Anemia during pregnancy remains a health issue that increases the risk of complications for both the mother and the fetus. In addition to iron supplement tablets, the consumption of local iron-rich foods, such as red spinach (Amaranthus tricolor), has the potential to serve as a complementary intervention to increase hemoglobin (Hb) levels. This study aimed to analyze the effect of red amaranth consumption on Hb levels in pregnant women with anemia at Budi Satia Langowan General Hospital. The study employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 pregnant women with anemia selected using total sampling. Hb levels were measured before and after the intervention, which consisted of consuming 100 grams of red spinach daily for one week. Data were analyzed univariately and bivariately using the Wilcoxon Signed-Rank test. The results showed an increase in the mean Hb level from 10.23 g/dL before the intervention to 11.38 g/dL after the intervention. Statistical analysis indicated a significant effect of red spinach consumption on the increase in Hb levels in pregnant women with anemia (p=0.000). These findings suggest that red spinach has the potential to serve as an effective, locally sourced dietary intervention to complement iron supplement tablets. The use of red spinach may be considered in nutrition education during antenatal care to support the prevention and management of anemia during pregnancy.
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