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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. 9 No. 3 (2024)" : 12 Documents clear
Exploring the Drivers of Home Births: Perspectives, Risks, Benefits, and Policy Implications in Zamboanga Sibugay, Philippines Modillas, Marichu B.; Oliva, Dave L.; Opada, Lynne Leah M.; Gallego, Randy Ian
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.04

Abstract

Background: The persistence of home births in the Philippines remains conspicuous, despite the enforcement of policies discouraging this practice and the prevailing concerns about its safety. This research aims to delve into the various perspectives of women concerning home births to describe the underlying motivations behind their choices, their perceptions of the associated risks and benefits, and their stance on the “no home-birthing policy” of the state. Subjects and Method: This was a descriptive, cross-sectional study involving 80 mothers drawn from Malangas, Zamboanga Sibugay, Philippines through a referral-based sampling method. The study examined sociodemographic characteristics as independent variables, while dependent variables included perceived reasons for home birth preference, associated risks and benefits, and respondents' views on the "no home-birthing" policy. Data were described in descriptive statistics. Results: The findings showed that the inclination of women toward giving birth at home without the presence of professional birth attendants emanates from a multitude of factors. These include economic considerations, the sense of a familiar and comfortable environment, deeply rooted cultural beliefs, challenges related to accessibility to health facilities, and geographical impediments. Notwithstanding the inherent health risks, women opt for home births due to cost considerations, improved accessibility, and as a means of expressing their cultural and personal convictions. Consequently, the "no home-birthing policy" implemented in the Philippines is seen to reflect an effort to safeguard maternal and neonatal health by promoting facility-based deliveries. Conclusion: The study underscores the importance of developing a holistic healthcare strategy that harmonizes women's autonomy and cultural practices with the crucial goal of ensuring safe childbirth, especially in marginalized areas.
Maternal Behavior Regarding Nutrition and Eating Culture of Children Under Five in the Stunting Locus Area, Nusa Tenggara Timur Picauly, Intje
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.07

Abstract

Background: Stunting has become a major nutritional problem for children under five in Indo­nesia. Since 2007 until now, the problem of stunting has been detected in Flobamora, including Rote Ndao Regency. The results of the weighing operation in 2023 reported that the prevalence of stunting in NTT province was 21.7%. Measurement data shows that in 2023 there will be 414 babies born, with 38 children experiencing stunting as measured using the baby's birth length. Mother's behavior regarding nutrition and culture of child eating patterns from the time the child is in the womb until the age of under five years plays an important role in shaping the quality of human resources, including preventing the problem of malnutrition, especially stunting. This study aimed to determine the relationship between maternal behavioral factors regarding nutrition and the eating culture of children under five in the stunting locus area, East Nusa Tenggara Province. Subjects and Method: This was a cross sectional study carried out in Mokdale Village, Lobalain District, Rote Ndao Regency, East Nusa Tenggara, Indonesia, from June to August 2023. A sample of 44 children aged 12 to 36 months, consisted of 22 stunted children and 22 normal height children was selected for this study. The dependent variable was stunting. The independent variables were maternal behavior, knowledge, attitude, and feeding practice, child’s eating behavior. The data were analyzed using Chi-square. Results: The incidence of stunting in children increased with maternal behavior regarding poor nutrition (OR = 2.72; 95% CI= 1.25 to 4.19; p= 0.001); maternal knowledge about poor nutrition (OR= 1.13; 95% CI= -1.06 to 2.37; p = 0.060); attitude = mother regarding poor nutrition (OR = 1.74; 95% CI=0.44 to 3.03; p =0.001); maternal actions regarding malnutrition (OR = 3.07; 95% CI = 1.50 to 4.64; p=0.001); and poor eating culture of children under five (OR= 3.03; 95% CI= 0.12 to 3.57; p= 0.001), and these result were statistically significant Conclusion: Maternal behavioral factors regarding good nutrition and good eating culture are closely related and can reduce the chances of problems with the nutritional status of toddlers in the stunting locus area, Lobalain District, Rote Ndao Regency, East Nusa Tenggara Province.
Meta-Analysis the Effect of Postpartum Exercise on Uterine Fundal Height Istiqomah, Anisa Ikhlasani Nur; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.01

Abstract

Background: Postpartum is a period that is at risk of causing complications and often contributes to maternal mortality rates in Indonesia. One of the causes of maternal death is an irregularity in the involution process, resulting in the risk of postpartum hemorrhage. This study aims to analyze and estimate the influence of postpartum exercise on reducing TFU in postpartum mothers. Subjects and Method: This study is a systematic review and meta-analysis. Search for articles through journal databases including: Google Scholar, PubMed, and Springer Link by selecting articles published from 2013 to February 2023. The population in the study was postpartum mothers with intervention in the form of postpartum exercise, comparison in the form of no intervention or no postpartum exercise, and the outcome is a decrease in TFU. The keywords used were (effect OR Influence) AND (“Parturition Gymnastics” OR “Postpartum Gymnastics” AND “fundal height” OR “decline of fundal height” OR “high uterine fundus” OR “Symphysial fundal height” OR “SFH” OR TFU”) AND (postpartum). The inclusion criteria were full paper articles using the Randomized Controlled Trial (RCT) research method, the analysis results used the Mean SD value, the intervention provided was postpartum exercise, the research subjects were postpartum mothers, with an outcome of decreasing TFU. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application. Results: Meta-analysis of 6 articles showed that postpartum exercise has an effect on reducing TFU in postpartum mothers by 0.46 units, which was higher than other interventions or no intervention, but this was not statistically significant. (SMD -0.46; 95% CI= -1.99 to 1.07; p=0.550). Conclusion: Postpartum exercise has an effect on reducing TFU in postpartum mothers.
Meta Analysis of Factors Determining Postnatal Care Utilization Astari, Rahmi Windhy; Wardani, Aulia Ayu Kusuma; Maryana, Dyan; Kurniati, Era; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.02

Abstract

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
The Associations between Parity, Family Income, Residence, and Abortion Incidence: A Meta-Analysis Putri, Annessa Marknalia Sasqia; Soraya, Mira Mashita; Aisy, Jihan Rohadatul; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.03

Abstract

Background: Abortion is a complex and controversial issue found across the country. The decision to terminate a pregnancy involves many aspects in terms of medical, ethical, moral, religious, social, economic, and legal. Understanding the factors that influence the incidence of abortion is critical to developing strategies to effectively address this issue. This study aims to analyze and estimate the magnitude of the effects of parity, family income, and residence with the incidence of abortion. Subjects and Method: Systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: women of childbearing age. Intervention: multipara, high income, and urban residence. Comparison: primapara, low income, and rural residence. Outcome: The incidence of abortion. The basic data used involved Google Scholar, PubMed, BMC, Elsivier, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with observational study design using multivariate analysis that attaches aOR values and is published from 2014-2023. Data analysis using Review Manager 5.3 application. Results: Ten case control studies and nine cross-sectional studies from the Americas, Africa, and Asia were selected for the meta-analysis. Multiparous (aOR= 1.12; CI 95%= 0.54 to 2.34; p= 0.750), high family income (aOR= 0.55; CI 95%= 0.22 to 1.34; p= 0.190), and urban dwellings (aOR= 1.17; CI 95%= 0.88 to 1.55; p = 0.270) increases the risk of abortion in women of childbearing age, but is not statistically significant. Conclusion: Multipara, high family incomes, and urban residences increase the risk of the likelihood of having an abortion in women of childbearing age, but are not statistically significant.
Meta Analysis: Correlations between Age at Menarche, Parity, and Hormonal Contraceptive Use with Breast Cancer in Women of Reproductive Age Hidayati, Khairani Nur; Purnama, Hanif Wildan; Nugrahani, Anna; Murti, Bhisma; Veibiani, Nindita Arum
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.05

Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer death in women worldwide. The implementation of the program in reducing the incidence of breast cancer is focused on prevention based on evidence of risk factors. This study aims to estimate factors that influence the incidence of breast cancer in women of productive age. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: Women of productive age. Interventions: menstruation at ≥13years, parity (multipara) and using hormonal contraceptives. Comparison: menstruation at <13years, parity (nullipara) and not using hormonal contraceptives. Result: breast cancer. The articles used in this study came from 2 databases, namely Google Scholar and BMC. The keywords of the article were "menarche" AND "parity" AND "risk factor" AND "breast cancer". The articles included in this study were full paper articles, used case control study designs, publication year ranged from 2014-2023, and measure of association was in Adjusted Odds Ratio. Articles were analyzed using the Review Manager 5.4 application. Results: Thirteen case-control studies indicated that women who menstruated at ≥13 years old lowered the likelihood of breast cancer by 0.69 times (aOR=0.69; CI 95%= 0.57 to 0.84; p= 0.001). Eleven case-control studies indicated that multiparous parity lowered the likelihood of breast cancer by 0.49 times (aOR=0.49; CI 95%= 0.34 to 0.72; p= 0.001). Eleven case-control studies indicated that using contraception increased the likelihood of breast cancer by 1.47 times (aOR=1.47; CI 95%= 1.12 to 1.93; p= 0.006). Conclusion: Menstruation age <13 years old, parity (nullipara) and use of hormonal contraceptives are predictors in breast cancer cases in women of productive age.
Effects of Pregnancy Planning, Complication, and Social Support on Depression in Pregnant Women Rosid, Sultonnur; Umar, Alwan Dhafi; Putra, Gilang Pamungkas Ardi; Murti, Bhisma; Handayani, Anggun Fitri
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.09

Abstract

Background: Depression is a mental symptom that arises with symptoms of loss of spirit, mood swings, and disruption of daily activities. Symptoms of depression are commonly experienced by pregnant women, but symptoms of depression can be treated and prevented. Recognizing the causes or determinants of depression in pregnant women is important to prevent the onset of depressive symptoms. This study aimed to estimate the effect of planning, complications, and social support on depression in pregnant women. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used are between 2017 and 2023. Population = pregnant women. Intervention = Poor planning, complications, low social support. Comparison= Good planning, no complications, high social support. Outcome = Depression. Articles are compiled from databases such as Google Scholar, PubMed, and Science Direct. Literature search using the keywords "Planned" OR "Unplanned" AND "Complication" AND "Social Support" AND "Depression" AND "Cross Sectional". A total of 19 articles met the inclusion criteria for the meta-analysis, and were further assessed using RevMan 5.3. Results: Meta-analysis using a cross-sectional study design of 16 primary study articles from Ethiopia, Greece, Portugal, Germany, Iceland, Sri Lanka, China, Nigeria, Tanzania, and Kenya with a total sample of 7234 subjects showed that poor planning (aOR= 1.89; CI 95%= 1.56 to 2.30; p< 0.001); pregnancy complications (aOR=2.00; CI 95%= 1.72 to 2.32; p< 0.001); Symptoms of depression improved in pregnant women and these results were statistically significant. Low social support (aOR= 1.24; CI 95%= 0.75 to 2.05; p< 0.400) increased depressive symptoms in pregnant women but was not statistically significant. Conclusion: Poor planning, pregnancy complications, and low social support increase depressive symptoms in pregnant women.
What is the Evaluating the Roles of Lifestyle, Genetics, and Menstrual Cycle in Polycystic Ovarian Syndrome: A Meta-Analysis Pramukawati, Dian Ayu; Ayu Rachmawati, Rulita; Levi Rismawati, Normalia; Murti, Bhisma; Mar'atul Munawaroh , Siti
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.08

Abstract

Background: The WHO in 2023 reports that polycystic ovary syndrome (PCOS) has affected about 8–13% of women of reproductive age. Some studies report that lifestyle, hormones, and genetics are one of the risk factors for PCOS. This study aims to analyze and estimate the magnitude of the effects of obesity, smoking, irregular menstruation, and having a family history of PCOS with the incidence of PCOS in women of childbearing age. Subjects and Method: Systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: women of childbearing age. Intervention: obesity, smoking, irregular periods, and a family history of PCOS. Comparison: Normal BMI, no smoking, regular periods, and no family history of PCOS. Outcome: PCOS. The basic data used involves Google Scholar, PubMed, BMC, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with observational study design using multivariate analysis that attaches aOR values and is published from 2013-2024. Data analysis using Review Manager 5.3 application. Results: Five primary studies were used to analyze obesity with PCOS. Women with obesity had 2.49 times the risk of developing PCOS compared to non-obese (OR= 2.49; CI 95%= 1.59 to 3.88; p < 0.001). Five primary studies were used to analyze smoking with PCOS. Women with smoking habits have a risk of developing PCOS 1.42 times compared to nonsmokers (OR= 1.42; CI 95%= 1.04 to 1.95; p= 0.03). Ten primary studies were used to analyze irregular periods with PCOS. Women with irregular periods had a 3.32 times risk of developing PCOS compared to regular periods (OR= 3.32; CI 95%= 2.77 to 3.97; p < 0.001). Eleven primary studies used for analysis had a family history of PCOS with PCOS. Women with a family history of PCOS had a 2.94 times higher risk of having PCOS than no family history of PCOS (OR= 2.94; CI 95%= 2.11 to 4.09; p < 0.001). Conclusion: Obesity, smoking, irregular periods, and a family history of PCOS increase the risk of PCOS in women of childbearing age.
Hypothermia Management in Newborns Artificial Intelligence Based: Systematic Review Rahmawati, Ika; Widyawati, Melyana Nurul; Kurnianingsih, Kurnianingsih; Walin, Walin
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.12

Abstract

Background: Hypothermia in newborns that is not treated properly will lead to respiratory failure and death. Hypothermia in newborns is 4 times more dangerous than hypothermia in adults. Care in the delivery room plays an important role in it. Neonatal service technology in the delivery room must be responsive, able to monitor and effective. Artificial intelligence can help determine management as needed. This study aims to analyze and examine the management of hypothermia in newborns based on artificial intelligence using the systematic review method. Subjects and Method: This study is a systematic review with PICO including: (1) Population: newborns; (2) Intervention: artificial intelligence; (3) conventional hypothermic treatment; (4) Artificial intelligence is feasible to be used in the management of neonatal hygiene.  The databases used are Google Scholar, PubMed, Science Direct, and Proquest. The inclusion criteria include fulltext in Indonesian and English with the study subject  of newborns with hypothermia. The exclusion criteria for this study are articles published under the last five years. Results: A total of 9 articles show that the existence of artificial intelligence can provide feedback support in the prevention of hypothermia efficiently and facilitate effective treatment. Conclusion: Hypothermic prevention feedback with artificial intelligence Fuzzy logic can save time and facilitate appropriate treatment.
Effectiveness of Childbirth Education and Hypnobirthing Assistance in Improving Labor Outcome Himawati, Yulia; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.06

Abstract

Background: Childbirth education and assistance with hypnobirthing is an autohypnosis technique, namely an effort to instill positive intentions through suggestion into the soul or subconscious mind during pregnancy and preparation for childbirth. This study aims to analyze the effectiveness of childbirth education and assistance with hypnobirthing in improving childbirth outcomes. Subjects dan Methode: The Randomized Controlled Trial (RCT) study was conducted at the Pratama D'Maryam Clinic, Yogyakarta from August to December 2023. A total of 154 pregnant women were selected for this study. Dependent variables are anxiety, depression, complications, and delivery time. The independent variables are childbirth education and assistance with hypnobirthing. Therapy is given 2 times a week with a duration of 3 hours. The study instrument is a questionnaire. Data analysis used Independent T-Test. Results: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women (Effect Size= 1.22; p<0.001), reducing depression levels (Effect Size= 1.19; p<0.001), and shortening labor time (Effect Size= 0.08; p = 0.016). Conclusion: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women, reducing depression levels, and shortening labor time.

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