Background: Nausea and vomiting are among the most common complaints in the first trimester of pregnancy and may affect nutritional intake and maternal quality of life, yet digital antenatal education at primary midwifery care remains suboptimal and rarely tailored to women's needs. Objectives: This study identified levels of nausea and vomiting, nutritional needs, and digital antenatal education needs among first-trimester pregnant women, and explored their subjective experiences of these aspects. Methods: An explanatory sequential mixed-methods design was used. The quantitative phase involved 35 first-trimester pregnant women at an independent midwifery practice in West Bandung Regency, selected through total sampling, followed by semi-structured interviews with 10 women to deepen the findings. Quantitative data were analyzed descriptively; qualitative data were analyzed thematically. Results: Nausea and vomiting were mostly mild (65.7%); nutritional needs were equally distributed between good and adequate categories (37.1% each); and digital education needs were mostly moderate (37.1%). Interviews showed that nausea altered eating patterns, inconsistent online information confused mothers' food choices, and mothers trusted midwives more than social media. Conclusions: Digital antenatal education needs are shaped by clinical experience, nutritional needs, and trust in information sources, indicating that digital media should involve health workers as trusted providers.
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