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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. 9 No. 1 (2024)" : 12 Documents clear
Health Indicators for Accelerating Stunting Reduction: Family Practices in Indonesian Borderland Rua, Yusfina Modesta; Nahak, Maria Paula Marla
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.02

Abstract

Background: The Indonesian government has established the latest family-based approach to implement the national strategy to accelerate the reduction of stunting in Indonesia through a family-based intervention approach. Family-based intervention is proven scientifically efective in preventing growth retardation in children under five. However, this research was conducted on families with children aged 0-2 years so that all of the presented problems can be used as a reference in providing family-based interventions. This study aims to describe family health practices in preventing stunting among the people in the border areas of Indonesia and Timor Leste. Subjects and Method: This was a quantitative descriptive study with a cross-sectional design, conducted from May to June 2022. A total of 257 families (out of a total population of 566) with children aged 0-24 months spread across 16 integrated healthcare centers (Posyandu) at the Haliwen Health Center, Belu District, East Nusa Tenggara Province, Indonesia. The subjects in this study were selected by simple random sampling. The single variable in this study was family health practices in preventing stunting, consists of 18 indicators adopted and elaborated from presidential regulation 72 concerning accelerating the reduction of stunting. the data collected by a set of questionnaires. The data analyze by univariate analysis to describe frequency (n) and percentage (%) of each indicators. Results: Out of a total of 18 assessed indicators, most families still use open garbage cans, burning garbage for destruction, and did not carry out pre-marital health screening. Conclusion: The results of this study showed that most of the health indicators had been carried out by families with infants under two years old. It is in line with the growth status of under-two, most of whom are not stunted. Keywords: stunting, children under two, family-based intervention. Correspondence: Maria Paula Marla Nahak. Nursing study program, Universitas Timor, Indonesia. Jln. El Tari - Km. 09, Sasi, Kefamenanu, Timor Tengah Utara, Nusa Tenggara Timur, Indonesia. Email: paulamarla@­unimor.ac.id.
Meta-Analysis the Effect of Pregnancy with Hepatitis B on Preterm Birth and Gestational Diabetes Mellitus Haniah, Alfi Zamilul; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.01

Abstract

Background: HBsAg positive pregnant women are responsible for around 50% of the global disease burden. Hepatitis B is caused by inflammation or infection of liver cells caused by the HBV virus. Pregnant women with hepatitis B can experience increased levels of cytokines which then cause pregnancy disorders. This study aims to examine the effect of pregnancy with hepatitis B on the incidence of preterm birth and Gestational Diabetes Mellitus (GDM). Subjects and Method: This study is a meta-analysis study and a systematic review. The articles used were obtained from several electronic databases including PubMed, Science Direct, Research Gate, and Google Scholar. The articles used in this study were articles that have been published from 2012-2022. The keywords to search for articles are as follows Pregnancy AND (“Hepatitis B” OR HBV OR HBsAg) AND (“pregnancy outcome” OR “fetal outcome”) AND (“preterm birth” OR “preterm delivery” OR premature) AND (“gestational diabetes mellitus” OR GDM). The researched article is a complete text with an observational study design. Articles were collected using the PRISMA diagram, and analyzed using the Review Manager 5.4 application. Results: A total of 14 prospective and retrospective cohort studies were analyzed. Articles were originated from China, Hong Kong, France and Botswana. Hepatitis B in pregnancy increased the risk of preterm birth (aOR=1.20; CI 95%=1.09 to 1.33; p<0.001) and gestational diabetes mellitus (aOR= 1.20; CI 95%= 1.12 to 1.28; p<0.001). Conclusion: Hepatitis B in pregnancy increases the risk of preterm birth and GDM significantly.
Factors Affecting Nutritional Status (Height for Age) of Children Under Five in Rote Ndao District, Kupang, Nusa Tenggara Timur, Indonesia Picauly, Intje; Boeky, Daniela; Oematan, Grouse
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.04

Abstract

Background: Nusa Tenggara Timur (NTT) Province has many problems related to nutritional intake and public health. Pregnant women and children under five are groups of people who are very vulnerable to this problem. Many government programs have been implemented but to date there are still high maternal and infant mortality rates as well as high problems of malnutrition and stunting. This study aimed to determine what factors influence the nutritional status of toddlers in Rote Ndao Regency. Subjects and Method: This was a cross-sectional study conducted in Rote Ndao Regency, Kupang, NTT, Indonesia, from August to November 2023. A total of 43 mothers who had children aged 12-59 months were selected for this study. The dependent variable was nutritional status (height for age/ HAZ). The independent variables were maternal knowledge on nutrition and stunting, history of infectious diseases, and local-food-based supplementary feeding. Supplementary feeding was measured using food frequency questionnaire (FFQ). Nutritional status was measured by height for age. The data were analyzed using a multiple linear regression. Results: Maternal nutritional knowledge (b= 0.37; 95% CI = 0.23 to 0.50; p = 0.001), no history of infection (b= 0.98; 95% CI= 0.72 to 1.24; p= 0.001), and local-food-based supplementary feeding (b= 1.33; 95% CI= 0.71 to 1.96; p= 0.001) positively and significantly increased nutritional status (height for age) in children under five. Conclusion: Maternal nutritional knowledge, no history of infection, and local-food-based suplementary feeding positively and significantly increase nutritional status (height for age) in children under five.
Correlation between Preeclampsia and Infant Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Zuvarcan, Diaz Alifarizki; Putra, David Anggara; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.03

Abstract

Background: Preeclampsia is a pregnancy complication with a triad of symptoms including high blood pressure, proteinuria, and tissue swelling as well as convulsions and coma. Preeclampsia in pregnant women can cause disruption in the supply of nutrients and oxygen to the fetus which can inhibit fetal growth and development (intrauterine growth restriction). In several similar previous studies, there were different variations in results which could be caused by multifactorial factors. This research was conducted to determine the relationship between preeclampsia in pregnant women and low birth weight babies by including confounding factors into the research. Subjects and Method: This was a retrospective case control study at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. A total of 120 live birth infants was selected using purposive sampling. The dependent variable was low birth weight (LBW). The independent variables were pre­eclampsia, maternal age, gestational age, parity, gemelli, anemia, and asthma. Data were collected from medical records of Dr. Moewardi Hospital from January to December 2022. The data were analyzed using a multiple logistic regression. Results: Preeclampsia increased LBW by 7.75 times compared to without preeclampsia, and this was a statistically significant (OR= 7.75; 95% CI= 2.77 to 21.71; p<0.001). In addition, there was a confounding variable of gestational age (OR= 18.47; 95% CI= 6.46 to 52.79; p<0.001). Conclusion: Preeclampsia increases LBW, and this is a statistically significant.
Meta Analysis: Effect of Exclusive Breastfeeding on Child’s Development Dwiantini, Feby; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.05

Abstract

Background: Breast milk contains enough nutritional content for infants aged 0 to 6 months even without additional food. Exclusive breastfeeding has a positive impact on growth and development disorders experienced by babies. This study aimed to analyze and estimate the effect size of exclusive breastfeeding on 5 areas of child development, namely gross motor, fine motor, communication, problem solving and personal social. Subjects and Method: It was a meta-analysis study conducted in accordance to PRISMA flow chart and PICO. Population= children aged 6 months to 5 years. Intervention= exclusive breast­feed­ing. Comparison= non-exclusive breastfeeding. Outcome= child development (gross motor, fine motor, communication, problem solving, and personal social). Articles were obtained from Google Schoolar, Science Direct, and PubMed. Inclusion criterias were cohort study, full text article, and child development measurement using the ages & stages questionnaire. Data analysis was conducted using Revman 5.3. Results: 8 cohort studies from the America, Australia, Europe, Africa, and Asia were selected for meta-analysis. Total sample was 22,048. Exclusive breastfeeding increased child’s development (aOR= 1.07; 95% CI= 1.04 to 1.10; p < 0.001). Exclusive breastfeeding had a positive effect on all five areas of gross motor development (aOR= 1.05; 95% CI= 1.00 to 1.10; p= 0.030), fine motor (aOR= 1.10; 95% CI= 1.02 to 1.18; p= 0.009), communication (aOR= 1.06; 95% CI = 1.01 to 1.11; p= 0.020), problem solving (aOR= 1.12; 95% CI= 1.02 to 1.21; p= 0.010) and personal social (aOR= 1.10; 95% CI= 1.03 to 1.17; p= 0.005). Conclusion: Exclusive breastfeeding significantly increases child’s development.
Effects of Husband Support, Family Income, Employed Mothers, and Antenatal Care Visit on Exclusive Breastfeeding Widiantoro, Reza; Khairunnisa1, Khairunnisa; Furqon, Mashaf Fahrur Murdo; Murti, Bhisma; Handayani, Anggun Fitri
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.06

Abstract

Background: Breastfeeding is advantageous to the infants health. Employed mothers experienced various challenges in providing exclusive breastfeeding. Studies suggest that husband support contribute to lactating mothers efficacy, improves breastfed duration, and reduces risk factors for bottle feeding. This study aimed to estimate the influence of husband's support, income, working mother, and ANC visits on exclusive breastfeeding. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA and PICO model. Population= lactating mothers. Intervention= low husband's support, high income, employed mother, irregular ANC visit. Comparison= high husband's support, low income, unemployed mother, regular ANC visits. Outcome= exclusive breastfeeding. Articles published from 2013 to 2023 were collected from Google Scholar, PubMed, and Science Direct. Literature search using the keywords "family support or husband support" AND "Income" AND "Employment" AND "Antenatal Care Visit" or "ANC Visit" AND "Exclusive Breastfeeding" AND "Cross Sectional". Selected articles were assessed using RevMan 5.3. Results: 18 cross sectional studies from Indonesia, Ethiopia, Somalia, Brazil, Thailand, Taiwan, Jordan, and India were selected for meta-analysis. Total sample was 7,234. High husband's support (aOR= 3.41; 95% CI= 2.36 to 4.91; p= 0.010), regular ANC visits (aOR=1.87; 95% CI= 1.11 to 3.17; p= 0.020) significantly increased exclusive breastfeeding. High income (aOR= 1.11; 95% CI= 0.51 to 2.44; p=0.790) and unemployment mothers (aOR= 1.11; 95% CI= 0.46 to 2.68; p=0.820) increased exclusive breastfeeding, but it was statistically non-significant. Conclusion: High husband support, regular ANC visits, high income, and unemployed mothers increase exclusive breastfeeding.
Assessment of risk factors for Neonatal Abstinence Syndrome (NAS) using a Standardized Surveillance Case Definition in Clark County, NV Bryant, Rachel; Delise, Brandon; Zhang, Ying; Beckford, Niema; Lockett, Cassius
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.07

Abstract

Background: Neonatal Abstinence Syndrome (NAS) is a withdrawal syndrome in neonates that can occur due to drug exposure during pregnancy. This study had two objectives: (1) Assess the implementation of the Council of State and Territorial Epidemiologists (CSTE) Tier 2 case definition for NAS surveillance in Clark County, Nevada and (2) Identify risk factors for NAS. Subjects and Method: This study utilized hospital discharge data. Claim-based records from non-federal acute care hospitals located in Clark County during 2016-2022 were analyzed.  All newborn inpatient discharge records from January 1, 2016 to September 30, 2022 in Clark County, Nevada were selected.  ICD-10-CM codes were utilized based on the CSTE Tier 2 case definition. Any neonate record that met the case definition, including any record with the diagnosis code P96.1, was considered a NAS confirmed case. Codes for suspect cases, maternal history of substance use, unspecified maternal medication, and transmitted noxious-substances were also assessed. A multiple logistic regression model using backward stepwise selection was developed to find risk factors related to NAS-confirmed births. Results: In Clark County, Nevada, the NAS incidence rate from January 2016 to September 2022 was 7.4 per 1,000 births. In 2022 alone, the rate of NAS was 8.9 per 1,000 births. Estimated rates of NAS were highest among neonates who were White at 13 per 1,000 births. Hospital J, the largest academic medical center in Southern Nevada, had the highest NAS confirmed case rate at 11.3 per 1000 newborn hospitalizations. Results from the multiple logistic regression model showed the odds of being born with NAS among neonates who identified as White were 5.0 (OR=5.17; 95% CI= 4.29 to 6.24; p <0.001) times more likely to have NAS compared to the Hispanic group. Conclusion: Given that 2022 had the highest rate of confirmed NAS cases there is a need to collect substance and diagnosis-specific data about prenatal substance use to identify unmet service care and disparities.
Effectiveness of Rose and Jasmine Aromatherapy on The Phase 1 Labor Duration in Intrapartum Mothers at Aisyiyah General Hospital, Kudus, Central Java Asmawati, Lilik; Fatmasari, Diyah; Suwondo, Ari; Widyawati, Melyana Nurul
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.10

Abstract

Background: Unhandled prolonged labor can cause death for the mother and baby. Prolonged labor is caused by inadequate contraction. Uterotonics and aromatherapy can improve the contraction. Rose and jasmine aromatherapy increase oxytocin level and aid the birth process. This study aims to compare the effectiveness of rose and jasmine aromatherapy on duration of labor in women in the first stage of labor at Aisyiyah Hospital Kudus. Subject and Methods: This research was a true experimental study with posttest-only control group design. The number of samples was determined using simple random sampling. The number of samples was 45 respondents (15 rose aromatherapy, 15 jasmine aromatherapy, 15 control). Aromatherapy (1-3%) was given through diffuser for 30 minutes. Each respondent who had prolonged labor was given aromatherapy during first stage of labor, then the duration of labor was measured. The data was analyzed using Kruskal-Wallis test. Results: In the normality test by Shapiro-Wilk test, the value of p=0.006 (p<0.05), which means that the data is not normally distributed. Homogeneity test with the Lavene test yields p=0.044 (p<0.05) which indicates that the variance of data is not homogeneous. Then continued with the Kruskal-Walls test, it was found that there was no significant difference in the effectiveness of giving rose aromatherapy, jasmine aromatherapy and standard treatment on the duration of labor in women with prolonged labor (p=0.104). Conclusion: There was no significant difference in the labor duration in rose, jasmine and control groups.
Newborn Calf Circumference to Identify Low Birth Weight Neonates Atriadewi, Hambrah Sri; Hafidh, Yulidar; Andarini, Ismiranti
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.09

Abstract

Background: The absence of birth weight records for infants remains a prevalent issue in developing countries, including Indonesia. The timely identification of low birth weight (LBW) and premature neonates, particularly those born outside well-equipped healthcare facilities is vital within the critical first 48 hours of life. This study aimed to ssess the potential utility of calf circumference in identifying low birth weight infants. Subjects and Method: A cross-sectional study was conducted on 100 neonates aged between 0 – 48 hours old who were treated at Dr. Moewardi General Hospital, Surakarta from May 2022 to August 2022. The dependent variable was neonates birth weight. The independent variables was calf circumference. Calf circumference was measured using non elastic but flexible measuring tape, with measure­ment precision up to the nearest 0.1 cm. The cut-off point of calf circumference was determined with the ROC curve. Results: Calf circumference significantly correlates with birth weight (p<0.001), with r=0.969. The calf circumference cut-off value of 10.35 cm in LBW had an AUC of 0.99, a sensitivity of 98.0%, a specificity of 98.0%, and a positive predictive value of 98.0%, a negative predictive value of 98.0%. The calf circumference cut-off value was 8.85 cm for LBW neonates, which had an AUC of 0.93, with a sensitivity of 83.9%. specificity 85.7%, positive predictive value 98.7%, negative predictive value 28.6%. Conclusion: Calf circumference in newborns can be used to identify neonates with low birth weight.
The The Role of Lactate Level as Predictor of Mortality Critically Ill Children at Moewardi Hospital Zilmi, Reza Ervanda; Pudjiastuti, Pudjiastuti; Siregar, Rustam
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.08

Abstract

Background: The prevalence of mortality among critically ill children worldwide, particularly in Indonesia, remains alarmingly high. Numerous studies have indicated that elevated lactate levels serve as a significant predictor of mortality in this vulnerable population. The primary objective of this study is to elucidate the predictive value of lactate levels in determining mortality risk among critically ill children. Subjects and Method: A cohort prospective study was conducted in children aged between 1 month and 18 years old who met the criteria for critically ill children treated in the Pediatric High care unit (PHCU) of Dr. Moewardi General Hospital, Surakarta from January to June 2023. The dependent variable was the mortality. The independent variable was lactate level serum. The data were collected using questionnaire and observation sheet. The cut off point of lactate level was determined with  ROC curve. Results: Among thirty critically ill pediatric patients, 43.3% died, while 56.7% survived. The deceased predominantly comprised females, with a mean age of 5.62 years (SD= 4.14). The mean lactate levels of those who died in the first hour, 6 hours, and 24 hours (Mean= 2.94; SD= 0.90) with a cut-off value of ≥2.35 mmol/L, (Mean= 3.20; SD= 0.50) with a cut-off value of ≥ 2.35 mmol/L and (Mean= 3.65; SD= 0.53) with a cut-off value of ≥2.95 mmol/L, respectively. The 24th hours lactate levels (persistence hyperlactatemia) had the highest sensitivity (92.3%) and specificity (100%) for predicting mortality (p<0.001). Conclusion: In critically ill children, lactate level of ≥2.95 mmol/L is a good predictor of mortality.

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