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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. 5 (2021)" : 12 Documents clear

Is Remakuda Juice Effective to Elevate Haemoglobin Level and Descend Dysmenorrhea in Female Adolescents? Fatmawati, Zeny; Fatmawati, Elis; Rustanti, Elly
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The negative effect of low hemoglobin levels for adolescents can reduce intelligence, learning achievement, mental motor development, inhibition of optimal height growth and reproductive health. Dysmenorrhea is pain or discomfort that occurs in the abdomen during menstruation as a result of prostaglandin secretion which can increase uterine contractions. The purpose of this study was to determine the effect of Remakuda juice on an increase in hemoglobin and a decrease in the intensity of dysmenorrhea in female adolescents. Subjects and Method: An experimental study with no control group was conducted at Junior High School I Tembelang, Jombang, East Java, in September 2021. A total of 60 female adolescents was selected by purposive sampling. The dependent variables were hemoglobin level and dysmenorrhea. The independent variable was Remakuda juice. Dysmenorrhea was measured by the Numeric Rating Scale (NRS) and the Wong Baker Pain Rating Scale. Hemoglobin level was measured by digital haemometer. The data were analyzed using t-test. Results: Hemoglobin levels after intervention (Mean= 2.00; SD= 0.00) were higher than before (Mean= 1.73; SD= 0.45), with p= 0.010. Dysmenorrhea after intervention was lower (Mean= 1.43; SD= 0.59) than before (Mean= 2.70; SD= 0.65), with p<0.001. Canclusion: Remakuda juice can increase hemoglobin levels and reduce dysmenorrhea in female adolescent.

The Utilization of Android-Based Application as a Stunting Prevention E-Counseling Program Innovation during Covid-19 Pandemic Friska, Erlin; Andriani, Helen
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting in children is one of the most significant barriers to human development, globally affecting approximately 162 million children under 5 years of age. During the Covid-19 pandemic, the development of communication and information media such as smartphones has encouraged the creation of various kinds of application-based health innovations known as mobile health. The purpose of this study was to analyze the utilization of android-based applications as a stunting prevention e-counseling program innovation in the Covid-19 pandemic era. Subjects and Method: This research was a systematic review. The articles were selected from Google Scholar, PubMed, ScienceDirect, and Elsevier. The keywords for this review are: prevention, education, stunting counseling, Covid-19, android-based stunting prevention application, stunting counseling application during the Covid-19 pandemic, application for stunting, android application for stunting. The search process to exclude the articles used for this literature review using the PRISMA method. Results: The results showed that the existence of an Android-based stunting prevention application innovation can make it easier for the public to monitor health, obtain the education, and provide counseling to health workers. This is in line with government policies during the Covid-19 pandemic which urges the public to limit activities. Conclusion: The conclusion of this study is android-based applications are very friendly if used by the wider community because they can access information anytime and anywhere, are more flexible, and affordable.

Difference Of Fetal Weight Between Conventional vs Electric Smoke Exposure in Mice (Mus Musculus) Kusumastuti, Nurry Ayuningtyas; Haeriyah, Siti; Susilowati, Yuni
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The increase in tobacco excise rates (CHT) or cigarette excise in early 2020 is a reason for smokers to switch to using e-cigarettes. WHO reports that about 64.9% of adult men in Indonesia are smokers, while in women it is 2.1%. This shows that Indonesia is ranked first in the world. Exposure to e-cigarettes and conventional cigarettes will affect pregnancy and the fetus it contains. However, in reality, most people have the perception that e-cigarettes are safer than conventional cigarettes because their nicotine content is much lower than conventional cigarettes. The purpose of this study was to analyze differences in exposure to e-cigarettes and conventional cigarettes on fetal weight in mice (mus musculus).Subjects and Method: This study used a true experimental design which was divided into two groups, namely 16 female mice as a group given exposure to e-cigarettes and 16 female mice as a group being exposed to conventional cigarettes. The dependent variable is the weight of the fetus. The independent variables were exposure to e-cigarettes and conventional cigarettes. The instrument in this study used a digital gold scale with an accuracy of 0.01 gram. Data were analyzed using the Mann Whitney test.Results: On average, exposure to e-cigarettes had a greater fetal weight (Mean= 1.61; SD= 0.64) than exposure to conventional cigarettes (Mean= 1.48; SD= 1.19), and this result was statistically significant (p < 0.001).Conclusion: There are differences in exposure to e-cigarettes and conventional cigarettes on fetal weight in mice (Mus musculus).

Effect of a National Nutrition Communications Campaign on Stunting Awareness and Promotion of Exclusive Breastfeeding Behavior among Rural Indonesian Mothers Moffat, Ryan Craig; Sayer, Alexis; Hawks, Megan; DeCook, Kiersten; Traub, McKayla; Linehan, Mary; Dearden, Kirk; Rachmi, Cut Novianti; West, Josh; Crookston, Benjamin; Hall, Cougar
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting affects 37% of Indonesian children and has lifelong consequences for the affected child. Childhood stunting can be prevented by promoting exclusive breastfeeding (EBF) and helping mothers overcome barriers to EBF. This study aimed to examine the effect of a National Nutrition Communications Campaign (NNCC) on stunting awareness and promotion of exclusive breastfeeding behavior among rural Indonesian mothers. Subjects and Method: Data came from interviews and a cross-sectional survey of 1,740 mothers with children under the age of 2 in three Indonesian districts, from November 2015 to March 2018. Measures included exposure to two different NNCC interventions: multi-media messages (media) and interpersonal communication strategies (IPC) and associations with stunting knowledge, breastfeeding knowledge, and breastfeeding perceptions/intentions. The data were analyzed by a multiple logistic regression. Results: Exposure to NNCC was positively associated with knowledge toward EBF (OR= 1.56; 95% CI= 1.10 to 2.19; p= 0.043), awareness of the importance of nutrition during the first 1000 days of life (OR= 1.90; 95% CI= 1.43 to 2.52; p<0.001), and having heard of stunting (OR= 1.93; 95% CI= 1.41 to 2.63; p<0.001). Exposure to IPC was positively associated with knowledge toward EBF (OR=1.78, CI95% 1.37 to 2.30, p<0.001), awareness of the importance of nutrition during the first 1000 days of life (OR= 3.02; 95% CI= 2.40 to 3.80; p<0.001), knowledge of EBF benefit to prevent stunting (OR= 3.05; CI 95%= 2.33 to 3.98; p<0.001), and having heard of stunting (OR= 3.15; CI 95%= 2.49 to 3.98; p<0.001). Exposure to IPC was a significant predictor of an intention to engage in EBF (p <0.050). Conclusion: These findings point to practical recommendations for national level social and behavior change communication efforts. Future campaigns should aim to be inclusive of: 1) mass media (television, radio, billboards, and social media) to promote health as these efforts provide for wide exposure while maintaining impact; and 2) IPC (face-to-face communications, classes, and support groups) as these efforts increase knowledge and impact on behavior, beliefs and intentions.

Prenatal Diagnosis and Management of Advanced Abdominal Pregnancy in Dr. Moewardi Hospital Surakarta: A Case Series Akbar, Uchti; Anggraini, Nutria Widya Purna; Yuliantara, Eric Edwin; Bachnas, Muhammad Adrianes; Ridwan, Robert; Sulistyowati, Sri
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The abdominal pregnancy is a pregnancy anywhere in the abdominal cavity other than the tube, ovary, and broad ligament. Abdominal pregnancy has 7.7 times greater risk than tubal pregnancy and 90 times greater than intrauterine pregnancy. This study aims to reveal the diagnosis and treatment of abdominal pregnancy in Dr. Moewardi Hospital Surakarta. Subjects and Method: This was a case series study conducted at Dr. Moewardi Hospital Surakarta. This study report three cases of advanced abdominal pregnancy at Dr Moewardi Hospital (2019 – 2020), that consisted of two cases of advanced abdominal pregnancy to term, and one advanced abdominal pregnancy with acute abdomen. Case presentation: Case 1 (it was found abdominal pregnancy at 30 weeks), the condition of the mother and the fetus was good, the pregnancy was continued until the gestational age was term. The patient was given corticosteroids for lung maturation and magnesium sulfate for neuroprotection. Case 2 (an abdominal pregnancy was found at term), it was decided to immediately terminate it with good preoperative preparation. Both patients in case 1 and case 2 had good result in both the mother and the fetus. The placenta was left in situ in both cases to prevent massive bleeding and injury to the gastrointestinal organs. Case 3 (advanced abdominal pregnancy with acute abdominal symptoms) decided to undergo an emergency laparotomy and removal of the placenta. Conclusion: Abdominal pregnancy must be diagnosed and managed properly to reduce maternal mortality and morbidity. In advanced abdominal pregnancy, it could be considered to continue the pregnancy until the term. The placenta management of in situ without methotrexate might be considered in cases of abdominal pregnancy.

Psycho-Social Stimulation and Food Diversity of Children Detected Stunting Rahmawati, Dian; Agustin, Lia
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a growth failure in children under five due to chronic malnutrition so that children are too short for their age. According to WHO, stunting becomes a public health problem if the prevalence is 20% or more. The prevalence of stunting under five in Indonesia in 2018 was more than 20% so that it became a public health problem and needed to be addressed immediately. Food diversity describes the quality of food for toddlers. Providing a variety of foods will increase the risk of malnutrition, stunting, and disease disorders. Stunting not only has an impact on physical growth but also psychosocial development. This study aimed to analyze whether psychosocial stimulation and food diversity were associated with stunting. Subjects and Method: This research is an observational analytic with a case control approach. The study population was all toddlers aged 24-59 months in Bangkok Village, Gurah, Kediri, East Java, Indonesia, in August 2020. Using the fixed disease sampling technique, a sample of 25 stunting toddlers aged 24-59 months as the case group and 25 non-stunted toddlers as the control group. The dependent variable is the incidence of stunting, while the independent variables are psychosocial stimulation and food diversity. The stunting measurement was carried out based on the TB/U measurement. Measurement of psychosocial stimulation using the HOME (The Home Observation for Measurement of the Environment Revisited) questionnaire and diversity using the IDDS (Individual Dietary Diversity Score) questionnaire. The data collected were analyzed by Chi Square and Fisher's Exact Test. Results: The incidence of stunting was associated with psychosocial (p= o.o31) and food diversity (OR= 12.67; CI 95%= 3.31 to 48.50; p < 0.001). Conclusion: Psychosocial stimulation and food diversity are associated with stunting. Not consuming a variety of foods increases the incidence of stunting 12 times.

Lipid Profile (Total Cholesterol, LDL, HDL, Triglyceride) of Injection Contraceptive Acceptors in Semarang Surati, Surati; Priyatno, Djoko
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Hormonal injectable contraceptives are the most common choice taken by women. The 3-month injection of contraception is DMPA, one of the most effective contraceptive methods currently used. Using injectable contraceptives, especially DMPA, influences fat metabolism, especially lipoproteins. Changes in fat metabolism cause disturbances in the balance of blood fat fractions (fluctuation of HDL, LDL and total cholesterol levels) due to hormonal influences. Subjects and Method: Descriptive with an observational design study. Seventy-three women accepted injection contraceptive three months with a usage period of more than three years recorded in the Tlogosari Kulon Community Health Center. They were selected based on sample criteria, including inclusion criteria and exclusion criteria, where these criteria determine whether or not the sample can be used. The dependent was lipid profile (cholesterol, trigliceryd, LDL, HDL). The independent variables was contraceptive injections three months. There are seventy-three respondents. Results: The respondents in this study had 3-month injection contraceptive use of were less than the same as six years of use, namely 41 people, while for use more than the same as seven years there were 32 people and show that most of the research respondents had a lipid profile that was still within normal limits. For the cholesterol levels, 23% is normal, and 76% is abnormal, Trigliceryd level 66% is normal, and 34 % is abnormal. LDL levels 100% is normal, and for the HDL levels, 63% is normal, and 37% is abnormal. Conclusion: Most of the lipid profiles of respondents were normal. However, on cholesterol levels, respondents had more abnormal levels than normal, but for other lipid profiles (Trigliceryd, LDL, HDL), most respondents had normal levels.

Husband Support on BOM Massage Practice and Reducing Fatigue in Post Partum Mothers Umarianti, Tresia; Putriningrum, Rahajeng; Prasetyoningsih, Aris; Prasetyo, Budi
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: BOM massage is a combination of ways to treat breasts so that breast milk can produce and provide relaxation to postpartum mothers. Mothers after giving birth may experience psychological fatigue related to anxiety or depression which can hinder the smooth flow of breast milk. The support of the husband and close family will greatly help the process of comfort and relaxation of the mother during the process of undergoing the postpartum period. This study aims to determine the effect of husband's assistance in the implementation of BOM messages on the level of fatigue of postpartum mothers. Subjects and Method: This research is an analytic experimental study with RCT (Randomized Controlled Trial) design. The research was conducted at PMB Ngudi Saras Palur Karanganyar. The research subjects were 44 postpartum mothers, which were divided into 22 with husband's assistance and 22 others without husband's assistance. The sampling method is purposive sampling. Data were analyzed using independent-sample t-test. Results: Fatigue test results in the intervention group were lower (Mean= 2.82; SD= 1.05) compared to the control group (Mean= 7.14; SD= 1.04). Statistical test Independent-Sample T-test has an effect size of 4.13 and there is an effect with a p<0.001. Conclusion: Husband's assistance in the implementation of BOM Massage has an effect on the level of fatigue of postpartum mothers in Palur Karanganyar.

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants Suparno, Amalia Ulfah; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Pregnancy can be defined as the process of meeting spermatozoa with the ovum which is followed by attachment of the embryo to the uterine wall, in the process of pregnancy according to some or almost all women it becomes a happy process or causes anxiety due to the occurrence of many physiological and psychological changes, so that if it is not treated seriously then will have an impact on the baby such as premature birth and low birth weight. This study aims to estimate the magnitude of the effect of anxiety during pregnancy on premature birth and low birth weight with a meta-analysis study. Subjects and Method: This was a meta-analysis and systematic review conducted with PRISMA flow diagrams. Population= pregnant women, Intervention= anxiety, Comparison= not anxious, Outcomes= premature birth and low birth weight. Search articles through journal databases include: Google Scholar, PubMed, Science Direct. The articles used in this study are articles that have been published from 2000-2021. The keywords to search for articles were as follows: “antenatal anxiety” OR “pregnancy anxiety” OR “anxiety during pregnancy” OR “anxiety disorder” OR anxiety OR pregnancy AND “Perinatal outcomes” OR “adverse birth outcome” OR “neonatal outcome” OR “low birth weight” OR “Low Birth Weight” AND “preterm birth” OR “preterm infant”. The inclusion criteria were full text with a cohort study design, articles in English, analysis used multivariate with adjusted odds ratio. Eligible articles were analyzed using the Revman5 application. Results: 10 observational studies showed that anxiety during pregnancy increased the risk of preterm delivery by 1.49 times compared with no anxiety (aOR=1.49; 95% CI 1.33 to 1.66; p<0.001). A meta-analysis of 7 observational studies showed that anxiety during pregnancy increased the risk of low birth weight by 1.55 times compared with no anxiety (aOR=1.55; 95% CI 1.26 to 1.91; p<0.001). Conclusion: Anxiety during pregnancy increases the risk of premature birth and low birth weight.

Biopsychosocial Analysis of Factors on COVID-19 Screening Awareness of Infertile Couples in Assisted Reproductive Technology Budihastuti, Uki Retno; Laqif, Abdurahman; Melinawati, Eriana; Prakosa, Teguh; Udiyanto, Hermawan; Priyanto, Heru Priyanto; Darto, Darto; Rantasari, Affi Angelia; Wasyanto, Trisulo; Anggraeni, Asih; Wijayanti, Agung Sari
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The development of screening methods for infertility patients during the Coronavirus-2019 (COVID-19) pandemic provides new challenges in the adaptation of children's want programs in the era of the COVID-19pandemic. Several screening methods have been developed but various factors affect the awareness of couples to want to do COVID-19 screening. This study aimed to analyze biopsychosocial factors associated with awareness of COVID-19 screening in infertile couples. Subjects and Method: A cross-sectional study conducted at The Sekar Polyclinic of Dr. Moewardi Regional General Hospital during the COVID-19 pandemic. A number of 60 infertile couple of reproductive age who underwent the ART program was selected by random sampling. The dependent variable was awareness for COVID-19 screening. The independent variables were anxiety, knowledge, age, and length of infertility. The data were obtained from medical record and questionnaire and analyzed by a multiple logistic regression. Results: Anxiety (OR= 26; 95% CI; p<0.001) and above-average knowledge levels (OR=16; 95% CI; p<0.001) affected awareness for COVID-19 screening. While the age and length of infertility do not affect awareness for COVID-19 screening (p >0.05). Conclusion: Anxiety and above-average knowledge levels affect awareness for COVID-19 screening.

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