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Journal of Maternal and Child Health

thejmch
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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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Search results for , issue "Vol. 6 No. 3 (2021)" : 12 Documents clear

The Effectiveness of Fish Oil and Ginger Drink in Reducing Dysmenorrhea: A Meta Analysis Novitasari, Isnaini; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Dysmenorrhea causes 34-50% of women to be unable to work in the workplace and 40% of adolescent girls are absent from school. Fish oil and ginger are used as alternatives to NSAIDs, because although the use of NSAIDs is effective in reducing dysmenorrhea pain, they have side effects that are harmful to health after long-term conventional therapy. This study aims to estimate the magnitude of the effect of fish oil and ginger in reducing dysmenorrhea in women of reproductive age. Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct, ProQuest, Springer Link, and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT). The study subjects are women of productive age. The treatment given was the consumption of fish oil or ginger with a placebo comparison, dysmenorrhea assessment using standardized measuring instruments such as VAS, Cox, questionnaires, etc. Articles published in English. The PICO Research Problem are population= women of reproductive age, intervention= fish oil or ginger, comparison= placebo, and outcome= dysmenorrhea. The study was assessed using an effect size (Standardized Mean Difference). Meta analysis was performed using RevMan 5.3 with Random Effect Model. Results: A total of 14 articles were reviewed in a meta-analysis in this study. Meta-analysis of 6 articles showed that fish oil reduced dysmenorrhea pain in women of reproductive age higher than placebo (Standardized Mean Difference= -1.06; 95% CI= -1.76 to -0.36; p= 0.003). Meta-analysis of 8 articles showed that ginger reduced dysmenorrhea pain in women of childbearing age more than placebo (Standardized Mean Difference= -0.77; 95% CI= -1.26 to -0.27; p=0.002). Conclusion: Fish oil and ginger are effective in reducing dysmenorrhea pain in women of reproductive age.

Quality of Life in Children with Nephrotic Syndrome at Dr. Moewardi Hospital Kartawijaya, Andrew Andy Putra; Nugroho, Hari Wahyu; Nur, Fadhilah Tia
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Children with chronic disease often have poor quality of life. Nephrotic syndrome was one of the most common kidney diseases in children with a high number of relapses. Therefore, treatment for nephrotic syndrome might take a long time. Complications from the disease and medications might affect the quality of life of the patient. Subjects and methods: This was a cross sectional, descriptive analytic study. Children aged 5-18 years old who visited the nephrologic outpatient department of Dr Moewardi general hospital from july to September 2020 and fullfilled the inclusion criteria were included in the study. Quality of life was assessed using PedsQLTM 4.0 generic module.The analysis of this research was done by using chi-square and logistic regression. Results: A total of 27 children aged from 5-18 years old participated in this study. Decrease quality of life was reported in 22% based on report from parents. From parent’s report, gender (OR= 0.06; CI95%= 0.01 to 0.66; p= 0.008) was associated with decrease of quality of life in children with nephrotic syndrome. Most of the children had decreased quality of life in the psychososial domain according to parent’s report (OR= 4.70; 95% CI= 1.12 to 19.70; p= 0.026). Conclusion: 22% children with nephritic syndrome have decreased quality of life. Gender was the risk factors that might contribute to the decreased quality of life of children with nephrotic syndrome.

The Effectiveness of Aromatherapy and Music Therapy to Reduce Pain during Stage-1 of Birth Delivery: A Meta-Analysis Hasanah, Uswatun; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.303 KB)

Background: Labor pain is an uncomfortable feeling during the labor process, which causes a reduction in uterine contractions,

The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis Fitriana, Alfira; Kristiyanto, Agus; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Nausea and vomiting in pregnancy is a common condition experienced by 50-80% of pregnant women between 6 to 12 weeks of pregnancy. Acupressure stimulation can stimulate and increase blood circulation and vital energy, so as to maintain normal body functions. The purpose of this study was to determine the effect of acupressure on hyperemesis gravidarum and labor pain in pregnant and childbirth women. Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT) design. Research subjects are pregnant women or giving birth. The intervention given was acupressure with the comparison not being given acupressure or fake acupressure, articles published in English and Indonesian. The PICO research problems were as follows: Population= pregnant women and childbirth, Intervention= giving acupressure, Comparison= sham acupressure or without acupressure, Outcome= reduced intensity of nausea and vomiting and labor pain. The study was conducted using an effect size (Standardized Mean Difference). Meta-analysis was carried out using RevMan 5.3 with a random effect model. Results: A total of 20 articles were reviewed in a meta-analysis in this study. Meta-analysis of 9 articles showed acupressure was effective in reducing hyperemesis gravidarum. Pregnant women who received acupressure therapy experienced hyperemesis gravidarum 0.8 units lower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A meta-analysis of 11 articles showed that acupressure was effective in reducing labor pain. Pregnant women who received acupressure therapy experienced labor pain 1.8 units lower than without acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001). Conclusion: Acupressure can reduce the intensity of nausea and vomiting in pregnant women who experience hyperemesis gravidarum as well as the intensity of labor pain in pregnant women.

The Effect of Hypnotherapy on Serum Cortisol Levels in Post-Cesarean Patients Rizkiani, Inne; Respati, Supriyadi Hari; Sulistyowati, Sri; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.058 KB)

Background: After cesarean section, there is often an increase in stress and anxiety which can have a negative effect on pain perception. Cortisol is the main stress hormone that regulates the duration and intensity of the stress response. Hypnotherapy is a therapy with a hypnotic method to reach someone's subconscious mind. Hypnotherapy is thought to be able to help patients in the post-section coping method because it can cause feelings of pleasure, satisfaction, safety, comfort and can make a person feel they have the strength of themselves to deal with the anxiety they experience. This study aims to analyze the effect of hypnotherapy on serum cortisol levels in postareaal section patients.Subjects and Method: This study was an experimental single-blind randomized controlled trial post-test group design which was conducted in the Obstetrics and Gynecology wards of Dr. Moewardi Hospital Surakarta and Dr. R Soetijono Blora Hospital. The subjects of the study were post-sectional patients who were hospitalized and met the inclusion and exclusion criteria. Subjects were divided into 2 groups, namely the hypnotherapy group which consisted of 15 post-sectional patients who received hypnotherapy and the control group which consisted of 15 postareaal patients who did not receive hypnotherapy. All subjects were examined for cortisol levels in the Prodia laboratory using the Chemiluminescent microparticle immunoassay (CMIA) method. The data of both groups were analyzed using the Mann-Whitney test.Results: The median, minimum, and maxi-mum cortisol levels in the hypnotherapy group were 3.60, 2.10, and 4.40 respectively, while the median, minimum and maximum cortisol values in the control group were 10.50, 8.20 and 32.80 respectively. Effect size= -2,2. The results of the analysis test showed a significant difference in mean values (p <0.001).Conclusion: Hypnotherapy has an effect on decreasing cortisol levels in post-cesarean section patients.Keywords: Hypnotherapy, Cortisol, Post-cesarean sectionCorrespondence: Inne Rizkiani. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Sura-karta, Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126.Journal of Maternal and Child Health (2021), 01(03): 258-266https://doi.org/10.26911/thejmch.2021.06.03.01

The Effect of Prenatal Yoga on Birth Labor Duration and Pain: A Meta Analysis Riawati, Meida Siwi; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Increased psychological burden during pregnancy can cause problems with the quality of the fetus and cause complications in pregnancy. The lack of knowledge about labor pain management and the mother's perception of prolonged labor makes the mother experience an increase in the psychological burden during pregnancy. One alternative therapy needed in dealing with a happy pregnancy and minimal trauma delivery is to do prenatal yoga. The purpose of this study was to estimate the magnitude of the effect of prenatal yoga on the duration of labor and labor pain. Subjects and Method: This study uses a systematic review and meta-analysis research design. The time of the selected test results is between 2005 to 2021. The search for articles is carried out for 1 month. Research data was searched from databases: PubMed, Science Direct, Springer Link, Google Scholar, Chocrance Library. The inclusion criteria in this study were full text articles in English, the study design used a randomized controlled trial. Article searches were carried out using the PICO model. The population in this study were pregnant women, the intervention was in the form of prenatal yoga, comparison was without prenatal yoga, and the outcomes were labor duration and labor pain. Data processing is carried out using the Review Manager (RevMan 5.3) by calculating the standardized mean difference to determine the combined research model and form the final result of the meta-analysis. Results: There are 9 articles in the study of the effect of prenatal yoga on the duration of labor and there are 5 articles on labor pain. The study showed that prenatal yoga significantly reduced labor duration (SMD= 0.88; 86% CI -1.31 to -0.44 p<0.001). Prenatal yoga can also reduce labor pain (SMD = 0.88; 77% CI -1.44 to -0.33 p = 0.002). Conclusion: Prenatal yoga can reduce labor duration and reduce labor pain.

Meta Analysis the Effect of Gestational Diabetes Mellitus on Macrosomia and Sectio Caesarea Ratna, Tantri Yunita; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Gestational Diabetes Mellitus (GDM) is the degree of glucose intolerance that occurs during pregnancy. DMG is caused by damage to cells and insulin resistance, resulting in hyperglycemia and an increase in abnormal growth/macrosomia which causes cesarean delivery. This study aims to analyze the magnitude of the effect of DMG on the incidence of macrosomia and caesarean section with a meta-analysis study. Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagram. Article searches were conducted through journal databases including: PubMed, Science Direct, and Google Scholar by selecting articles published in 2000-2020. The keywords used were: "gestational diabetes mellitus" OR "diabetes in pregnancy" AND macrosomiaAND "sectio caesarean" OR "perinatal outcomes" OR "pregnancy outcome". The inclusion criteria in this study were full text articles with an observational study design, articles using English, analysis using multivariate with adjusted odds ratio. Eligible articles were analyzed using Revman 5.3 app. Results: A total of 22 articles were reviewed in this study with a cohort study design. Meta-analysis of 12 articles showed that pregnant women with gestational diabetes mellitus had a 1.36 times risk of giving birth to a macrosomic baby compared to those without gestational diabetes mellitus (aOR=1.36; 95% CI=1.15 to 1.60; p<0.003), while 10 articles showed pregnant women with gestational diabetes mellitus had a 1.35 times risk for cesarean delivery than those without gestational diabetes mellitus (aOR=1.35; 95% CI=1.17 to 1.55; p<0.001). Conclusion: Gestational Diabetes Mellitus has a weak effect on macrosomia births and caesarean section.

Meta-Analysis: The Effects of Depression and Anxiety on the Quality of Life of People with Disability Nurhayati, Iffah; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.557 KB)

Background: A person with a disability is a person who has (suffers) a disability/ limitations in the structure and function of the body which can cause problems in their life. Environmental conditions (physical, biological and social) that are not disability-friendly will have an impact on mental problems and the most common are depression and anxiety. Depression and anxiety have an important influence on the health conditions and quality of life of persons with disabilities. The purpose of this study was to analyze the effect of depression on the quality of life of persons with disabilities and to analyze the effect of anxiety on the quality of life of persons with disabilities.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. This is done using the search keywords

The Effect of Recombinant Vascular Endothelial Growth Factor (VEGF)-121 Towards Placenta Growth Factor Serum Levels in Female Mice (Mus Musculus) with Preeclampsia Model Prabowo, Wisnu
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Preeclampsia is a multi systemic disease which recognized by the development of hypertension after 20 weeks of gestation with the presence of proteinuria or any signs indicative of target organ injury. The correct diagnosis and classification of the disease are essential since the therapies are unique in each class. Moreover, the angiogenic factors claims to play a significant role in the endothelial injury which plays as an etiology for preeclampsia. Thus, this study aimed to analyze the differences between angiogenic factors in pregnancy mice with preeclampsia models after administration of VEGF-121. Subjects and Method: Subject of the study were swiss’s strains of pregnancy mice (Mus musculus) which divided into three groups that consist of 10 subject of study in each group. Subjects for this research were recruited between March and May 2015 in Biomedical Laboratory of The Faculty of Veterinary Medicine, Universitas Airlangga as part of a cross sectional study designed for analytical experimental. The angiogenic factor which measured was PIGF serum levels with ELISA method and only group of pregnant mice with preeclampsia model which administred with injection of VEGF-121. Results: This study was conducted of 30 male and 30 female Mus musculus with homogeneous characteristic in terms of age, average body weight and have never been pregnant before. The differences in PIGF serum levels between three observed group are significant (p=0.035). Conclusion: Administration of VEGF-121 increased the PlGF serum levels in pregnant mice with preeclampsia model. Thus, the administration of VEGF-121 improves the condition of endothelial damage in preeclampsia with an increase in PlGF levels.

Path Analysis: Maternal Determinants and Hair Zinc Levels as Predictors of Stunting and Developmental Disorders in Children Under Five Yunia Sari, Nunik Ike; Maringga, Estin Gita
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting that occurs during childhood will have an impact on the condition of cognitive development in the future. The purpose of this study is to determine the risk factors that have a direct and indirect effect on the stunting and developmental disorders in children under five. Subjects and Method: This was a case study located at Gurah Health Center, Kediri, East Java, from August 4th to 29th 2020. A sample size of 100 subjects was selected by randomly. The dependent variables were stunting and developmental disorders. The independent variables were maternal mid-upper arm circumference (MUAC), exclusive breastfeeding, low birth weight (LBW), infants birth length, and hair zinc levels. The data were measured by questionnaire. Hair zinc levels were tested in the laboratory. Quantitative data analysis used path analysis. Results: Child development was directly and positively influenced by the maternal MUAC (b= 0.12; SE= 0.36; p<0.001), birth weight (b= 0.29; SE= 0.15; p= 0.042), birth length (b= 0.37; SE= 0.15; p= 0.011), breastfeeding (b= 0.08; SE= 0.04; p= 0.033), stunting (b= -0.39; SE= 0.10; p <0.001), and hair zinc level (b= 0.58; SE= 0.67; p <0.001). Hair zinc level was positively influenced by birth weight (b= 0.92; SE= 0.04; p <0.001). Child development was indirectly influenced by exclusive breastfeeding, birth length, and zinc levels. Conclusion: Child development is directly and positively influenced by the maternal MUAC, birth weight, birth length, breastfeeding, stunting, and hair zinc level. Hair zinc level is positively influenced by birth weight. Child development ias indirectly influenced by exclusive breastfeeding, birth length, and zinc levels.

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