Latar Belakang : Anemia pada ibu hamil merupakan masalah kesehatan yang serius di Indonesia. Menurut data Kementrian Kesehatan Indonesia, Prevalensi anemia pada ibu hamil di Indonesia masih tinggi, yaitu sekitar 38,3%. Anemia pada ibu hamil dapat menyebabkan berbagai komplikasi pada kehamilan seperti bayi lajir dengan berat badan rendah, kelahiran prematur, dan bahkan kematian maternal dan neonatal. Tujuan : Untuk mengetahui hubungan kepatuhan ibu hamil mengkonsumsi tablet Fe dengan kejadian anemia. Metode : Penelitian ini bersifat Analitik dengan menggunakan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil pada bulan Desember sampai dengan Januari 2022 di Puskesmas Peusangan Kabupaten Bireuen sebanyak 43 ibu hamil. Teknik pengambilan sampel dengan cara Total Sampling sebanyak 43 jiwa. Hasil : Hasil penelitian menunjukkan adanya hubungan kepatuhan ibu hamil yang mengkonsumsi tablet Fe dengan Kejadian anemia dengan nilai p-value = 0,010< α (0,05). Kesimpulan : Dari Hasil penelitian dapat disimpulkan bahwa semakin patuh ibu hamil dalam mengkonsumsi tablet Fe selama kehamilan, maka semakin kecil ibu hamil tersebut mengalami anemia dalam kehamilan.Kata kunci : Kepatuhan Konsumsi Fe, Anemia, Ibu HamilBackground : Anemia in pregnant women is a serious health problem in Indonesia. According to data from the Indonesian Ministry of Health, the prevalence of anemia in pregnant women in Indonesia is still high, which is around 38.3%. Anemia in pregnant women can cause various complications in pregnancy such as low birth weight babies, premature births, and even maternal and neonatal deaths. Purpose : To determine the relationship between adherence of pregnant women consuming Fe tablets with the incidence of anemia. Method : This research is analytic using Cross Sectional approach. The population in this study were all pregnant women from December to January 2022 at the Peusangan Health Center in Bireuen Regency, with as many as 43 pregnant women. Sampling technique by means of a Total Sampling of as many as 43 people. Results: The results showed that there was a relationship between the compliance of pregnant women who consumed Fe tablets with the incidence of anemia with a p-value = 0.010 < α (0.05). Conclusion: From the results of the study it can be concluded that the more obedient pregnant women are in consuming Fe tablets during pregnancy, the less pregnant women experience anemia during pregnancy.Key words : Fe Consumption Compliance, Anemia, Pregnancy