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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.
Arjuna Subject : -
Articles 12 Documents
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Search results for , issue "Vol. 8 No. 6 (2023)" : 12 Documents clear
Development and Feasibility Testing of Digital Measurement Tools for the Height of Uterine Fundus Mutiah, Mar'atu; Fatmasari, Diyah; Sumarni, Sri
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.11

Abstract

Background: Uterine Fundus Height (TFU) is an indicator for monitoring fetal well-being during pregnancy. So far, TFU measurements are still carried out manually with several weaknesses such as human error, takes a long time, and less efficiency, which requires new innovations. This study aims to develop a tool for measuring uterine fundal height by utilizing an artificial intelligence-based rotary encoder sensor to determine gestational age and estimated fetal weight. Subjects and Method: This study used Research and Development (R&D) in the R&D stage with stages carried out at the Adem Ayem Clinic from January to February 2023. Expert validation testing and small-scale product trials. A total of 10 pregnant women were selected in this study, they were divided into two groups: (1) Five pregnant women using a digital TFU measuring instrument; and (2) Five pregnant women used a measuring tape. The dependent variables are uterine fundal height, gestational age and estimated fetal weight. The independent variable is a tool for measuring uterine fundal height. Differences in TFU in the intervention and control groups were analyzed using the Mann Whitney test. Results: Development of a tool for measuring uterine fundal height that provides feasible and valid results in measuring uterine fundal height and determining gestational age and estimating fetal weight. Conclusion: Development of a tool for measuring uterine fundal height that provides feasible and valid results in measuring uterine fundal height and determining gestational age and estimating fetal weight. Keywords: uterine fundal height, gestational age, estimated fetal weight, rotary encoder sensor, pregnant women. Correspondence: Mar’atu Mutiah. Applied Masters Program, Health Polytechnic, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, 50239, Central Java, Indonesia. Email: mara220792@gmail.com.
Effectiveness of Auricular Acupuncture on Interleukin-6 Levels and the Duration of Birth Delivery in Primigravida Mothers during Active Phase of Labor Setiawandari, Setiawandari; Andarwulan, Setiana; Hubaedah, Annah
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.08

Abstract

Background: Auricular acupuncture (AKAR) is a diagnostic and treatment system based on normalizing bodily dysfunctions through stimulation of specific points on the ear. Ear stimulation involves neurological reflexes, neurotransmitters, cytokines, the immune system, and inflammation. Subjects and Method: This study is a true experimental design with a pretest-posttest control group. The study population was all 43 primigravida mothers who were expected to give birth between May and July 2023. The research sample was part of the first stage of labor during the primigravida active phase. The selection of research subjects was carried out by consecutive sampling. Subjects who met the inclusion criteria were divided into two groups, namely the AKAR intervention group and the deep breathing relaxation control group. The dependent variable was auricular acupuncture, and the independent variable was a duration of labor and interleukin-6. The instrument uses laboratory tests that are carried out, the research site only has a simple laboratory room and does not have a deep freezer - 800C, so the biomarker test is carried out in the laboratory. Assessment of the length of labor using a partograph. Data analysis used the Mann-Whitney test,  the Wilcoxon Signed Rank test and the Independent  Sample test Results: The results of post-treatment serum IL-6 levels in the AKAR group were higher (Mean= 187.24; SD= 41.65) pg/mL before the pre-treatment (Mean= 157.67; SD= 51.85) pg/mL, and this difference was significant (p <0.001). Post-treatment serum IL-6 levels in the RND group were higher (Mean= 181.30; SD= 56.86) pg/mL before the pre-treatment (155.65; SD= 50.07) pg/mL. The results of the pre-treatment serum IL-6 levels in the AKAR group were slightly higher (Mean= 157.67; SD= 51.85) pg/mL compared to the RND group (Mean= 155.65; SD= 50.07) pg/mL. Post-treatment, the IL-6 serum level in the AKAR group were higher (Mean= 187.24; SD= 41.65) pg/mL compared the RND group (Mean= 181.30; SD=56.86) pg/mL. The AKAR group had 12 (57%) active phase I stages of labor that lasted less than 360 minutes and 9 (33%) more than 360 minutes. In the RND group, 9 (45%) delivered less than 360 minutes, and 11 (55%) more than 360 minutes. The mean length of labor for the AKAR group was shorther (Mean= 365.40; SD= 65.60) minutes than the RND group (Mean= 407.55; SD = 77.27). Conclusion: There was a difference between IL-6 levels before and after treatment, so it was concluded that AKAR and RND affected serum IL-6 levels in the first stage of labor in the active primigravida phase. There was no significant difference in the length of labor in the active phase of the first stage of labor in primigravidas between AKAR and RND. Keywords: acupuncture, auricular, interleukin-6, length of labor. Correspondence: Setiana Andarwulan. Program Study Midwife Professional Education, Faculty of Science and Health, PGRI Adi Buana University, Surabaya Jl Dukuh Menanggal XII No. 4, East Java, Indonesia. Email: setianaandarwulan@unipasby.ac.id. Mobile: 085806227033.

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