Association between Maternal Dietary Patterns and Preeclampsia Incidence: A Cross-Sectional Study at Rehatta Hospital, Indonesia

Dary Dary; Rifatolistia Tampubolon; Kristiani Desimina Tauho; Tegar Anggiama  Tobing; Gelora Mangalik

doi:10.56303/jhnresearch.v4i3.771

Authors

Dary Dary Nursing Department, Faculty of Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia
Rifatolistia Tampubolon Nursing Department, Faculty of Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia
Kristiani Desimina Tauho Nursing Department, Faculty of Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia
Tegar Anggiama Tobing Nursing Department, Faculty of Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia
Gelora Mangalik Nutrition Department, Faculty of Health Sciences, Satya Wacana Christian University, Salatiga, Indonesia

Keywords:

Preeclampsia, Maternal Dietary Patterns, Pregnant Women, Food Frequency Questionnaire (FFQ), Nutritional Intake

Abstract

Preeclampsia is a severe pregnancy disorder and causes high maternal mortality rates in Indonesia, with 1,077 cases in 2021. This study aims to investigate the association between maternal dietary patterns and the incidence of preeclampsia, particularly among pregnant women in Jepara Regency, a coastal region. This study is a quantitative correlational study, with the population being all mothers with a gestational age above 20 weeks who underwent examinations at Rehatta Hospital, Jepara Regency. Respondents were determined by consecutive sampling, obtaining 50 pregnant women who underwent pregnancy checks during August-September 2024. Data on maternal dietary patterns were obtained by filling out the FFQ (Food Frequency Questionnaire) sheet. Data on the incidence of preeclampsia were determined based on a doctor's diagnosis. The collected data were analyzed univariately and bivariately using SPSS software. The Pearson test results for carbohydrate diet obtained p-value = 0.001, animal side dishes p-value = 0.001, vegetable side dishes p-value = 0.007, vegetables p-value = 0.001, fruits p-value = 0.001, fast food p-value = 0.001, and drinks p-value = 0.056. Based on the seven nutrients and drinks, high carbohydrate intake, lack of animal side dishes, vegetables, fruit, irregular eating, and fast food consumption have p-values <0.05, meaning maternal diet has a significant relationship with the incidence of preeclampsia. This finding confirms that a balanced diet during pregnancy plays a vital role in preventing preeclampsia. Therefore, monitoring diet and nutritional education for pregnant women needs to be a focus in efforts to prevent preeclampsia in health services

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References

World Health Organization. WHO. 2025. Maternal mortality.

Kementerian Kesehatan Republik Indonesia. Profil-Kesehatan-Indonesia-2019. 2020;

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2021. 2022.

Kemenkes Ri. Profil Kesehatan Indonesia Tahun 2023. Jakarta: Kementerian Kesehatan Republik Indonesia; 2024.

Dinas Kesehatan Kabupaten Jepara. Profil Kesehatan Kabupaten Jepara Tahun 2024 [Internet]. 2025 Jun. Available from: www.dinkes.jepara.go.id.

Dimitriadis E, Rolnik DL, Zhou W, Estrada-Gutierrez G, Koga K, Francisco RP V., et al. Pre-eclampsia. Nat Rev Dis Primers. 2023 Feb 16;9(1):8.

Tessema ZT, Yazachew L, Tesema GA, Teshale AB. Determinants of postnatal care utilization in sub-Saharan Africa: a meta and multilevel analysis of data from 36 sub-Saharan countries. Ital J Pediatr. 2020 Dec 27;46(1):175.

Simon E, Caille A, Perrotin F, Giraudeau B. Mixing Nulliparous and Multiparous Women in Randomised Controlled Trials of Preeclampsia Prevention Is Debatable: Evidence from a Systematic Review. PLoS One. 2013 Jun 24;8(6):e66677.

Shao Y, Qiu J, Huang H, Mao B, Dai W, He X, et al. Pre-pregnancy BMI, gestational weight gain, and risk of preeclampsia: a birth cohort study in Lanzhou, China. BMC Pregnancy Childbirth. 2017 Dec 1;17(1):400.

Fox R, Kitt J, Leeson P, Aye CYL, Lewandowski AJ. Preeclampsia: Risk Factors, Diagnosis, Management, and the Cardiovascular Impact on the Offspring. J Clin Med. 2019 Oct 4;8(10):1625.

Amalina N, Kasoema RS, Mardiah A. Faktor Yang Mempengaruhi Kejadian Preeklampsia Pada Ibu Hamil Factors Affecting The Event Of Preeklamsia For Pregnant Mothers. Vol. 12, Journal Voice Of Midwifery. 2022.

Wulandari ES, Ernawati E, Nuswantoro D. Risk Factors Of Preeclampsia With Severe Features And Its Complications. Indonesian Midwifery and Health Sciences Journal. 2021 Jan 28;5(1):29–37.

Sulistiyanti A, Hastuti FD, Rochmawati L. Prosiding Seminar Informasi Kesehatan Nasional (SIKesNas) Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta 127.

Heryanto ML, Sholihati RA, Maemunah AS. Pola Makan Dengan Kenaikan Berat Badan Ibu Hamil Trimester II Dan III Di Uptd Puskesmas Garawangi Kecamatan Garawangi Kabupaten Kuningan. Journal of Public Health Innovation. 2021 Jun 14;1(2):113–22.

Habibullah, Aini Q. Hubungan Status Gizi Pada Ibu Hamil Dengan Kejadian Pre-Eklamsia Naskah Publikasi Program Studi Keperawatan Stikes Ngudia Husada Madura Bangkalan 2023. [Madura]: STIKES Ngudia Husada Madura; 2023.

Esti Yunitasari, Azza A, Mira Triharini, Susilo C. Behavioral risk factors and maternal nutrition as predictors of pre-eclampsia among pregnant women in rural areas: cross-sectional study. Jurnal Ners. 2023 Sep 30;18(3):257–63.

Kinshella MLW, Omar S, Scherbinsky K, Vidler M, Magee LA, von Dadelszen P, et al. Maternal Dietary Patterns and Pregnancy Hypertension in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis. Advances in Nutrition. 2021 Nov;12(6):2387–400.

Aji AS, Yerizel E, Desmawati D, Lipoeto NI. Low Maternal Vitamin D and Calcium Food Intake during Pregnancy Associated with Place of Residence: A Cross-Sectional Study in West Sumatran Women, Indonesia. Open Access Maced J Med Sci. 2019 Aug 30;7(17):2879–85.

Hamsir F, As’ad S, Tahir AM, Soraya D, Fujiko M, Chalid SMT, et al. Macro- and Micronutrient of Junk Food and Preeclampsia on Pregnant Women. Open Access Maced J Med Sci. 2022 Jul 18;10(E):1–6.

Tejera E, Sánchez ME, Henríquez-Trujillo AR, Pérez-Castillo Y, Coral-Almeida M. A population-based study of preeclampsia and eclampsia in Ecuador: ethnic, geographical and altitudes differences. BMC Pregnancy Childbirth. 2021 Dec 9;21(1):116.

Mou AD, Barman Z, Hasan M, Miah R, Hafsa JM, Das Trisha A, et al. Prevalence of preeclampsia and the associated risk factors among pregnant women in Bangladesh. Sci Rep. 2021 Oct 29;11(1):21339.

Karl W. Staser, P. Joseph Gibson P, DrPH; Robert M., Virginia A. Caine M, Srujana Kunapareddy M, Saywell Jr PM. Dietary Behaviors Associated With Fruit and Vegetable Consumption, Marion County, Indiana, 2005. 2011 May;8(3):1. Available from: http://www.cdc.gov/pcd/issues/2011/may/10_

Tuffahati Zalfa, Irawan AMA, Umami Z, Rahmawati LA, Yusuf AM. Relationship Between Energy, Protein, Iron, and Calcium Intake with Hemoglobin Levels of Pregnant Women. Journal of Health and Nutrition Research. 2024 Dec 11;3(3):177–84.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 Tentang Pedoman Gizi Seimbang. Nomor 41 Tahun 2014 Indonesia: Kementerian Kesehatan; Jul 24, 2014 p. 1–96.

Suryani N, Abdurrachim R, Alindah N. Analisis Kandungan Karbohidrat, Serat Dan Indeks Glikemik Pada Hasil Olahan Beras Siam Unus Sebagai Alternatif Makanan Selingan Penderita Diabetes Mellitus. Jurkessia. 2016 Jan;7(1):1–9.

Purbowati P, Kumalasari I. Indeks Glikemik Nasi Putih dengan Beberapa Cara Pengolahan Glycemic Index of Rice by Several Processing Methods. Amerta Nutrition. 2023 Jun 9;7:224–9.

Nahla K, A Ibrahim B, A Rahim Bahaa-eldin E. Association between dietary patterns and pregnancy induced hypertension: a case-control study from Sudan. Afr Health Sci. 2022 Dec 23;22(4):368–74.

Purnama Sari DK. Seafood Consumption and Anemia Risk Among Pregnant Women in Indonesian Coastal Areas. Journal of Health and Nutrition Research. 2025 Aug 1;4(2):382–9.

Nugraha GBA, Prasetyo PJ, Daliman. Anemia in Pregnancy as a Predisposing Factor of Severe Preeclampsia. Indonesian Journal of Obstetrics and Gynecology. 2021 Apr 15;111–4.

Traore SS, Bo Y, Amoah AN, Khatun P, Kou G, Hu Y, et al. A meta-analysis of maternal dietary patterns and preeclampsia. Clinical Nutrition Open Science. 2021 Dec;40:15–29.

Sammeng W, Castanya MS, Marsaoly M, Ruaida N. Sodium Intake and Nutritional Status Hypertension Patients In Hative Passo Hospital. Journal of Health and Nutrition Research. 2022. 1(3):156–60.

Sabatina Bingan EC. Hubungan Pola Konsumsi Asupan Natrium Dengan Kejadian Preeklamsia Pada Ibu Hamil. Jurnal Forum Kesehatan: Media Publikasi Kesehatan Ilmiah. 2022 Sep 20;10(2).

Hamsir F, As’ad S, Tahir AM, Soraya D, Fujiko M, Chalid SMT, et al. Macro- and Micronutrient of Junk Food and Preeclampsia on Pregnant Women. Open Access Maced J Med Sci. 2022 Jul 18;10(E):1–6.

Perry A, Stephanou A, Rayman MP. Dietary factors that affect the risk of pre-eclampsia. BMJ Nutr Prev Health. 2022. 5(1):118–33.

Nadeem M, Javed K, Abid HMR, Hussain A, Khalid N. A Review of Dietary and Lifestyle Management of Pre-Eclampsia and Postpartum Eclampsia. Prev Nutr Food Sci. 2025. 30(1):1–20.