The need for omega-3 fatty acids, especially docosahexaenoic acid (DHA), during pregnancy has received much attention, but evidence of its effects on birth outcomes for anemic pregnant women is still limited. The aim was to examine the effect of omega-3(DHA) supplementations on the neonatal birth weight among anemic pregnant women at the antenatal care outpatient clinic and delivery unit (section10- emergency) at El Manial Maternity Hospital. Therefore, this study recommended evidence based nursing protocol about omega-3 as a part of dietary supplementation for all mother during pregnancy & raise awareness for health care providers about the anemic pregnant women who had previous low birth weight in antenatal clinic regarding the importance of higher n-3 FAs intake during pregnancy to reduce the occurrence of low birth weight and Further RCTs & systematic review researches exploring the effect of n-3 FAs intake during pregnancy on the occurrence of low birth weight.