47 Copyright ©2023 Faculty of Public Health Universitas Airlangga Open access under a CC BY – SA license | Joinly Published by IAGIKMI & Universitas Airlangga How to cite: Rahmawati, N. A., Kurniawati, E. M. ., Wibowo, A. ., Indriani, D. ., & Mustofa, V. F. Perspectives of Pregnant Women and Antenatal Service Providers Regarding Gestational Weight Gain and Nutritional Needs: Systematic Review: Perspektif Ibu hamil dan Penyedia Layanan Antenatal terkait Peningkatan Berat Badan Ibu dan Kebutuhan Gizi selama Kehamilan: Sistematik Review. Amerta Nutrition, 7(1SP), 47–58. e-ISSN: 2580-1163 (Online) p-ISSN: 2580-9776 (Print) Rahmawati et al. | Amerta Nutrition Vol. 7 Issue 1SP (May 2023). 46-57 INTRODUCTION Countries worldwide, including Indonesia, are struggling to achieve Sustainable Development Goals (SDGs) 3, namely ensuring a healthy life and promoting well-being for all people of all ages, including maternal health 1 . Preventing complications that appear during pregnancy is the main focus. Complications during pregnancy can impact both people, namely the mother, and child, in the long term. Pregnancy symptoms and complications can range from mild discomfort and bothersome to severe illness and can be life-threatening. Complications found in pregnant women such as obesity, preeclampsia, diabetes mellitus in pregnancy, stillbirth, and cesarean delivery 2 . Maternal weight gain during pregnancy has been a topic discussed in previous studies. Institute of Medicine (IOM) 2009 has launched recommendations for weight gain during pregnancy, which are associated with various short-term risks for the mother, such as the risk of sectio caesarea and large and small birth weight for gestational age 3 . The risk of baby death after birth and within one year is higher if born to mothers who experienced inadequate weight gain during pregnancy. Failure to initiate early breastfeeding and preterm birth is also associated with low gestational weight. Not only is the lack of weight gain terrible, but excess weight gain is also a risk for the mother. Mothers are faced with the long-term consequences of metabolism 4 . In addition to the short-term impact, Perspectives of Pregnant Women and Antenatal Service Providers Regarding Gestational Weight Gain and Nutritional Needs: Systematic Review Perspektif Ibu hamil dan Penyedia Layanan Antenatal terkait Peningkatan Berat Badan Ibu dan Kebutuhan Gizi selama Kehamilan: Sistematik Review Nur Anisah Rahmawati 1 *, Eighty Mardiyan Kurniawati 2 , Arief Wibowo 3 , Diah Indriani 3 , Vina Firmanty Mustofa 1 1 Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia 2 Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia 3 Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia LITERATURE REVIEW English Version OPEN ACCESS ARTICLE INFO Received: 31-01-2023 Accepted: 06-04-2023 Published online: 12-05-2023 *Correspondent: Nur Anisah Rahmawati nur.anisah.rahmawati- 2021@fkm.unair.ac.id DOI: 10.20473/amnt.v7i1SP.2023.46- 57 Available online at: https://e- journal.unair.ac.id/AMNT Keywords: Gestational weight gain, Nutritional needs, Antenatal care, Pregnant women, Provider ABSTRACT Background: Gestational weight gain that does not follow the standards can cause long-term problems for maternal and fetal outcomes. Research has found that most pregnant women cannot achieve gestational weight gain according to health standards. Objectives: This review explores the perspectives of pregnant women and antenatal care providers regarding gestational weight gain and nutritional needs. Methods: A systematic review follows the PRISMA guidelines. Several databases were accessed, namely PubMed, Google Scholar, and ScienceDirect databases, using a combination of the following Medical Subject Heading terms and relevant keywords. The inclusion criteria applied were studies written in English, evaluating the relevant topics, providing full text, and the study was published starting in 2019-2023. Results: A total of 12 articles were reviewed. Respondents were midwives, family doctors, obstetricians, health trainers, administrative officers, and pregnant and postpartum women. The nutritional status of pregnant women studied included normal and obese pregnant women. Obstacles encountered in counseling are patient attitudes, sociocultural issues (sensitive issues), accessibility of resources, and lack of communication training with patients and across professions. Sociocultural, economic status, and interpersonal factors such as social support influence patient beliefs, attitudes, and experiences. Patients may remember their positive experiences in health facilities, but there is also a fear of discrimination they face. Conclusions: This study finds the need for training in counseling and cross-professional communication techniques to health service providers regarding gestational weight gain. Appropriate counseling increases patient comfort during pregnancy and prevents adverse effects that arise during and after pregnancy.