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Journal of Maternal and Child Health

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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. 6 (2021)" : 12 Documents clear

The Influence of Attitude, Subjective Norm, and Perceived Behavior Control on the Early Detection of Cervical Cancer among Female Students Putri, Santy Irene
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Cervical cancer is the fourth most frequent female malignancy in the globe, affecting an estimated 527,624 women every year and resulting in 265,672 deaths. This study aimed to determine the effect of attitudes, subjective norms, and perceived behavioral control on early detection of cervical cancer in female students. Subjects and Method: This was an analytic observational study with a cross-sectional approach. This study was conducted in Malang, East Java, Indonesia. The sample size of 350 female students was selected by simple random sampling technique. The dependent variable is the early detection of cervical cancer. The independent variables include attitudes, subjective norms, and perceived behavioral control. The data were collected by using a questionnaire and analysis using multiple linear regression. Results: Attitudes (b= 0.33; 95% CI= 0.22 to 0.44; p <0.001), subjective norms (b= 0.12; 95% CI= 0.01 to 0.22; p= 0.029), and perceived behavioral control (b= 0.32; 95% CI = 0.12 to 0.52; p= 0.002) has a relationship with behavior of early detection of cervical cancer in female students and statistically significant. Conclusion: Attitudes, subjective norms, and perceived behavioral control are factors that influence the behavior of early detection of cervical cancer in female students.

Meta-Analysis The Effect of Maternal Obesity on the Risk of Premature Birth and Neonatal Death Wulandari, Fitria; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The prevalence of obesity in women of reproductive age worldwide is increasing by an estimated 20-36%. Increased prevalence of obesity also occurs in pregnant women. Obesity increases the risk of poor pregnancy outcome. This study aims to investigate the effect of maternal obesity on preterm birth and neonatal mortality. Subjects and Method: This was a systematic review and meta-analysis. The articles used were obtained from several databases, including: Google Scholar, Science Direct, Springer Link, Proquest, and Scopus published from 2010 to 2021. The population in this study was pregnant women with an intervention in the form of obesity, comparison in the form of normal BMI, and outcome such as premature birth and neonatal death. The keywords used to search for articles were: (“maternal obesity” OR “maternal BMI”) AND (“premature birth” OR “preterm birth” OR “preterm delivery” OR “preterm labor”) AND (“neonatal mortality” OR “ neonatal death”) AND “adjusted Odds Ratio”, and “maternal obesity” AND (“premature birth” OR “preterm birth” OR “preterm delivery”) AND (“neonatal mortality” OR “neonatal death”) AND “adjusted Odds Ratio ". The article is a full text article with a cross-sectional and cohort study design. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 . application. Results: There were 19 articles reviewed in the study. A meta-analysis of 13 cohort studies showed that obese pregnant women were 1.02 times more likely to have a premature birth when compared to normal BMI pregnant women, but this result was not statistically significant (aOR=1.02; 95% CI=0.93 to 1.13; p=0.630). A meta-analysis of 4 cohort studies showed that maternal obesity increased the risk of neonatal death and was statistically significant (aOR=1.52; 95% CI=1.17 to 1.99; p=0.002). A meta-analysis of 4 cross-sectional studies showed that maternal obesity increased the risk of neonatal death and was statistically significant (aOR=1.44; 95% CI=1.26 to 1.64; p<0.001). Conclusion: Maternal obesity increases the risk of neonatal death which is statistically significant and the risk of preterm birth which is not statistically significant.

Overweight and Obesity as Risk Factors of Breast Cancer in Premenopausal and Postmenopausal Women: Meta-Analysis Fadhila, Shofia Nur; Murti, Bhisma; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: A woman has an increased risk of breast cancer due to increased exposure to the hormone estrogen during her life due to early menarche, late menopause, and/or the absence of childbearing. Epidemiological data show that menopausal status has a risk factor for breast cancer. The aim of this study was to investigate overweight and obesity as risk factors for premenopausal and postmenopausal breast cancer. Subjects and Method: A systematic review and meta-analysis study was conducted by systematically reviewing articles published from 2010-2021 in the PubMed, Google Scholar, SpringerLink and Science Direct databases with the keywords overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "premenopausal women", overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "postmenopausal women". Inclusion criteria included articles in English, full text, using an observational study design, and displaying adjusted odds ratios. Articles were reviewed using PRISMA diagrams and analyzed using Revman 5.3. Results: A meta-analysis of 10 articles concluded that overweight women were 1.35 times more likely to develop premenopausal breast cancer than women with a normal BMI (aOR= 1.35; 95% CI= 0.98 to 1.86; p= 0.070). A meta-analysis of 10 articles concluded that obese women were 1.27 times more likely to develop premenopausal breast cancer than women with normal BMI (aOR= 1.27; 95% CI= 0.95 to 1.69; p= 0.110). A meta-analysis of 9 articles concluded that overweight women had a 1.28 times risk of developing postmenopausal breast cancer compared with women with a normal BMI (aOR= 1.28; 95% CI= 1.00 to 1.63; p= 0.050). A meta-analysis of 11 articles concluded that obese women were 1.52 times more likely to develop postmenopausal breast cancer than women with normal BMI (aOR= 1.52; 95% CI= 1.17 to 1.98; p= 0.002). Conclusion: Overweight and obesity increase the risk of pre-menopausal and postmenopausal breast cancer.

The Effect of Kangaroo Mother Care on Increasing the Body Weight in Infants with Low Birth Weight: A Meta-Analysis Handayani, Anggun Fitri; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low Birth Weight (LBW) is a condition of babies born weighing <2,500 grams regardless of gestational age. Stabilization of the general condition is an important thing to do during the treatment period, there are several treatments for LBW babies, namely standard care with an incubator, monitoring nutritional intake and doing kangaroo mother care. This study aims to analyze the effect of kangaroo mother care on weight gain in LBW infants, with a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: infants with low birth weight. Intervention: Kangaroo Mother Care. Comparison: Conventional Method Care. Outcome: weight gain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “kangaroo mother care” AND “weight gain” OR “growth” AND “neonatal outcome” AND “low baby weight infants” OR “skin to skin contact” OR “kangaroo care” OR “kangaroo method” AND “Randomized Controlled Trial” OR “RCT”. The articles included are full-text English and Indonesian with a study design of a Randomized Controlled Trial from 2007 to 2020 and reporting on the Mean and SD in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 11 randomized controlled trials from India, Nepal, Pakistan, Bangladesh, Malaysia, Kenya, and Egypt were selected for a systematic review and meta-analysis. The data collected showed that kangaroo mother care increased the weight of LBW infants and was statistically significant (SMD= 1.05; 95% CI= 0.56 to 1.54; p<0.001). Conclusion: Kangaroo mother care increases weight in LBW babies.

Neutrophil-Lymphocyte Ratio as a Diagnosis Predictor in Pediatric COVID-19 Patients at Dr. OEN Kandang Sapi Hospital, Surakarta, Central Java, Indonesia Retno Edi, Dyah Wulaningsih; Nugroho, Irfan Dzakir
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: COVID-19 is a global pandemic and affects all ages, even newborns. Until March 2021, there were 127 million cases of COVID-19 worldwide. In Indonesia, there were almost 1.5 million cases. The main symptoms of COVID-19 are fever and cough, simple laboratory tests such as measuring the neutrophil-lymphocyte ratio (NLR) are also included in the EWS (early warning score) so that they can be used to diagnose COVID-19 with a cut-off limit value of 3.13. The purpose of this study was to determine the value of NLR as a predictor of diagnosis in pediatric patients confirmed by RT-PCR Swab examination at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta. Subjects and Method: A diagnostic test study that assessed the sensitivity, specificity, negative predictive value and positive predictive value of the NLR value as a predictor of COVID-19 diagnosis in pediatric patients confirmed by RT-PCR Swab examination at the time level of March 2020 - March 2021. Data were taken from electronic medical records of inpatients and sampling was done by consecutive admission sampling. Results: A total of 153 study subjects with 34 PCR (+) patients and 119 PCR (-) patients. The characteristics of the study sample were seen from gender, age, symptoms, chest x-ray and patient outcomes. The NLR cutoff limit value for pediatric COVID-19 patients is 1,625 with an AUC (area under curve) of 0.504. The NLR value of 1.625 has a sensitivity of 0.588 (58.8%) and a specificity of 0.513 (51.3%). The PPV (positive predictive value) was 0.256 (25.6%), the NPV (negative predictive value) was 0.813 (81.3%), the PPR (positive predictive ratio) was 1.207 and the NPR (negative predictive ratio) result was 0.803. Conclusion: The NLR cutoff value of 1,625 with a sensitivity of 58.8% cannot be used as a predictor of COVID-19 diagnosis in pediatric patients at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta.

The Relationship between Maternal Characteristics and Health Workers Role on Early Complementary Feeding in the Era of the COVID-19 Pandemic Ramadhani, Fitri; Frety, Endyka Erye; Husada, Dominicus
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Early complementary feeding in Indonesia, especially in Palu city, is still relatively high and should focus. Early complementary feeding can negatively affect babies, such as being more susceptible to disease than babies who only get breast milk. This study aims to analyze the relationship between maternal characteristics and the role of health workers on early complementary feeding in the Pantoloan Public Health Center, Palu City. Subjects and Method: This research is quantitative research with a cross-sectional study. The study was conducted in all Integrated Healthcare Centers in the Pantoloan Health Center working area from April to October 2021. The research sample was mothers aged 0-6 months with inclusion and exclusion criteria. Sampling is done by total sampling. Complementary feeding was the dependent variable in this study. The independent variables in this study were the mother's characteristics in the form of age, education, occupation, maternal parity, and the role of health workers. This Data was collected using a questionnaire and analyzed by univariate and bivariate tests. Results: The results showed that there was a significant relationship between maternal characteristics in the form of age (p= 0.031), education (p= 0.002), occupation (p= 0.035), parity (p= 0.027), and the role of health workers (p= 0.046) in the provision of early complementary feeding in the work area of the Pantoloan Public Health Center, Palu City. Conclusion: Early complementary feeding can be influenced by maternal characteristics such as age, education, occupation, and parity, as well as the influence of the role of health workers.

Increase Breast Milk Production for Postpartum Mothers with Oxytocin Massage Using Innovative Massage Tools Istighosah, Nining; Sari, Aprilia Nurtika
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Goal 3 of Global commitment of 2015-2030 Sustainable Development Goals (SDGs) program is to ensure a healthy life and to promote well-being for all people at all ages in the 2nd achievement indicator targeting by 2030. It is hoped to end infant and under-five mortality that can be avoided, with all countries trying to reduce the Neonatal Mortality Rate to at least 12 per 1,000 KH and the Toddler Mortality Rate by 25 per 1,000 KH. Infant mortality cases caused by nutritional factors reached 53%. Several diseases that arise due to malnutrition include pneumonia (13.2%), diarrhea (17.2%) and perinatal problems (36%). Breast milk is the best food for babies and has the right balance of nutrients, is bioavailable, easy to digest, protects babies from disease, and has anti-inflammatory properties. This study aims to analyze the difference in the volume of breast milk before and after the mother received oxytocin massage with the Effleurage technique and a combination of innovative massage tools. Subjects and Method: This research is a quasi experiment. The study was conducted in the City of Kediri from August to September 2020. The sample used was post partum women on days 4 to 10 using simple random sampling technique. The dependent variable is the volume of breast milk. The independent variable is the type of oxytocin massage treatment with effleurage technique, and the combination of oxytocin massage with efflurage technique and innovative massage tools. Data analysis per treatment and control groups used the one-way annova test with 95% CI. Results: There was no difference in the mean volume of breast milk in mothers who received lactation massage using the innovative massage method (Mean= 21.65; SD= 15.43; p= 0.994), conventional Efflurage massage (Mean= 22.15; SD= 15.43; p= 0.330), and in control group (Mean= 20.50; SD= 15.43; p=0.386). Conclusion: There was no difference in the mean volume of breast milk in each group and this result was not statistically significant.

Nursing Intervention in Children with Diarrhea: A Case Study Titihalawa, Elly Marce; Kurniasih, Dwi; Panggus, Florida Listavia
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Diarrhea or gastroenteritis is a condition as watery bowel movements more than three times a day for two consecutive days, which may or may not be related to pathological conditions. Diarrhea can occur in all age groups, both toddlers, children and adults with various social groups. Diarrhea is the second leading cause of death in children under five years and almost 1.7 billion cases of diarrhea occur in children with a mortality rate of around 525,000. This study aims to describe the application of knowledge and practice of nursing care in children with diarrhea with the problem of risk of hypovolemia due to active fluid loss. Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at the Pontianak Level II Government Hospital, for 2 weeks. The sample used in this study were 4 key informants from 6 planned respondents and 3 triangulated informants. The key informants are nurses who work in the child care room, while the 3 triangulation informants are the client's family. The study variables were optimizing nursing interventions and diarrhea in children. Data collection was carried out by structured and direct interviews using a tape recorder before it was analyzed. Results: This study identified several themes such as meeting fluid needs, decreasing body temperature, and preventing damage to skin integrity, but in the case of diarrhea in children, meeting fluid needs is the nurse's main intervention that must be done in overcoming hypovolemia without forgetting the involvement of parents. Conclusion: Meeting fluid needs is a nurse's top priority in providing nursing care to diarrhea patients to prevent hypovolemia.

The Experience of Mothers Caring for Children with Disabilities at the Persatuan Rakyat Indonesia Special School in Pekalongan, Central Java: A Phenomenological Study Maulinda, Amanda Via; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Disabilities are often called physical, mental and sensory disabilities or disorders that limit a person's ability to carry out daily activities. Parenting a child with a disability is not easy because the child cannot perform any activities independently and the child's behavior is not controlled. This results in a negative impact on the mother psychologically, physically and can disrupt family dynamics such as domestic violence and quarrels. This study aimed to explore the experiences of mothers caring for children with disabilities. Subjects and Method: This was a qualitative study with a phenomenological approach, conducted at the Persatuan Rakyat Indonesia Special School (SLB) in Pekalongan, Central Java. The study subjects were selected purposively as many as four participants, namely housewives without caregivers who have children with physical disabilities, deaf-speech, and mentally retarded children. Data were collected using in-depth interview technique. The tools used in this research are camera, recording device and interview guide. Data analysis using Colaizz's method. Results: This qualitative research resulted in seventeen themes that show the experience of mothers in caring for children with disabilities, namely destiny, mother's burden, mother's initial psychological response, emotional changes, behavioral changes, limited funds, obstacles in daily life, social stigma, financial support, social support, assistance efforts. health workers, efforts to seek other assistance, the attitude of the mother when the child conveys a choice, the attitude of the mother when the child acts inappropriately, the expectations and limitations of special health services for disability, the wisdom of spiritual improvement and bathing. Conclusion: Mother's experience in caring for children with disabilities found unstable emotional changes, excessive worry and excessive attention. Support is very influential for mothers in the form of information support, extended family support, nuclear family and the surrounding community. During caring for children with disabilities, mothers gain wisdom, namely increasing patience and gratitude.

Are Maternal Education, Maternal Occupation, and Breastfeeding Escalate Nutrition Status in Stunted Children? Sari, Ria Setia; Ratnasari, Febi; Susilowati, Yuni
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a nutritional problem that has a negative impact on achieving optimal growth and development in children. The Tangerang District Health Office has a high percentage of stunting children. Improving the nutrition of stunting children is influenced by providing balanced nutrition to children. Stunting children have an old orange with elementary-high school education. This study aims to determine the relationship between mother's education, mother's occupation and exclusive breastfeeding with the improvement of nutritional status in stunting children. Subjects and Method: This research was conducted using cross sectional with a total sample of 45 subjects. The dependent variable is the improvement of stunting nutritional status. The independent variables were the mother's education level, occupation and exclusive breastfeeding status. Data was collected using a questionnaire. Data were analyzed using multiple logistic regression test. Results: Low education affects the improvement of nutritional status in children (aOR= 1.68; 95% CI= 0.53 to 5.31; p= 0.660), Employment as a protective factor on nutritional status in stunted children (aOR= 0.64; 95% CI= 0.16 to 2.87; p = 0.450) Conclusion: Mother's education affects the improvement of nutritional status in stunted children.

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