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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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Articles 12 Documents

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Search results for , issue "Vol. 7 No. 3 (2022)" : 12 Documents clear

Maternal characteristics as predictors of immunization status of under-five in Ebonyi State of Nigeria. A community based cross-sectional study Afoke, Eunice N.; Omaka-Amari, Lois N.; Nwafor, Jude N.; Ochiaka, Raphael E.; Aleke, Christian O.; Okereke, Michael O.; Sylvester, Edu Theresa; Edet, Bassey Rita; Ikechukwu, Ilo Cajetan
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: : Childhood immunization with the interacting factors has been a significant public health challenge especially in the sub-Saharan Africa. Nigeria has been presented as one the countries with the worst under-five mortality rates, and factors affecting childhood immunization are poorly understood. This study determined the influence of maternal characteristics as a predictor of immunization status of under-five in Ebonyi State of Nigeria. Subjects and Method: The design in this study is cross-sectional survey. The population of the study was 572,955 under-five children in Ebonyi State from which 2865 was sampled. Data were analyzed using percentages and chi-square. Results: The results revealed that 83.01% of under-5 children were fully immunized, suggesting a high immunization status in Ebonyi State. The chi-square analysis shows a significant influence of mothers’ age (p < 0.05), mothers’ location of residence (p < 0.05), mothers’ educational level (p < 0.05) and immunization status of under-five children. Conclusion: It was concluded that immunization status of under-five children in Ebonyi State was high and maternal characteristics had significant influence on immunization status of under-five children. Thus, it was recommended among others, that government at all levels should provide tangible incentives to mothers who fully immunized their children and promulgate a law to prevent children without immunization cards, also compel mothers, teachers to show full immunization of under-five children by registering in public and private primary schools.

Effect of Antenatal Betamethasone and Dexamethasone on Maternal Blood Glucose Levels, Fetal Movement, Nst Parameters, and Umbilical Artery Doppler Chaurasia, Amrita; Singh, Vidhi
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The rationale of the study is to establish the time duration of recovery of disturbed sugar values and NST parameters following steroid administration and which drug has a lesser rate of hyperglycemia and lesser disturbance of DFMC and NST parameters, so as to advocate better drugs for fetal lung maturity. This study aims to compare the changes in maternal serum glucose levels, daily fetal movement count, NST parameters, and umbilical artery doppler following Betamethasone and Dexamethasone administration in antenatal women. Subjects and Method: The study design is a prospective observational cohort study. 100 pregnant patients, were recruited into 2 equal groups who received Betamethasone and Dexamethasone in Obstetrics & Gynaecology department, MLN Medical College, Prayagraj. The independent variables are Age, Gravidity, and BMI while the dependent variables are postprandial blood sugar values, Daily Fetal Movement Count, Fetal Heart Rate, Non-Stress Test Parameters, and Doppler Flow Veloci- metry of the Umbilical artery. Categorical variables were compared using the Chi-square test, while, for continuous variables T-test was used. Study instruments include Glucometer, Cardiotocography, and Ultrasound. Results: Significant changes in the glycemic profile and fetal movements were noted. The mean ± SD glucose rise after 24 hrs in Group A (Mean= 140.10; SD= 35.90) and group B (Mean= 113.26; SD= 27.90), with p<0.001. 54% and 24% women perceived reduced fetal movements (p = 0.002) while 14% and 12% women had reduced variability on NST (p = 0.766) in Group A and Group B respectively, with 66.6% and 85.71% showing reduced flow on Doppler. Conclusion: Antenatal Betamethasone as well as Dexamethasone administration causes significant changes in maternal hyperglycemia, FHR, and DFMC at 24hrs while changes were non-significant in NST parameters and Doppler. Maternal hyperglycemia resolved within 72hrs with a resolution of decreased fetal movement perception. Umbilical artery flow decreased 24 hrs following steroid administration with more profound changes with betamethasone.

The Effectiveness of Gym Ball and Ambon Banana Consumption Against Menstrual Pain Reduction in Teenagers Hidayah, Nur; Fatmawati, Rizka
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: There are many ways to eliminate or reduce pain, both pharmacologically. Non-pharmacological pain management is safer to use because it does not cause side effects like drugs, because non-pharmacological therapy uses physiological processes. Research Objectives The purpose of this study was to analyze the effectiveness of the Gym Ball and bananas on the reduction of menstrual pain in adolescents. Subjects and Method: A quasi research without a control group was conducted at SMP N 23 Surakarta, Central Java, from April to September 2019. A sample of 46 students was selected by accidental sampling. The dependent variable is menstrual pain. The independent variable is gymball and the provision of ambon bananas. Pain scale was measured by a verbal rating scale questionnaire. Data were analyzed by paired t-test. Results: Pain scores after treatment (Mean= 0.76; SD= 0.60) were lower than before treatment (Mean= 1.93; SD= 0.39), and were statistically significant (p= 0.001). Conclusion: There is an effect of gym ball and banana consumption to reduce menstrual pain.

Does Husband Support Associated with the Duration of Breastfeeding? Pratiwi, Bintang Agustina; Lesmi, Anisa; Husin, Hasan; Angraini, Wulan; Suryani, Desri
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breastfeeding coverage in the Bengkulu ranks second lowest (68.9%) in Indonesia. The husband is the closest person mother who can support successful breastfeeding up to 2 years. This study aimed to examine the effect of husband support on the duration of breastfeeding. Subjects and Method: This was a cross sectional study. A sample of 44 fathers who had children aged 2-3 years in Lingkar Barat community health center, Bengkulu, was selected for this study. The dependent variable was breastfeeding duration. The independent variable was informational support, assessment support, instrumental support and emotional support. Data collection using a valid and reliable questionnaire. Data analysis was performed using multiple linear regression. Results: The results showed the informational support (b= 0.37; 95% CI= -0.07 to 0.75; p= 0.046), apprisial support (b= 0.29; 95% CI= -0.39 to 0.98; p= 0.393), and instrumental support (b= 0.43; 95% CI= -0.18 to 1.05; p= 0.161) were positively associated with the duration of breastfeeding. Emotional support was negatively associated with the duration of breastfeeding (b= -0.37; 95% CI= -1.03 to 0.29; p= 0.252). Conclusion: Husband's support is associated with length of breastfeeding.

Women's Responsibilities in Choosing Injectable Family Planning in Timor Tengah Selatan District Rahayu, Putu Sri; Tamtomo, Didik Gunawan; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Injectable contraception is the most popular contraceptive method in Indonesia with a user percentage of 63.71% of the coverage of modern family planning users. In addition to the benefits and practicality of its use, this method also has various negative impacts that can endanger the health of the acceptor. This study aims to explore and describe the acceptor's response to the negative impacts experienced as a form of responsibility for the health of the acceptor. Subjects and Method: This study was conducted using descriptive qualitative method with triagulation analysis technique that connects empirical facts. The dependent variable is injectable family planning. The independent variables are responsibility, patriarchal culture, and decision making. The study was conducted on 18 informants who are injection family planning acceptors in Timor Tengah Selatan Regency. Results: The informants do not mind experiencing the negative impacts of using injectable contraceptives and prioritize the benefits and practicality of their use. The low level of education of informants is a problem in receiving and digging information. Limited access to information is also hindered by the lack of infrastructure to reach health facilities. The high pressure of patriarchal culture is one of the decision-making factors and the high number of injecting family planning users. Conclusion: The acceptor's lack of information regarding the contraceptive method used is a barrier in responding to the negative impacts experienced.

Meta-Analysis: Breastfeeding and Its Correlation with Stunting Azizah, Alfi Makrifatul; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a problem of chronic malnutrition in the first 100 days of life, which can be prevented by breastfeeding in children. This study aims to analyze the relationship between breastfeeding and the incidence of stunting based on the results of a number of similar primary studies previously. Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P= Children under five, I= Breastfeeding, C= Not Breastfeeding, O= Stunting. Article searches were conducted using electronic databases, namely PubMed, Goegle Scholar and Science Direct. Article searches were conducted using the keyword and Mesh methods as follows “Breastfeeding” AND “Stunting” AND “Children” “Breastfeeding and Malnutrition” OR “Breastfeeding Benefits”. sectional, the articles were analyzed using the Review Manager 5.3 application. Results: There were 8 articles from the continents of Africa, Asia and South America which included Ethiopia, Rwanda, Tanzania, Zambia, Pakistan, Indonesia, and Ecuador from 2001-2022 which were analyzed using PRISMA flow diagrams. Research studies show that children who are breastfed have a risk of experiencing stunting as much as 0.62 times compared to those who are not breastfed (aOR= 0.62; CI 95%= 0.41 to 0.94; p= 0.020). Conclusion: Breastfeeding can reduce the risk of children experiencing stunting.

Association between Employer Provided and Planned Maternity Leave Duration and Breastfeeding Duration Kamat, Natasha; Miller, Emily
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The American Academy of Pediatrics recommends breastfeeding for at least one year. However, studies have shown that the constraints of the Family and Medical Leave Act (FMLA), which provides 12 weeks of unpaid leave, may impede this recommendation. Our objective was to evaluate whether employer provided and planned maternity leave duration was associated with breastfeeding duration. Subjects and Method: This was a prospective cohort study wherein 480 postpartum women were recruited from Prentice Hospital between May and July of 2017. Participants completed a questionnaire immediately postpartum and at 12 to 14 weeks postpartum. Independent variables were employer provided and planed maternity duration and partner leave duration. Dependent variables were intention to breastfeed for one year and actual breastfeeding status at 12 to 14 weeks postpartum. Bivariable and multivariable analyses were performed. Results: Of the 480 women enrolled, 226 (47.28%) intended to breastfeed for at least one year. Women who planned a longer maternity leave were significantly more likely to intend to breastfeed for at least one year (37.41% vs 35.71%, p= 0.033). This persisted after controlling for possible confounders (aOR = 4.08, CI 95%= 1.10 to 15.13, p= 0.040) However, there was no difference in intention to breastfeed for at least one year by the duration of employer allocated maternity or partner leave. There were no differences in actual breastfeeding rates at 12 weeks postpartum across various durations of intended or taken maternity or partner leave. Conclusion: Increased planned maternity leave duration is associated with increased intention to breastfeed, however actual breastfeeding rates at 12 weeks postpartum were not associated with maternity leave duration.

Parental Posttraumatic Stress Disorder and Attunement: Meta-Analysis Asanov, Julia; Rehman, Neelofar
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Attunement between a primary carer and their infant plays a crucial role in infant brain development, attachment, sense of self and personality development, with long-term effects on risk of future psychopathology. The present study aimed at 1) identifying a comprehensive definition of attunement and 2) investigating parent-infant attunement in the context of parental posttraumatic stress disorder (PTSD). Subjects and Method: Following PRISMA guidelines, a systematic review of the literature was conducted on parental PTSD and parent-infant attunement. Eligible studies were prospective, quantitative, published in peer-reviewed journals, included normal samples and samples with PTSD along with attunement variables, reporting correlational data, with mothers aged 16 or older and infants aged 0-18 months. 48 articles were examined in full-text and 18 selected for analysis. A National Heart, Lung, and Blood Institute (NHLBI) quality assessment tool was used to assess the quality of selected studies. Pooled effect sizes were calculated separately for positive and negative attunement variables under the random effects model, using comprehensive meta analysis (CMA). Results: Analysis failed to reach statistical significance. The pooled effect size for parental PTSD and negative attunement was positive and small. The pooled effect size for parental PTSD and positive attunement was negative and small. Conclusion: Due to the high heterogeneity among the included articles and statistically non-significant effect sizes, results need to be interpreted with caution. However, the results indicate that the presence of PTSD symptoms is likely to influence parents’ capacity to attune to their infants. Limitations and implications for future research and clinical practice are discussed.

Oral and Injection Hormonal Contraceptives Uptake and Their Risk to Breast Cancer: A Meta-Analysis Utami, Dian Asih Ning; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast cancer cases are the biggest contributor to death in women in the world. One of the risk factors is injectable hormonal contraceptives and pills. Injectable hormonal contraceptives and pills contain synthetic hormones progesterone and estrogen that trigger breast cancer, due to an increase in the content of these hormones in the body, this results in an opportunity to experience uncontrolled cell division resulting in gene mutations in the breast gland. The purpose of this study was to analyze the effect of the use of injectable and pill hormonal contraceptives on the incidence of breast cancer using a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis using PRISMA flowchart diagram guidelines. The article search process was carried out between 2015-2022 using databases including Google Scholar, PubMed, Science Direct and Springerlink. The keywords used in the database search were

The Impact of Exposure to Information Technology in Determining Women’s Knowledge of Complication during Pregnancy, Labor, and Postnatal Nurmawati, Erna; Napitupulu, Joseph Gabriel; Sugiyarto, Teguh
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Indonesian Demographic Health Survey (IDHS) 2012 reveals that Maternal Mortality Ratio (MMR) in Indonesia is 359 per 100,000 live births or increase from 228 per 100.000 live births in 2007. Compared to the other ASEAN countries, the risk of maternal death in Indonesia is also relatively high, 1 in 65 mothers. Some researches depict that maternal death is caused by inadequate care during pregnancy and delivery (labor). This condition is caused by the availability of health facility or improper health seeking behaviors. Considering the crucial role of knowledge to determine people behaviors, this paper is aimed to discuss the impact of information technology to shape people knowledge on maternal health. Subjects and Method: Some variables in Indonesian Health Demographic Survey 2017, identify the subject’s knowledge on danger sign of complication during pregnancy, labor/delivery and postnatal periods. In digitalized era, the knowledge may come from many sources. Therefore, the discussion will focus on the impact of subject’s accessibility and utilization of internet, mobile phone, radio, TV and newspaper in shaping knowledge of maternal health. Results: This study found that women with primary education (OR= 1.57; p < 0.001), did not access the internet (OR= 2.49; p= 0.110); the frequency of accessing the internet for health (OR= 1.94; p= 0.083) increased women's knowledge about dangerous signs during pregnancy. While not reading newspapers (OR= 0.66; p < 0.001); not watching television (OR= 0.66; p<0.001), having or not having television (OR= 0.59; p < 0.001); do not have a mobile phone (OR= 0.64; p<0.001); not having a radio (OR= 0.88; p < 0.001) decreased women's knowledge of the danger signs during pregnancy, but this result was statistically significant. Conclusion: This result reveal that the effectiveness of internet to influence women knowledge on maternal health must be improved because of its potential in this digitalized era and the progressive trend of internet penetration in Indonesia.

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