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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 2, No 2 (2017)" : 8 Documents clear
The Effect of Socio-Demographic and Obstetric Factors on Early Initiation of Breastfeeding in Tegal District, Central Java Nisa, Juhrotun; Salimo, Harsono; Budihastuti, Uki Retno
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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Abstract

Background: It is estimated that approximately 10 million children die every year worldwide. Forty five percent of those deaths are caused by malnutrition either directly or indirectly. Studies have shown that breastfeeding in the first hour can reduce neonatal death to 22%. However, breastfeeding practice in the first hour of life reaches only 43% of the newborns in the world. In South Asia, early initiation of breastfeeding is only 41% of the newborn, while in Indonesia it is only 34.5%. This study aimed to determine the effect of socio-demographic and obstetric factors on early initiation of breastfeeding in Tegal District, Central Java.Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at 4 Community Health Centers (Puskesmas Pagiyanten, Puskesmas Pagerbarang, Puskesmas Bum­ijawa, Puskesmas Jatinegara) and Dr. Soeselo hospital, Tegal District, Central Java, from February to March 2017. A sample of 121 post partum mothers were selected for this study by  exhaustive sampling. The dependent variable was time from birth delivery to breastfeeding. The independent variables were maternal education, maternal employment status, maternal knowledge, family income, parity, antenatal care (ANC) visit, and health provider support. The data were collected by questionnaire and were analyzed by multiple logistic regression.Results: Early initiation of breastfeeding was positively affected by maternal education ≥ High School (OR=3.90; 95% CI=1.14-13.37; p=0.030), maternal work outside the house (OR=7.93; 95% CI=1.68 to 37.52; p=0.009), ANC ≥ 4 times (OR=3.48; 95% CI=0.82 to 14.81; p=0.092), and strong  health provider support (OR=12.58; 95% CI=4.30 to 36.77; p<0.001)Conclusion: Early initiation of breastfeeding is positively affected by maternal education ≥ High School, maternal work outside the house, ANC ≥ 4 times, and strong  health provider support.Keywords: Socio demographic, obstetric factor, early initiation breastfeedingCorrespondence: Juhrotun Nisa. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: nisa.jn20@gmail.com. Mobile: +6285642905995. Journal of Maternal and Child Health (2017), 2(2): 89-99https://doi.org/10.26911/thejmch.2017.02.02.01
Analysis of Factors Influencing Female Infertility Indarwati, Ika; Hastuti, Uki Retno Budi; Dewi, Yulia Lanti Retno
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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Abstract

Background: Female infertility is one of important public health problems worldwide. According to the World Health Organization, the incidence of infertile cases is increasing each year. Likewise, according to the Central Bureau of Statistics, infertile incidence in Indonesia has been increasing. Dr. Moewardi Hospital Surakarta is one of the hospitals in Central Java Province with increasing number of infertile patients visits. This study aimed to analyze risk factors influencing female infertility.Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Sekar Clinic Dr. Moewardi Hospital, Surakarta from February to March, 2017. A sample of 105 fertile women, consisting of 35 infertile women and 70 fertile women, were selected for this study. The dependent variable was infertility. The independent variables were age, maternal employment status, level of stress, body mass index, abnormal reproductive organ. The data were collected by medical record and questionnaires. The data were analyzed by logistic regression.Results: Female infertility was affected by aged ≥35 years old (OR= 4.45; CI 95%= 1.27 to 15.54; p=0.019), career women (OR=3.91; CI 95%= 1.14 to 13.38; p=0.043), high level of stress (OR=3.89; CI 95%=1.04 to 14.46; p=0.046), body mass index(OR=4.37; CI 95%= 1.03 to 18.61; p<0.001), abnormal reproductive organ (OR=11.67; CI 95%= 2.80 to 48.54; p=0.030).Conclusion: female infertility is affected by aged ≥35 years old, carrer women, high level of stress, body mass index, and abnormal reproductive organ. Keywords: female infertility, age, level of stress, employment status, body mass index.Correspondence: Ika Indarwati. Masters Programin Public Heath, Sebelas Maret University, Surakarta. Email: ikaindarwaty@gmail.com. Mobile: +6285736222215.Journal of Maternal and Child Health (2017), 2(2): 150-161https://doi.org/10.26911/thejmch.2017.02.02.06
The Effect of Combined Oral Contraceptives on Sexual Function among Women of Reproductive Age in Jombang District, East Java Fatmawati, Zeny; Budihastuti, Uki Retno; Dewi, Yulia Lanti Retno
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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Abstract

Background: Sexuality is an important and inseparable part of a womans life. Mood and sexual related side-effects are frequently expressed problems by women of reproductive age who use hormonal contraceptives. This study aimed to analyze the effect of combined oral contraceptives on sexual function among women of reproductive age in Jombang District, East Java.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at 5 community health centers (Mojoagung, Mojowarno, Jogoloyo, Jelak Ombo and Perak), Jombang District, East Java, from February to March 2017. A sample 120 women of reproductive age who use combined oral contraceptives was selected for this study. The dependent variable was female sexual function. The independent variables were combined oral  contraceptives use, age, parity, menstrual cycle, depression, and body mass index. The data on depression was measured by Hamilton Depression Rating Scale. Body mass index was measured by anthropometry. Female sexual function was measured by female sexual function index. The data were analyzed by path analysis.Results: Female sexual function was negatively influenced by age (b=-0.21; SE = 0.05; p<0.001), depression (b= -0.44; SE=0.12; p<0.001), body mass index (b=-0.16; SE= 0.09; p=0.063), and duration of oral contraceptive use (b=-0.20; SE=0.13; p=0.121). Depression was influenced by body mass index (b=0.14; SE=0.07; p=0.037), duration of oral contraceptive use (b=0.30; SE= 0.10; p=0.003), and age (b=0.09; SE=0.04; p=0.018). Body mass index was influenced by age (b= 0.10; SE=0.05; p=0.036), and duration of oral contraceptive use (b= 0.48, SE = 0.13; p<0.001). Menstrual cycle was influenced by duration of oral contraceptive use (b =-0.05, SE=0.13, p=0.007), age (b=-0.02; SE=0.01; p=0.002), and body mass index (b=-0.05; SE=0.11; p<0.001).Conclusion: Female sexual function is negatively influenced by age, depression, body mass index, and duration of oral contraceptive use.Keywords: bio-psychology factor, oral contraceptive, female sexual functionCorrespondence: Zeny Fatmawati. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: searcheng09@gmail.com. Mobile: +082230313559.Journal of Maternal and Child Health (2017), 2(2): 100-112https://doi.org/10.26911/thejmch.2017.02.02.02
Role of Biopsychosocial Factors on the Risk of Pneumonia in Children Under-Five Years Old at Dr. Moewardi Hospital, Surakarta Lestari, Nining; Salimo, Harsono; -, Suradi
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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Abstract

Background: It is estimated that the worldwide annual incidence of child pneumonia is approximately 156 million cases. Sixty-one million new cases occure in Southeast Asia with death rate of 3.1 million deaths per year. Prevalence of infant pneumonia in Indonesia is high at 1.8% in 2013 with mortality of 0.16% in 2015. This study aimed to determine the role of bio-psychosocial factors on the risk of pneumonia in children under-five years old. Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at Dr. Moe¬wardi Hospital, Surakarta, from April to May 2017. A sample 120 children under five years old, consisting of 30 children with pneumonia and 90 children without pneumonia, were selected for this study by fixed disease sampling. The dependent variable was incidence of pneumonia. The independent variables were nutritional status, exclusive breastfeeding, low birthweight, maternal stress, maternal education, maternal employment, family income, and home environment. Nutritional status was measured by anthropometry, while other variables were collected by questionnaire. Path analysis was employed to analyze data. Results: Pneumonia in children under-five was directly affected by nutritional status (b= -1.23; 95% CI=-2.45 to -0.02; p=0.047), exclusive breastfeeding (b=-1.09; 95% CI=-2.26 to 0.07; p= 0.065), maternal stress (b= 1.70; 95% CI =0.36 to 3.04; p=0.013), maternal education (b=-1.96; 95% CI=-3.31 to -0.61; p=0.004), and home environment (b=-1.83; 95% CI = -3.02 to -0.64; p=0.002). Nutritional status was affected by maternal education (b=3.48; 95% CI=1.79 to 5.17; p<0.001), maternal stress (b=-2.55; 95% CI=-4.06 to -1.04; p=0.001), family income (b=3.26; CI 95%=1.67 to 4.84; p<0.001), and low birthweight (b= -1.84; 95% CI=-3.12 to -0.57; p= 0.005). Exclusive breastfeeding was affected by maternal education (b=0.97; 95% CI=0.09 to 1.86; p=0.031), maternal stress (b=-0.74; 95% CI=-1.69 to 0.19; p=0.112), family income (b=1.39; CI 95%=0.54 to 2.23; p=0.001), and maternal employment (b=-1.29; 95% CI=-2.14 to -0.45; p=0.003). Maternal stress was affected by home environment (b=-1.12; 95% CI=-1.96 to -0.29; p=0.009 Home environment was affected by maternal education (b=0.76; 95% CI=-0.03 to 1.54; p=0.059). Low birthweight was affected by maternal education (b=-1.21; 95% CI=-2.08 to -0.35; p=0.006) and family income (b=-1.50; 95% CI=-2.35 to -0.66; p<0.001). Conclusion: Pneumonia in children under-five is directly affected by nutritional status children, exclusive breastfeeding, maternal education, maternal stress, and home environment. Keywords: pneumonia, biopsychosocial factors Correspondence: Nining Lestari. Universitas Muhammadiyah Surakarta. Email: dr.nining.lestari.nl@gmail.com. Mobile: +6285229390353.Journal of Maternal and Child Health (2017), 2(2): 162-175https://doi.org/10.26911/thejmch.2017.02.02.07
Effect of Contraceptive Use, Parity, and Social Economic Factors on Age at Menopause at Bendo Community Health Center, Kediri, East Java Maringga, Estin Gita; Adriani, Rita Benya; Mudigdo, Ambar
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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Abstract

Background: Menopause is the natural cessation of menstruation that usually occurs between the ages of 45 and 55. Menopause women may experience some undesirable effects, such as sleep disturbance, prone to pain, increased susceptibility to sexually transmitted disease (STD), and thinner hair. It is hypothesized that age at menopause is affected by genetic factor, as well as psychosocial factors. This study aimed to the effect of contraceptive use, parity, and social economic factors on age at menopause.Subjects and Method: This study was an analytic observatioanal study using case control design. The study was conducted in Bendo Village, Bendo Village, Sumberbendo Village, Pelem Village, Darungan Village, and Sambirejo Village in Community Health Center Bendo, Kediri, East Java, from 8-31 March 2017. A sample of 120 menopausal women was selected for this study by fixed disease sampling. The dependent variable was age at menopause. The independent variables were hormonal contraceptive use, duration of contraceptive use, parity, education level, and family income. The data were collected by questionnaire, and analyzed by path analysis.Results: Menopausal age was affected by duration of hormonal contraceptive use (b= 0.29; SE= 0.12; p= 0.014), parity (b= 1.98; SE= 0.49; p= 0.001), and family income (b= 2.29; SE= 0.88; p= 0.009). Duration of hormonal contraceptive use was affected by hormonal contraceptive use (b= 5.23; SE= 0.57; p= 0.001) and parity (b= 1.22; SE= 0.27; p= 0.001). Family income was affected by parity (b= 0.14; SE= 0.05; p= 0.002) and education level (b= 0.10; SE= 0.11; p= 0.361).Conclusion: Menopausal age is directly affected by duration of hormonal contraceptive use, parity, and family income. Menopausal age is indirectly affected by hormonal contraceptive use, parity, and education level.Keywords: menopausal age, hormonal contraceptive, parity, social economic factors, path analysisCorrespondence: Estin Gita Maringga. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: estin.gita@gmail.com. Mobile: +6281357673430.Journal of Maternal and Child Health (2017), 2(2): 113-124https://doi.org/10.26911/thejmch.2017.02.02.03
Risk Factors of Postpartum Hemorrhage in Bondowoso District, East Java Puspitasari, Ratna; Hastuti, Uki Retno Budi; Murti, Bhisma
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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Abstract

Background: Postpartum hemorrhage is the leading cause of the maternal death worldwide. Postpartum hemorrhage accounted 20% of all causes of maternal death in Bondowoso, East Java. This study aimed to examine the risk factors of postpartum hemorrhage.Subjects and Method: This was an analytic observational study using case control design. The study was carried out at 5 community health centers, Bondowoso District, East Java, from March to May 2017. A sample of 120 study subjects were selected for this study by fixed disease sampling, consisting of 40 postpartum women with hemorrhage and 80 postpartum women without hemorrhage. The dependent variable was postpartum hemorrhage. The independent variables were family income, birth space, type of delivery, mothers middle upper arm circumference (MUAC), antenatal visit, and high-risk score card. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis.Results: Post partum bleeding was directly affected by birth space <2 years or > 10 years (b=3.03; 95% CI = 1.52 to 4.55; p< 0.001), antenatal visit ≥ 4 times (b=3.35; 95% CI= 1.82 to 4.87; p< 0.001), High risk score <2 (b=2.18; 95% CI= 0.92 to 3.44; p= 0.001), type of delivery (b=1.63; 95% CI= 0.39 to 2.87; p= 0.010). High-risk score card was affected by birth space <2 years or > 10 years (b=0.80; 95% CI= 0.32 to 1.57; p= 0.041), family income < Rp 1,417,000 (b=0.72; 95% CI= -0.57 to 1.49; p= 0.070), and antenatal visit ≥ 4 (b=0.70; 95% CI= -0.07 to 1.48; p= 0.076). MUAC was affected by family income ≥ Rp 1,417,000 (b=0.67; 95% CI= -0.08 to 1.44; p= 0.083). Type of delivery (assisted) was affected by high-risk score card <2 (b=1.00; 95% CI = 0.22 to 1.77; p= 0.011) and mother’s MUAC <23.5 cm (b=1.04; 95% CI= 0.20 to 1.88; p= 0.015).Conclusion: Post partum bleeding was directly affected by birth space, antenatal visit, high risk score, type of delivery. High-risk score card was affected by birth space, family income, and antenatal visit. MUAC was affected by family income. Type of delivery (assisted) was affected by high-risk score card  and mother’s MUAC.Keywords: postpartum hemorrhage, risk factorCorrespondence: Ratna Puspitasari. Masters Program in Public Helath, Sebelas Maret University, Surakarta. Email: ratnapuspita1987@yahoo.co.id. Mobile: +6285791373311Journal of Maternal and Child Health (2017), 2(2): 177-187https://doi.org/10.26911/thejmch.2017.02.02.08
Effect of Menopause Duration and Biopsychosocial Factors on Quality of life of Women in Kediri District, East Java Sari, Nunik Ike Yunia; Adriani, Rita Benya; Mudigdo, Ambar
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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Abstract

Background: Menopause is defined as the point in time when menstrual cycles permanently cease due to the natural depletion of ovarian oocytes from aging. Studies have shown,  menopause causes decrease in quality of life and a positive correlation between menopausal symptoms and  quality of live. This study aimed to determine the effect of menopause duration and biopsychosocial factors on quality of life of  women.Subjects and Method: This study was an analytic study using cross-sectional design. The study was conducted in Bendo Community Health Center, Kediri District, East Java, from 8–31 March 2017. A sample was of 105 menopausal women was selected for this study by proportionate random sampling. The dependent variable was quality of life. Quality  of  life  encompassed several constructs including physical, functional, emotional, social, and cognitive variables. The independent variables were duration of menopause, Body Mass Index (BMI), education, family support, and family income. The data were collected by pre-tested questionnaire, and analyzed by path analysis.Results: Quality of life was affected by menopause duration (b=2.19; SE=0.38; p<0.001), education (b=6.72; SE=1.72; p<0.001), family support (b=0.42; SE=0.17; p=0.011), BMI (b=0.71; SE=0.27; p=0.010), and family income (b= 0.13; SE= 1.60; p= 0.936). BMI was affected by education (b= 1.87; SE= 0.50; p<0.001).Conclusion: Quality of life is directly affected by menopause duration, education, family support, BMI, and family income. Quality of life is indirectly affected by education.Keywords: menopause duration, biopsychosocial factors, quality of life, path analysisCorrespondence: Nunik Ike Yunia Sari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: nunikike@yahoo.com. Mobile: +6282257969278.Journal of Maternal and Child Health (2017), 2(2): 125-136https://doi.org/10.26911/thejmch.2017.02.02.04
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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Abstract

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

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