ClinicalTrials.gg
RecruitingNCT06268509MONASUpdated Feb 20, 2024

Nutrition Optimalization Among Pregnant Women to Improve Maternal and Neonatal Outcome in DKI Jakarta

An interventional study of Nutritional panel laboratory examination and Pregnancy supplements (other than provided by Ministry of Health) in Pregnancy Complications, Maternal Death and Preeclampsia, sponsored by Dr Cipto Mangunkusumo General Hospital. Recruiting at 1 site in Indonesia. Open to female participants. Per ClinicalTrials.gov, last updated 2024-02-20.

Sponsored by Dr Cipto Mangunkusumo General Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 5 months ago, but the record still lists the study as recruiting.
  • Registered 9 months after the study started (first participant enrolled Apr 2023, registered Jan 2024).
  • Started Apr 2023; still recruiting 3 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
245
Allocation
Randomized
Sex
Female
01

Study summary

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 protocol

Participants in the control group will receive:

  • All standard maternal health services according to Indonesian Ministry of Health protocol
02

Conditions studied

  • Pregnancy Complications
  • Maternal Death
  • Preeclampsia
  • Intrauterine Infection
  • Pregnancy Hemorrhage
  • Preterm Birth
  • Neonatal Death
  • Low; Birthweight, Extremely (999 Grams or Less)
  • Asphyxia Neonatorum
  • IUGR
03

In context

Pregnancy Complications

411 studies on the registry are indexed under Pregnancy Complications; 113 are open to participants now.

This study's planned enrollment of 245 is above the median of 144 across 205 interventional studies indexed under Pregnancy Complications.

Browse Pregnancy Complications studies →

Lead sponsor

Dr Cipto Mangunkusumo General Hospital is the lead sponsor of 39 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pregnancy in 1st trimester
  • Gestational age less than 10 weeks
  • Living in Jakarta greater area
  • Agree to participate

Exclusion criteria

Exclusion Criteria:

  • Assisted reproductive technology (IVF)
  • History of polycystic ovary syndrome
  • History of chronic hypertension
  • History of diabetes mellitus
  • History of preeclampsia in the previous pregnancy
  • Had chronic disease: heart disease, disease, , chronic lung disease
  • Planning to have delivery outside Jakarta greater area
  • Poor obstetric history (miscarriage/ abortion more than 3 times)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
245 participants (estimated)

Study arms

  • Experimental
    Intervention group

    Participants in the intervention group will receive: * Fetomaternal ultrasound examination each trimester by fetomaternal consultants * 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 protocol

    Diagnostic Test: Nutritional panel laboratory examination · Dietary Supplement: Pregnancy supplements (other than provided by Ministry of Health) · Diagnostic Test: Fetomaternal ultrasound

  • No intervention
    Control group

    Participants in the control group will receive: - All standard maternal health services according to Indonesian Ministry of Health protocol

Interventions

  • Diagnostic testNutritional panel laboratory examination

    As stated in group description

  • Dietary supplementPregnancy supplements (other than provided by Ministry of Health)

    As stated in group description

  • Diagnostic testFetomaternal ultrasound

    As stated in group description

06

What researchers measure

Primary outcomes

  1. Composite of poor maternal outcomes

    Number of participants with a combination of maternal death, preterm labour, preeclampsia, intrauterine infection, and bleeding during pregnancy and or after delivery

    Time frame: At anytime between 20 weeks of gestational age until 28 days after delivery

  2. Composite of poor neonatal outcomes

    A number of baby born from participants with a combination of neonatal death, low birth weight, intrauterine growth restriction, neonatal asphyxia, and need of admission to intensive care untill 28 daya of age

    Time frame: After delivery of participants (any gestational age) until 28 days of chronological age

07

Study locations

1 of 1 sites recruiting
  • Jakarta Primary Care Health Facility (Puskesmas) under Jakarta Health Office
    Jakarta, Indonesia
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for Jun 2024, 14 months after the start.

Of 119 non-industry interventional studies with no phase under Pregnancy Complications, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 48. This study's planned 14 months is below that.

Counting every sponsor, half of 119 studies reached it within 26 months; a quarter within 12 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 30, 2024
First posted
Feb 20, 2024
StartActual
Apr 1, 2023
Primary completionEst.
Jun 2024
CompletionEst.
Aug 2024
Last update
Feb 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06268509
Lead sponsor
Dr Cipto Mangunkusumo General Hospital
Collaborators
Dinas Kesehatan DKI Jakarta, Fakultas Kedokteran Universitas Indonesia
Responsible party
Hardya Gustada Hikmahrachim (Principal Investigator, Member of Department of Child Health, Dr Cipto Mangunkusumo General Hospital) — Principal investigator
First posted
Feb 20, 2024
Start date
Apr 1, 2023
Primary completion
Jun 2024 (estimated)
Completion
Aug 2024 (estimated)
Last update
Feb 20, 2024

Study contacts

Hardya G Hikmahrachim, M.D., M.Sc
Contact
hardyagustada@yahoo.com
+6281386696655
Yurika E Susanti, M.D.
Contact
yurika.elizabeth.s@gmail.com
Rinawati Rohsiswatmo, Prof., M.D., Ph.D.
principal investigator · Dr Cipto Mangunkusumo Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion