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Journal of Maternal and Child Health
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. 8 No. 3 (2023)" : 12 Documents clear
Experiences and Coping Strategies of School Going Breastfeeding Adolescents from Katima-Mulilo and Sesheke Secondary Schools in Sesheke district, Western Province of Zambia Mooto, Mutakatala; Makukula, Marjorie Kabinga; Sianchapa, Brenda
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.12

Abstract

Background: The re-entry policy was introduced in Zambia in 1997 to allow pregnant girls to continue their education. However, the increase in dropout rates among re-entered adolescents has become a significant concern in schools, so it is necessary to explore and understand the lived experiences of school-going breastfeeding adolescents. The re-entry policy needs to be revised to protect the school-going breastfeeding adolescent (SGBA) from the challenges related to mothering while schooling. The study aimed to explore the experiences and coping strategies of SGBA in Secondary Schools of Western Province in Zambia. Subjects and Method: The study employed a descriptive phenomenology design the research sample comprised sixteen (16) participants. Fourteen (14) girls re-entered after maternity leave. Nine (9) from Sesheke and five from Katima-Mulilo secondary schools, including two (2) guidance teachers, one (1) from each school. A purposive sampling technique without maximum variation was used. Data generation was through in-depth, semi-structured interview guides and which were audio recorded. In addition, the data underwent manual and Microsoft word coding accompanied by Nvivo version 11 and thematic analysis. Results: The findings revealed that breastfeeding school-going breastfeeding adolescents experienced many challenges in pursuing and completing their school. The challenges ranged from combining roles of schooling and mothering, financial challenges, stigma and discrimination, poor academic performance and lack of breastfeeding space within school premises, including minimal and lack of support from peers and school authority.Conclusion: The data shows the numerous challenges faced by breastfeeding adolescents. Therefore, the Ministry of Education, schools, parents and other stakeholders should review and amend the re-entry policy to enable it to respond to girls’ needs to improve their stay in school and performance. Keywords: Coping Strategies, Breastfeeding, Adolescents, Experiences, School-going. Correspondence: Mooto Mutakatala, Department of Midwifery Women and Child Health, Faculty of Midwifery, University of Zambia, Lusaka, School of Nursing Sciences P O BOX 50110. Email: mootomutakatala@gmail.com. Mobile:+26 0977502912.
Caretakers' Role in Personal Hygiene Children with Down Syndrome Purnamawati, Rifka; Shaluhiyah, Zahroh; Suryoputro, Antono
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.01

Abstract

Background: Despite their flaws, children with down syndrome require caretakers' involvement, especially in personal hygiene. Caretakers play a critical role in meetings in terms of cleanliness. This study investigates the role of caretakers in the Personal Hygiene of children with down syndrome.             Subjects and Method: This study was a qualitative phenomenological approach conducted at  Public Disability-Specific Schools in Semarang, Central Java, Indonesia. Purposive sampling of 10 people based on specific criteria is used to find participants. In-depth interviews, observations, and field notes were used to collect data. Results: This study has resulted that the role of caretakers in the personal hygiene of children with down syndrome is divided into five themes: developing communication skills with children, providing examples through specific media, providing surrounding support, providing a reward or consequences, and modeling. Conclusion: The role of caretakers has a significant impact on the learning of personal hygiene, so strategies are required to enable children to carry out self-cleaning tasks thoroughly. Keywords: caretaker; personal hygiene; down syndrome. Correspondence:Rifka Purnamawati. Master’s Program in Health Promotion, Diponegoro University, Indonesia. Email: rifka_purnamawati@yahoo.com. Mobile: +6287836126783.
The Influence of Maternal Social Deprivation on Undernutrition in Children Under 5 Years in Northern and Southern Nigeria Obi, Nkiru Jacinta; Harris, Jenine
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.05

Abstract

Background: Undernutrition is a global public health issue that has far-reaching consequences on the health and development of individuals as well as economic and social impacts on co­mmu­ni­ti­es and countries. Middle and low-income countries like Nigeria bear the highest burdens and Nigeria has an unequal distribution of this burden between the North and South. Maternal socioeconomic factors have been implicated in the burden of undernutrition. This study examines the regional differences in these factors as key determinants of the inequalities in the distribution of the burden of undernutrition. Subjects and Method: We conducted a secondary data analysis of the child-recode data set from the cross-sectional 2018 Nigerian Demographic Health Survey (NDHS). NDHS participants were selected from all thirty-six states in Nigeria and the Federal Capital Territory (FCT) via a two-stage stratified cluster design. The child-recode data set includes 33,924 children aged 0 to 59 months. The dependent variables are weight for age, height for age, and weight for height. Independent variables of interest include the mother’s education, mother’s employment status, wealth quintile, and residence. Additional confounders included the age and sex of the child. Bivariate and multivariable logistic regression models were used to examine the association between region, maternal deprivation factors, and undernutrition. Results: The unadjusted odds of being underweight (OR=2.80; 95% CI=2.53 to 3.10; p<0.001), stunted (OR=3.09; 95% CI=2.84 to 3.37; p<0.001), or wasted (OR=1·91; 95% CI=1.62 to 2.28; p<0.001) were statistically significantly higher in children living in the North compared to children in the South. Across all 3 indices of undernutrition, the most consistent factors affecting childhood under­nu­tri­tion were the mother's education (no formal education) and wealth quintile (poorest households). The regional differences in the prevalence of undernutrition persisted, after accounting for maternal deprivation factors that are more prevalent in the Northern parts of Nigeria. Conclusion: Policies and programs to improve childhood undernutrition should be community-centered and focus on mitigating the inequities in important contributory factors. Further research to explore the role of childhood infections and environmental factors such as water, sanitation, and hygiene in the regional differences in undernutrition in Nigeria is needed. Keywords: nutrition, social deprivation, Nigeria, children. Correspondence: Nkiru Jacinta Obi. Washington University in St. Louis, 1 Brookings Drive, St. Louis, Missouri. Mobile: 513-3027517. Email: nkiruobih@gmail.com.
Pathological Changes of Placenta in Intrauterine Fetal Death Paul, Sanchita; Kalita, Abhijit
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.10

Abstract

Background: Examination of placenta is one of the most common investigations undertaken after a stillbirth and  is one of the most valuable. Examination of placenta can yield information that may be important in the immediate and later management of the mother and infant. The present study aims to evaluate the pathological changes in placenta in intrauterine fetal deaths. Subjects and Method: It is a cross sectional comparative study conducted in Jorhat Medical College and Hospital, Jorhat for a period of one year from July 2020 to June 2021. Total 144 placenta were collected that comprised of 72 cases of intra uterine fetal death and 72 controls were taken. The cases and controls were selected by systematic random sampling. Statistical correlation was carried out by using Student T test with SPSS software or statistical significance p value of less than 0.05 was considered. Results: Placental weight, diameter and umbilical cord length and diameter were found to be significantly decreased in fetal deaths (p <0.05). Intervillous fibrinoid, peri villous fibrinoid, calcification, syncytial knots, infarction were found to be significantly associated with intrauterine fetal deaths in this study (p <0.05). Conclusion: The present study shows that significant information can be gathered by placental examination in adverse fetal outcome and can be used to know the cause of death and further management and prevention in future. Keywords: intrauterine death, syncytial knots, calcification, intervillous fibrin, peri villous fibrin Correspondence: Sanchita Paul, house no. 129, Karimganj, Assam. Pin: 788710. Phone: 9678801472. Email: sanchitavortex@gmail.com
Meta-Analysis: The Effect of Lifestyle Interventions on Decreased Postpartum Weight Retention Fazrina, Gina; Hastuti, Uki Retno Budi; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.02

Abstract

Background: Postpartum weight retention is the increase in postnatal weight compared to pre-pregnancy weight. This weight gain may persist and increase the long-term prevalence of obesity in women. The application of lifestyle interventions consisting of diet, physical activity, and behavior change interventions is believed to be able to reduce postpartum weight retention. This study aims to determine the effectiveness of lifestyle interventions carried out during pregnancy for reducing postpartum weight retention based on various types of interventions derived from studies that have been conducted. Subjects and Method: The writing of this meta-analysis was based on the PRISMA 2020 flow diagram with population: pregnant women, intervention: lifestyle intervention, comparison: without lifestyle intervention, and outcome: postpartum weight retention. The selected articles are full articles, randomized controlled trials (RCT) issued in 2013 – 2022, and are in English. Selected studies were assessed based on the JBI Critical Appraisal Checklist for RCT and then analyzed using RevMan 5.3. Results: 778 articles were identified from December 2022 to January 2023 and 14 RCT articles were obtained for meta-analysis. The diet subgroup accompanied by a behavior change intervention had the largest effect size (SMD = -0.60, 95% CI -0.86 to -0.33, p<0.001), followed by the diet subgroup accompanied by physical activity and behavior change intervention (SMD = -0.10, CI 95 % -0.14 to -0.06, p < 0.001). Physical activity was found to reduce postpartum weight retention, but not statistically significant. The results of the type of intervention subgroup difference test showed a statistically significant effect (p = 0.001). Conclusion: Diets coupled with behavioral interventions show superior results. Variations in the types of lifestyle interventions carried out during pregnancy can influence the success of interventions for postpartum weight loss. Keywords: Postpartum weight retention, lifestyle intervention, diet, physical activity, meta-analysis. Correspondence:Gina Fazrina. Master’s Program in Public Health, Universitas Sebelas Maret Surakarta, Jl. Ir. Sutami 36A, Central Java 57126, Indonesia. Email: ginafazrina@gmail.com. Mobile: +6281212533833.
Prenatal, Perinatal, and Other Risk Factors of Attention-Deficit Hyperactivity Disorder in Soerojo Hospital Sutanto, Doddy BL; Sevriana, Ery Surya; Pangestuti, Rayi Citra Ayu; Hanifa, Yumna Nur Millati; Bangun, Susi Rutmalem
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.08

Abstract

Background: Long-term negative effects on academic ability and social activities can persist into adulthood in children with neurodevelopmental disorders characterized by inattention, hype­r­activity, and impulsivity (Attention Deficit Hyperactivity Disorder/ ADHD). Genetic, neurotrans­mitter, neurological, environmental, psychosocial, brain trauma, and addictive factors are some of the predisposing factors for ADHD. But theoretically, maternal risk factors  often contribute to neuropsychiatric disorders, because of their potential influence on child brain development. This study aimed to assess the proportion of maternal risk factors consisting of prenatal, perinatal, and other factors of ADHD in Soerojo Hospital. Subjects and Method: A descriptive-analytic study with a retrospective approach was conducted on April-June 2022 at Soerojo Hospital. A total of 90 subjects pediatric patients diagnosed with ADHD selected by purposive sampling. The data were collected using questionnaires. The data were described in frequency (n) and percent (%). Results: The proportion of prenatal risk factors are mother’s age at pregnancy (19%), maternal disease history (8%), hormonal contraception pre-pregnancy (24%), maternal psychopathology (34%), maternal excess weight (49%); the proportion of perinatal risk factors are premature birth (12%), operative abdominal and vaginal delivery (49%), low birth weight (13%), neonatal emer­gencies (34%); while other factors are hereditary factors (13%), exposure to cigarettes (47%), and marital conditions (23%). Conclusion: The most common maternal risk factors were maternal excess weight, operative abdominal and vaginal delivery, exposure to cigarettes, maternal psychopathology, and neonatal emergencies. Keywords: ADHD, maternal risk factor, prenatal, perinatal. Correspondence: Doddy Sutanto, Department of Obstetric and Gynecology, Soerojo Hospital, Magelang, Indonesia, Jl. Ahmad Yani No. 169, Magelang 56115, Central Java. Email: doddysutanto.soerojo­hospital@­gmail.­com.
Enhancing Knowledge and Attitude with a Sex Educational Pop-up Book for Adolescents with Intellectual Disabilities Mansur, Arif Rohman; Sari, Ira Mulya; Deswita, Deswita; Neherta, Meri; Herien, Yelly; Farlina, Mutia; Yuni, Annisa Rahma; Sholihat, Annisa
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.11

Abstract

Background: Adolescents with Intellectual Disabilities (ID) adolescents lack of understanding, access to information, and limited knowledge of the sexual behaviours of their peers in the general population. The need for accurate information about sex education is very important in order to stay safe and healthy. However, there is no appropriate, population-specific, and empirically validated sexual education content for individuals with intellectual disabilities. Education for Adolescents with ID requires media in concrete or real physical form and is designed in an attractive way so that they can understand the topic or theme being taught, All information about educational objects is displayed in the form of three-dimensional embossed images or commonly called pop-up books. This study aimed to analyze the effectiveness of sex education using the Pop-up Book on the knowledge and attitude of an adolescent student with an ID in Special Primary Schools (SPS) Children 1 Padang.    Subjects and Method: This is a pre-experimental design with one group pretest-posttest design conducted from April to August 2022. The target population is all students with ID in SPS 1 Padang. This study used purposive sampling, and the sample size is 21. The independent variable of this study was sexual education using the Pop-up Book while the dependent variable was knowledge and attitude were measured using a questionnaire. Data were analyzed by paired t-test. Results: The average knowledge score increased after (Mean= 11.1; SD= 2.47) given the sexual education intervention with Pop-up book media compared to before (Mean= 9.33; SD=2.13), and this result was statistically significant (p = 0.028). The average attitude score increased after (Mean= 5.86; SD= 1.24) given the sexual education intervention with Pop-up book media compared to before (Mean= 3.67; SD= 0.48), and this result was statistically significant (p<o.001). Conclusion: The pop-up book efficacy for students’ understanding of sexual education. Keywords: teenager, perspective, mental retardation, recognition, pop-up book, sexual education. Correspondence: Arif Rohman Mansur. Department of Children and Maternity, Faculty of Nursing, Universitas Andalas, Padang West Sumatera, Indonesia. Email: arifroh­manman­surphd­@nrs.­unand.ac.id. Mo­bi­le: 085228892075.  
Development of Mobile Health EPDS for Early Detection of Postpartum Blues for Postpartum Mothers at The Working Area of Puskesmas Sentani, Jayapura Regency Handayani, Endah Purwanti
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.03

Abstract

Background: Postpartum mothers who cannot adapt to their new role as parents or have no family support can experience psychological (mental) disorders, namely postpartum blues, postpartum depression, and even postpartum psychosis. The purpose of this study was to develop MHEPDS for early detection of postpartum blues. Subjects and Method: Research and Development (R&D) & quasi-experimental research was conducted on postpartum mothers in the work area of the Sentani Health Center, Jayapura Regency from May 2022 to July 2022. A sample of 30 postpartum mothers was selected by simple random sampling. The dependent variable is mobile health EPDS. The independent variable is the EPDS scale. Other data collected by questionnaire. Data were analyzed by analyzing paired sample T test using the Stata 13 application. Results: Based on the results of the feasibility test of the MHEPDS application by psychologists, media and midwives for the design aspect the figure was 89.33% and for the clarity of information aspect it was 82.67%. For scores ranging from 81-100%, it is declared very feasible. The paired samples T test showed no difference between MHEPDS (Mean=15.2; SD=6.70) and EPDS (Mean=14.9; SD=6.52), and this result was not statistically significant (p= 0.662). Conclusion: The MHEPDS application has been made and can be used to detect postpartum blues events. The feasibility test for the application is declared feasible and can be used in postpartum mothers. Keywords: postpartum blues, EPDS, MHEPDS, research and development Correspondence: Endah Purwanti Handayani, Jayapura College of Health Sciences. Jl. Youmakhe Kelurahan Hinekombe Sentani 99352, Papua. Email: kakaendahmanise@gmail.com. Mobile: 085254440490.
Interest Profile of Infant’s Mother on Receiving Multiple Injection Immunization Pratiwi, Setyo Endah; Sriatmi, Ayun; Agushybana, Farid
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.07

Abstract

Background: Multiple injections are giving more than one type of immunization in one visit which aims to protect children earlier in vulnerable times, immunization visits will be fewer so that it will make it easier for children with difficult or limited access to health services, people Older people do not need to come to health facilities repeatedly, increase efficiency for health service providers, and avoid missed opportunities. This study aimed to determine a significant relationship between the independent variables, namely knowledge, perceived vulnerability, perceived severity, perceived benefits, perceived barriers, and family support with the dependent variable, namely the infant's mother's interest in receiving multiple injection immunization. Subjects and Method: This study was a cross sectional study. A sample of 407 infant's mothers were selected in this study. The dependent variable was namely the infant's mother's interest in receiving multiple injection immunization. The independent variable were namely knowledge, perceived vulnerability, perceived severity, perceived benefits, perceived barriers, and family support. The data were analyzed by SPSS application. Results: The average score of correct answers related to the knowledge of mothers who are interested (Mean= 7.32; SD= 1.23) greater than mothers who are not interested (Mean= 5.23; SD= 0.87). The average score of correct answers related to the perceived vulnerability of mothers who are interested (Mean= 23.45; SD= 4.61) greater than mothers who are not interested (Mean= 10.39; SD= 0.87). The average score of correct answers related to the perceived severity of mothers who are interested in receiving multiple injection cages (Mean= 9.70; SD= 4.42) greater than mothers who are not interested (Mean= 7.45; SD= 0.92). The average score of correct answers related to the perceived benefit of mothers who are interested (Mean= 16.74; SD= 3.38) greater than mothers who are not interested (Mean= 7.32; SD= 0.7o). The average score of correct answers related to the perceived barrier of mothers who are interested (Mean= 23.18; SD= 4.31) greater than mothers who are not interested (Mean= 11.78; SD= 1.17). The average score of correct answers related to the family support of mothers who are interested in receiving multiple injection cages (Mean= 28.89; SD= 5.16) greater than mothers who are not interested (Mean= 16.08; SD= 1.38). All these results were significant statistic (p<0.001). Conclusion: There is a significant influence between know­ledge, perceived vulnerability, perceiv­ed severity, perceived benefits, perceived barriers, and family support with the infant's mother's interest in receiving multiple injection immunization. Keywords: multiple injections, immunization, infants mother. Correspondence: Setyo Endah Pratiwi. Department of Public Health, Postgraduate School, Universitas Diponegoro. Jl. Prof. Sudarto No. 13 Tembalang, Semarang 50275, Central Java. Email: endah­sulthan­13­@­gmail.com. Mobile: +62 822-2137-5962
A Study on The Disease Pattern and Outcome in Neonatal Intensive Care Unit, Tertiary Care Hospital of Andhra Pradesh Krishnaiah, Murali; Basha, Md Sajid; Khaleef, Abdul; Rahman, Zia Ur
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.06

Abstract

Background: There was very scanty data available regarding the neonatal morbidity and mortality patterns in NICU. Hence, the current study aimed to document and analyze the disease pattern, and outcome in neonates admitted in NICU of tertiary care center. Subjects and Method: A prospective observational study was conducted at neonatal intensive care unit (NICU) of SVRRGGH, Tirupati from September 2014 to August 2015. A total of 2287 newborns were admitted who met selection criteria. All neonate’s demographics, clinical profile, and outcome were analyzed. Results: From a total of 2287 newborns, 71.7% were delivered vaginally, 56.05% were male, 38.0% were <2500 g, and 48.02% were preterm babies. The neonatal deaths consisted of 448 (19.58%) newborns; 71.98% of whom pre-term babies, 80.8% of whom birth weight >2.5kg, 23.2% of whom out born, and majority died before 7 days of age. Neonatal sepsis (30.65%) is the most common cause of death followed by birth asphyxia hypoxic ischemic encephalopathy in 29.04%, hyaline membrane disease (11.03%), neonatal jaundice (9.68%), meconium aspiration syndrome (7.69%), hemorrhagic disease of newborn (1.68%), and congenital malformations (2.79%). There was a statistical association observed between neonatal death and gender (p= 0.023); neonatal death and mode of admission; neonatal death and gestational age (p <0.001); neonatal death and birth Weight (p< 0.001). Conclusion: current study identified preterm, low birth weight, neonatal sepsis, birth asphyxia, Hyaline membrane disease as major causes of morbidity and Neonatal sepsis, Hyaline Membrane Disease, and HIE as the major contributors to the neonatal mortality. Improving antenatal care, maternal health checkup and timely referral of high risk cases to tertiary care centers may help to improve neonatal outcome. Keywords: neonatal sepsis, antenatal care, low birth weight, neonatal mortality. Correspondence: Department of Pediatrics, Government general hospital, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh-516002, India

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