protocolSection identificationModule nctId: NCT06268509, orgStudyIdInfo id: MONAS, briefTitle: Nutrition Optimalization Among Pregnant Women to Improve Maternal and Neonatal Outcome in DKI Jakarta, acronym: MONAS, statusModule overallStatus: RECRUITING, startDateStruct date: 2023-04-01, primaryCompletionDateStruct date: 2024-06, completionDateStruct date: 2024-08, studyFirstPostDateStruct date: 2024-02-20, lastUpdatePostDateStruct date: 2024-02-20, sponsorCollaboratorsModule leadSponsor name: Dr Cipto Mangunkusumo General Hospital, class: OTHER, collaborators name: Dinas Kesehatan DKI Jakarta, collaborators name: Fakultas Kedokteran Universitas Indonesia, descriptionModule briefSummary: The goal of this MONAS Study is to learn about comprehensive monitoring and nutritional intervention among pregnant women in order to improve maternal and neonatal outcomes. The main questions it aims to answer are:1. Are comprehensive monitoring and nutritional intervention among pregnant women can improve maternal outcomes (maternal death, preterm labour, preeclampsia, intrauterine infection, and bleeding during pregnancy and delivery) compared to standard maternal health services?2. Are comprehensive monitoring and nutritional intervention among pregnant women can improve neonatal outcomes (neonatal death, low birth weight, intrauterine growth restriction, and neonatal asphyxia) compared to standard maternal health services?Participants in the intervention group will receive:* Fetomaternal ultrasound examination each trimester* Complete laboratory examination for nutritional panel (complete blood count with reticulocyte profile and iron profile, vitamin D level, zinc level, fatty acid profile, electrophoresis for Thalassemia) as an addition to standard maternal routine laboratory examination* Supplements: multivitamin, minerals, vitamin D, fatty acid* Intervention regarding any abnormal results of nutritional panel* All standard maternal health services according to Indonesian Ministry of Health protocolParticipants in the control group will receive:- All standard maternal health services according to Indonesian Ministry of Health protocol, conditionsModule conditions: Pregnancy Complications, conditions: Maternal Death, conditions: Preeclampsia, conditions: Intrauterine Infection, conditions: Pregnancy Hemorrhage, conditions: Preterm Birth, conditions: Neonatal Death, conditions: Low; Birthweight, Extremely (999 Grams or Less), conditions: Asphyxia Neonatorum, conditions: IUGR, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: PREVENTION, maskingInfo masking: NONE, enrollmentInfo count: 245, type: ESTIMATED, armsInterventionsModule interventions name: Nutritional panel laboratory examination, interventions name: Pregnancy supplements (other than provided by Ministry of Health), interventions name: Fetomaternal ultrasound, outcomesModule primaryOutcomes measure: Composite of poor maternal outcomes, primaryOutcomes measure: Composite of poor neonatal outcomes, eligibilityModule sex: FEMALE, stdAges: CHILD, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Jakarta Primary Care Health Facility (Puskesmas) under Jakarta Health Office, status: RECRUITING, city: Jakarta, country: Indonesia, contacts name: Risal, M.D., M.Sc., role: CONTACT, email: dinkes@jakarta.go.id, geoPoint lat: -6.21462, lon: 106.84513, hasResults: False