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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A Descriptive Study of Gestational Diabetes Mellitus in Yogyakarta
Indriani, Indriani;
Hardyanti, Siti
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.07
Background: Gestational Diabetes Mellitus (GDM) is a disorder of carbohydrate tolerance that increases blood sugar levels. It is first known during the second and third trimester of pregnancy. This study aims to determine the description of gestational diabetes mellitus (GDM) incidence in Sleman Yogyakarta in 2018. Subjects and Method: This research was observational descriptive with a retrospective approach. This study used secondary data wich written from medicalrecords blood sugar classifica-tion ≥105 gr/dL and fasting blood sugar ≥126 gr/dL. The population was 1023. The sample was 80 which was taken by using simple random sampling technique from January-December 2018 at Minggir Primary Health Center, Tempel I Primary Health Center and Mlati 1 Primary Health Center, Sleman, Yogyakarta. Results: The results of the study showed that from 80 pregnant women who examined their blood sugar levels, 47 subjects (58.8%) experienced DMG, 39 subjects (48.8%) aged ≥35 years, 50 subjects (62.5%) had preterm gestational age, 34 subjects (42.5%) had primary education (elementary/ junior high), 47 subjects (58.8%) did not work/housewives, 54 subjects (67.5%) were parity ≥2x, 38 subjects (47.5% ) were overweight, 47 subjects (58.8%) had GDM history, 47 subjects (58.8%) had hypertension in pregnancy, and 41 subjects (51.3%) had an incomplete Ante Natal Care (ANC) examination. Conclusion: It can be concluded that the incidence of GDM in Sleman is high, with characteristics of age at risk (≥35 years), history of previous illnesses and obesity.
A Comparative Study of the Incidence of Hypoglycaemia and Hypocalcaemia in Neonatal Seizures Occurring within 72 Hours of Birth Admitted in NICU at a Tertiary Care Centre
Ur Rahman, Zia;
S, Abdul Khaleef;
S, Md Sajid Basha;
D, Murali Krishnaiah
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.11
Background: Recognition of hypoglycaemia and hypocalcaemia in Neonatal seizures is important for to prompt diagnosis and therapeutic implications. Study aimed to analyse the incidence of hypoglycaemia and hypocalcaemia in neonatal seizures occurring within 72 hours of birth in 32-37 weeks preterm and term (37-42 weeks) babies. Subjects and Method: A prospective hospital based observational study enrolled total of 105 neonates presenting with seizures activity within 72 hours of birth admitted to NICU of SV Medical College, Tirupati from September 2013 to October 2014. Samples selected by Simple random sampling method. Detailed antenatal, natal and postnatal history including CNS examination were taken and investigations estimated includes complete blood counts and picture, random blood sugar, and serum ionic calcium. The analysis data was chi square test with SPSS for Windows (Ver 20), SPSS Inc. New York. Results: The results was In neonatal seizures occurring within 72 hours of birth, hypoglycaemia (62.9%) was common, more so in preterm babies both hypoglycaemia 9 (37.5%) and combination of hypoglycaemia and hypocalcaemia 9 (37.5%). The association between type of delivery and hypoglycaemia/ hypocalcaemia shown significant different (p=0.002). The association between Birth Weight and hypoglycaemia/ hypocalcaemia shown a very high significant different (p< 0.001). Conclusion: In neonatal seizures occurring within 72 hours of birth, hypoglycaemia (62.9%) was common, more so in preterm babies both hypoglycaemia 09 (37.5%) and combination of hypoglycaemia and hypocalcaemia 09 (37.5%).
Burnout among Indian Maternity Care Providers during COVID-19 Pandemic
Paul, Sayanti;
Joycerani, D;
Upadhyaya, Mansi;
Sanyal, Poushali;
Pal, Arghya
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.02
Background: Occupational burnout among healthcare providers has been a matter of focus since many years. Burnout can involve emotional and physical exhaustion and cause reduced acknow-led
Examining the Relationship between Vaping and Smoking among Texas High School Students
Odeyemi, Joseph Olufemi
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.10
Background: Over the last decade, e-cigarettes have grown in popularity, surpassing cigarettes as the most widely used tobacco product among adolescents. Current evidence suggests that using e-cigarettes (vaping) is less harmful than smoking cigarettes; however, vaping has been linked to severe health consequences and an increased likelihood of transitioning to cigarettes. The upward trend of vaping is infrequently studied in concert with the prevalence of cigarette smoking. The objective of this study is to explore the prevalence of e-cigarette use and to assess potential associations with cigarette smoking among Texas adolescents.Subjects and Method: This study analyzed data on the prevalence of vaping and cigarette smoking among high school students from the 2019 Texas Youth Risk Behavior Survey (YRBS), a cross-sectional survey with a sample size of 2032. Participating schools were selected using a multi-level cluster sampling technique and variables of interest were measured using a stan-dardized self-administered questionnaire. The t-test and chi-square tests were used to determine significance of associations between estimates.Results: Almost one in five respondents (18.7%) reported vaping. Non-Hispanic White students (p< 0.001), bisexual students (p < 0.001) and students in the higher grades were more likely to report e-cigarette use. Overall, cigarette smoking appeared to be on the decline in contrast to e-cigarette use and there was a positive association between cigarette smoking and vaping (p < 0.001).Conclusion: The high prevalence of vaping among Texas high school students is a call to action. Halting the upward trend of e-cigarette use is a priority as these products predispose adolescents to significant morbidity.
The Profile of Physical Activity in Children Surviving Acute Lymphoblastic Leukemia based on the Global Physical Activity Questionnaire in Surakarta
Zahara, Dini Safitri;
Riza, Muhammad;
Nugroho, Hari Wahyu
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.12
Background: Acute lymphoblastic leukemia is one of the most common malignancies in children with the highest incidence aged 3-7 years. Management and treatments such as chemotherapy and radiotherapy have musculoskeletal and neuromuscular side effects which can significantly reduce the physical activity of leukemia patients and survivors. This study aims to determine the profile of the physical activity level of children with acute lymphoblastic leukemia as assessed by the Global Physical Activity Questionnaire (GPAQ) in Surakarta, Indonesia. Subjects and Method: This was a study with a cross-sectional design. Children who survived acute lymphoblastic leukemia who had completed chemotherapy at Dr. Moewardi Hospital and met the inclusion criteria were included in this study. A sample of 26 patients was selected through purposive sampling. Demographic data were obtained through interviews and the profile of the patient's physical activity level was assessed using the GPAQ questionnaire. Data analysis was performed using a Pearson Correlation test with SPSS 22.0. Results: The total sample in this study was 26 children with acute lymphoblastic leukemia. As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. There was a significant relationship between length of stay (p=0.001), age (p=0.004), gender (p=0.031), and the degree of risk of acute lymphoblastic leukemia (p=0.004) with the category of physical activity based on the GPAQ score. Conclusion: As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. The length of time being a survivor, the degree of risk of acute lymphoblastic leukemia, the age of the survivor, and gender are risk factors for decreased physical activity in children.
The Effectiveness of Acupressure Points PC-6 and SP-3 on the Hyperemesis Gravidarum in Pregnant Women
Ria, Matilda Bupu;
Manek, Brigita Dina
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.03
Background: Handling of nausea and vomiting in first trimester mothers (emesis gravidarum) is mostly still using pharmacological therapy, even though there is a simple event by using massage at acupuncture points to treat emesis gravidarum. The purpose of this study was to analyze the effectiveness of PC-6 and SP-3 acupressure on emesis gravidarum in first trimester pregnant women. Subjects and Method: This study is a quasi-experimental research design using a control group pretest-posttest design. The study was conducted in July-August 2021. The population in this study were all pregnant women who experienced nausea and vomiting in the 1st trimester in the Nurobo Health Center Work area, Malacca Regency. A total of 40 pregnant women in the 1st trimester were used as samples which were divided into 4 groups of 10 people each, namely group 1 (PC-6 acupressure), group 2 (SP-3 acupressure), group 3 (combination of PC-6 and SP-3 acupressure), and group 4 or control group (vitamin B6). The sample was selected by consecutive sampling technique. Data analysis using Wilcoxon Rank-Test and Paired T-Test. Results: After intervention of accupressure in PC-6 point, SP-3 point, or combination of both PC-6 and SP-3 reduced frequency of vomiting and nausea and duration of nausea. Conclusion: accupressure in PC-6 point, SP-3 point, or combination of both PC-6 and SP-3 reduce frequency of vomiting and nausea and duration of nausea in pregnant women.
The Effect of Chest Physiotherapy on Children's Quality of Life with Acute Lymphoblastic Leukemia and Pneumonia at Dr. Moewardi Hospital, Surakarta
Fikritama, Aisya;
Andarini, Ismiranti;
Widjaya, Sri Lilijanti
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.09
Background: Acute lymphoblastic leukemia (ALL), a malignancy that is the most common form of leukemia found in children, accounting for about 30 percent of all pediatric cancer. The incidence of pneumonia is often found in children undergoing treatment for ALL. Complications of ALL and the side effects of its treatment can affect children’s quality of life. This study aimed to the effect of chest physiotherapy on children's quality of life with acute lymphoblastic leukemia and pneumonia. Subjects and Method: This was a quasi-experiment study conducted at the pediatric ward of Dr. Moewardi Hospital Surakarta, from February to August 2021. A number of 60 children aged 2-18 years with lymphoblastic leukemia and pneumonia was selected for this study. These children were divided into two groups, (1) 30 children with chest physiotherapy (intervetion group) and (2) 30 children received standard care (control group). Patients and parents were asked to fill out a quality of life assessment using the PedsQLTM 4.0 generic module. Mean difference of quality of life before and after chest physiotherapy between intervention and control group was examined using independent t test. Results: After intervention of chest physiotherapy, quality of life score in the intervention group (Mean= 68.91; SD= 12.30) was higher than control group (Mean= 60.12; SD= 7.72), with p= 0.002. Conclusion: Chest physiotherapy improves the quality of life in children with acute lymphoblastic leukemia and pneumonia.
The Effect of Low Dose of Aspirin on the Preeclampsia in Pregnant Women: A Meta-Analysis
Arianty, Meike;
Murti, Bhisma;
Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.08
Background: In 2020 there were 4,627 maternal deaths in Indonesia. Preeclampsia is a complication in pregnancy that occurs 2-8% of all pregnancies and is a major cause of maternal morbidity. Low-dose aspirin has been shown to be a safe and effective primary prevention for the incidence of preeclampsia. With preventive measures can reduce both moral and material losses for patients at high risk for the incidence of preeclampsia. The purpose of this study was to estimate the magnitude of the effect of low-dose aspirin on the incidence of preeclampsia in pregnant women based on previous research. Subjects and Method: This study is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Cochrane, Science Direct. The articles used are published articles from 2012-2022. The keywords used to search the article were “Aspirin OR Acetylsalicylic Acid AND Prevention AND Pre-Eclampsia OR Toxemia AND Randomized Controlled Trials”. The inclusion criteria used are articles with randomized control trial studies, full text articles are available, the results of the analysis used are Risk Ratio. The population of the study was high-risk pregnant women, the research intervention was the administration of low-dose aspirin, the study comparison was a placebo, and the outcome of the study was preeclampsia, the articles were in English or Indonesian. The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: A total of 7 articles from China, America, India, Congo, Guatemala, Pakistan, and Finland showed that aspirin had an effect of 0.87 times in reducing the incidence of preeclampsia when compared with placebo or no administration (RR = 0.87; 95% CI 0.72 to 1.05). although not statistically significant (p=0.160). Conclusion: Low-dose aspirin affects the incidence of preeclampsia in pregnant women.
Excess Weight Gain in Pregnant Women and Prematurity: A Meta-Analysis
Damalita, Annisa Fitriana;
Dewi, Yulia Lanti Retno;
Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.05
Background: Premature birth as a cause of morbidity and mortality in neonates. Excessive weight gain in pregnant women is considered a risk factor for adverse pregnancy outcomes including preterm birth. This study aims to analyze the effect of excess weight gain in pregnant women on premature birth. Subjects and Method: This research is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Science Direct and Springerlink. The articles used are articles published from 2011-2021. The keywords to search for articles were: “gestational weight gain” AND “pregnancy” AND (“preterm birth” OR “premature birth”) AND “cohort study” AND “adjusted odds ratio”. The inclusion criteria used were full text articles in English with a cohort study design, multivariate analysis with Adjusted Odds Ratios (aOR), research subjects were pregnant women, intervention was excessive weight gain, comparison was normal weight gain (adequate). , the study outcome was preterm delivery (<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 cohort study articles from China, Indonesia, Canada, Korea, Mexico, Puerto Rico, Saudi Arabia, and Taiwan were selected for systematic review and meta-analysis. The results showed that excess weight gain in pregnant women increased the risk of preterm birth and was statistically significant (aOR= 1.23; 95% CI= 1.01 to 1.48; p= 0.030). Conclusion: Excess weight gain in pregnant women increases the risk of premature birth.
Knowledge and Perceptions on Antenatal Care among Men in Embakasi South Sub County, Nairobi, Kenya
Kinoti, Fred Kirimi;
Fava, Salvatore
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
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DOI: 10.26911/thejmch.2022.07.02.06
Background: Involving husbands and men in decision-making processes can play a crucial role in antenatal care uptake and utilisation. However, men often lack necessary knowledge and have misleading beliefs and perceptions.Subjects and Method: The current research was an analytical cross sectional study conducted in Embakasi South Sub county, Nairobi, Kenya which sought to assess the knowledge and attitude towards antenatal care among men. Kelsey et al sample size determination formula was used to calculate a sample of 66 subjects. A researcher-administered questionnaire was used to collect data. Descriptive statistics and chi-square analyses were used in the analysis of data with the help of SPSS.Results: The results in this study showed that slightly above half (57.6%, n=38) of the subjects had low knowledge. Slightly above half (51.5%, n=34) had positive attitudes towards ANC. None of the demographic characteristics was significant to knowledge. There was also no significant associations between demographic characteristics and subjects’ attitudes towards antenatal care. There was a significant association (p =0.048) between knowledge and attitudes. Results showed that subjects with low knowledge were 2.196 times likely to have positive attitudes.Conclusion: These findings highlight the current knowledge gap that exists among men regarding antenatal care. An education intervention program ought to be carried out among men in Embakasi South Sub County and other parts of Nairobi and the country. Community health programs should also build on the positive attitudes towards ANC as found in this study to help improve male involvement in antenatal care and other reproductive health issues.