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Journal of Maternal and Child Health
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : 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
Search results for , issue " Vol 1, No 3 (2016)" : 8 Documents clear
Effect of Hormonal Contraceptive on Sexual Life, Body Mass Index, Skin Health, and Uterine Bleeding, in Women of Reproduction Age in Jombang, East Java Yosin, Esti Pratiwi; Mudigdo, Ambar; Budhiastuti, Uki Retno
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Injection hormonal contraceptive can be distinguished into DMPA (depo medroxyprogesterone acetate) and combination. DMPA injection is administered in single dose of 150 mg/mL intramuscular every 12 week. It was hypothesized that DMPA injection resulted inadvertent effect such as lowered sexual life quality, increased body mass index, lowered quality of skin health, and abnormal uterine bleeding. This study aimed to examine the effects of DMPA injection on sexual life, body mass index, skin health, and abnormal uterine bleeding.Subjects and Method: This was analytical observational study with retrospective cohort design. This study was conducted in Jombang, East Java. A total sample of 149 women of reproductive age consisting of 99 DMPA injection contraceptive users and 50 non hormonal contraceptive users was selected for this study, by stratified random sampling. The dependent variables were sexual life quality, body mass index, quality of skin health, and uterine bleeding. The independent variable was DMPA injection contraceptive use and age. The data were collected by a set of questionnaire. Sexual life quality was measured by female sexual function index (FSFI). The data were analyzed by multiple logistic regression.Results: Use of hormonal contraceptive (OR= 20.17; 95% CI = 6.62 to 61.42; p<0.001) and age 30-35 years old (OR=17.51; 95% CI = 5.74 to 53.38; p<0.001) increased the risk of low quality of sexual life. Age 30-35 years old lowered (OR=0.16; 95% CI =0.07 to 0.36; p<0.001) and hormonal contraceptive (OR= 4.25; 95% CI = 1.95 to 9.30; p<0.001) increased the risk of low quality of skin health. Hormonal contraceptive (b=2.93; SE=0.23; p<0.001) and age 30-35 years old (b=0.70; SE=0.24; p<0.001) increased abnormal uterine bleeding. Hormonal contraceptive (b=5.75; SE=0.54; p<0.001) and age 30-35 years old (b=5.05; SE= 0.55; p<0.001) increased body mass index among women of reproductive age.Conclusion: Use of injection hormonal contraceptive lowers the quality of social life, lowers the quality of skin health, increases body mass index, and increases abnormal uterine bleeding.Keywords: hormonal contraceptive injection, sexual life, skin health, body mass index, uterine bleedingCorrespondence: Esti Pratiwi Yosin. School of Health Sciences Insan Cendekia Medika, Jombang, East Java. Email:estipratiwi77@gmail.com.Journal of Maternal and Child Health 2016, 1(3): 146-160https://doi.org/10.26911/thejmch.2016.01.03.02
The Relationship Between Parental Socio-Economic Status, Birthweight, and Development in Children Aged 1-5 Years in Surakarta Kusumasari, Rizka Agnes; Tamtomo, Didik; Retno Dewi, Yulia Lanti
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Health report by The Ministry of Health in 2006 revealed that 16% of children under five had mild to severe development problem.  About 5-10% of children under five had mental retardation. The current study hypotesized that parental socio-economic status such as family income and maternal education affect child development. The purpose of this study was to analyze the relationshipbetween parental socio-economic status, birthweight, and development in children aged 1-5 years in Surakarta.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Ngoresan Health Center, Surakarta, from December, 2016 to January, 2017. The study population was children under five living within the area of Ngoresan Health Center. A total of 100 children under five was selected by fixed disease sampling, consisting of 25 cases and 75 controls. The dependent variable was child development, measured by Ministry of Health’s KPSP. The independent variables were family income, maternal education, and birthweight. The data were analyzed by chi-square and multiple logistic regression.Results:T here were positive and statistically signifcant relationships between maternal education ≥ high school  (OR=1.61; 95% CI=1.5 to 15.7; p=0.046), family income ≥minimum regional wage(OR=5.1; 95% CI= 1.1 to 22.8; p=0.032), and normal birthweight (OR=8.5; 95% CI= 2.4 to 30.1; p=0.001) and child development.Conclusion: There are positiverelationships between highfamily income,high maternal education, normal birthweight, and normal development in children aged 1-5 years.Keywords: parental socio-economic status, birthweight, child development Correspondence: Rizka Agnes Kusumasari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: rizka.agnes@gmail.comJournal of Maternal and Child Health (2016), 1(3): 195-199https://doi.org/10.26911/thejmch.2016.01.03.07 
Effect of Massage on Sleep Quality and Motor Development in Infant Aged 3-6 Months Kusumastuti, Nurry Ayuningtyas; Tamtomo, Didik; Salimo, Harsono
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In theory, infant massage is beneficial for improving sleep quality, gross and fine motor development. Infants aged 3-6 months are able to receive stimulation that may help develop gross and fine motor development. Massage may improve brain function and raise the release of growth hormone, and strengthen muscle. This study aimed to determine of the effect of massage on sleep quality, gross and fine motor development among infant aged 3-6 months.Subject and Method: This was a randomized controlled trial, conducted in Magelang, Central Java, from 1 August to 16 September 2016. A total of 60 infants in Azza Momby Spa, Magelang was selected for this study by simple random sampling. This sample was then allocated at random into massage group (n1=30) and control group (n2=30). The independent variable was infant massage. The dependent variables were sleep quality, gross and fine motor development. The data was collected by using questionnaire. The difference of dependent variables between the two groups were tested by Mann-Whitney.Results: After intervention, infants in the massage group (median=2.00; SD=1.80) slept better than the control group (median=0.00; SD=0.95), and it was statistically significant (p<0.001). Infants in the massage group (median=0.00; SD=0.81) had better gross motor development than the control group (median=0.00; SD=0.72), and it was statistically significant (p=0.043). Infants in the massage group (median=0.00; SD=0.81) had better fine motor development than in the control group (median=0.00; SD=0.48), and it was statistically significant (p=0.018).Conclusion: Massage is effective to improve sleep quality, gross and fine motor development, in infants aged 3-6 months.Keywords: massage, sleep quality, gross and fine motor development, infantCorrespondence: Nurry Ayuningtyas Kusumastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: nurry0067@yahoo.com.Journal of Maternal and Child Health (2016), 1(3):161-169https://doi.org/10.26911/thejmch.2016.01.03.03
The Effectiveness of Hypnobirthing in Reducing Anxiety Level During Delivery Imannura, Pramita Sandy Ulya; Budhiastuti, Uki Retno; Poncorini, Eti
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Neonatus given birth by pregnant mothers suffering from excessive anxiety and stress have higher risk of low-birthweight, small head circumference, low APGAR score at birth, in adequate neurologyc development, premature birth, weak immunity system, and emotional disorder, than those given birth by happy mothers. This study aimed to examine the effect of effectiveness of hypnobirthing in reducing anxiety level during delivery.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. A sample of 30 pregnant mothers near delivery date was selected for this study and allocated into hypnobirthing group and no-hypnobirthing group. The dependent variable was anxiety during delivery. The independent variable was hypnobirthing. The anxiety level between the two groups was tested by Mann Whitney.Results: After intervention, pregnant mothers who received hypnobirthing had anxiety level as low as 41.33 (p=0.003). Pregnant mothers who did not receive hypnobirthing had anxiety level as low as 51.60 (p=0.003). The reduction of anxiety between the two groups was statistically significant.Conclusion: Hypnobirthing can effectively reduce anxiety among pregnant mothers during birth delivery.Keywords: hypnobirthing, anxietyCorrespondence: Pramita Sandy Ulya Imannura. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: oxytocinyoga@gmail.com.Journal of Maternal and Child Health (2016), 1(3): 200-204https://doi.org/10.26911/thejmch.2016.01.03.08
Path Analysis on the Effect of Breastfeeding Complementary Food Pattern, Maternal Schooling, Family Income, and Birthweight, on Nutritional Status in Children Underfive Nurjanah, Ahmitta Laila; Tamtomo, Didik; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one among the 17 countries with the highest prevalence of stunting, wasting, and overweight in children under five. In 2013, the prevalence of moderate undernutrition and severe undernutrition was 13.9% and 5.7%, respectively, in children under five. The prevalence of stunting was 19.2%. The period from birth to 2 years is so called as a sensitive period when the deleterious exposure and inadequate food intake can result in negative impact on the quality of the future generation. This study aimed to analyze the effect of breastfeeding complementary food pattern, maternal schooling, family income, and birthweight, on nutritional status in children underfive.Subjects and Method: This was an analytic observational with cross sectional design. This study was carried out in Klaten, Central Java from December 2016 to January 2017. A total sample of 120 out of 1236 mothers who had children aged 6-24 months were selected for this study by multi-stage sampling. The dependent variable was nutritional status measured in weight for age. The independent variables were breastfeeding complementary food pattern, maternal schooling, family income, and birthweight.  The data were collected by a set of questionnaire and analyzed with path analysis model on IBM SPSS AMOS 22.Results: The path model showed goodness of fit with CMIN= 1.18; p=0.002; GFI=0.99; NFI=0.98; CFI=1.00; RMSEA=<0.01. Breastfeeding complementary food pattern (b=0.27; p=0.002) and birthweight (b=0.25; p=0.004) showed direct positive and statistically significant effect on weight fo age score. Family income < Rp 1.400.000 (b=0.06; p=0.481) showed direct positive but statistically non significant effect on weight for age score. Maternal education showed positive and statistically significant effect on family income (b=0.28; p=0.001).Conclusion: Breastfeeding complementary food pattern and birthweight are important determinant of nutritional status as measured in weight for age in children under five. Maternal education has a positive effect on family income. Family income does not show its effect on nutritional status in this study.Keywords: breastfeeding complementary food pattern, nutritional status, children under fiveCorrespondence: Ahmitta Laila Nurjanah. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: lailaarmella@gmail.com.Journal of Maternal and Child Health (2016), 1(3): 170-178https://doi.org/10.26911/thejmch.2016.01.03.04
Employment Status, Family Income, Contraceptive Availability, and their Effects on the Use of Long Term Contraceptives in Sukoharjo, Central Java Ningrum, Sri Setiyo; Indarto, Dono; Wijaya, Mahendra
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Rapid population growth cause population burden on earth and imbalance population distribution. This situation in turn make cause public health and social problems. One of the methods that can be used to control population growth is long term contraceptive use. The Indonesian Demographic and Health Survey (SDKI) showed that employed mothers were more likely to use long term contraceptive than unemployed mothers. Contraceptives are available for free at Family Planning Clinic (KKB). This study aimed to analyze the effect of employment status, family income, and contraceptive availability, on the use of long term contraceptive among women and men of reproductive age in Sukoharjo, Central Java.Subjects and Method: This was a qualitative analytic and descriptive study with phenomenology approach. This study was conducted in Weru, Kartasura, Polokarto, and Tawangsari subdistricts, Sukoharjo, Central Java. The key informants included acceptors of implant, Intra Uterine Device (IUD), Female Surgical Method (MOW), and Male Surgical Method (MOP). The data were collected by in-depth interview, Focus Group Discussion (FGD), observation, document review. The data were alayze by interactive analysis. The data were verified by triangulation of data sources.Results: Two informants reported they chose IUD because they had to work outside the house, undesirable side effects of using oral contraceptive, injection contraceptive, and contraceptive use by their mothers and grandmothers. Some other informants have used implant because of undesirable side effect of using injection contraceptive, such as irregular menstruation and increased body weight. Two other informants have used female surgical method (MOW) because they already have three children and do not want to be pregnant again. One male informant reported that he has used male surgical method (MOP) because already has four children, and he followed the methods his father has used. Most of the long term contaceptive users work outside the house and their incomes were lower than the minimum regional standard wage. Most of the long term contraceptive users receive free contraceptive and additional reward (e.g. free rice). The remaining long term contraceptive users buy contraceptives at the health center and hospital. The contraceptives were supplied by the National Coordinating Board of Population and Family Planning (Badan Kependudukan dan Keluarga Berencana Nasional, BKKBN) at province level. Village midwives did not receive free contraceptive because their practices have not been classified as Family Planning Clinics (KKB).Conclusion: Availability of contraceptive is a necessary condition for long term contraceptive use. Working outside the house is an additional factor for most women to realize long term contraceptive use.Keywords: Employment status, family income, availability, long term contraceptive Correspondence: Sri Setiyo Ningrum. Diploma III Program in Midwifery, Poltekkes Bhakti Mulia, Sukoharjo, Central Java. Email: srisetiyoningrum@ymail.com.Journal of Maternal and Child Health (2016), 1(3): 179-187https://doi.org/10.26911/thejmch.2016.01.03.05
Effect of Psychological Factors and Workload on Midwife Performance in the Integreted Antenatal Care in Pati, Central Java Marfuah, Siti; Tamtomo, Didik; Suryono, Arief
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: One of the sensitive population health indicators is maternal mortality rate (MMR). One of the MMR determinants is antenatal care (ANC) coverage. This study aimed to determine the effect of psychological factors and workload on midwife work performance in the integrated antenatal care in Pati, Central Java.Subjects and Method: This was analytic observational study with cross sectional design. This study was conducted in Pati, Central Java. A total of 130 midwives was selected for this study by stratified random sampling. The dependent variable was work performance. The independent variable motivation, self eficacy, self actualization, workload, and midwife peer group as the contextual variable. The data were collected by a set of questionnaire. The data were analyze by linear multilevel multiple regression model.Results: Motivation (b=0.15; 95% CI =0.01 to 0.29; p=0.035), self actualization (b=0.21; 95% CI=- 0.01 to 0.40; p=0.031), and self efficacy (b=0.15; 95% CI =-0.01 to 0.31; p=0.048) had positive and statistically significant effects on work performance. Workload (b=-0.26; 95% CI=-0.53 to 0.01;p=0.056) had negative and nearly significant effect on work performance. There was a contextual effect of midwife group on work performance. ICC=17.51%; likelihood ratio=- 262.55; p=0.006.Conclusion: Motivation, self actualization, and self efficacy have positive effects on work performance. Workload has negative effect on work performance. Midwife group has a contextual effect on work performance.Keywords: psychological factors, workload, work performance, midwife.Correspondence: Siti Marfuah. Academy of Midwifery Bakti Utama, Pati, Central Java. Email: sty_marfuah@yahoo.com. Mobile: 085729885380Journal of Maternal and Child Health (2016), 1(3): 138-145https://doi.org/10.26911/thejmch.2016.01.03.01
The Relationship Between Child Nurturing Pattern, Family Support, and Language Competence in Children Aged 5-6 Years with Auditory Disorder Tirtawati, Dewi; Suryani, Nunuk; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hearing is one of the important senses for human that functions as a communication tool and education. Lack of hearing ability in children may hinder development and lead to problem in language and speaking ability. In turn it may affect academic achievement. Hearing disorder therefore needs to be detected early. This study aimed to determine the relationship between child nurturing pattern, family support, and language competence in children aged 5-6 years with auditory disorder.Subjects and Method: This was an analytic and observational study with cross sectional design. It was carried out at “Jala Puspa” Children Observation Garden (Taman Observasi Anak “Jala Puspa”) Dr. Ramelan Navy Hospital, Surabaya, East Java. A total sample of 40 children aged 5-6 years with their parents were selected for this study by simple random sampling. The dependent variable was language competence. The independent variables were child nurturing pattern and family support. The data were collected by a set of questionnaire, and were analyzed by logistic regression. Results: There were positive relationship between nurturing pattern (OR= 10.05; 95% CI= 1.85-54.73; p= 0.008), family support (OR= 6.76; 95% CI= 1.36-33.51; p= 0.019), and language competence.Conclusion: Nurturing pattern and family support have positive relationship with language competence.Keywords: child nurturing pattern, family support, language competence, auditory disorderCorrespondence: Dewi Tirtawati. School of Health Polytechnics, Surakarta. Email: tirta.dewi@yahoo.co.idJournal of Maternal and Child Health (2016), 1(3): 188-194https://doi.org/10.26911/thejmch.2016.01.03.06

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