Community Empowerment

Articles

Maternal nutritional intervention for preeclampsia prevention: Integrating video-based education and local fish cooking workshops

Dea Anenta Veonika , Tia Wida Ekaputri Hz , Niken Irfa Nastiti , Annissa Delfira , I Made Dwi Mertha Adnyana

Abstract

Preeclampsia remains a primary driver of maternal mortality in Indonesia, highlighting the urgency of addressing maternal nutritional status as a critical, modifiable risk factor through targeted community programs. This community service aims to elevate pregnant women's literacy regarding balanced prenatal nutrition for preeclampsia prevention while mapping their baseline nutritional profiles and risk factors. The program integrated comprehensive health screenings (anthropometric and blood pressure measurements, and medical history assessments) with interactive video screenings and hands-on cooking demonstrations featuring local fish resources. Clinical screenings revealed a high prevalence of metabolic risks: 40% of participants were obese and 35% presented with anemia. A remarkably strong positive correlation was observed between BMI and MUAC (r=0.788; p<0.001). Post-intervention assessments demonstrated a substantial surge in nutritional knowledge, most notably regarding calcium requirements (131.6%) and protein needs (104.8%). Ultimately, combining visual education with experiential cooking workshops serves as an effective, highly practical strategy to improve maternal nutritional literacy and reinforce preeclampsia prevention frameworks at primary healthcare levels.

Keywords

Preeclampsia prevention; Maternal obesity; Fish-based diet; Community health

References

  1. Adnyana, I. M. D., Subair, N., Irma, R. H., Nur, S., Karo, M. B., Maryam, A., Parwati, D., Adnyan, I. M. D. M., Badawi, B., Marlina, Elis, A., Thalib, K. U., Sallo, A. K. M., Angka, A. T., Patrisia, R., Rika, Hafidah, A., Mustari, R., Sahirah, S., … Andi Indrawati, Y. (2025). Pengaruh stigma sosial terhadap perempuan dengan kanker di Indonesia (M. B. Dr. Oktavianis (Ed.); first, pp. 104–116). Get Press Indonesia.
  2. Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman and Company.
  3. Bergis, D., Ehrmann, D., Albrecht, C., Haak, T., Kulzer, B., & Hermanns, N. (2019). Comparison of the efficacy of an education program for people with diabetes and insulin pump treatment (INPUT) in a randomized controlled trial setting and the effectiveness in a routine care setting: Results of a comparative effectiveness study. Patient Education and Counseling, 102(10), 1868–1874. https://doi.org/10.1016/j.pec.2019.04.021
  4. Br Bangun, S. E., Harnis, Z. E., & Purba, J. S. (2024). Pemanfaatan Bahan Alam Lidah Buaya (Aloe Vera) Sebagai Kesehatan Lambung Dan Perawatan Rambut Di Sma Negeri 17 Medan. Jurnal Pengabdian Masyarakat Putri Hijau, 5(1), 73–76. https://doi.org/10.36656/jpmph.v5i1.2138
  5. Catalano, P. M., & Shankar, K. (2017). Obesity and pregnancy: mechanisms of short term and long term adverse consequences for mother and child. BMJ, j1. https://doi.org/10.1136/bmj.j1
  6. Darwati, L., Muthoharoh, H., Wasiah, A., & Istighosah, N. (2024). Education on early detection of pre-eclampsia in pregnant women at Ngimbang Regional Hospital, Lamongan. Community Empowerment, 9(9), 1241–1246. https://doi.org/10.31603/ce.10477
  7. Diana, D., & Ginting, K. (2023). Faktor Status Gizi Ibu Hamil di Puskesmas Selayang II. Health Sciences and Pharmacy Journal, 7(1), 54–62. https://doi.org/10.32504/hspj.v7i1.939
  8. Fakolade, A. N., Bamigboye, A. O., & Osazuwa, D. K. (2021). Effect of Feeding Rate on the Growth and Nutrient Utilization of African Catfish Clarias gariepinus (Burchell 1822) Juveniles. Asian Journal of Fisheries and Aquatic Research, 8–12. https://doi.org/10.9734/ajfar/2021/v13i330265
  9. Gestational Hypertension and Preeclampsia. (2020). Obstetrics & Gynecology, 135(6), e237–e260. https://doi.org/10.1097/AOG.0000000000003891
  10. Haider, B. A., Olofin, I., Wang, M., Spiegelman, D., Ezzati, M., & Fawzi, W. W. (2013). Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis. BMJ, 346(jun21 3), f3443–f3443. https://doi.org/10.1136/bmj.f3443
  11. Herring, C. M., Bazer, F. W., Johnson, G. A., & Wu, G. (2018). Impacts of maternal dietary protein intake on fetal survival, growth, and development. Experimental Biology and Medicine, 243(6), 525–533. https://doi.org/10.1177/1535370218758275
  12. Hofmeyr, G. J., Lawrie, T. A., Atallah, Á. N., & Torloni, M. R. (2018). Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems. Cochrane Database of Systematic Reviews, 2018(10). https://doi.org/10.1002/14651858.CD001059.pub5
  13. Hurley, K. L., Jolly, K., Brown, H., Scott, S., Akhter, Z., Dyer, E., Nguyen, G., Lake, A. A., Möller-Christensen, C., Flint, N., Baker, A., Brennan-Tovey, K., Dickie, S., Gibson, E., Jackson, C., Loopstra, R., Nagra, H., Rankin, J., Williams, D., … Heslehurst, N. (2025). Food, Pregnancy & Me: Exploring food insecurity in pregnancy in the UK to inform future public health intervention needs–A mixed-methods study protocol. PLOS One, 20(5), e0321638. https://doi.org/10.1371/journal.pone.0321638
  14. Jouanne, M., Oddoux, S., Noël, A., & Voisin-Chiret, A. S. (2021). Nutrient Requirements during Pregnancy and Lactation. Nutrients, 13(2), 692. https://doi.org/10.3390/nu13020692
  15. Kementrian Kesehatan RI. (2019). Laporan nasional Riskesdas 2018.
  16. Kementrian Kesehatan RI. (2021). Profil kesehatan Indonesia 2020 (M. Boga Hardhana, S.Si, Ms. P. Farida Sibuea, SKM, & M. Winne Widiantini, SKM (Eds.)). Kementerian Kesehatan Republik Indonesia.
  17. Kepley, J. M., Bates, K., & Mohiuddin, S. S. (2026). Physiology, Maternal Changes.
  18. Lisonkova, S., & Joseph, K. S. (2013). Incidence of preeclampsia: risk factors and outcomes associated with early- versus late-onset disease. American Journal of Obstetrics and Gynecology, 209(6), 544.e1-544.e12. https://doi.org/10.1016/j.ajog.2013.08.019
  19. Middleton, P., Gomersall, J. C., Gould, J. F., Shepherd, E., Olsen, S. F., & Makrides, M. (2018). Omega-3 fatty acid addition during pregnancy. Cochrane Database of Systematic Reviews, 2018(11). https://doi.org/10.1002/14651858.CD003402.pub3
  20. Mustafa, A., Soelistyorini, D., Pudjirahaju, A., & Safitri, P. D. (2024). Effectiveness of Snakehead Fish (Channa striata) Snacks in Improving Protein Intake and Albumin Levels in Adolescent Girls at Risk of Chronic Energy Deficiency. Health Dynamics, 1(12), 485–491. https://doi.org/10.33846/hd11207
  21. National Institues of Health. (2009). Weight Gain During Pregnancy. National Academies Press. https://doi.org/10.17226/12584
  22. Popkin, B. M., Adair, L. S., & Ng, S. W. (2012). Global nutrition transition and the pandemic of obesity in developing countries. Nutrition Reviews, 70(1), 3–21. https://doi.org/10.1111/j.1753-4887.2011.00456.x
  23. Reicks, M., Trofholz, A. C., Stang, J. S., & Laska, M. N. (2014). Impact of Cooking and Home Food Preparation Interventions Among Adults: Outcomes and Implications for Future Programs. Journal of Nutrition Education and Behavior, 46(4), 259–276. https://doi.org/10.1016/j.jneb.2014.02.001
  24. Roberts, J. M., Bodnar, L. M., Patrick, T. E., & Powers, R. W. (2011). The role of obesity in preeclampsia. Pregnancy Hypertension: An International Journal of Women’s Cardiovascular Health, 1(1), 6–16. https://doi.org/10.1016/j.preghy.2010.10.013
  25. Santos, S., Voerman, E., Amiano, P., Barros, H., Beilin, L., Bergström, A., Charles, M., Chatzi, L., Chevrier, C., Chrousos, G., Corpeleijn, E., Costa, O., Costet, N., Crozier, S., Devereux, G., Doyon, M., Eggesbø, M., Fantini, M., Farchi, S., … Jaddoe, V. (2019). Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta‐analysis of European, North American and Australian cohorts. BJOG: An International Journal of Obstetrics & Gynaecology, 126(8), 984–995. https://doi.org/10.1111/1471-0528.15661
  26. Subair, N., Haris, R., Nur, S., Br Karo, M., Maryam, A., Parwati, D., Adnyana, I. M. D., Adnyan, M., Badawi, B., Elis, A., Thalib, K., Kamal, A., Sallo, M., Angka, A., Patrisia, R., Rika, A., Hafidah, R., Mustari, S., Sahirah, S., & Indrawati, A. (2025). Untuk perempuan Indonesia: langkah awal skrining dan deteksi dini kanker (p. 357). Get Press Indonesia.
  27. Wijayanti, E. J., Christyaningsih, J., Fadhila, U. A., & Sari, A. R. K. P. (2022). Nutrition education through provision of additional local food for pregnant women and toddlers in Kalisat District, Jember Regency. Community Empowerment, 7(9), 1549–1554. https://doi.org/10.31603/ce.6480
  28. World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. In WHO Library Cataloguing-in-Publication Data (Vol. 894).
  29. Xu, H., Perez-Cuevas, R., Xiong, X., Reyes, H., Roy, C., Julien, P., Smith, G., von Dadelszen, P., Leduc, L., Audibert, F., Moutquin, J.-M., Piedboeuf, B., Shatenstein, B., Parra-Cabrera, S., Choquette, P., Winsor, S., Wood, S., Benjamin, A., Walker, M., … Fraser, W. D. (2010). An international trial of antioxidants in the prevention of preeclampsia (INTAPP). American Journal of Obstetrics and Gynecology, 202(3), 239.e1-239.e10. https://doi.org/10.1016/j.ajog.2010.01.050