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Journal of Maternal and Child Health
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Maternal and Child Health (JMCH) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on maternal and child health. The journal began its publication on July 11, 2015, and is published four times yearly. JMCH aims to improve the policy, program, service, and practice, as they impact infant, children, mother, women, adolescent, and family health.
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Articles 8 Documents
 1 
Search results for , issue " Vol 1, No 2 (2016)" : 8 Documents clear
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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Abstract

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
Qualitative Analysis on the Factors Affecting Exclusive Breastfeeding among Working Mothers at Community Health Center in Bangkalan, Madura Tiyas, Dwi Wahyuning; Murti, Bhisma; Indarto, Dono
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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Abstract

Background: Exclusive breast milk is the main food for infants aged 0-6 months. Breast feeding can be extended up to 2 years with complementary food. The prevalence of exclusive breast feeding is targeted to exceed 80%. Study have shown some factors may determine exclusive breastfeeding among working mothers, such as desire to return to work soon after giving birth, distance from home to the workplace, and supporting facilities (e.g. space, freezer) at the workplace. This study aimed to investigate factors affecting exclusive breast feeding among working mother at the workplace.Subjects and Method: This was a qualitative study with phenomenology approach. This study was conducted at the Community Health Center, Bangkalan, Madura. A total of 9 working mothers were purposively selected as informants. The administrators at the workplace were interviewed as another source of information. Some family members were also selected as informants. The data were collected by interview, observation, taking photos, and document review (e.g. maternal and child health book).Results: Exclusive breastfeeding was associated with workplace support for breastfeeding. Adequacy of breastfeeding facility at the workplace was described by mothers as having a place allocated for expressing breast milk and provision of flexible time to express breast milk other than the usual rest time. Most of mothers who were interviewed breastfed their babies for less than three months. Mothers who worked in workplaces that did not provide breastfeeding rooms and refrigerators were more likely to discontinue breastfeeding. Lack of flexible time to express breast milk was also associated with breastfeeding discontinuation. The existence of policies breastfeeding leave, arrangement for light duty after delivery, and flexible working hours, were associated with breastfeeding.Conclusion: Provision of adequate breastfeeding facilities at the workplace, such as a room in which to express breast milk, and a refrigerator, as well as the existence of policy that allows mothers to have flexible time to express breast milk, are important determinants for exclusive breast feeding among employed mothers.Keywords: exclusive breast feeding, working mothers, workplace Correspondence: Dwi Wahyuning Tiyas. Masters Program in Public Health, Sebelas Maret UniversityJournal of Maternal and Child Health (2016), 1(2): 110-118https://doi.org/10.26911/thejmch.2016.01.02.06
Maternal, Obstetric, and Infant Factors and Their Associatio with the Risk of HIV Infection in Infants at Dr. Moewardi Hospital, Surakarta Rahmawati, Deni Nur Fauzia; Respati, Supriyadi Hari; Hanim, Diffah
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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Abstract

Background: Incidence of HIV infection by mother to child transmission has been increasing for the past few years. This study aimed to determine the association between maternal, obstetric, infant factors, and the risk of HIV infection in infant.Subjects and Method: This was an analytic observational study using case control design. This study was conducted at Dr. Moewardi Hospital, Surakarta. A total of 68 study subjects, consisting of 34 HIV infected infants, and 34 non HIV infected infants, were selected for this study by fixed disease sampling. The dependent variable was HIV infection. The independent variable included maternal nutrirional status, opportunistic infection, antenatal care, type of labor, birth weight, and prematurity. The data were collected by a set of questionnaire and analyzed using logistic regression model.Results: Maternal HIV opportunistic infection (OR= 10.09; 95% CI= 1.99 to 51.20; p=0.005) and pervaginam labor (OR=5.21; 95% CI=0.92 to 29.58; p=0.063) increase the risk of HIV infection in infant, and they were statistically significant. Maternal body weight (BMI<18.5)(OR=2.71; 95% CI=0.44 to 16.53; p=0.280), antenatal care <4 times (OR=1.94; 95% CI= 0.42 to 9.00; p=0.395), birth weight <2.500 gram (OR=1.09; 95%CI=0.19 to 6.05;p=0.924) and prematurity (OR= 1.65; 95% CI=0.36 to 7.61; p=0.523), each increased the risk of HIV infection but statistically non-significant.Conclusion: Maternal HIV opportunistic infection and pervaginam labor are strong and significant predictors for the risk of infant HIV infection. Health personnel should pay special attention on these significant risk factors when assisting birth delivery, in order to prevent HIV infection in infants.Keywords: maternal, obstetric, infant risk factors, HIV infection.Correspondences: Deni Nur Fauzia Rahmawati. Masters of Public  Health Program, Sebelas Maret University. Email: denierahmawati@gmail.comJournal Maternal  and Child Health (2016), 1(2): 73-82https://doi.org/10.26911/thejmch.2016.01.02.02
Association betweenMaternal Age at Pregnancy, Socioeconomic Status, Physical Environment, Prenatal, Perinatal, Postnatal History, and the Risk of Mental Retardation Nurochim, Erna; Indarto, Dono; Prayitno, Adi
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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Abstract

Background: Mental retardation (MR) is a serious public health problem for an country. The prevalence of mental retardation in Indonesia was estimated at 1-3% of the population. About 0.1% of whichneed treatment and guidance the whole life. This study aimed to determine the association between maternal age at pregnancy, socioeconomic status, physical environment, prenatal, perinatal, postnatal history, and mental retardation.Subject and methods: This was an analytic observational study with case control design. This study was conducted in Pare, Kediri, East Java, Indonesia,from October to December 2016. A total 105 study subjects, consisting of 35 MR cases and 70 controls were selected for this study by fixed disease sampling. The independent variables were maternal age at pregnancy, socioeconomic status, physical environment, prenatal, perinatal, and postnatal history. The dependent variable was mental retardation. The data were collected by questionnaire and analyzed by logistic regression model.Results: Maternal age ≥35 years at pregnancy was associated with an increased risk of MR, and it was statistically significant The result showed that mother’s age while pregnant (OR=10.18; 95%CI=2.77 to 37.39; p<0.001). High socioeconomic status (OR=0.23;95%CI=0.07 to 0.81; p=0.022), good physical environment (OR=0.13; 95%CI=0.04 to 0.45; p=<0.001), good prenatal history (OR=0.24;95%CI=0.07 to 0.82; p=0.022), good perinatal history (OR=0.45;95%CI=0.15 to 1.40; p=0.168), good postnatal (OR=0.43;95%CI=0.14 to 1.35; p=0.148), were associated with a decreased risk of MR. Nagelkerke R2=53.8% for this model.Conclusion: Maternal age ≥35 years at pregnancy increases the risk of MR. High socioeconomic status, good physical environment, good prenatal, perinatal, and postnatal history, decrease the risk of MR.Keywords: mental retardation, maternal age at pregnancy, socioeconomic status, environment, pregnancy history.Correspondence: Erna Nurochim. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal of Maternal and Child Health (2016), 1(2): 119-130https://doi.org/10.26911/thejmch.2016.01.02.07
Path Analysis: Effects of Psychological and Socio-Economic Exposures During Gestational Period on the Risk of Under Nutrition in Children Under Five Nurindahsari, Yespy Anna Wahyu; Murti, Bhisma; Pamungkasari, Eti Poncorini
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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Abstract

Background: In Indonesia the prevalence of under nutrition in children under five in 2013 was estimated to be 12.2%. It is estimated that there are still 4.5 million children underfive with under or poor nutrition have not been detected. Poor nutrition in children under five may have serious impact on their health outcome and  cognitive ability in later life. This study aimed to investigate the effects of psychological and socio-economic exposure during gestational period and geographical area on the risk of under nutrition in children under five.Subjects and method: This was an analytical observational using case-control design. This study was conducted in Klaten, Central Java, from 8 September to 2 December 2016. A total of 150 subjects consisting of 57 children under five with birth weight <2.500 gram and 93 children under five with birth weight ≥ 2.500 gram, were selected by fixed exposure sampling. The dependent variable was weight for age. The independent variable includedmaternal education, family income, number of children, middle upper arm circumference (MUAC), maternal gestational stress, slow fetal growth for gestasional age, low birth weight, nutritional intake, geographic area. The data were collected by a set of questionnaire, 24 hours food recall, and medical record. The data were analyzed using path analysis.Results: Nutritional intake that is lower than recommended allowance (b=3.14; 95%CI=1.09 to 5.20; p=0.003) and history of birth weight <2.500 gram (b=1.70; 95%CI=0.71 to 2.70; p=0.001) increased the risk of under nutrition in children under five. Slow fetal growth for gestational age, maternal gestational stress, family income < Rp 2,000,000, and middle upper arm circumference (MUAC), had indirect significant effect on the risk of under nutrition in children under five.Conclusion: Nutritional intake lower than recommended allowance and birth weight <2.500 gram increased the risk of under nutrition in children under five.Keywords: gestational period, psychological and socio-economic exposure, under nutrition, children under five.Correspondence: Yespy  Anna Wahyu Nurindahsari. School of Health Sciences Guna Bangsa, Yogyakarta.Journal of Maternal and Child Health (2016), 1(2): 83-92https://doi.org/10.26911/thejmch.2016.01.02.03
Analysis of Factors Associated with Anemia in Pregnant Women at Prambanan Community Health Center, Sleman, Yogyakarta Prahesti, Ratna; Indarto, Dono; Akhyar, Muhammad
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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Abstract

Background: Maternal anemia has serious impact on maternal and fetal health outcome. Pregnant women are at high risk of anemia. This study aimed to investigate the factors associated with the incidence of anemia among pregnant women.Subjects and Method: This was an analytic and observational study with cross-sectional design. This study was conducted at Prambanan Community Health Center, Sleman, Yogyakarta. A total of 120 trimester II and III pregnant mothers, was selected for this study. The dependent variable was incidence of anemia. The independent variables were gestational age and maternal education. The data were collected by a questionnaire and analyzed by multiple logistic regression.Result: Trimester II pregnant women had lower risk of anemia than trimester III (OR = 0.35; 95% CI = 0.15 to 0.80; p = 0.013). Pregnant women completed high school had lower risk of anemia than lower education (OR = 0.33; 95% CI 1.29 to = 6.81; p = 0.010).Conclusion: Gestational age and maternal education are associated with the risk of anemia in pregnant women.Keywords: anemia, pregnant women, trimester II and III, maternal educationCorrespondence: Ratna Prahesti. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal Maternal and Child Health, 2016; 1(2): 131-137    https://doi.org/10.26911/thejmch.2016.01.02.08
Age, Parity, Physical Activity, Birth Weight, and the Risk of Perineum Rupture at PKU Hospital in Delanggu, Klaten, Central Java Hastuti, Tri Ari; Mudigdo, Ambar; Budihastuti, Uki 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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Abstract

Background: Physiologic vaginal delivery of offspring may cause spontaneous unintended perineum tear (rupture) with varying degrees. Perineum rupture is the second leading cause of post-partum bleeding after uterine atony. The purpose of this study is to analyze the relationship between age, parity, physical activity, birth weight, and the risk of perineum rupture.Subject and Methods: This was an analytic observational study with cross sectional design. This study was carried out at PKU Hospital, Delanggu, Klaten, Central Java. A total of 78 mothers giving birth at the maternity ward were selected for this study stratified random sampling. The independent variables were age, parity, physical activity, and birth weight. The dependent variable was perineum rupture. The data were collected by interview and observation, and then analyzed using path analysis model.Results: Maternal age ≥ 35 years old (b = 3.36; 95%CI = 0.91 to 5.80; p = 0.007) increased the risk of perineum rupture, and it was statistically significant. Sufficient physical activity (b =-3.16; 95% CI =-5.05-1.27 ; p = 0.001) and multiparity (b =-4.05; 95% CI =-6.62 to -1.50; p = 0.002) decreased the risk of perineum rupture, and it was statistically significant. Birth weight did not show significant effect on the risk of perineum rupture (b = 1.13; 95%CI = 0.97 to 3.24; p = 0.291). Maternal employment status did not show its effect on physical activity level.Conclusion: Maternal age ≥ 35 years old increased the risk of perineum rupture. Sufficient physical activity and multiparity decreased the risk of perineum rupture. Special care should be taken on these two risk factors when assisting birth delivery in order to prevent perineum rupture.Key words: age, parity, physical activity, birth weight, perineum rupture.Correspondence: Tri Ari Hastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: Triari1987@gmail.comJournal of Maternal and Child Health (2016), 1(2): 93-100https://doi.org/10.26911/thejmch.2016.01.02.04                          
Effect of Breast Care and Oxytocin Massage on Breast Milk Production: A study in Sukoharjo Provincial Hospital Rahayuningsih, Tutik; Mudigdo, Ambar; Murti, Bhisma
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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Abstract

Background: The prevalence of exclusive breast feeding was 39.05% in Sukoharjo in 2015, which is far bellow the national target of 80%. A study has shown that massage oxytocin increases oxytocin (OT) hormone release, and eventually decreases adrenocorticotropin hormone (ACTH), nitric oxide (NO), and beta-endorphin (BE). This OT hormone release will increase milk ejection, which facilitate milk production. This study aimed to investigate the effect of breast care and oxytocin massages on breast milk production in post–partum mothers.Subjects and method: This was a Randomized Controlled Trial (RCT), conducted at Sukoharjo Hospital, Central Java 19 October to November 18, 2016. A total of 90 post – partum mothers were selected at random and then allocated into breast care group and oxytocin massage group. The dependent variable was breast milk production. The independent variable was breast care and oxytocin massage. Changes in breast milk production before and after intervention between the two groups were tested by Mann-Whitney test.Results: The increase in breast milk production in breast care and oxytocin massage group (mean = 17.37, SD = 9.70) was larger than that of the control group (mean = 1.58, SD = 1.69), and it was statistically significant (p <0.001).Conclusion: Breast care and oxytocin massage can significantly increase breast milk production. Post-partum mothers are recommended to practice breast care and oxytocin massage, in order to increase breast milk production.Keywords: breast care, oxytocin massage, breast milk production.Correspondende: Tutik Rahayuningsih. School of Health Polytechnics, Poltekkes Bhakti Mulia, Surakarta. Email: tutikrahayu_abm@yahoo.co.idJournal of Maternal and Child Health (2016), 1(2): 101-109https://doi.org/10.26911/thejmch.2016.01.02.05

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