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All Journal Jurnal Kedokteran Syiah Kuala Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Folia Medica Indonesiana Jurnal Kebidanan Dan Kesehatan Tradisional Majalah Obstetri dan Ginekologi Universa Medicina AcTion: Aceh Nutrition Journal Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health JKM (Jurnal Kebidanan Malahayati) Jurnal Pengabdian Masyarakat: Darma Bakti Teuku Umar Jurnal Kebidanan Harapan Ibu Pekalongan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Jurnal Abdidas Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Nusantara Science and Technology Proceedings Jurnal Ilmu Keperawatan dan Kebidanan Plexus Medical Journal Indonesian Basic and Experimental Health Sciences
Uki Retno Budihastuti
Department Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Sebelas Maret, Surakarta/ Dr. Moewardi Hospital, Surakarta
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Optimizing the Combination of Oxytocin Massage and Hypnobreastfeeding for Breast Milk Production among Post-Partum Mothers Sari, Lutfiana Puspita; Salimo, Harsono; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The incidence of post-partum blues both in Indonesia and abroad has been quite high; the stress that post-partum mothers experience will inhibit breast milk production and, as a result, breastfeeding process should be stopped earlier. Hypnobreastfeeding relaxation and oxytocin massage have been a combination of therapy that might decrease the rate of Adenocorticotropic Hormon (ACTH) and that might assist hormone and prolactin secrection in order that breast milk production becomes fluent. This study then aimed at analyzing the optimization of the combination of oxytocin massage and hypnobreastfeeding in order to decrease anxiety and to improve breast milk production among post-partum mothers.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. This study was conducted at Dr. Suradji Tirtonegoro Central General Hospital, Klaten, from January 25th, 2017 until March 9th, 2017. The population in this study was 200 post-partum mothers. A sample of 60 post-partum mothers was selected for this study and allocated into the intervention group (n1= 30) and the control group (n2= 30). The intervention group would be treated by the combination of oxytocin massage and hypno­breastfeeding. The dependent variables were anxiety and breast milk production. The independent variables were oxytocin massage and hypnobreastfeeding. The anxiety was measured by STAI scale. The breast milk production process was measured by checklist questionnaire. The breast milk production amount was measured by milking cups. The breast milk production between the two groups was tested by Mann-Whitney.Results: The anxiety scale in the intervention group was better and lower than that of the control group. The differences in terms of anxiety scale between the intervention group (median= 24.00; SD= 4.45) and the control group (median= 34.00; SD= 6.93) were statistically significant (p<0.001). Then, the differences in terms of breast milk production process between the inter­vention group (median= 9.00; SD= 1.66) and the control group (median= 8.00; SD= 1.56) were nearly significant (p<0.145). Furthermore, the differences in terms of breast milk production amount between the intervention group (median= 10.00; SD= 10.36) and the control group (median= 4.50; SD= 4.21) were statistically significant (p<0.001).Conclusion: Combination of oxytocin massage and hypnobreastfeeding can effectively decreasing anxiety and increasing breast milk production for post-partum mothers.Keywords: oxytocin massage, hypnobreastfeeding, breast milk production, post-partumCorrespondence: Lutfiana Puspita Sari. Masters Program in Public Health, Sebelas Maret University, Surakarta. ­­Email: bidanlutfiana@gmail.com. Mobile: +6282221522374.Journal of Maternal and Child Health (2017), 1(1): 20-29https://doi.org/10.26911/thejmch.2017.02.01.03
Analysis of Life-Course Factors Influencing Growth and Development in Children under 3 Years Old of Early Marriage Women in Kediri Wulandari, Umianita Risca; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Children is the future pillar of our nation. As such, children need is important to be fulfilled. Physical, mental, and emotional conditions of mothers during gestation period play an important role in growth and development of children. This study aimed to determine life-course factors influencing growth and development in children under 3 years old of early marriage women.Subjects dan Method: This was an analytic observational study with retrospective cohort design. This study was conducted at Sukorame and Campurejo Health Center, Kediri, East Java, on March, 2017. A sample of 120 children under 3 years old were selected for this study by fixed exposure sampling. The dependent variable was child growth (weight for age) and development. The independent variables were marital age, maternal mid upper arm circumference (MUAC) during pregnancy, gestational age of birth delivery, family stimulation, maternal education, and family income. The data of child weight were measured by scales and recorded in maternal and child health book. The data of other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Child growth (weight for age) was affected by birthweight (b= 0.07; SE= 0.02; p< 0.001) and family income (b= 0.04; SE= 0.02; p= 0.07). Birthweight was affected by maternal education (b= 2.11; SE= 1.83; p= 0.248), gestational age of birth (b= 0.67; SE= 0.22; p= 0.002), maternal MUAC (b= 1.46; SE= 0.24; p= 0.002), and family income (b= 0.22; SE= 0.09, p= 0.012). Family income was affected by marital age (b= 0.68; SE= 0.073; p<0.001). Maternal MUAC during pregnancy was affected by marital age (b= 0.12, SE= 0.03, p<0.001). Maternal education was affected by marital age (b=0.01; SE=0.001; p= 0.002). Family stimulation was affected by family income (b= 0.75, SE= 0.26, p= 0.003). Child development was affected by marital age (b= 0.07, SE= 0.02, p= 0.001), family stimulation (b= 0.02; SE= 0.01; p<0.001), and birthweight (b<0.001; SE<0.001; p= 0.373).Conclusion: Child growth of under 3 years old (weight for age) is directly affected by birthweight and family income, and indirectly affected by some other factors. Child development is directly affected by marital age, family stimulation, and birthweight, and indirectly affected by some other factors.Keywords: life-course, growth, development, children under 3 years oldCorrespondence: Umianita Risca Wulandari. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: umianita03@gmail.com. Mobile: +6285736404487.Journal of Maternal and Child Health (2017), 2(2): 137-149https://doi.org/10.26911/thejmch.2017.02.02.05
Expanded Maternal and New Born Survival Program on Strengthening Mother and Child Health Referral System in Cilacap, Indonesia Sulistyoningrum, Indah; Budihastuti, Uki Retno; Sutisna, Endang
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: In 2012, the maternal mortality rate or MMR and infant mortality rate or IMR in Cilacap, Central Java, tends to increase through the Expanding Maternal and Neonatal Survival or EMAS. This study aimed to determine the implementation expanding maternal and new born survival program in strengthening mother and child health and referral services.Subjects and Method: This was qualitative study. This was conducted in Cilacap.A total of 16 health professional and four societies. The informants were team leader of EMAS, EMAS quality improvement coordinator, civil society coordinator strengthener of EMAS, head of health service in Cilacap, and Chairman of the Civil Society Forum. The data was collected with interviews, observation and document and analyzed using content analysis.Results: The results of this study showed that the standard policy of the implementation of the EMAS clear, precise, clear measurable was indicators of achievement. Objectives of this study could be understood by health professionals and civil society of maternal and child health forum. Health professionals resources in an amount sufficient, with the competence and there was lack equipment and drugs in health centers. Networking system of EMAS utilization was optimal in public health center and hospitals. Communication is effective starting from the initial visit, counseling, socialization, and comparative study. Characteristics of executing agencies indicate good working procedures. Disposition implementer showed a positive attitude and support. The environmental conditions of social, political and economic support. Some of the program started in Cilacap to reduce MMR and IMR and fairly produced significant results.Conclusions: It is suggested to Cilacaphealth service to hold aid and medicine midwife training to improve skills in handling emergency cases of maternal and neonatal.Keywords: Expanding Maternal and New Born Survival, maternal mortality, infant mortalityCorrespondence: Indah Sulistyoningrum. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.Journal of Maternal and Child Health (2016), 2(1): 19-24https://doi.org/10.26911/thejmch.2016.01.01.04
Path Analysis: The Effect of Biopsychosocial and Environmental Exposure on Child Asthma in Surakarta Hadianti, Ayunita Dwi; Budihastuti, Uki Retno; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Asthma is a non-communicable disease with high morbidity in Indonesia.According to David Barker’s fetal origin hypothesis, biopsychosocial as well as environmental exposure during gestational period affect health outcome in later life. This study aimed to determine the effect of bio-psychosocial and environmental exposure factor on the risk of child asthma in Surakarta.Subjects and Methods: This was an analytical observational study with case control design.This study was conducted at the Center for Community Pulmonary Health (BBKPM), Surakarta. A total of 105 study subjects were selected by fixed disease sampling, consisting of 35 asthmatic patients and 70 healthy children aged 6-15 year old. The exogenous variables were maternal education, current child stress, indoor cigarette smoke exposure and maternal stress during gestational period, current family income, and current indoor cigarette smoke exposure. The endogenous variables were birth weight and child asthma. The data were collected by a set of questionnaire and analyzed using path analysis model.Results: Current child stress (b = 3.49; 95% CI = 1.18-5.81; p = 0.003), exposure to indoor cigarette smoke (b = 3.44; 95% CI = 1.07-5.80; p = 0.004), indoor air polution (b = 2.43; 95% CI = 0.60-4.27; p = 0.009), had positive, direct, and statistically significant effects on the risk of child asthma. Birth weight ≥2.500 gram (b = -2.01; 95% CI = -3.95 to -0.07; p = 0.041) had negative, direct, and statistically significant effect on the risk of child asthma. Maternal education had positive and statistically significant effect on family income (b=1.57; 95% CI=0.62 to 2.52; p= 0.001). Family income had negative and statistically significant effect on indoor air pollution (b= -2.48; 95% CI=-3.52 to -1.44; p= 0.001). Maternal stress at gestational period had negative and statistically significant effect on birth weight (b=-1.13; 95% CI= -2.18 to -0.08; p=0.035).Conclusion: In line with David Barker’s fetal origin hypothesis, this study supports that biopsychosocial as well as environmental factors have significant effects on child asthma.Keywords: bio-psychosocial, environmental exposure, asthma, children.Correspondence: Ayunita Dwi Hadianti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ayunitadwihadianti@gmail.com. Mobile: +6282314064445.Journal of Maternal and Child Health (2016), 1(2): 62-72https://doi.org/10.26911/thejmch.2016.01.02.01
Institutional and Social Factors Affecting the Acceptance of Family Planning Concept in Jeruklegi, Cilacap, Indonesia Oktaviani, Anisa Sevi; -, Pawito; Budihastuti, Uki Retno
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Family planning program is important to address population problem. However, there was some barrier confronting the family planning program.  This study was aimed to analyze the institutional and social factors that influence the acceptance of the family planning concept.Subjects and methods: This was a qualitative study with interactive analysis of a policy conducted in Tritih, Wetan, Jeruklegi, Cilacap. A total of head community empowerment Agency, women empowerment, children protection, family planning in Cilacap regency and extension officers in Tritih Wetan were selected by using snowball sampling. The data collected by in-depth interview, observation, analysis document. The data analyzed with a triangulation, included the collection of data, data presentation, data reduction, and the withdrawal of the conclusion.Results: The policy of family planning village have not provided significant influence towards the understanding of the concept of family planning society Tritih Wetan, Jeruklegi, Cilacap. Institutional factors against the acceptance of the concept of the family planning can be seen through the success indicator input aspect mentioned in the technical instructions of family planning village. In addition, the factors social, economic, and cultural barriers also affect the implementation of the policy of family planning village.Conclusion: The effectiveness of the implementation of the policy of family planning village in Tritih Wetan,Cilacap yet effective. While the dominant factor influencing the effectiveness of the implementation of the policy of family planning village was a factor family planning resource factors, social factors, and cultural factors.Keywords: family planning village, family planning policyCorrespondence: Anisa Sevi Oktaviani. School of Midwifery, Graha Mandiri, Cilacap, Central Java. Email: anisasevi@gmail.com.Journal of Health Policy and Management (2016), 1(1): 29-37https://doi.org/10.26911/thejhpm.2016.01.01.05 
Effect of Social Suport and Social Interaction on Anxiety Among Pregnant Women Simarmata, Imelda Dearni; Budihastuti, Uki Retno; Tamtomo, Didik
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: There is growing evidence that the antenatal period is a time of increased liability to mental disorders. The most common psychiatric illnesses during pregnancy and the postpartum period are depressive and anxiety disorder. The purpose of this study was to examine the effect of social support and social interaction on anxiety among pregnant women.Subjects and Method: A cross-sectional study was carried out in community health centers in Kutai Kartanegara, East Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was anxiety. The independent variables were education, parity, stress, family income, family support, social interaction, and counseling. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Anxiety among pregnant women increased with stress (b= 0.33; 95% CI= 0.16 to 0.49; p= 0.001). It was decreased by high education (b= - 2.37; 95% CI= -3.93 to -0.81; p= 0.003), high income (b= -4.69; 95% CI= -7.81 to -1.57; p= 0.003), parity (b= 0.38; 95% CI= -2.98 to -0.26; p= 0.001), strong family support (b= -0.38; 95% CI= 0.52 to 0.24; p= 0.001), social interaction (b= -0.27; 95% CI= -0.42 to -0.12; p= 0.001), and conselling (b= -0.91; 95% CI= - 1.77 to -0.05; p= 0.004).Conclusion: Anxiety among pregnant women increases with stress. It is decreased by high education, high income, parity, strong family support, social interaction, and counseling.Keywords: anxiety, stress, social interaction, pregnant womenCorrespondence: Imelda Dearni Simarmata. Masters Program in Public Health, UniversitasSebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: imeldadearni1888@gmail.com. Mobile: 081227657035Journal of Maternal and Child Health (2019), 4(4): 297-303https://doi.org/10.26911/thejmch.2019.04.04.08
Health Belief Model on the Factors Associated with the Use of HPV Vaccine for the Prevention of Cervical Cancer among Women in Kediri, East Java Nugrahani, Rosi Rizqi; Budihastuti, Uki Retno; Pamungakasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervical cancer is a deadly disease with high incidence rates in the world and in Indonesia. In Kediri, East Java, there were 33 women who had cervical cancer in 2016, 3 of them died. Cervical cancer is caused by type 16 and type 18 Human Papilloma Viruses (HPV).  This disease can be prevented by the application of HPV vaccine. This study aimed to examine factors associated with the use of HPV vaccine for the prevention of cervical cancer among women in Kediri, East Java, using health belief model (HBM).Subjects and Method: This study was an analytic observational with case control design. It was conducted in Kediri, East Java, from February 10 to March 10, 2017. A sample of 120 women consisting of 40 women who had used HPV vaccine and 80 women who had not used HPV vaccine, were selected for this study by fixed disease sampling. The dependent variable was use of HPV vaccine. The independent variables included perceived susceptibility, perceived severity, perceived benefit, perceived threat, perceived barrier, and cues to action. The data were collected by a set of pre-tested questionnaire. Logistic regression was employed for data analysis.Results: The use of HPV vaccine was associated with perceived susceptibility (OR= 0.79; 95% CI= 0.23 to 2.70; p= 0.710), perceived severity (OR= 5.19; 95% CI= 1.30 to 20.66; p= 0.019),  perceived threat (OR= 1.04; 95% CI= 0.32 to 3.35; p= 0.942), perceived benefit (OR= 1.33; 95% CI= 0.40 to 4.38; p= 0.638),  perceived barrier (OR= 0.42; 95% CI= 0.14 to 1.27; p= 0.126), and cues to action (OR= 5.90; 95% CI= 1.30 to 26.74; p = 0.021).Conclusion: The use of HPV vaccine is associated with perceived susceptibility, perceived severity,  perceived threat, perceived benefit,  perceived barrier, and cues to action. Constructs in health belief model can be used to predict the use of HPV vaccine.Keywords: health belief model, use of HPV vaccineCorrespondence: Rosi Rizqi Nugrahani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: rchochia@yahoo.com. Mobile: +6285735150606.Journal of Epidemiology and Public Health (2017), 2(1):  70-81https://doi.org/10.26911/jepublichealth.2017.02.01.07 
Determinants of Midwife Performance in Lactation Management in Surakarta and Karanganyar, Central Java Wahidah, Nurul; Sulaeman, Endang Sutisna; Budihastuti, Uki Retno Setia
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding has been recommended by World Health Organization for reduction of infant illness and death. Midwives have an important role in lactation management, which includes: (1) Teaching all lactating mothers on how to successfully breastfeed and sustain it up to 2 years or more; (2) Coming in contact with mothers and infants to promote, protect, and support breastfeeding. However, exclusive breastfeeding coverage was still low at 80% nationally, 76.7% in Surakarta, and 61.1% in Karanganyar in 2016, suggesting low midwife performance in lactation management. This study aimed to determine factors associated with midwife performance in lactating management in Surakarta and Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Surakarta and Karanganyar, Central Java, from April to June 2018. A sample of 200 midwives was selected by simple random sampling. The dependent variable was performance in lactation management. The independent variables were skill, motivation, experience, health facility, and work load. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Midwife performance in lactation management increased with better skill (b= 2.06; 95% CI= 0.48 to 3.65; p= 0.011), strong motivation (b= 1.15; 95% CI= -0.09 to 2.41; p= 0.070), work experience (b= 2.06, 95% CI= 0.69 to 3.44, p= 0.003), and available facility (b= 2.29, 95% CI= 0.89 to 3.68, p= 0.001). Performance decreased with higher workload (b= -1.47; 95% CI= -2.76 to -0.18, p=0.025). Community health center had a contextual effect on midwives performance with ICC= 34.8%.Conclusion: Midwife performance in lactation management increases with better skill, strong motivation, work experience, and available facility. Performance decreases with higher workload. Community health center has a contextual effect on midwives performance.Keywords: performance, lactation management, determinant, midwifeCorresp ondence:Nurul Wahidah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: wahidahnurul246@gmail.com.Journal of Health Policy and Management (2018), 3(1): 26-33https://doi.org/10.26911/thejhpm.2018.03.01.04
Contextual Effect of Place 0f Birth Delivery on Depression in Karanganyar, Central Java Jannah, Ahadyah Miftahul; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Postpartum depression is a common mental health problem that usually occurs in women after childbirth. According to WHO, there are 377 million people in depression worldwide. In Indonesia, the prevalence of depression sufferers is 3.7%, and those who experience anxiety are 3.3%. Postpartum depression that is not immediately treated can cause an impact in nursing, namely communication and response is reduced, the existence of negative interactions, the existence of hostility, the existence of impaired competence. This study aimed to analyze the determinants of postpartum depression at the individual level and the contextual effect of place of birth delivery.Subjects and Method: This was a cross sectional study conducted in Karanganyar, Central Java, from November to December 2018. A sample of 200 postpartum mothers was selected by random sampling. The dependent variable was postpartum depression. The independent variables were stress level, work, income, education, pregnancy status, parity, coping strategy, and labor compli­cation, husband support. Data on depression were measured by the Edinburgh Postnatal Depression Scale (EPDS). Data on stress were measured by Depression Anxiety Stress Scale 42 (DASS 42). Data on coping mechanism were measured by Brief Cope (Coping Orientation for Problem Experiences). The other data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Postpartum depression was influenced by husband support (b = -2.42; 95% CI= -4.73 to -0.12; p= 0.039), employment (b = -3.43; 95% CI = -5.51 to -1.35; p<0.001), income (b = -3.32; 95% CI= -6.18 to -0.46; p= 0.023), education (b= -2.69; 95% CI = -4.83 to -0.55; p= 0.014), pregnancy status (b= -3.16; 95% CI= -5.79 to - 0.54; p= 0.018), parity (b = -2.92; 95% CI = -5.14 to -0.71; p= 0.010), coping strategies (b= -2.38; 95% CI= -4.46 to -0.21; p= 0.032), complication (b = 3.39; 95% CI= 0.79 to 5.98; p= 0.011), and stress level (b= 2.68; 95 % CI= 0.35 to 5.12; p= 0.024). There was a contextual effect of place of birth delivery on postpartum depression (ICC= 20.15%).Conclusions: Postpartum depression is influenced by husband support, employment, income, education, pregnancy status, parity, coping strategies, complication, and stress level. There is a contextual effect of place of birth delivery on postpartum depression.Keywords: postpartum mother, depression, stress, coping strategyCorrespondence: Ahadyah Miftahul Jannah. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: ahadyahmj@gmail.com. Mobile: +6281228349874.Journal of Maternal and Child Health, 2019, 4(3): 212-221https://doi.org/10.26911/thejmch.2019.04.03.08
Path Analysis on the Determinants of Severe Preeclampsia in Surakarta, Central Java Sari, Prafista Wulan; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Preeclampsia is a major cause of maternal morbidity and mortality that occurs at gestational age >20 weeks. It is characterized by hypertension and proteinuria. Shortly, severe preeclampsia may develop into eclampsia accompanied by seizures or coma. This study aimed to examine the determinants of severe preeclampsia in Surakarta, Central Java.Subjects and Method: This was a case-control study conducted in Gajahan health center, Dr. Moewardi hospital, and Surakarta hospital, Surakarta, Central Java, from October 2018 to December 2018. A sample of 200 pregnant women was selected by fixed disease sampling. The dependent variable was severe preeclampsia. The independent variables were age, education, stress, parity, history of hypertension, history of diabetes mellitus (DM), ANC visit, and family history of hypertension. Data on preeclampsia were obtained from medical record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: Severe preeclampsia was directly and positively associated with age <20 or ≥35 years (b= 1.23; 95% CI= 0.31 to 2.14; p= 0.008), history of hypertension (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002), history of DM (b= 1.12; 95% CI= 0.21 to 2.03; p= 0.016), and stress (b= 1.58; 95% CI = 0.60 to 2.56; p = 0.002). It was negatively associated with parity (b= -0.96; 95% CI= -1.90 to - 0.01; p = 0.046) and ANC visit (b= - 1.98; 95% CI= -2.91 to - 1.05; p<0.001). Severe preeclampsia was indirectly associated with education, ANC visit, and family history of hypertension.Conclusion: Severe preeclampsia is directly and positively associated with age, history of hypertension, history of DM, and stress. It is negatively associated with parity and ANC visit. Severe preeclampsia is indirectly associated with education, ANC visit, and family history of hypertension.Keywords: severe preeclampsia, determinants, path analysisCorrespondence: Prafista Wulan Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: prafistaw@yahoo.com. Mobile: +6285740772699.Journal of Maternal and Child Health (2019), 4(2): 126-135https://doi.org/10.26911/thejmch.2019.04.02.08
Co-Authors -, Kartika ., Darto Abdurahman Laqif Abdurahman Laqif Abdurahman Laqif Abida Zuhra Jatiningtyas Adhimukti, Fahmi Agung Sari Wijayanti Agustina, Devita Alfi Marita Tristiarti Alfi Marita Tristiarti Alfi Marita Tristiarti Ali Djamhuri Alifa, Rosita Ambar Mudigdo Amir, Nikmah Ayu Ramadhani Angelia Ratnasari, Affi Anggraeni, Asih Anik Lestari Anik Lestari Annang Giri Moelyo Argyo Demartoto, Argyo Arianty, Meike Arifiana, Ratna Arifin, Ayu Kusuma Puspasari Aris Sudiyanto Armadhani, Riska Asih Anggraeni Astuti, Susiana Yuni Bachtiar, Harrys Besar, Dwi Sakti Berlian Bhisma Murti Cahyono Hadi Chintya, Shally Ayu Cut Sheira Elnita Damalita, Annisa Fitriana Damayanti, Siti Darto Darto Darto Darto - Darto . Darto . Darto Darto Debree Septiawan Dewanto Suryoningrat Dewi, Rizqa Kartika Dewi, Yulia Lanti Ratna Dewi, Yulia Lanti Ratna Dian Asih Ning Utami Dian Kusumawardani Dian Kusumawardani Dian Rahmawati Diani Octaviyanti Handajani Didik Gunawan Tamtomo Didik Tamtomo, Didik Dwi Apriyanti Endang Sutisna Endang Sutisna Sulaeman Eriana Melinawati Eric Edwin Yuliantara Erin Rizkiana Ermawati, Dwi Hesti Ertiana, Dwi Eti Poncorini Pamungkasari Fahsan, Fatmiyanti Farras Wahdan, Arib Fatmawati, Zeny Fauzia, Raina Lola Fazrina, Gina Firdausia, Shalsabilla Tiara Fitria Wulandari Frafitasari, Dika Yanuar Habibatullah, Afifa Intifadha Hadi, Cahyono Hadianti, Ayunita Dwi Hafi Nurinasari Hafiizha, Attahira Amalia Hafiizha, Atthahira Amalia Handriani, Winei Haniah, Alfi Zamilul Hanifah, Rofi'atul Hanifah, Rofi’atul Harsono Salimo Harsono Salimo Hastuti, Tri Ari Hermawan Udiyanto Heru Priyanto Heru Priyanto Hidayah, Fristyaningrum Ida Nurwati Ilmiyah, Desy Eka Indradewa, Rhian Jannah, Ahadyah Miftahul Jannah, Ahadyah Miftahul Jatiningtyas, Abida Zuhra Jayanti, Saktryana Endang Ragil Juhrotun Nisa, Juhrotun Kunaryanti, Kunaryanti Kunaryanti, Kunaryanti Kusnandar Kusnandar Laqif, Abdurahman Lunardhi Susanto Lutfiana Puspita Sari Maghfiroh, Ainul Mahendra Wijaya Mahendra Wijaya Marbun, Yohan Pamuji Marliana, Wiwit Martaningrum, Herlina Ika Metanolia Sukmawati Mufidah, Amatullah Muhammad Adrianes Bachnas Mulyoto Pangestu Murdikawati, Dayang Fitri Murdikawati, Dayang Fitri Mushthafa, Mufti Mutiara, Bunga Ngudi Insan Ksyatria, Yudhistira Ningrum, Sintia Ayu Ningsih, Hepti Widia Nugrahani, Rosi Rizqi Nurul Qomariah Nurul Wahidah Nutria Widya Purna Anggraini Octavia, Dhamayanti Eka Ode, Diana Oktaviani, Anisa Sevi Pamungakasari, Eti Poncorini Pawito -, Pawito Pertiwi, Mumpuni Intan Poncorini, Eti Prasetya, Hanung Prastyoningsih, Aris Prisasanti, Dympna Prameilita Puspita, Ita Fijanah Putriarsih, Ryanawati Qadrijati, Isna Qomariah, Nur Laili Quinita M. J. Noronha Rahardjo, Setyo Sri Rahayu, Baiq Zulvita Rahayu, Putu Sri Rahmadani, Latifah Nur Rakano Kautsar Dwiyana Rantasari, Affi Angelia Ratih Sakti Prastiwi Ratih Sakti Prastiwi, Ratih Sakti Ratna Dewi Permatasari Ratnasari, Affi Angelia Regita, Immanuela Maria Reso, Mulya Cunda Ratu Reso, Mulya Cunda Ratu Retno, Yulia Lanti Ria, Matilda Bupu Riawati, Meida Siwi Risang Bhaskoro Rita Adriani Benya Adriani Rizkiani, Inne Rofi’atul Hanifah Saputra, Ricky Bernadi Sari, Arum Dessy Rahma Sari, Lutfiana Puspita Sari, Prafista Wulan Satria, Yohanes Aditya Adhi Selvia Febrianti Septiana, Yesika Cahya Simarmata, Imelda Dearni Simarmata, Imelda Dearni SITI KHOLIFAH Siti Munawaroh Siti Nur Hidayati Soetrisno Soetrisno Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Sri Widarti, Sri Sringatin, Sringatin Suci Arsita Sari Sulistyoningrum, Indah SUMIYATI SUMIYATI Sunarta, Elfania Arumma Suparno, Amalia Ulfah Supriyadi Hari Respati Supriyadi Hari Respati Supriyadi Hari Respati Tanti Arianti Teguh Prakosa, Teguh Teha, Zadia Dara Cynintya Tri Nugraha Susilawati Verasita, Prissy Vitri Widyaningsih Wardana, Aisyah Puspa Wardhani, Anindyah Tri Lhaksmi Kusuma Wasyanto, Trisulo Wesliaprilius, Todung Antony Wijayanti, Agung Sari Wisnu Prabowo WISNU PRABOWO Wulandari, Rizqi Amalia Wulandari, Umianita Risca yulia lanti retno dewi Yulyanti, Yulyanti