<![CDATA[Pregnancy complications remain an important contributor to maternal morbidity and mortality, highlighting the need for preventive strategies that strengthen pregnant women's knowledge and attitudes toward early recognition and appropriate management of pregnancy-related risks. This study aimed to evaluate changes in pregnant women's knowledge and attitudes regarding the prevention of pregnancy complications following a health promotion intervention. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted among 15 pregnant women attending antenatal care at an Independent Midwife Practice in April 2026. Participants were recruited using total sampling. The intervention consisted of structured health promotion delivered through counseling, presentations, and educational leaflets. Knowledge and attitudes were assessed using a structured questionnaire that had undergone validity and reliability testing. Pretest and posttest outcomes were analyzed using paired statistical procedures based on the data distribution. The mean knowledge score increased from 56.2 before the intervention to 82.5 after the intervention, with a mean difference of 26.3 points. The mean attitude score increased from 60.1 to 85.7, representing a mean difference of 25.6 points. Both changes were statistically significant (p < 0.001). These findings indicate that structured health promotion was associated with substantial improvements in pregnant women's knowledge and attitudes regarding the prevention of pregnancy complications. Integrating systematic and accessible health education into routine antenatal care may strengthen maternal preparedness and support preventive practices. However, larger controlled studies are required to confirm the effectiveness and generalizability of the intervention.]]>
