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INDONESIA
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. 4 (2024)" : 12 Documents clear
The Nutritional Status of Breastfeeding Mothers and Breastfeeding Adequacy in Indonesia: A Systematic Review Rachmadiani, Ainindya Pasca; Nadhiroh, Siti Rahayu
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.02

Abstract

Background: One of the basic capitals for the formation of quality human beings is the consump­tion of breast milk. The amount of breast milk produced is highly dependent on the mother's diet. This study aimed to identify the relationship between the nutritional status of breastfeeding mothers and breast milk adequacy in Indonesia. Subjects and Method: This was a systematic review using PICO model to formulate the research question. Population= breastfeeding mothers. Intervention= adequate BMI and MUAC. Comparation= poor BMI and MUAC. Outcome= breast milk adequacy. The database used is Google Scholar with keywords “Anthropometry” OR “BMI” OR “Breastfeeding mothers” OR “breast milk adequacy” OR “Indonesia”. There were 10 cross-sectional studies and 2 cohort studies published in 2011-2023 that met the inclusion criteria. Results: There is mostly a relationship between the nutritional status of breastfeeding mothers as measured by BMI and MUAC with the adequacy of breast milk. Conclusion: The adequacy of breast milk can be influenced by the nutritional status of the mother while breastfeeding. The nutritional status of breastfeeding mothers is no less important than the nutritional status of pregnant women so that risks such as stunting do not occur.
Analysis of Influential Factors on Postnatal Care Utilization: A Community-based Cross-sectional Study in Kwadaso Municipality, Ghana Owusu, Sarah Boafowaa; Bonney, Richard Abeiku; Safo, Kwame Sarkodie; Abudey, Samuel; Adu, Randolph Baah; Dassah, Edward Tieru
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.01

Abstract

Background: Postnatal care is central to maternal well-being as it averts cognitive complications and illnesses that come from childbirth. Non-utilization of postnatal care hinders initiatives aimed at improving maternal morbidity and mortality because postnatal care is an essential component of those initiatives. This study sought to determine factors associated with the utilization of postnatal care services among mothers in Kwadaso Municipality. Subjects and Method: Community-based cross-sectional study to assess the factors associated with utilization of postnatal care services among mothers in Kwadaso Municipality. A multistage sampling technique was used to recruit 568 women for the study. The dependent variable was mothers' utilization of postnatal care (PNC). The independent variable was demographic characteris­tics of mothers, socio-economic status, educational level, accessibility to healthcare facilities, know­ledge of PNC Services, and awareness of PNC services. The data were collected using a structured questionnaire, the data obtained were analyzed using STATA version 14.0, and the variables were analyzed using the chi-square test and multiple logistic regression and p=0.050 was considered statistically significant. Results: The mean age was 20-25 years 22.4 (SD=3.7 years) and 55.5% were married. The level of knowledge of the mothers on postnatal care services was 71.8% and 82.3% of the subjects knew postnatal period is more dangerous to the lives of mothers and their babies. The unadjusted odds of women who were married (OR= 2.11; 95% CI= 0.86 to 7.46; p=0.042), with two children (OR=4.17; 95% CI= 0.03 to 5.30; p= 0.025), earned GHC 500.00 monthly (OR= 3.47; 95% CI= 0.26 to 5.73; p=0.038), or delivered at the hospital (OR= 3.18= 95%CI= 0.02 to 8.06; p=0.014) were statistically significantly higher in women who were not married, had more than or less than four children, earned less than GHC 500.00 or delivered at other places aside the hospital. Conclusion: This study contributes to the ongoing discourse on maternal health and underscores the importance of evidence-based interventions to improve the health and well-being of mothers and infants.
The The Relationship Between Infant Birth Weight, Gestational Age, and Hyperbilirubinemia Incidence in Neonates Steve, Cornelius; Hidayah , Dwi; Nugroho , Irfan Dzakir; Putra, Andhika Trisna
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.12

Abstract

Background: Neonatal hyperbilirubinemia is an occurrence where a serum bilirubin value of 5-10mg/dL is obtained and is characterized by jaundice in newborns. This occurrence can be influenced by several factors, one of which is the birth weight of the baby <2,500 grams which is called Low Birth Weight (LBW). The incidence of LBW can be influenced by maternal age, infections that occurred before pregnancy, and one of them is gestational age LBW it self is one of the most critical health problems in various countries. Therefore, researchers are interested in finding the relationship between infant birth weight and gestational age with the incidence of neonatal jaundice. Subjects and Method: This was a cross-sectional study conducted in Rumah Sakit Umum Daerah Dr. Moewardi on Surakarta. The subjects of this study were 89 neonates who were included in the criteria. The population of this study were neonates with hyperbilirubinemia. Sampling was carried out retrospectively using patient medical records from January to December 2021, using purposive sampling technique. The dependent variable was incidence of hyperbilirubinemia. The independent variables were low birth weight and gestational age. The data were then processed using SPSS version 26 and analyzed using the chi-square test. Results: LBW and preterm increased the incidence of neonatal hyperbilirubinemia in neonates. Infants with LBW increased neonatal hyperbilirubinemia by 2.34 times compared to adequate birth weight, and this result was statistically significant (OR = 2.34; 95% CI = 1.58 to 3.47; p<0.001). Preterm infants increased neonatal hyper­bilirubinemia by 2.55 times compared to term, and this result was statistically significant (OR = 2.55; 95% CI = 1.68 to 3.58; p <0.001). Conclusion: There is an important correlation between infant birth weight and gestational age with the incidence of hyperbilirubinemia in neonates in the perinatology room at Rumah Sakit Umum Daerah Dr. Moewardi, Surakarta.
Maternal self-efficacy and life satisfaction among mothers of children on the autistic spectrum disorder (ASD) and mothers of children with typical development Greenbank, Alicia; Menzin, Daniela
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.04

Abstract

Background: The purpose of the present study is to examine the relationship between maternal self-efficacy and life satisfaction among mothers of children on the autistic spectrum disorder (ASD) and mothers of children with typical development. The research hypotheses were about the relationship between the maternal self-efficacy and the satisfaction with life, and about the differences in the maternal self-efficacy and the satisfaction with life between the two groups of mothers. Subjects and Method: The sample consisted of 125 mothers, of which 61 were mothers of children with ASD and 64 were mothers of children with typical development. The mothers answered two online questionnaires: a life satisfaction questionnaire and a maternal self-efficacy questionnaire. Results: The research findings indicated a positive relationship between the maternal self-efficacy and the life satisfaction, so that mothers who reported a higher level of maternal self-efficacy showed higher satisfaction with their lives. Also, differences were found in the life satisfaction between the two groups of mothers: mothers of children with typical development reported a higher satisfaction with life. Contrary to expectations, no differences were found in the maternal self-efficacy between the two groups of mothers. Conclusion: The uniqueness of the study is in the examination of the experience of mothering children with ASD among mothers in Israel, in light of the scant research literature on this subject. In addition, the current study examines the relationship between two important areas: the maternal self-efficacy and the life satisfaction, a relationship about which there is little research both in the context of mothers in general and in the context of mothers of children with ASD in particular. The research findings also have an applied contribution - the findings may help multi-professional teams develop awareness of the experience of mothering a child with ASD, the need for support and accompaniment for mothers and collaborative work with them.
Maternal Death Self-Risk Perception as a Predictor of Women’s Delivery Site Preferences in Ile-Ife, Nigeria Esan, Oluwaseun; Grace Okonta, Uchechi; Samuel Oladapo, Oluwaseun; Phillip Gbolade, Adetomiwa; Adebayo Oyewole, Tesleem
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.03

Abstract

Background: Increased uptake of health facility delivery could improve the worsening maternal mortality in low and middle-income countries. Several factors that determine women’s preferred delivery site had been reported in the literature, but none had explored women’s self-perception of maternal death as a predictor of their delivery site, hence this study. Subjects and Method: A cross-sectional study of 183 women recruited serially at the immuni­za­tion clinic of two primary health facilities in Ile-Ife, Nigeria. Data was obtained using an interviewer-administered questionnaire. Their maternal death self-risk perception score by type of delivery site was determined with a minimum and maximum obtainable score of 7 and 35. Descriptive and inferential statistical analysis was done including a simple and multiple binary logistic regression. Results: The mean age of the respondents (Mean= 29; SD= 5.26).  About 130 (71.0%) of the women delivered at a health facility. The majority of the women (91.8%) were aware of maternal death, while 32 (17.5%) feared death in their last pregnancy, with a mean maternal death self-risk perception score ((Mean= 24.96; SD= 2.69) (95% CI= 24.55 to 25.33)). The higher the maternal death self-risk perception score, the greater the odds of a facility-based delivery (AOR=1.40, 95% CI=1.20 to 1.64, p<0.001). However, alongside other confounding variables, only a facility-based ANC registration (AOR= 607.52, 95% CI= 1.39 to 2.66*105, p=0.039) and women’s personal reasons (AOR=0.02; 95%CI= 0.01 to 0.51; p=0.018) significantly influenced delivering at a health facility and non-health facility respectively.   Conclusion: The place of ANC registration and personal reasons such as the women’s influential decision-makers better predicted their eventual delivery site. Nonetheless, the development and standardization of maternal death self-risk perception criteria for women is encouraged.
Maternal Perception of COVID-19's Potential Impact on the Development of Children Born During the Pandemic Laughlin, Emma; Clinch, Caroline; Ballback, Rachel; Ghulmi, Lima; Hilton, Claudia
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.06

Abstract

Background: COVID-19 impacted the world population through isolation and social distancing recommendations, which affected new mothers’ participation in social interactions. Social inter­action is a critical aspect of child development that was limited due to the COVID-19 pandemic. This study aimed to answer the question, “What are the maternal perceptions of the potential impact of social measures during the COVID-19 pandemic on the development of children born during the pandemic?”             Subjects and Method: This qualitative research is important to explore the potential impact of COVID-19 on the maternal perception of child development during the pandemic. Five online interviews were conducted with mothers who gave birth to their first child between March 2020 and March 2021. Open, axial, and selective coding were utilized to identify relevant themes. Results: Participants felt gross and fine motor skills, cognition, and socioemotional skills were not impacted by COVID-19, but there was a perceived impact on language and communication skills. Conclusion: The perceived decrease in language and communication skills due to social distancing measures of COVID-19 was congruent with the initial hypothesis: “Delayed language and communi­cation skills are a concern identified by mothers of children born during the pandemic”. 
Analysis of Prophylactic Antibiotic Administration in BPJS-Covered Patients Undergoing Caesarean Section at Husada Utama Hospital, Surabaya Alfarendra, Muhammad Daffa; Indrayanti, Mufida; Yulia, Rika; Herawati, Fauna
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.11

Abstract

Background: Considering the importance of the rational use of antibiotics to prevent the develop­ment of antibiotic resistance, especially in surgical patients who are at risk of developing Surgical Site Infections (SSI). A study will be conducted to evaluate the use of antibiotics in caesarean section patients at Husada Utama Hospital Surabaya. Subjects and Method: This study uses a descriptive observational research design with a retrospective data collection approach on patients who underwent either emergency or elective caesarean section (CS) on January – may 2024 at Husada Utama Hospital Surabaya. The variables in this study are the antibiotic use patterns of CS patients, which include the type of antibiotics used, the antibiotic dosage, the duration of antibiotic administration, the amount of antibiotic use measured by the DDD/100 bed days method and DU90%, the appropriateness of antibiotic use according to the national formulary and hospital antibiotic guidelines, the response time for CS surgery, and the risk of developing surgical site infection (SSI). The sample for this study consisted of patients who underwent either emergency or elective CS surgery at the Husada Utama Hospital Surabaya from January to May 2024. Results: From January to May 2024, 69 samples were analysed. These included 65 patients undergoing elective caesarean sections and 4 patients undergoing emergency caesarean sections with a response time of <30 minutes. The antibiotics used were cefazolin 2 g and ceftriaxone 1 g, administered intravenously over 30-60 minutes. Antibiotic consumption was measured using the DDD/100 bed days method and DU 90% segment. The amount of cefazolin used was 26.50 DDD/100 bed days and the amount of ceftriaxone used was 0.96 DDD/100 bed days. Cefazolin was the most commonly used antibiotic in all types of surgery, accounting for 95.65% of the DU 90% segment. Antibiotic use 95.65% was in accordance with PPAB guidelines and Ministry of Health regulations in terms of type, dosage and route of administration. There were no surgical site infections during the study period. Conclusion: Ninety five percent of antibiotic use in caesarean section patients in the hospital is in accordance with the type of antibiotic recommended in the antibiotic use guidelines, which is cefazolin. The use of the broad-spectrum antibiotic ceftriaxone is 0.96 DDD/100 bed days. The programme to control antimicrobial resistance in the obstetrics and gynaecology unit, especially regarding the prophylactic use of antibiotics, is effective.
Qualitative Analysis of Pregnant Women with Preeclampsia at Muhammadiyah Ahmad Dahlan Hospital, Kediri Respati, Laras Laxita Winda; Indasah, Indasah; Puspitasari, Yenny
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.05

Abstract

Background: Together with bleeding and infection included in the deadly triad, gestational hyper­tension affects 5-10% of pregnancies worldwide. Pre-eclampsia itself causes more than 70,000 maternal deaths and 500,000 fetal deaths. This study aimed to find significant predisposing factors that cause preeclampsia. Subjects and Method: Qualitative study with a phenomenological approach conducted at Muhammadiyah Ahmad Dahlan Hospital. The informants in this study were 15 pregnant women with preeclampsia. The focus of this research is to explore the predisposing factors for preeclampsia in pregnant women There are 4 research focuses related to pregnant women with preeclampsia, namely: (1) demographic data of pregnant women; (2) obstetric history; (3) nutrition; and (4) family health history. Data collection was carried out using interview techniques. The data collection were collected by interview techniques. Results: Pregnant women with preeclampsia were mostly housewives or low socio-economic, old and too young, obese, had families with a history of hypertension, were pregnant with different husbands. All of this can be detected using the preeclampsia screening sheet. Conclusion: Preeclampsia screening is performed periodically, to identify and diagnose the condition early, to allow for more careful monitoring and effective disease management.
Factors Affecting Age of Menarche: A Cross-Sectional Aisy, Jihan Rohadatul; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.07

Abstract

Background: Early menarche or first menstruation has been associated with increased risk of breast cancer and cardiovascular disease. Understanding the factors that influence the age of menarche is very important to provide promotive and preventive actions that can be carried out by schools and families. This study aims to analyze the factors that influence the age of menarche. Subjects and Method: This study used an observational analytical study with a cross-sectional design. The subjects in this study were 125 female students at 5 public elementary schools in Malang City, East Java, Indonesia. The dependent variable was the age of menarche. The independent variables were nutritional status (BMI), stress, parenting patterns, and parenting pattern dominance. Data analysis used univariate, bivariate, and multivariate models with multiple linear regression methods. Results: Age of menarche decreased with stress (b = -0.50; 95% CI = -0.70 to -0.29; p <0.001), BMI ≥25 (b= -9.00; 95% CI = -16.75 to -1.25; p = 0.023), authoritarian parenting style (b = -1.05; 95% CI = -1.53 to -0.58; p<0.001), and the dominance of parenting patterns by single parents or guardians (b= -4.92; 95% CI = -9.42 to -0.42; p = 0.032). The age of menarche was higher in adolescents with a lower BMI than a normal BMI (b = 4.78; 95% CI = 1.20 to 8.36; p = 0.009). This multiple linear regression analysis model showed moderate model suitability with an Adj R-Squared value of 46.81%. Conclusion: Multiple linear regression analysis showed a relationship between stress factors, authoritarian parenting patterns, dominant parenting patterns, and BMI with a decrease in the age of menarche which was statistically significant.
The Impact of Social Support, Intimate Partner Violence, and Pregnancy Plans on Antenatal Depression: A Meta-Analysis Study Putri, Dominika Risnanda Alfinsia; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.08

Abstract

Background: Antenatal depression is a type of depression that occurs during pregnancy and affects about 20% of pregnant women. This study aims to analyse the effects and estimate the magnitude of the effects of social support, intimate partner violence and pregnancy status on the incidence of antenatal depression with a meta-analysis. Subject and Method: The meta-analysis was performed using a PRISMA flowchart and a PICO model. Population: pregnant women. Intervention: strong social support, experiencing violence by intimate partners, and planned pregnancy status. Comparison: weak social support, no violence by intimate partners, and unplanned pregnancy status. Outcome: antenatal depression. The online databases used are Google Scholar, Hindawi, PubMed, Science Direct, Scopus, and ResearchGate. There were 17 cross-sectional studies published in 2018-2023 that met the inclusion criteria. Analysis was done with RevMan 5.3. Results: Meta-analysis was conducted on 17 cross-sectional studies from Australia, Thailand, Nepal, Bangladesh, Nigeria, Ethiopia, Rwanda, Norway, and Jamaica. Sample size = 11,517 study subjects. The risk of antenatal depression increases with intimate partner violence (aOR= 2.13; CI 95%= 1.65 to 2.74; p<0.001). The risk of antenatal depression decreased with strong societal support (aOR= 0.47; CI 95%= 0.38 to 0.58; p<0.001) and planned pregnancy (aOR= 0.45; CI 95%= 0.24 to 0.84; p=0.01). Conclusions: The risk of antenatal depression increases when there is intimate partner violence, decreases if social support is obtained and pregnancy is planned.

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