Journal of Maternal and Child 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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Feeding Practice with Preventing Stunting on Keluarga Harapan Program Recipients in Pangkajene and Islands Districts
Mardhatillah, Mardhatillah;
Sulaiman, Zulkarnain;
Febrianti, Devy;
Adri, Khaeriyah;
Said, Sunandar
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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Background: Stunting is a condition where toddlers are shorter in length and height than their age. Percentage of stunting children in Pangkajene and Islands Districts with the highest percentage of 29.10% and the number of PKH recipients in 2019 as many as 16,498. The purpose of this study was to determine the relationship between Feeding Practice and the incidence of stunting on Keluarga Harapan Program recipients in Pangkajene and Islands Districts. Subjects and Method: The type of research used is observational with a cross sectional study design. The independent variable in this study is stunting and the dependent variable are feeding practice, Low Birth Weight and Economic status. The research location was carried out in Pangkajene and Islands Districts. The population in this study was all infants or toddlers from PKH recipient parents in Pangkajene and Islands Districts as many as 2,946 people in 2019 - 2021. The research sample was infants or toddlers from PKH parents who had participated in the Family Development Session as many as 71 people with the purposive method sampling. Primary data was collected using a questionnaire while secondary data was obtained from the social service of Pangkajene and Islands Districts. This study using the chi square test. Results: Incidence of stunting was higher in respondents with irregular feeding practice than in regular feeding practice (OR=0.54; CI 95% 0.33 to 0.91; p=0.024). The incidence of stunting was higher at low birth weight compared to toddlers with normal birth weight (OR= 0.41; CI 95% 0.23to 0.73; p = 0.001). The incidence of stunting is higher in economic status below the provincial minimum wage < Rp. 3,103,800 compared to economic status > Rp. 3,103,800 (OR = 2.25; CI 95% 1.16 to 4.38; p=0.01). Conclusion: Low economic status has a risk of 2.252 times experiencing stunting.
The Effect of Traditional Games (Congklak) on Cognitive and Fine Motor Development in Children Under Five
Rukmini, Rukmini
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.05
Background: In theory, games can be used as a stimulus for optimizing brain development in children under five. Traditional game may be useful to improve brain development. This study aimed to analyze the effect of traditional games (congklak) on cognitive and fine motor development in children under five. Subjects and Method: This was a quasi-experiment study with pre and post-test design conducted at Gembong Sawah, Surabaya, East Java, in February 2021. A total of 33 childrens under five was selected by random sampling. The dependent variable were cognitive and fine motor development. The independent variable was traditional game (congklak). The data were collected by a set of questionnaire and analyzed by Wilcoxon. Results: Cognitive development on children under five was higher after intervention (Mean= 34.72; SD= 6.07) than before (Mean=26.88; SD= 6.12) and it was statistically significant (p<0.001). Fine motor development in children under five (Mean= 24.58; SD= 3.96) was higher than before (Mean=18.52; SD= 4.61) and it was statistically significant (p<0.001). Conclusion: Traditional game (congklak) effectively improves cognitive and fine motor development among children under five.
Correlation Between Parenting Styles During The COVID-19 Pandemic with The Level of Personal Social Development of Preschool Children (3-6 Years)
Harahap, Rahmaini Fitri;
Manullang, Marito;
Butar-Butar, Nurul Hajah;
Nurfida, Nurfida
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.11
Background: The golden period (Golden Age) is the maturation of psychic and physical functions that respond to environmental stimuli and incorporate them into their personality. Child development is an important aspect that must be optimized in preschool, especially in the personal social aspect. Parenting patterns greatly determine the social activities of children in their development stage. This study aims to see the relationship between parenting patterns during the COVID-19 pandemic with the level of social development of preschool children (3-6 years). Subjects and Method: This research is an analytical observational study with a cross sectional design at Ummi Erni Kindergarten Pematang Johar on Friday, November 19, 2021. 30 subjects were selected by the total sampling method. The dependent variable is the level of child development. The independent variable is parenting. Data were analyzed by chi-square test. Results: From 30 subjects, it can be seen that there are 25 positive parenting styles with normal child development (83.3%), negative parenting patterns with suspected child development as many as 5 people (16.7%). This study shows that there is a significant relationship between parenting patterns and personal social development of preschool children (3-6 years) (p < 0.001). Conclusion: Parenting patterns are related to the personal social development of preschool children (3-6 years) at Ummi Erni Kindergarten, Pematang Johar Village.
Vitamin D Status in Madura Pregnant Women with Hypertension: A Case Control Study
Setiarsih, Dini;
Hastuti, Pramudji;
Nurdiati, Detty Siti;
Putri, Lidia Aditama
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.01
Background: Vitamin D deficiency is inversely related to blood pressure and may contribute to the genesis and maintenance of hypertension. However, in many clinical studies the relationship between vitamin D status and blood pressure has not shown consistent results. This study aims to analyze differences in vitamin D status in Madurese ethnic pregnant women with hypertension and non-hypertension. Subjects and Method: This research is an analytical observational design with a case control study. The target population in this study were pregnant women who came from the Madurese ethnicity. The affordable population is pregnant women who come from the Madurese ethnicity in the Work Area of the Bangkalan District Health Office. The study was conducted in the period from May 2018 to February 2020. The sampling technique used was consecutive sampling. The sample size was 105 pregnant women with hypertension and 105 controls. The independent variables included consumption of food sources of vitamin D and exposure to ultraviolet B rays. The dependent variable was vitamin D levels. Data on consumption of foods that were sources of vitamin D was obtained using the Food Frequency Questionnaire (FFQ). Data on exposure to ultraviolet B (UV B) rays were obtained by questionnaire. Data on vitamin D levels were obtained from the collection of blood serum which was then analyzed by ELISA Kit. Independent Sample T and chi square test were used to analyze the differences in variables between the two groups. Results: The mean value of vitamin D levels in the case and control groups were 37.87 ng/mL and 37.89 ng/mL, respectively. Subjects with vitamin D insufficient status were more in the case group (19.00%) than the control group (16.20%). The results showed that there was no significant difference between the two groups in vitamin D levels (p= 0.984) and vitamin D status (p= 0.587). Insufficient exposure to UV B provides a 3.95 times greater risk of experiencing insufficient vitamin D. Conclusion: The conclusion of this study is that the role of vitamin D in the incidence of hypertension in pregnancy has not been determined.
Meta-Analysis the Effect of Sensory Integration Therapy on Sensoric and Motoric Development in Children with Autism Spectrum Disorder
Fitriyaningsih, Ayu;
Dewi, Yulia Lanti Retno;
Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.06
Background: It is estimated that 90% of children diagnosed with ASD will show impaired sensory processing. Children with sensory processing problems present with delayed motor development which is caused by an underlying disorder in their ability to interpret sensations. Sensory integration therapy is one of the therapeutic methods to overcome sensory and motor problems. This study aims to estimate the effect of sensory integration therapy on sensory and motor development in children with autism spectrum disorders.Subjects and Method: This research was conducted using a systematic review study design and a meta-analysis conducted with PRISMA flow diagrams. The article search process was carried out between 2011-2021 using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. The keywords used are “sensory integration” OR “sensory integration therapy” OR “ayres sensory integration” OR “sensory intervention” OR “sensory stimulation” AND “sensory processing” OR “sensory skills” OR “sensory system” AND “motor skills ” OR “motor developmental” AND “autism spectrum disorder” OR “autism”. Based on the database, there were 16 articles that met the inclusion criteria. The study design used was a Randomized Control Trial (RCT). The analysis was carried out using RevMan 5.3 software. Results: The meta-analysis is of 16 articles consisting of the continents of Asia, America, and Australia. Results showed that sensory integration therapy improved sensory development (SMD = 0.14; 95% CI -0.64 to 0.92; p = 0.73) and motor development (SMD = 0.42; 95% CI -0.27 to 1.11; p = 0.24). Conclusion: Sensory integration therapy did not significantly improve sensory and motor development in children with autism spectrum disorders.
Anxiety and It's Relationship with Adherence to Visit Antenatal Care in Pregnant Women
Ainun, Siti Zaimatul;
Sari, Gadis Meinar;
Frety, Endyka Erye
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.10
Background: Pregnant women were listed as one of the vulnerable groups at risk of being infected with COVID-19 due to physiological changes during pregnancy that result in a decrease in partial immunity. Anxiety experienced by pregnant women causes low compliance in conducting pregnancy tests. This study aims to determine the relationship between anxiety levels and antenatal care compliance in third trimester pregnant women. Subjects and Method: This study used a correlation analytic design with a cross sectional approach. The population in this study were all third trimester pregnant women in Kebonrejo Hasmlet, Kebonrejo Village, Grati District, Pasuruan Regency in November 2021 as many as 37 people. The sampling technique in this research was total sampling. The research instrument used a questionnaire and MCH handbook. Data analysis using Chi-square test.Results: from 37 subjekts, almost all of them experienced mild anxiety, namely 29 subjekts (78.4%), and most of them did not comply with ANC, namely 25 subjects (67.6%). The chi-square test show that there is a relationship between anxiety levels and ANC compliance in third trimester pregnant women during the COVID-19 pandemic (p<0.001). Conclusion: Anxiety levels was associated with ANC compliance in third trimester pregnant women during the COVID-19 pandemic.
Meta-Analysis: Are Acupressure and Birthing Ball Exercise Associated with Labor Pain?
Astuti, Susiana Yuni;
Budihastuti, Uki Retno;
Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.02
Background: Management of pain in labor is identified as one of the most important topics related to pregnancy and childbirth. Acupressure and birthing ball exercise are one of the non-pharmacological methods of managing labor pain to help mothers cope with the labor process. This management can relieve pain sensations by increasing the woman's well-being, comfort, and sense of control in labor. This study aims to estimate the effect of acupressure and birthing ball exercise on labor pain. Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2021. The keywords used are (“labor pain” OR labor pain) “AND (“acupressure” OR “acupressure hegu”) AND (“birthing ball” OR “birthing ball exercise”) AND “randomized controlled trial”. Inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the size of the relationship used with Mean SD, the intervention given was acupressure and birthing ball exercise, research subjects were mothers in the first stage of active labor. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis of 16 articles showed results for acupressure (SMD -1.29; 95% CI= -2.35 to 0.24; p=0.02) and birthing ball exercise (SMD -0.73; 95% CI= -1.56 to 0.11; p=0.09). Conclusion: Acupressure and birthing ball exercise each have an effect on reducing labor pain.
Meta-Analysis the Effect of Baby Massage in Increasing Quality of Sleep and Infant Body Weight
Fauzia, Raina Lola;
Budihastuti, Uki Retno;
Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.07
Background: Sleep patterns and weight in infants are identified as one of the most important topics related to infant growth and development. Baby massage is a slow and gentle stroke movement throughout the baby's body starting from the baby's feet, stomach, chest, face, hands and back. Baby massage is a form of touch stimulation. Babies who are massaged experience an increase in vagus nerve tone (10th brain nerve) which will lead to increased levels of gastrin and insulin absorption enzymes. Thus the absorption of food will be better. Therefore, body weight and sleep quality increased more than those who were not massaged. Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The keywords used were (“baby massage” OR “infant massage”) AND (“sleep quality” OR “baby sleep quality”) AND (“weight gain” OR “baby weight gain”) AND “randomized controlled trial”. Inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the relationship measure used was Mean SD, the intervention given was baby massage, research subjects were infants aged 0-3 years. Eligible articles were analyzed using the Revman 5.3 application. Results: A meta-analysis of 16 articles showed that baby massage improved sleep quality (SMD 0.70; 95% CI= -0.05 to 1.46; p=0.07). In addition, baby massage increased body weight (SMD 0.52; 95% CI= 0.08 to 0.96; p=0.02). Conclusion: Baby Massage has an effect on improving the quality of sleep and baby's weight.
Correlation between Antenatal Care and Anxiety in Primigravida Pregnant Women at Glagah Community Health Center
Salsabila, Hawa Nur;
Sulistiawati, Sulistiawati;
Jayanti, Ratna Dwi
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.12
Background: In the third trimester of pregnancy, the anxiety rate tends to increase, especially at the time of delivery. In addition, pregnant women who are less obedient in carrying out pregnancy tests and do not follow the integrated ANC. Therefore, pregnant women do not get information about preparation for childbirth so that when they are about to face labor, their anxiety increases. This study aims to analyze the relationship between Antenatal Care (ANC) Frequency and Anxiety in primigravida pregnant women in the third trimester at Glagah Health Center.Subjects and Method: This is a quantitative study, which is observational analytic using a cross sectional approach. The number of samples was 94 subjects who were included in the inclusion criteria with purposive sampling technique. The study was conducted in September until October 2021. The dependent variable was anxiety. The independent variables were ANC frequency, age, education, economy, family support. Data were collected using a questionnaire and analyzed by chi-square test.Results: The results showed that there was a significant relationship between frequency of ANC (p<0.001), education (p= 0.015), socioeconomy (p= 0.042), and family support (<0.001) on anxiety in third trimester primigravida pregnant women.Conclusion: Anxiety in primigravida pregnant women was influenced by frequency of ANC, education, socioeconomy, and family support.
Risk of Premature Birth in Pregnant Women Infected with COVID-19: A Meta Analysis
Purnasari, Ratih Hermas;
Dewi, Yulia Lanti Retno;
Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.01.03
Background: Pregnancy is a state of great susceptibility to infectious diseases, and it is not surprising that viral infections can affect pregnancy outcomes. COVID-19 infection during pregnancy is considered a risk factor for adverse outcomes such as, preterm delivery. This study aimed to analyze the risk of preterm delivery in pregnant women with COVID-19. Subjects and Method: This study was conducted using a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, and Scopus. The articles used are articles published from 2020-2021. The keywords used to retrieve the articles were: [(COVID-19 OR 2019-nCoV OR “novel coronavirus” OR SARS-CoV-2 OR “coronavirus 2”) AND (“preterm birth” OR preterm OR “preterm delivery”)] . The inclusion criteria used were full paper with observational studies (retrospective or prospective cohorts), multivariate analysis with Adjusted Odd Ratios (aOR), study subjects were pregnant women who were confirmed to be infected with COVID-19, comparison were pregnant women who were negative for COVID-19, outcome study was preterm birth (<37 weeks). The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 . application. Results: A total of 10 articles from Iran, France, Bangladesh, Spain, the United States, Romania, the United Kingdom and China showed that the heterogeneity of the primary studies in the meta-analysis was low (I2= 4%; p= 0.40), therefore this study used a fixed effect model. The results showed that the risk of premature birth in pregnant women infected with COVID-19 was 2.18 times that of pregnant women not infected with COVID-19 (aOR=2.18; 95% CI=2.00 to 2.37) and statistically significant (p<0.001). Conclusion: Higher risk of preterm birth in pregnant women with COVID-19.