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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 6 Documents
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Search results for , issue "Vol. 10 No. 4 (2025)" : 6 Documents clear
Association Between Antenatal Visit and Stunting in Children Aged 0-59 Months in Margadadi Health Center, Indramayu, West Java, Indonesia Zahirah, Najma; Nugrohowati, Nunuk; Pramono, Andri Pramesyanti; Razi, Fachri
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.02

Abstract

Background: Stunting is a condition where a child's height does not match their age caused by persistent nutritional disorders. The incidence of stunting in the  Indramayu area is quite high, namely 29.19% in 2019 which exceeds the WHO target of 20%.  Antenatal visits indirectly induce stunting since stunting factors can be seen prenatally.  Antenatal visits are a series of comprehensive examinations for pregnant women. The Indonesian Ministry of Health's 2021 recommendations divide antenatal visits into the first (K1), fourth (K4), and sixth (K6) visits. This study aimed to discover the relationship quantity of antenatal visits and the incidence of stunting in toddlers in the Margadadi Puskesmas Working Area, Indramayu Regency. Subjects and Method: A case-control study conducted at the Margadadi Community Health Center, Indramayu, West Java, Indonesia. A total of 60 moms of toddlers selected in this study use the consecutive sampling, with 30 subjects each as a case and control group. The dependent variable was stunting. The independent variables were ANC visit follow are K1, K4, and K6. Data collected by questionairre. Data were analyzed by Chi-Square test. Results: Pregnant women who had complete K6 antenatal visits had lower risk to have stunted children (OR= 0.20; 95% CI= 0.04 to 1.02; p= 0.038). Conclusion: K6 shows a protective relationship on stunting.
Syphilis in Pregnancy: Education to Increase Knowledge in Reproductive Couples Sulistyowati, Sri; Bachnas, Muhammad Adrianes; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Nuur, Aliffudin; Pradana, Muhammad Denny Gagah; Khoeronisa, Siti; Rahmawati, Oktantia Dyah
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.01

Abstract

Background: Syphilis is believed to be one of the oldest diseases, first discovered in the late 15th century. Indonesian Ministry of Health reported a total of 76,923 new cases in 2020. WHO has set an ambitious target to reduce the incidence by 90% before 2030, in spite of slow global  response.  This number is lower than the number obtained in 2019, which was 4,169 people. Syphilis can be transmitted through sexual contact, blood transfusion, and vertical mother-to-child transmission (MTCT). It is estimated that the risk of transplacental infection ranges from 20-80%, depending on various factors, such as the stage of infection in the mother. This study aimed to assess the effect of counseling in increasing patient knowledge of syphilis cases in pregnancy. Subjects and Method: This was a quasi experiment conducted at obstetrics and gynecology department in Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia, in June 2025. A sample of 84 pregnant women was selected for this study. The independent variable was counselling. The dependent variable was knowledge about Syphilis in pregnancy. Knowledge was tested before and after counselling. The data were examined using independent t test.             Results: The knowledge score of pregnant women about syphilis after the intervention (Mean= 77.14; SD= 13.85) was higher than before (Mean= 56.43; SD= 15.88), and it was statistically significant (p <0.001). Conclusion: The results of this study indicate that this recovery is effective in improving understanding of syphilis cases in pregnancy in obgyn polyclinic patients at Dr. Moewardi Hospital.
Provision of Anti-Tuberculosis Treatment on Nutritional Status in Children with Pulmonary Tuberculosis at Dr. Moewardi Hospital, Surakarta, Central Java Ni Nyoman Ratna Sri Dewi; Pitra Sekarhandini; Aisya Fikritama Aditya
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.03

Abstract

Background: Tuberculosis caused by Mycobacterium tuberculosis, remains a significant global health issue. In Indonesia, the number of childhood TB cases has risen substantially from 33,366 in 2020 to 56,622 in 2022. TB can contribute to nutritional disorders, while treatment with anti-tuberculosis drugs (OAT) may help improve nutritional status. This study aims to evaluate the differences in nutritional status among toddlers with pulmonary TB before and after receiving OAT treatment at Dr. Moewardi Regional General Hospital, Indonesia.        Subjects and Method: This study utilized a comparative analytical design with a cross-sectional approach and employed a retrospective purposive sampling technique. It was conducted at Dr. Moewardi Regional General Hospital from 2017 to 2024 using a total sampling method, identifying the nutritional status of toddlers before and after OAT administration. The dependent variable was anti-tuberculosis drugs (OAT) treatment The independent variables was nutritional status Resulting in 42 samples that met the inclusion and exclusion criteria for toddlers aged 1–5 years. Data were processed using SPSS and analyzed with the Wilcoxon signed-rank test. Results: The male gender was higher by 25 people (59.52%) and female by 17 people (40.47%). The highest age sample of toddlers before treatment was 2 years (33.33%) and after treatment 3 years (33.33%). The highest nutritional status before OAT treatment was malnutrition (59.52%) while after treatment it was good nutrition (66.66%). The nutritional status of toddlers was higher (Mean = 2.90; SD = 0.57) than before (Mean = 2.12; SD = 0.63), and this result was statistically significant (p<0.001). Conclusion: There is a significant differences between the nutritional status of toddlers suffering from pulmonary tuberculosis before and after OAT treatment at Dr. Moewardi Regional General Hospital.
Correlation between Blood Sodium and CD4 Level in Pediatrics with Human Immunodeficiency Virus Infection Maulana, Shahdan Taufik; Umma, Husnia Auliyatul; Nugroho , Hari Wahyu
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.04

Abstract

Background: Electrolyte disorders such as hyponatremia are often found in human immuno­deficiency virus (HIV) patients. It is closely correlated with HIV morbidity and mortality. Sodium levels have also been reported to correlate with cluster of differentiation 4 (CD4) in adult subjects, but it is not yet known how in children with HIV infection.This study conducted to analyze the correlation between electrolyte levels, especially sodium, and CD4 levels in children with HIV infection. Subjects and Method: Descriptive analytical study with a cross-sectional design. The subjects were 42 pediatric HIV patients aged 0-18 years who were willing to undergo sodium and CD4 level examinations. Subjects with liver cancer, liver cirrhosis and cardiovascular disease and opportu­nistic infections in HIV were excluded. Subjects were selected by consecutive sampling. The dependent variables was blood sodium levels, while the independent variables was CD4 counts, and the confounding variables were age, and ARV duration use. Sodium levels were measured using the Cbs400, Jokoh ex-d and smarlyte devices while CD4 levels were measured using the BD FACSCount device by flow cytometry. The correlation between sodium and ARV duration use on CD4 levels analyzed by Pearson test, while correlation between patient’s age and CD4 levels analyzed by Spearman rank test. The multiple linear regression used to control the confounding variables. Results: The average sodium level in pediatric HIV patients at Dr. Moewardi Surakarta Regional General Hospital (Mean= 131.19; SD= 5.68 mEq/L), while the average CD4 level (Mean= 940.40; SD= 464.81 cells/μL). Pearson test showed a positive and weak correlation between sodium levels and CD4 counts (r= 0.32; p = 0.040), meaning that the higher the sodium level, the higher the CD4 count. There was a negative and very weak correlation with the duration of ARV use (r= -0.18; p= 0.254), meaning that the higher the sodium level, the lower the CD4 count. Spearman Rank test showed a correlation between age and CD4 count (r= -0.52; p<0.001), meaning that the older the person, the lower the CD4 count. The results of linear regression showed that there was a significant influence between sodium levels on CD4 count (b= 24.99; p= 0.029) and patient age (b= -55.21; p=0.003). Conclusion: Sodium levels have a moderate positive correlation with CD4 levels in pediatric patients with HIV infection. Examination of sodium levels can be an additional parameter in routine monitoring of the immunodeficiency status of pediatric HIV patients.
Family Role on the Pregnant Women’s Knowledge Toward Obstetric Danger Signs Handayani, Rr. Novita Wahyu; Nasution, Ali Napiah; Lister, Clarissa
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.05

Abstract

Background: Obstetric danger signs are an important indicator that pregnant women need to recognize to prevent complications and reduce maternal mortality. This study aims to analyze the determinants of knowledge about obstetric danger signs in pregnant women, with a special focus on the role of family function as measured by the family APGAR instrument. Subjects and Method: A cross-sectional study was conducted on 48 pregnant women who visited the Padang Bulan Community Health Center, Medan, during August-September 2024. The dependent variable is the level of knowledge about obstetric danger signs. Independent variables were age, education level, employment status, number of pregnancies (parity), income, and family function (APGAR score). Data collection was conducted using questionnaires on obstetric danger signs and family APGAR instruments. Data analysis included univariate, bivariate (Chi-Square), and multivariate (logistic regression) analysis. Results: The majority of subjects (72.9%) had good knowledge of obstetric danger signs. Bivariate analysis showed that education level (p=0.008) and family function (p=0.005) had a significant relationship with knowledge level, while age, employment status, parity, and income showed no significant relationship. Multivariate analysis confirmed that highly functional family function (OR= 10.47; 95% CI= 1.56 to 70.40; p =0.016) and higher education levels (OR= 6.83; 95% CI= 1.31 to 35.61; p = 0.023) were significant independent predictors for good knowledge of obstetric danger signs. Conclusion: Family function and education level are the main determinants of pregnant women's knowledge about obstetric danger signs. Maternal health education programs need to consider family involvement and pay special attention to pregnant women with low levels of education to improve understanding of obstetric danger signs, which can ultimately contribute to a decrease in maternal morbidity and mortality rates.
The Influence of Maternal Factors on Caesarean Section at North Borneo Regional Hospital, Kalimantan, Indonesia Padlillah, Rahmi; Yulianti, Ika; Linda, Nur
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.06

Abstract

Background: In this modern era, caesarean section (C-section) is sometimes an alternative choice for the desired childbirth. However, it should be understood that Caesarean section is a surgical procedure that must be performed based on medical indications and has risks. Knowing what factors can influence the selection of C-section procedures is important so that the SC is properly carried out on an emergency indication. This study aimed to analyze the factors that affect the delivery of caesarean section at the Tarakan General Hospital, Kalimantan, Indonesia. Subjects and Method:  A cross-sectional study was conducted at Tarakan General Hospital, North Kalimantan, Indonesia, in April 2024. The sample size was 748 post natal women. The dependent variable was type of birth delivery. The independent variables were cephalopelvic disproportion, preeclampsia, prolonged labor, premature rupture of membranes, maternal age, and parity. Data were obtained from medical records and analyzed using a multiple logistic regression. Results: Premature rupture of membranes (aOR= 7.7; 95% CI= 6.99 to 8.02; p= 0.001) and prolonged labor (aOR= 1.9; 95% CI= 1.21 to 3.6; p= 0.029) increased the likelihood of cesarean section. Conclusion: Premature rupture of membranes and prolonged labor increase the likelihood of cesarean section.

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