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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
 1   2 
Search results for , issue "Vol. 8 No. 5 (2023)" : 12 Documents clear
Seroprevalence and the Associated Risk Factors of Toxoplasma Gondii Infection among Pregnant Women in The Middle Belt of Ghana Adu Mensah, Derrick; Debrah, Linda Batsa; Bonney, Richard Abeiku; Bhavana, Singh; Bortie, Patience; Safo, Rebecca; Aryee, Clement Evans; Debrah, Alexander Yaw
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.02

Abstract

Background: Exposure to Toxoplasma gondii infection is prevalent in up to 90% of the world’s human population. Severe infections can be fatal and deforming in neonates, with cats serving as reservoirs for T. gondii infections. The objective of this study was to determine the seroprevalence of Toxoplasma gondii infection and its associated risk factors among pregnant women in the middle belt of Ghana. Subjects and Method: This was a cross-sectional study involving 266 pregnant women from two health facilities in the middle belt of Ghana. A structured questionnaire was administered to the parti­cipants to gather information on exposure to the associated infection risk factors and demo­graphy. In addition, 3ml of venous blood was collected from each participant for anti-Toxo­plasma gondii IgG/IgM antibody analyses. Results: A total of 64.3% of the study population had been exposed, whiles 26.3% were actively infected, being seropositive respectively to anti-Toxoplasma gondii IgG/IgM antibodies. In both districts, significant differences were recorded between anti-T. gondii IgG and IgM seroprevalences (95% CI= 0.00 to 0.02; p<0.001). There was no statistical difference observed between the parti­cipants’ mean antibody concentration levels and age (95% CI= 0.74 to 0.85; p=0.637) as well as the stage of pregnancy (95% CI= 0.38 to 0.43; p= 0.127). Also, no strong association (OR<0.6) was found between seropositivity and the suspected risk factors assessed in the study. Conclusion: The study showed that the seroprevalence of T. gondii infection among pregnant women visiting the two health facilities in the two regions was higher compared to the 30%-65% reported as the global population infection status. This study provides baseline data for future studies in other Districts and Regions in the country to ascertain the overall seroprevalence in Ghana and also push for a national programme/ policy for routine clinical screening of toxoplasmosis in pregnant women. Keywords: seroprevalence, Toxoplasma gondii, pregnant women, anti-T. gondii IgG/IgM antibodies. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com.
Utilizing Sleep Education to Reduce Postpartum Mood Disorder in New Mothers Osorio, Virginia; Martin, Daniel
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.04

Abstract

Background: Infant sleep biology and maternal intuition challenge the idea of behavioral sleep training being authoritative knowledge in Western society. Behavioral sleep training may increase stress levels in postpartum mothers who feel conflicted and wish to use alternative methods. The aim of this study was to determine whether having access to infant sleep education improves maternal mental health.Subjects and Method: A quasi-experimental pretest-posttest design using web-based surveys was used to assess the impact of a three-week virtual infant sleep education program on the dependent variables of depression outcomes and consolidated infant sleep. The target population were postpartum women between the age of 18 and 50. Sample size was 18 subjects were recruited through convenience and criterion sampling. Pre-tests and post-tests included nominal questions, Likert scale items, and the Edinburg Postnatal Depression Scale (EPDS). Analysis included difference analyses, Shaprio-Wilk normality checks, Spearman’s rho and Bayes factor bounds.Results: The average improvement on the EPDS was a decrease of 1.89 points, 95% CI= -∞ to 0.11; p= 0.116), VS-MPR = 1.47, with the highest magnitude of improvements in domains regarding feelings of failure if their baby does not sleep through the night (r= 0.78; 95% CI= 0.40 to ∞; p= 0.012, desire to sleep train (r= 0.50; 95% CI = -0.10 to ∞; p= 0.091) and decreased feelings of self-blame (r= 0.34; 95% CI= -0.13 to ∞; p = 0.080).Conclusion: Sleep education can be beneficial in reducing stress related to infant sleep and feelings of failure as a parent in postpartum women. Keywords: behavioral training, maternal mental health, sleep education, postpartum depression. Correspondence: Virginia Osorio. Shenandoah University, 1460 University Drive, Winchester, VA 22601. vosorio-19@su.edu.
Relationship of Breastfeeding on Infant Development in Surakarta sari, Ropita; Fatsena, Rizka Adela; Parwatiningsih, Sri Anggarini; Megasari, Anis Laela; Kartikasari, M. Nur Dewi; Yunita, Fresthy Astrika; Hardiningsih, Hardiningsih; Hutomo, Cahyaning Setyo
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.10

Abstract

Background: Breast milk is the healthiest diet for newborns since it has the best immune system of any food, has a wealth of advantages, and contains the right combination and amount of nutrients to promote an infant's growth and development, especially between the ages of 0 and 6 months. This study aimed to determine the impact of breastfeeding on infant’s development in Surakarta. Subjects and Method: This was a retrospective cross-sectional study conducted at Community Health Centre in Surakarta, Central Java on March to August 2020. A total sample of 56 infants were selected for this study. The dependent variable was infant development. The independent variable was exclusive breastfeeding. The data collected by questionnaire. The data were analyzed by Chi-Square. Results: Infants who are exclusive breastfeeding have a 25.50 times chance of developing better com­par­ed to infants who are not exclusive breast­feeding, and this is statistically significant (OR= 25.50; 95% CI= 1.14 to 572.30; p <0.001). Infant with exclusive breast­feeding had a better commu­nication and social interaction at 6 months, and better cognition, communication, and social interaction at 12 months. Conclusion: The development of infants' psychological, linguistic, fine motor, and gross motor skills can be improved by exclusive breastfeeding. Keywords: breastfeeding, development, infants. Correspondence: Ropitasari. D-3 Midwifery Study Program of Vocational School, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.  Phone: 082220023585. Email : ropita.uns@gmail.com
Meta Analysis: Effect's of Verbal and Physical Violences on Depression in Postpartum Women Putri, Ebtaria Hartiwi; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.03

Abstract

Background: Postpartum violence can manifest in many forms, including verbal, physical, and emotional abuse, as well as inappropriate clinical practice. This study aims to analyze previous primary studies in assessing the effect of verbal violence and physical violence on the incidence of depression in postpartum women.Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: postpartum women. Intervention: experiencing verbal violence and physical violence. Comparison: not experiencing verbal violence and physical violence. Outcome: depression. The online databases used are PubMed, SpringerLink, Scopus and ProQuest with the keywords “Verbal Abuse” Verbal Violence” OR “Intimate Partner Violence” AND “Physical Violence” OR “Physical Intimate Partner Violence” OR “Domestic Violence” OR “Physical Abuse” AND depression OR “Post Tramumatic Stress Disorder” AND “Postpartum” AND “Cross sectional” AND “aOR”. There were 12 cross-sectional studies published in 2016-2022 that met the inclusion criteria. The analysis was carried out using the Review Manager 5.3 application.Results: Meta-analysis was carried out on 12 articles with a cross-sectional study design from Malaysia, South Africa, Japan, Brazil and Spain. The results showed that postpartum women who received verbal violence were more likely to experience depression 2.89 times than those who did not experience physical violence (aOR= 2.89; 95% CI = 1.96 to 4.25; p= 0.001) and postpartum women who received physically abused were 2.29 times more likely to experience depression than those who did not experience physical violence (aOR = 2.29; 95% CI = 1.37 to 3.83; p= 0.002).Conclusion: Verbal violence and physical violence can affect the incidence of depression in postpartum women. Keywords: postpartum women, verbal abuse, physical abuse, depression. Correspondence: Ebtaria Hartiwi Putri, Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: ebtariahartiwi273@gmail.com. Mobile: +6289666588614.
Meta-Analysis Effects of Antenatal Care Visit and Knowledge on the Adherence of Iron Tablet and Folic Acid Consumption Adhila, Siti Fatimah Aminah Nikita Putri; Budhiastuti, Uki Retno; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.01

Abstract

Background: Adherence to iron tablet and folic acid (IFA) supplementation is the main strategy for the prevention and control of iron deficiency and neural tube defects in pregnant women and the unborn child. This study aims to estimate the relationships of antenatal care (ANC) visits and maternal knowledge on IFA supplementation adherence in pregnant women. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: pregnant women. Intervention: conduct antenatal care visits and have knowledge of IFA Supplementation. Comparison: did not make antenatal care visits and had no knowledge of IFA Supplementation. Outcome: IFA consumption compliance. The databases used are PubMed, Google Scholar, and SpringerLink with keywords (“Antenatal Care” OR “IFA Supplementation” OR “Compliance”) AND “cross sectional”. There were 11 cross-sectional studies published in 2011-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis of 11 cross-sectional studies from Ethiopia and Uganda was performed, with sample size= 4,367. This study showed that pregnant women who had regular ANC visits (aOR=2.22; 95% CI= 1.52 to 3.24; p < 0.001) and had good knowledge (aOR=2.48; 95% CI= 2.02 to 3.03; p<0.001) were more likely to adhere to IFA supplementation. The funnel plot indicates publication bias (overestimate). Conclusion: Pregnant women with regular ANC visits and good knowledge have the possibility to adhere with IFA supplementation. Keywords: antenatal care, knowledge, adherence. Correspondence: Siti Fatimah Aminah Nikita Putri Adhila. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: putriadhila00@gmail.­com Mobile: +6282186635526.
Sambang Bayi Behavior among the Osing Tribe in Banyuwangi Regency and Its Impact on Maternal and Infant Health Nur, Zilvi Fuadiyah; Widati, Sri; Nurmala, Ira; Iken Nafikadini, Iken; Rokhmah, Dewi
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.06

Abstract

Background: Banyuwangi Regency is home to several cultures, and when babies are born, their families quickly prepare all the necessary equipment, showing their joy by rushing to complete the task. This creates a dense sambang bayi behavior in the area, however such activities may pose risks to the health of both the mother and the baby. This study aimed to analyze the sambang bayi behavior among the Osing tribe in Banyuwangi Regency and its impact on the health of both the mother and the baby.Subjects and Method: To investigate this phenomenon, a qualitative method using an ethno-graphic research approach was employed. Postpartum were researched at the Singojuruh and Gladag Health Centers. 12 main informants and 6 additional informants were selected using purposive sampling. Data was collected through in-depth interviews, participatory observation, and documentation, and analyzed thematically using content analysis.Results: The research revealed that postpartum perceived vulnerability, seriousness, advantages, and obstacles related to cultural activities. Additionally, they made efforts to reduce health risks to their infants (cues to action).Conclusion: Several health risks were identified for mothers and babies, including allergies, irritation, respiratory problems, infectious diseases such as coughs and colds, and diseases caused by a lack of rest. To mitigate these risks, the community can implement promotive and preventive efforts. Keywords: postpartum, culture, perception. Correspondence: Zilvi Fuadiyah Nur. Masters Program in Public Health, Airlangga University. Jl. Dr. Ir. H. Soekarno, Mulyorejo, Kec. Mulyorejo, Kota SBY, Jawa Timur 60115. Email: zilvi.fuadiyah.nur-2022@fkm.unair.ac.id. Mobile: 082330870755.
Advanced Maternal Age and Low Birth Weight in Primigravid Births Junus, Kezia Adelize Aurelia; Ekowati, Ana Lucia; Soegiarto, Bertha; Setiawan, Andy
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.08

Abstract

Background: The number of women who delay pregnancy is increasing. Advanced Maternal Age/ AMA (pregnancies in women aged 35 years or older) have increased risks of complications, such as low birth weight/LBW (up to 1.59 times). The aim of this study is to know the association between AMA with LBW in primigravid births.Subjects and Method: This descriptive and analytical, cross sectional research consists of 169 primigravid births in Atma Jaya Hospital Jakarta, collected with a total sampling method for births between February 2016 to September 2021 meeting inclusion criteria. Independent variable included primigravid maternal age and dependent variable included birth weight. Prematurity was used as a dependent variable and an independent variable in two separate analyses. Characteristics of data are described, and analyses were done with the Fisher’s exact test for the associations between primigravid AMA and LBW, , between primigravid AMA and prematurity, and between primigravid prematurity and LBW Spearman’s correlation test was done for the correlation between primigravid maternal age and birth weight. Results: The proportions of women with higher education and maternal diseases are more elevated in AMA. LBW prevalence is 14.79%. The proportion of LBW is higher in AMA (OR=2.045; CI 95% 0.513 to 8.147), with statistically insignificant association (p=0.253). The correlation between maternal age and birth weight is insignificant (p=0.113). AMA has insignificantly higher odds for prematurity (OR=1.139; CI 95% 0.234 to 5.538; p=0.567). The association between prematurity and LBW is highly significant (OR 49.224; CI 95% 15.470 to 156.621; p<0.001).).Conclusion: Primigravid women aged ≥35 years have higher proportions of maternal diseases. Despite being statistically insignificant, AMA has higher odds for LBW. Prematurity is highly asso¬ciated with LBW. Further research concerning high-risk maternal age needs to be done to improve women’s and children’s health. Keywords: advanced maternal age, primigravida, low birth weight. Correspondence:Ana Lucia Ekowati. Department Of Medical Biology, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. Jl. Pluit Selatan Raya No.19, Jakarta, 14440. Email: ana.lucia@atmajaya.ac.id.
Meta Analysis: Effects of Polycystic Ovarian Syndrome and Maternal Diabetes on the Risk of Autism in Children Sukmakarti, Laksmy Dewi; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.07

Abstract

Background: Autism is a condition of developmental abnormalities in social, communication and behavior aspects. Polycystic ovary syndrome and maternal diabetes during pregnancy contribute more than 50% to the risk of ASD offspring. This study aims to analyze and estimate the influence of polycystic ovarian syndrome and maternal diabetes on autism in children.Subjects and Method: The meta-analysis was carried out according to the PRISMA flow chart and the PICO model. Q: Child, I: Mother with PCOS and maternal diabetes, C: T Mother without PCOS and maternal diabetes, O: Autism. Search for articles in this study through databases that include Google Scholar, Pubmed, ScienceDirect and Sage Journal. With keywords including: Polycystic Ovarian Syndrome” AND “Maternal Diabetes” OR “Gestational Diabetes Mellitus” AND “Autism” OR “Autism Spectrum Disorder” AND “Cohort”. A full paper article with an observational cohort study, the research subject was a child, the size of the relationship used was the adjusted odds ratio, the research outcome was autism. Analysis was performed with Revman 5.3.Results: There were 13 articles with cohort designs originating from America, Denmark, England, Sweden, Israel, China with a total of 4,641,483 research samples. A meta-analysis of 13 cohort studies concluded that children of pregnant women with PCOS had a 1.36 times greater risk of developing autism than those without PCOS, and the effect was statistically significant (aOR= 1.36; 95% CI= 1.24 to 1.49; p<0.001). In addition, pregnant women with maternal diabetes have a 1.24 times higher risk of having a child with autism than those without maternal diabetes, and this effect is statistically significant (aOR= 1.24; 95% CI= 1.08 to 1.43; p=0.002).Conclusion: Pregnant women who have PCOS and maternal diabetes increase the risk of autism in children. Keywords: polycystic ovarian syndrome, maternal diabetes, autism. Correspondence: Laksmy Dewi Sukmakarti. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: laksmysukma@gmail.com. Mobile: +628773-8298156.
The Effect of Maternal Obesity on Fetal Macrosomia: Meta-Analysis Kumalasari, Vilia Ayu; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.05

Abstract

Background: Obesity is a condition that shows an imbalance between height and weight. Obesity in women poses a risk to future pregnancies and their pregnancy outcomes. One of the risks of pregnancy in obese women is the birth of babies with excess weight or macrosomia. Excess birth weight can increase the risk of death for both mother and baby. This study aims to examine the effect of obesity in pregnant women on child birth using macrosomia. Subjects and Method: Meta-analysis was performed with the PRISMA flowchart using PubMed, Science Direct, and Google Schoolar databases. Keywords used ((maternal obesity OR obesity in pregnancy) AND (macrosomia OR large for gestational)). There were 11 studies with a cohort design published in 2012-2022 that met the inclusion criteria. Analysis was performed using Revman 5.3.Results: There were 11 articles originating from three continents, namely Asia (2 studies from China, 2 from Saudi Arabia, 1 from Taiwan), the Americas (3 from the United States, 1 from Brazil), and the European continent (1 from Poland and 1 from Spanish). The heterogeneity of effect estimates between primary studies showed I² = 95% (p<0.001), so the analysis used the Random Effect Model (REM). Obese pregnant women had a 2.03 times risk of having a baby with macrosomia compared to pregnant women without obesity (aOR=2.03, 95% CI=1.88 to 2.18; p<0.001).Conclusion: Obesity in pregnant women increases the risk of having a baby with macrosomia. Keywords: maternal obesity, macrosomia. Correspondence: Vilia Ayu Kumalasari. Master's Program in Public Health, Universitas Sebelas Maret. Graduate School Building Universitas Sebelas Maret, Jalan Ir. Sutami 36 A, Surakarta, Jawa Tengah, 57126. Email: villia.kumalasari@gmail.com Mobile: 082140814930.
Case Study of Internal and External Dimensions Causes of Stunting in Children Under Five in Jombang, East Java Putra, Firdy Rama Permana; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.09

Abstract

Background: Stunting is the result of chronic and recurrent malnutrition in both mother and child. Globally in 2020, 149.2 million (144.4 to 154.2 million) children under the age of 5, or 22.0% (21.3 to 22.7) of all children under five, are estimated to be stunted (too short for their age). The cause of children experiencing stunting is a multidimensional factor, namely malnutrition experienced by pregnant women and toddlers. This study aims to describe the causes of stunting in toddlers. Subjects and Method: This was a qualitative study with a case study approach. This study was conducted at the Health Office of Jombang Regency, East Java, and Mayangan Health Center. A total of 5 key informants, 9 mothers of toddlers as main informants, 1 supporting informant were selected purposively and snowball. Data collection was carried out using interviews, observation, and documentation. Data were analyzed using the Miles and Huberman. Results: Parents' education level, toddler's age, toddler's weight, toddler's height, role of health personals in terms of services, exclusive breastfeeding, provision of complementary foods, level of food diversity, sanitation, infectious diseases are factors causing stunting cases in Jombang Regency, East Java. Things that are less related to the incidence of stunting are the sex of the toddler, the type of parent's job, asset ownership, social protection card, health insurance, health institutions, mother class for toddlers, early childhood education, family planning participation, food insecurity, clean water, ownership of MCH books, complete basic immunization, treatment of sick toddlers, growth monitoring, deliveries at health facilities, and deliveries at health personnel. The visible impact of stunting is that they physically look small when compared to children of their age. Conclusion: There are several internal dimensions and external dimensions that are factors causing the incidence of stunting in Jombang Regency, East Java, including parents' education level, toddler's age, toddler's weight, toddler's height, the role of health personal in terms of services, exclu­sive breastfeeding, provision of complementary foods, diversity in food, sanitation, and infectious diseases. Keywords: stunting, internal dimention, external dimention, toddler. Correspondence: Firdy Rama Permana Putra. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: framapp99@gmail.com. Mobile: +6289666988490.

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