Background: Iron deficiency anaemia is a major cause of morbidity and mortality of pregnant women and
increases the risks of foetal, neonatal and infant mortality. Nutritional education, with special emphasis on
strategies based on locally available food stuffs to improve the dietary intake of proteins and iron is important
during pregnancy. This study aimed to evaluate diet behaviour of pregnant woman with iron deficiency anaemia
before and after the implementation of educational intervention based trans-theoretical model of change.
Methods: A quasi-experimental design was utilized. Setting: The study was conducted at obstetrics and
gynecology outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 73 pregnant women
were included in the current study. Two tools were used for data collection; first tool interviewing questionnaire
to collect data about the subjects' socio-demographic data, medical and obstetric history and knowledge
regarding iron deficiency anemia. Second tool; the trans-theoretical model of behavior change questionnaire, it
composed of the four main constructs that are stage of change, self-efficacy, decisional balance (pros and cons),
experiential and behavioral process of change.
Results: There were highly statistically significant differences (P