Conclusion: Iron deficiency during pregnancy remains a significant risk factor for preterm birth and low birth weight, with gaps in awareness, dietary habits, and access to care, especially among marginalized and low-income groups, contributing to ongoing poor maternal and neonatal health. For future research, it is recommended to expand study samples to include more diverse populations, evaluate the effectiveness of targeted interventions like community-based education and supplementation programs, investigate specific barriers to care such as cost and cultural practices, examine the long-term health and developmental impacts of iron deficiency and its treatment, and optimize supplementation protocols by studying the best timing, dosage, and methods for delivery.