Improving Pregnancy Preparedness: Impact of Preconception Education on Folic Acid Awareness in Women of Childbearing Age
DOI:
https://doi.org/10.21070/midwiferia.v12i1.1755Keywords:
Preconception, Education, Folic Acid, Pregnancy, Women of Childbearing AgeAbstract
Background: Preconception is an important early stage before pregnancy to determine the quality of the baby to be born. Approximately 24–60% of women, both in developing and developed countries, experience folic acid deficiency because the folic acid content in their daily diet is insufficient to meet the needs of pregnant women. Objectives: The purpose of this study was to analyze the effect of education about the importance of folic acid on healthy pregnancy preparation in women of childbearing age in Condong Village. Method: This study design was preeksperimen. The research variables were measured at a certain time to obtain a picture of the situation at that time. The population in this study were all women of childbearing age, totaling 67 people. The sampling technique used simple random sampling, resulting in a sample of 46 people. Data collection used a questionnaire, and analyzed using the Wilcoxon statistical test. The results of the study showed that preparation in planning a healthy pregnancy before being given education was sufficient for 26 respondents (56.5%), and preparation in planning a healthy pregnancy after being given education was good for 27 respondents (58.7%). The Wilcoxon test analysis showed a p-value of 0.000 < 0.005, indicating an effect of preconception education on the role of folic acid on healthy pregnancy planning among women of childbearing age.. Conclusion: This study concludes that there is an effect of preconception education on the role of folic acid on healthy pregnancy planning among women of childbearing age in Condong Village.
References
Anggela, T., Joegijantoro, R., Sari, D., Widyagam, S., & Malang, H. (2024). The Relationship between Knowledge, Characteristics, Attitudes and Behavior of the Community towards Perceptions of Health and Cleanliness of Drinking Water in Ranah Karya Village, Lubuk Pinang District, Mukomuko Regency. Tambusai Health Journal, 5(3).
Argaw, A., de Kok, B., Toe, L.C., Hanley-Cook, G., Dailey-Chwalibóg, T., Ouédraogo, M., Compaoré, A., Vanslambrouck, K., Ganaba, R., Kolsteren, P., Lachat, C., & Huybregts, L. (2023). Fortified balanced energy–protein supplementation during pregnancy and lactation and infant growth in rural Burkina Faso: A 2 × 2 factorial individually randomized controlled trial. PLoS Medicine, 20(2). https://doi.org/10.1371/journal.pmed.1004186
Ayudia, F., & Arfianingsih, DP (2021). The Effect of Preconception Nutritional Status on Birth Weight of Mothers Giving Birth in Padang City. Jurnal Kesehatan Medika Saintika, 11, 83. https://doi.org/10.30633/jkms.v12i1.982
Azizah, AM, Nurmala, I., & Devy, SR (2022). The Effect of Mother's Educational Level and Stunting Incidence on Toddlers: A Meta-analysis. Print) Azizah, et al | Amerta Nutrition, 6(4), 369–375. https://doi.org/10.20473/amnt.v6i4.2022.369
Barchitta, M., Maugeri, A., Lio, M.S., Favara, G., La Mastra, C., La Rosa, M., & Agodi, A. (2020). Dietary Folate Intake and Folic Acid Supplements among Pregnant Women from Southern Italy: Evidence from the “Mamma & Bambino” Cohort. International Journal of Environmental Research and Public Health, 17. https://doi.org/10.3390/ijerph17020638
Chen-Maynard, D. (2024). Nutrition during Pregnancy and Lactation. In William's: Essentials of Nutrition and Diet Therapy (13 ed., pp. 201–202). Elsevier.
Crombag, N., Bollen, B., Vancoppenolle, E., Vandendriessche, T., Versmissen, D., Paisi, M., Shawe, J., Garthus-Niegel, S., & Bogaerts, A. (2025). Intervention strategies to prevent mental health problems and improve resilience in employed parents from conception until the child is 5 years of age: a scoping review. BMC Pregnancy and Childbirth, 25(1). https://doi.org/10.1186/s12884-024-07043-4
Dewi, NWEP, & Raswati Teja, NMAY (2022). Preconception Screening Education with Animated Videos for Women of Childbearing Age. Journal of Community Service Creativity (PKM), 5(8), 2758–2767. https://doi.org/10.33024/jkpm.v5i8.6757
East Java Health Office. (2024). East Java Provincial Health Profile 2023.
Fitraniar, I., Abdurahman, F., Abdullah, A., Maidar, M., & Ichwansyah, F. (2022). Determinants of stunting in infants aged 0–24 months in Pidie Regency: A case-control study. AcTion: Aceh Nutrition Journal, 7(2), 187. https://doi.org/10.30867/action.v7i2.502
Fitriani, F., Ramlan, R., & Rusman, ADP (2021). The Effectiveness of Stunting Prevention Cards on the Knowledge of Prospective Brides and Grooms at the Religious Affairs Office (KUA) in Parepare City. Humans and Health, 4(3), 2614–3151. http://jurnal.umpar.ac.id/index.php/makes
Gomes, F., Adu-Afarwuah, S., Agustina, R., Ali, H., Arcot, A., Arifeen, S., Arnold, CD, Black, RE, Christian, P., Dewey, KG, Fawzi, WW, Hallamaa, L., Hoddinott, J., Kissell, MC, Kraemer, K., Lachat, C., Moore, SE, Maleta, K., Pereira, C., … Mwangi, M. N. (2025). Effect of prenatal multiple micronutrient supplementation compared with iron and folic acid supplementation on size at birth and subsequent growth through 24 mo of age: a systematic review and meta-analysis. The American Journal of Clinical Nutrition, 122(1), 185–195. https://doi.org/https://doi.org/10.1016/j.ajcnut.2025.04.022
Hasibuan, IDS, & Ain, N. (2023). The Relationship between Knowledge Level, Attitude, and Behavior in Covid-19 Prevention Efforts among Office Workers. Ibnu Sina: Journal of Medicine and Health - Faculty of Medicine, Islamic University of North Sumatra, 22(2).
Hidayati, T., & Iis Hanifah. (2025). Effectiveness of Balanced Nutrition Education in Changing Preconceptional Women's Nutritional Behavior for Stunting Prevention. Malakbi Midwifery Journal, 6(2), 94–102. https://doi.org/10.33490/b.v6i2.2118
Husna, PH, Rina, A., Merry, M. V, Yosi, YK, Narmin, N., Sholiocin, S., & Safinatunnaja. (2025). Reference Book: Management of Anemia in Pregnant Women (1st ed.). Optimal for the Nation.
Jahan-Mihan, A., Leftwich, J., Berg, K., Labyak, C., Nodarse, R., Allen, S., & Griggs, J. (2024). The Impact of Parental Preconceptions of Nutrition, Body Weight, and Exercise Habits on Offspring Health Outcomes: A Narrative Review. Nutrients, 16(4), 1–30. https://doi.org/10.3390/nu16244276
Kadariya, S., Parkinson, J., Marsh, J., & Ball, L. (2025). Community listening to understand determinants of healthy eating in an Australian priority community. Health Promotion International, 40(2). https://doi.org/10.1093/heapro/daaf040
Kaldygulova, L., Ukybassova, T., Aimagambetova, G., Gaiday, A., & Tussupkaliyev, A. (2023). Biological Role of Folic Acid in Pregnancy and Possible Therapeutic Application for the Prevention of Preeclampsia. In Biomedicines (Vol. 11, Number 2). MDPI. https://doi.org/10.3390/biomedicines11020272
Lestari, E., Shaluhiyah, Z., & Sakundarno, AM (2023). Stunting Prevention Interventions in the Preconception Period: Literature Review. Indonesian Health Promotion Publication Media (MPPKI), 6(2). https://doi.org/10.31934/mppki.v2i3
Marshall, N.E., Abrams, B., Barbour, L.A., Catalano, P., Christian, P., Friedman, J.E., Hay, W.W., Hernandez, T.L., Krebs, N.F., Oken, E., Purnell, J.Q., Roberts, J.M., Soltani, H., Wallace, J., & Thornburg, K.L. (2022). The Importance of Nutrition in Pregnancy and Lactation: Lifelong Consequences. American Journal of Obstetrics and Gynecology, 226(5), 607–632. https://doi.org/10.1016/j.ajog.2021.12.035
Mutare, S., Mohamad, M., Feehan, J., Cheikh Ismail, L., Ali, HI, Stojanovska, L., Khair, H., Shehab, A., Ali, R., Hwalla, N., Kharroubi, S., Hills, A., Fernandes, M., Al Neyadi, S., & Al Dhaheri, AS (2025). First-trimester nutrition insights from the United Arab Emirates Birth Cohort Study (UAE-BCS): assessment of dietary intake, micronutrient profiles, and folic acid supplementation in Emirati Women. Journal of Nutritional Science, 14, e24. https://doi.org/DOI: 10.1017/jns.2025.11
Nurfatimah Nurfatimah, Cynthia, P., Ketut, A., Sri, K., Mufidah, M., Sarliana, S., Loso, J., Johara, J., Maryam, SM, & Dzul, IH (2025). Adolescent Midwifery Care, Premarital and Preconception (1 ed.). Sonpedia.
Oudat, Q., Messiah, S.E., Ghoneum, A.D., & Okour, A. (2025). A Narrative Review of Multifactorial Determinants of Childhood Eating Behaviors: Insights and Interventions Using the Social Ecological Model. Children, 12(3). https://doi.org/10.3390/children12030388
Prasetyo, YB, Permatasari, P., & Susanti, HD (2023). The effect of mothers' nutritional education and knowledge on children's nutritional status: a systematic review. In International Journal of Child Care and Education Policy (Vol. 17, Number 1). Springer. https://doi.org/10.1186/s40723-023-00114-7
Purnasari, H., & Juliana, M. (2024). Neural Tube Defects Prevention with Folic Acid Supplementation and Fortification: A Comprehensive Systematic Review. The Indonesian Journal of General Medicine, 1(8).
Ratmalia, R., Ellyani, A., & Siti, HA (2024). The Effect of Nutrition Education on Knowledge and Macronutrient Intake in Pregnant Women at the Bukit Kangka Community Health Center, South Buton Regency. Scientific Nutrition Journal, 1. https://jurnal.karyakesehatan.ac.id/JGI
Retni, R. (2025). Textbook of Public Health Nutrition (1st ed.). Reformation of the Anchor of Philosphia.
Saras, T. (2023). Folic Acid: The Key to Health and Well-Being (1st ed.). Tiram Media.
Soyupak, B., Özel Doğan, G., & Atış Aydın, A. (2024). Association of First Trimester Maternal Serum Ferritin, Vitamin D, Folic Acid, Vitamin B12 Levels and Pregnancy Losses. Annals of Clinical and Analytical Medicine, 15(07), 473–478. https://doi.org/10.4328/acam.22155
Sulaiman, ES (2021). Health Management. Theory and Practice in Community Health Centers. Gadjah Mada University Press.
Tarigan, N., Lora, S., & Siti, Z. (2021). Energy, protein, iron, folic acid intake and anemia status of pregnant women in the Petumbukan Community Health Center work area. WAHANA INNOVASI, 10(1).
UNFPA. (2022). Annual Report 2021: Leaving No One Behind in a Global Crisis through Universal Access to Sexual and Reproductive Health Services and Information.
UNICEF, & Indonesian Ministry of Health. (2023). Framework for Action. Indonesian Maternal Nutrition.
Wijaya, SM, Komala, R., Nasution, SH, & Febriyani, W. (2024). Factors Influencing Nutritional Status of Adolescent Girls in Karang Anyar Village, Jati Agung District. Darussalam Nutrition Journal, 8(1), 13–23. https://doi.org/10.21111/dnj.v8i1.10963
Yudianti, I., Tri, A., Siti, A., Rina, M., Megawati, A., Abd, S., Didien, R., Setyarini, I., Arifuddin, A., Agustini, F., Rizqi, A., Maryuni, S., Fahira, A., Martini, N., Kusmiwiyati, A., Okvitasari, Y., & Dumilah, R. (2024). Women and Family Health (1st ed.). Get Press Indonesia
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