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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.
Arjuna Subject : -
Articles 12 Documents
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Search results for , issue "Vol 4, No 6 (2019)" : 12 Documents clear
Path Analysis on Determinants of Postpartum Bleeding at Dr. Moewardi Hospital, Central Java Hidayati, Siti Nur; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.019 KB)

Abstract

Background: Postpartum hemorrhage is bleeding that exceeds 500 ml after the baby is born. The main causes of postpartum bleeding are uterine atony, placental retention, birth canal laceration, and blood clotting abnormalities. Predisposing factors of postpartum hemorrhage are age, parity, anemia, premature rupture of membranes, preeclampsia, prolonged labor, uterine overdistention, labor of action, history of previous bleeding, and distance of pregnancy. Postpartum hemorrhage will cause maternal death if it is not treated immediately. This study aimed to analyze the determinants of postpartum hemorrhage.Subjects and Method: This study used observational analytic with a case control approach. The study was conducted at Dr. Moewardi, Central Java, from April to May 2019. The total sample was 225 maternity mothers who were selected based on fixed disease sampling by using a ratio of 1: 2 between the case and control groups. The dependent variable was postpartum bleeding. The independent variables were age, parity, anemia, premature rupture of membranes, preeclampsia, prolonged labor, uterine overdistention, action delivery, obstetric history, uterine atony, placental retention, birth canal laceration, and pregnancy distance. Data collection techniques used secondary data medical record records which were analyzed by using path analysis.Results: Postpartum hemorrhage was directly and positively associated with atonia uterine (b= 2.46; 95% CI= 1.53 to 3.40; p<0.001), vaginal laceration (b= 1.76; 95% CI= 0.78 to 2.75; p <0.001), poor obstetric history (b= 0.93; 95% CI= 0.11 to 1.76; p= 0.026), and type of labor (b= 1.70; 95% CI= 0.94 to 2.46; p <0.001). It was indirectly affected by preeclampsia, parity, prolonged labor, premature rupture of membrane, age, anemia, uterine overdistention, birth spacing, and placental retention.Conclusion: Postpartum hemorrhage is directly and positively associated with atonia uterine, vaginal laceration, poor obstetric history, and type of labor. It is indirectly affected by pre­eclampsia, parity, prolonged labor, premature rupture of membrane, age, anemia, uterine overdistention, birth spacing, and placental retention.Keywords: Postpartum hemorrhage, placental retention, atonia uterine, path analysis Correspondence: Siti Nur Hidayati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sitihidayati58@gmail.com. Mobile: 082133­679586.Journal of Maternal and Child Health (2019), 4(6): 35-47https://doi.org/10.26911/thejmch.2019.04.06.04
The Associations between Exclusive Breastfeeding, Complementary Feeding, and the Risk of Stunting in Children Under Five Years of Age: A Path Analysis Evidence from Jombang East Java Murti, Bhisma; Pamungkasari, Eti Poncorini; Barir, Baroroh
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.185 KB)

Abstract

Background: Stunting in children becomes a health problem that gets priority and must be addressed immediately. Delayed development, a decrease in cognitive function and immune function and the risk of diabetes mellitus, coronary heart disease, hypertension, and obesity are the effects of stunting. This study aimed to analyze the determinants of stunting in children aged 2-3 years in Jombang, East Java.Subjects and Method: This was an analytic observational study with case-control design. The study was carried out at Plandaan and Kabuh community health centers, Jombang, East Java, from March to April 2019. A sample of 200 children aged 2-3 years old was selected by fixed disease sampling. The dependent variable was stunting. The independent variables were maternal age, maternal height, maternal attitudes, maternal occupation, birth length, infant birth weight, exclusive breastfeeding, breastfeeding, family income, mother's education, and mother's know­ledge. The data collection was done using questionnaires and analyzed with path analysis.Results: Stunting was directly and negatively affected by birth length ? 48 cm (b= -2.37; 95% CI= -3.25 to -1.50; p <0.001), infant birth weight ? 2500 g (b= -1.43; 95% CI= -2.53 to -0.32; p= 0.011), exclusive breastfeeding (b= -1.09; 95% CI= -1.90 to -0.28; p= 0.008), and timely comple­mentary feeding (b= -1.09; 95% CI= -1.94 to -0.24; p= 0.012). Stunting was indirectly affected by family income, maternal age, maternal attitude, maternal height >150 cm, employed mother, maternal education, and maternal knowledge.Conclusion: Stunting is directly and negatively affected by birth length of ?48 cm, birth weight ? 2500 g, exclusive breastfeeding, timely complementary feeding. It was indirectly affected by family income, maternal age, attitude, maternal height >150 cm, employment, education, and knowledge.Keywords: stunting, determinants, path analysisCorrespondence: Baroroh Barir. Masters Program in Nutrition, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: barorohbarir5@gmail.com.Mobile: +6281331940865.Journal of Maternal and Child Health (2019), 4(6): 486-498https://doi.org/10.26911/thejmch.2019.04.06.09

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