrition, and the causal factors (Z) that occurred were economic factors

Improving the Nutritional Status of Pregnant Women Who Experience Chronic Energy Deficiency with Spirulina Platensis

The highest prevalence of chronic energy deficiency (CED) in pregnancy occurs in the third trimester of pregnancy. The impacts that occur are abortion, premature birth, premature rupture of membranes, histitis, postpartum hemorrhage, and low birth weight (LBW). To prevent negative impacts, giving Spirulina Platensis is believed to improve nutritional status. This study aimed to analyze the effect of spirulina platensis extract on improving nutritional status in pregnant women. Using a Quasi-Experiment with a pretest and posttest control group design with a sample of 60 participants consisting of an intervention group of n=30 participants and a control group of n=30 participants. The intervention group received treatment, namely being given Spirulina Platensis extract, 1 capsule containing 300 mg, taken once for 30 days and standard care, while the control group received standard care only. The sampling technique used was simple side random. Chi-Square test results in the intervention group mean pretest nutritional status (m=22.04, SD=1.170) and posttest (m=23.33, SD=0.922) p-value=0.000, while the control group showed pretest nutritional status (m=22.16, SD=1.104) and posttest (m=22.39, SD=1.016) p-value=0.150. The difference between the mean posttest nutritional status in the experimental and control groups shows (m=23.33, SD=0.922) vs (m=22.39, SD=1.016) p-value=0.000. There is an increase in the administration of Spirulina Platensis extract on the nutritional status of pregnant women. As input for health workers, especially midwives, to provide non-pharmacological therapy to pregnant women who experience chronic energy deficiency (CED) by administering Spirulina Platensis.

The Nutritional Status of Breastfeeding Mothers and Breastfeeding Adequacy in Indonesia: A Systematic Review

Background: One of the basic capitals for the formation of quality human beings is the consump­tion of breast milk. The amount of breast milk produced is highly dependent on the mother's diet. This study aimed to identify the relationship between the nutritional status of breastfeeding mothers and breast milk adequacy in Indonesia. Subjects and Method: This was a systematic review using PICO model to formulate the research question. Population= breastfeeding mothers. Intervention= adequate BMI and MUAC. Comparation= poor BMI and MUAC. Outcome= breast milk adequacy. The database used is Google Scholar with keywords “Anthropometry” OR “BMI” OR “Breastfeeding mothers” OR “breast milk adequacy” OR “Indonesia”. There were 10 cross-sectional studies and 2 cohort studies published in 2011-2023 that met the inclusion criteria. Results: There is mostly a relationship between the nutritional status of breastfeeding mothers as measured by BMI and MUAC with the adequacy of breast milk. Conclusion: The adequacy of breast milk can be influenced by the nutritional status of the mother while breastfeeding. The nutritional status of breastfeeding mothers is no less important than the nutritional status of pregnant women so that risks such as stunting do not occur.

Determinants of Nutritional Status of Pregnant Women at Njoro Sub County Hospital, Nakuru County, Kenya

Globally, maternal nutrition is an essential aspect of every pregnant woman’s life. Proper maternal nutrition during prenatal and post-natal periods has been shown to reduce the risks of maternal and infant complications. Pregnant women who have not achieved optimal nutrition are at higher risk of experiencing poor pregnancy outcomes. In many countries around the world, Kenya not an exception, the nutritional status of women is unacceptably poor, far too many women cannot access the nutrition services they need for optimal health. Therefore, the current study aimed at establishing the determinants of nutritional status of pregnant women at Njoro Sub County Hospital, Nakuru County, Kenya. The study used descriptive survey research design. A total sample of 80 pregnant women attending prenatal clinic at Njoro Sub County Hospital, Nakuru County was selected using simple random sampling technique. Data was collected through questionnaires to establish determinants of nutritional Status of pregnant women at Njoro Sub County Hospital. Descriptive statistics was used to analyze data. The result of the study reveals that the determinants of nutritional status of the respondents were maternal education, level of income, land ownership and crop farming. The findings show that the overall nutritional knowledge of the respondents was 33% high, 53.3% moderate and 13.3% low. Secondly, results indicate that a majority (90%) of pregnant women attending ANC at Njoro Sub County Hospital had good nutrient adequacy (&gt;5 food groups) with only 10% having nutrient inadequacy. Thirdly, findings show that the nutritional status of the pregnant women was very good, standing at 96.7 % (MUAC above 23cm). The study recommends that health care workers should create awareness by providing nutrition education on the importance of optimal maternal nutrition, both to the baby and the mother. Secondly, Pregnant women who have financial difficulties need to be identified and support provided for them in terms of nutritious food. Finally, community health volunteers need to have a record and keep track of all pregnant women in the community to ensure that they seek early antenatal services.

Association between Maternal Nutritional Status Assessed by Mid-Upper Arm Circumference (MUAC) and Infant Birth Weight

Introduction: In neonatal deaths, the WHO records an average of 18 neonatal deaths, maternal deaths in developing countries are related to pregnant women suffering from malnutrition such as KEK. Therefore, malnutrition in pregnant women must be avoided, making pregnant women a target group that requires special attention. There are countries experiencing KEK incidents in pregnant women that lead to maternal and child deaths, while Indonesia is one of the parameters for determining the nutritional status of pregnant women. Nutritional status greatly influences the growth and development of the fetus. Factors related to the nutritional status of pregnant women include maternal knowledge, maternal age, and economic status; these three aspects play a crucial role in meeting nutritional needs and making decisions related to nutritional status. Objective: This study aims to determine the relationship between nutritional status in pregnant women based on LILA (Upper Arm Circumference) measurements and birth weight. Method: This research uses a cross-sectional study approach. The population in this study consists of those who have given birth from 2021 to 2023 in the working area of Puskesmas Banggae 1. Sampling was conducted using the Total Sampling technique, with a sample size of 88 respondents. The instrument used for the independent and dependent variables was a checklist, specifically the Spearman Correlation test. Result: The Spearman Correlation test yielded a significance value of 0.000, less than 0.05, indicating a relationship. Conclusion: Thus, there is a relationship between Upper Arm Circumference and Birth Weight.

Determinants and Model for Estimating the Prevalence of Stunting Toddlers in Sleman Regency

Background: The Sleman Regency Government is committed to solving the stunting problem by implementing an integrated stunting prevention program by encouraging the participation of penta-helix. Estimating stunting prevalence accomplishment targets is crucial for measuring progress, guiding strategies, and ensuring stunting reduction success. This study aims to provide information regarding the factors that contribute to the prevalence of stunted toddlers and develop a predictive model for that prevalence. Methods: The study investigated the prevalence of stunting, wasting, and underweight in Sleman Regency using publicly accessible reports, secondary data, and reputable websites. Data was gathered through audits of stunting cases and factors from district-level program managers, and analysed through desk reviews. This research was conducted in Sleman Regency from December 2023 to February 2024. Results: The investigation found that stunting is linked to family smoking, inadequate toddler nutrition, inactive JKN, chronic energy deficiency throughout pregnancy, and low-weight, preterm births. Through rules, policies, and multisectoral multistakeholder collaboration, the Sleman Regency Government aims to reduce stunting. The interventions include maternal and child health, nutritional counselling, drinking water and sanitation, early childhood education, and pre-conception family life preparation. A model to estimate long-term stunting prevalence is needed to track trends, evaluate interventions, and support evidence-based decision-making. Stunting is vital to public health and economic benefit. Based on audit data, child nutrition trends, and prediction models, Sleman Regency should reduce stunting by 0.02% per year for local data and 0.5% per year for national data. The determinants of stunting in Sleman Regency are very diverse, including problems related to nutrition and non-nutrition. Conclusion: Stunting prevention is focused on efforts to overcome habits, improve the nutritional status of pregnant women and optimize better pregnancy outcomes. Based on the analysis, the stunting reduction target was determined based on national and local surveys of 0.5% and 0.02% per year, respectively.Keywords: Under five children; estimation model; prevalence; stunting

A causal model of eating behaviors among Thai pregnant women working in industrial factories

Abstract Objective This study aimed to examine the causal model of eating behaviors among pregnant women working in industrial factories. Methods This cross-sectional study was conducted on 210 participants, attending 4 healthcare centers, at a tertiary care hospital in Chonburi province, Thailand. Data were collected using 7 questionnaires: demographic form, eating behavior questionnaire, perceived benefits of the healthy eating questionnaire, perceived barriers to the healthy eating questionnaire, perceived self-efficacy questionnaire, social support questionnaire, and accessibility to healthy foods questionnaire. Descriptive statistics and path analysis were used for data analysis. Results The participants had relatively high mean scores for eating behaviors. The final model fitted well with the data χ2 = 12.86, df = 10, P = 0.23; χ2/df = 1.29; comparative fit index (CFI) = 0.98; goodness-of-fit index (GFI) = 0.98; adjusted goodness-of-fit index (AGFI) = 0.95; root mean square error of approximation (RMSEA) = 0.04. Four factors—perceived benefits (β = 0.13, P &lt; 0.05), perceived self-efficacy in healthy eating (β = 0.22, P &lt; 0.001), pregnancy planning (β = 0.28, P &lt; 0.001), and accessibility to healthy foods in the factory (β = 0.12, P &lt; 0.05)—positively affected eating behavior, while only perceived barriers to healthy eating had a negative effect on eating behavior (β = −0.24, P &lt; 0.001). All the above factors explained 27.2% of the variance in eating behaviors. Conclusions Nurses or healthcare providers can apply these findings to create an eating behavior modification program, focusing on pregnancy planning, behavior-specific variables, and interpersonal and situational influence, to promote the nutritional status of pregnant women working in industrial factories.

The Effect of Nutrition Counseling on Dietary Behavior During Pregnancy

Nutrition counseling is a recommended approach to improve the nutritional status of pregnant women. One of the media is food models from Playdough. The purpose of this research is to find out whether nutritional recommendations using the playdough model affect the eating behavior of pregnant women. This type of research is a quasi-experiment with a pretest-posttest control group. The research sample was 126 pregnant women who came to the Lubuk Begalung health centre in Mey-July. The sampling technique is the entire sample. The research was analyzed using the dependent T-test previously conducted a normality test on the data. The results of statistical tests were also obtained under the effect of nutritional counseling using a model of playdough media on knowledge, attitudes, and dietary behavior during pregnancy before counseling because the p-value &lt;0.05. Counseling using the food model media from playdough ingredients carried out continuously is more effective in increasing knowledge, and changing attitudes and dietary behavior during pregnancy compared to pregnant women who do not receive counseling at all. Because the food model that gives a real impression of the size of the food to be consumed so that pregnant women get the nutrition they need. Keywords: Attitudes, Dietary behavior during pregnancy, Knowledge, Nutrition Counseling, Pregnancy, Playdough

Dietary factors associated with anaemia among pregnant women attending antenatal care clinics in Sekota town, Northern Ethiopia: a facility-based cross-sectional study

BackgroundAnaemia is a major public health problem during pregnancy, especially in developing countries such as Ethiopia. Poor diet patterns are common contributors to anaemia. This study assessed the dietary factors...

Influence Supplements Multi Micronutrients (MMS) on Nutritional Status Mother Pregnant in City Gorontalo

Multi micronutrient supplements (MMS) are supplements that contain 15 most essential vitamins and minerals for pregnant women. MMS contains many nutrients, one of which is vitamin B which can increase appetite, vitamin B12 and folic acid which can form hemoglobin to prevent anemia. This research aims to determine the effect of multi supplements micronutrient (mms) on the nutritional status of pregnant women in Gorontalo City. This research method is a quantitative method with a pre-experimental research design with a one group pre and post test design . The sample was 112 people using the Slovin formula, sampling using proportional sampling . Statistical analysis used the T-test to see changes before and after being given MMS. The results of the study showed that for nutritional status there was a decrease in the percentage of malnutrition before it was given mms 12.5% decreased to 0.9% after being given MMS. Normal nutrition which was previously 87.5% increased to 99.1% after being given MMS. Conclusion: There is an influence of MMS on the nutritional status of pregnant women in Gorontalo City with a p-value of 0.000 ≤0.05, meaning that MMS is effective in improving the nutritional status of pregnant women.