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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 10 Documents
 1 
Search results for , issue "Vol. 9 No. 5 (2024)" : 10 Documents clear
The Efficacy of Melatonin in Neonatal Sepsis with Respiratory Distress: A Randomized Controlled Study Hidayah, Dwi; Nur Irfani Agita
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.03

Abstract

Background: Neonatal sepsis is a significant condition worldwide, contributing to high morbidity and mortality, especially in developing countries such as Indonesia. Neonatal sepsis can rapidly progress to respiratory distress. Melatonin, an effective antioxidant and free radical scavenger, may be an adjuvant therapy. This study aimed to evaluate the efficacy of melatonin in neonatal sepsis with respiratory distress. Subjects and Method: A double-blind randomized controlled study was conducted on 42 neonatal sepsis with respiratory distress diagnosed with clinical and laboratory criteria. The subjects were randomly allocated into treatment and control groups, receiving a single dose of oral melatonin 20 mg and a placebo, respectively. The dependent variables were improvement of suplementation in oxygenation and ventilator, outcome, and hospital length of stay. The independent variables was suplementation melatonin The oxygen supplementation and ventilation support were measured at baseline and 72 hours after therapy. We analyzed all data with SPSS 25 using independent t test and determined the significance level at p < 0.050.              Results: Seven of the 21 subjects in the treatment group experienced decreased oxygen supplemen­tation and ventilation support, which was statistically significant (p = 0.009). While the outcome for both groups was the same proportion, it was statistically not significant (p = 1.000). Conclusion: Melatonin administration significantly decreased oxygen supplementation and ventilation support.
A Child Stunting Against Acute Respiratory Infections in Developing Countries: A Scoping Review Fadhila, Akbar Kholish; Rahfiludin, Mohammad Zen; Suyatno, Suyatno
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.04

Abstract

Background: Acute Respiratory Infections (ARIs) are a leading cause of morbidity and mortality among young children, particularly those who experience stunting. This study aims to map the factors associated with ARIs in stunted toddlers using a scoping review methodology. Subjects and Method: This scoping review was conducted using data obtained from PubMed Central. The target population included toddlers with stunting and ARIs. A search was performed using the keywords "stunting AND acute respiratory infections AND toddler," yielding 712 articles, which were narrowed down to 8 relevant articles after applying a 10-year time frame. The factors influencing ARIs in stunted toddlers were categorized into five groups: (1) environmental and sanitation factors, (2) nutritional factors, (3) socio-economic factors, (4) co-infections, and (5) genetic and biological factors.       Results: The factors influencing ARIs in stunted toddlers were categorized into five groups: (1) environmental and sanitation factors, (2) nutritional factors, (3) socio- economic factors, (4) co-infections, and (5) genetic and biological factors. ARIs and stunting are interrelated through various complex factors. Conclusion: A multidisciplinary approach is essential to enhance access to healthcare services, improve nutritional education, and address sanitation conditions, with the goal of reducing the prevalence of ARIs and stunting in toddlers, thereby supporting optimal growth.
Exploring the individual experiences of women facing cervical cancer: a study on sexual life changes, emotional responses, and physical adaptations Kurniasih, Dwi; Goretik, Maria; Siskawati, Siskawati
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.02

Abstract

Background: Cervical cancer is one of the significant cancers in the female reproductive organs, namely the cervix. Diagnosis and treatment of cervical cancer not only affect physical health, but also psychologically and socially, especially in the context of sexual life. Physical and emotional changes that arise from treatments such as chemotherapy and radiotherapy can significantly affect women's sexual function, cause anxiety, and change the dynamics of interpersonal relationships. Subjects and Method: This study uses a qualitative approach with a descriptive phenomenological design. Data collection was conducted through in-depth interviews with five cervical cancer patients undergoing treatment at the Dr. Soedarso General Hospital, Pontianak. Data were analyzed using a thematic analysis approach to identify key themes in the experiences of changes in sexual life, emotional responses, and physical adaptation of the participants. Results: The results of the study showed that cervical cancer patients experienced various changes in their sexual lives after undergoing treatment. The main challenges faced were physical discomfort that leads to difficulty in achieving sexual satisfaction, diversion of sexual activities to meet the needs of partners, and complex emotional responses such as anxiety, depression, and feelings of hopelessness. Physically, adaptation to changes such as persistent fatigue and digestive changes were also significant problems. Conclusion: This study highlights the importance of comprehensive psychosocial support in caring for women with cervical cancer, including a holistic approach that considers physical, emotional, and interpersonal aspects. The findings also highlight the need for better sexual health education for patients and their partners, as well as the important role of families in providing adequate support. By better understanding the experiences of women with cervical cancer, it is hoped that their care and overall quality of life can be improved.
Determinants of Pregnancy Complications in Indonesia (Analysis of Indonesian Health Survey 2023) Bella Safhira; Nurmalia Ermi
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.01

Abstract

Background: Data from the Central Bureau of Statistics (2020) shows that MMR in Indonesia reached 189 deaths per 100,000 live births, which is higher than in countries in Southeast Asia such as Malaysia, Brunei, Thailand, and Vietnam. Maternal deaths are often caused by complications during pregnancy and childbirth, most of which are preventable or treatable (WHO, 2020). This study aims to identify factors that influence the occurrence of pregnancy complications in Indonesia Subjects and Method: This type of research is analytical observational with a cross-sectional study design. The target population was women aged 10-54 years who had given birth in Indonesia. The total sample of this study was 50,221 respondents. The dependent variable studied was pregnancy complications, and the independent variables were age, mother's education level, employment status, mother's region of residence, parity, multiple pregnancy, antenatal care (ANC) frequency, and ANC examination components. Data were obtained through direct interviews and the MCH book then analyzed using the Complex Sample method.              Results: Maternal age (aOR= 1.23; 95% CI= 1.11 to 1.36; p<0.001), maternal education (aOR= 0.90; 95% CI= 0.81 to 0.99; p= 0.038), maternal occupation (aOR= 0.88; 95% CI= 0.80 to 0.96; p= 0.008), maternal area of residence (aOR= 0.73; 95% CI= 0.66 to 0.81; p <0.001), multiple pregnancies (aOR= 1.83; 95% CI= 1.19 to 2.80; p= 0.005), and ANC (aOR= 1.17; 95% CI= 1.06 to 1.29; p= 0.001) were statistically significantly associated with pregnancy complications. Conclusion: To reduce the risk of pregnancy complications, pregnant women are strongly advised to regularly perform ANC visits and ultrasounds according to the latest regulations and conduct pregnancy examinations according to the 10T standard. Mothers with multiple pregnancies must ensure adequate nutritional intake due to higher nutrition needs.
THE The Relationship Between Hemoglobin Levels of Pregnant Mothers and Low Birth Weight at Dr. Moewardi Regional Hospital Surakarta Liandoro, Otniel; Fikritama, Aisya; Sekarhandini, Pitra; Vidya, Pridania
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.05

Abstract

Background: Anemia is one of the nutritional problems commonly encountered in pregnant women. The World Health Organization (WHO) states that approximately 37% of pregnant women worldwide experience anemia. This condition reduces the amount of oxygen and nutrient supply available in the mother's blood, which can disrupt the development and growth of the fetus. The growth disturbances in the fetus can be evaluated through anthropometric examinations, such as measuring the birth weight of the baby. This study aims to determine the relationship between hemoglobin levels in pregnant women and the incidence of low birth weight. Subjects and Method: A cross-sectional study was conducted at Dr. Moewardi Regional Hospital in Surakarta from May to July 2024. A total of 68 pragnant women selected for this study. The dependent variable was newborn baby weight. The independent variable was hemoglobin levels of pregnant women in the third trimester. The data obtained from patient medical records. The data analyzed using a multiple logistic regression.    Results: Low Hb levels (anemia) increase the incidence of LBW. Pregnant women with low Hb levels (anemia) have a 2.30 times greater risk of experiencing LBW compared to pregnant women with normal HB levels, but this result was not statistically significant (OR= 2.30; 95% CI = 0.14 to 38.63; p = 0.563). Conclusion: Low Hb levels increase the incidence of LBW, but it is not statistically.
Comparison of Preeclampsia Rates in Pregnant Women with Mild vs. Moderate-to-Severe Systemic Lupus Erythematosus Permana, Sandi Putra; Adrianes, Muhammad Bachnas; Aryoseto, Lukman; Yuliantara, Eric
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.07

Abstract

Background: Preeclampsia is one of the leading causes of maternal mortality in Indonesia and is often associated with autoimmune conditions, such as Systemic Lupus Erythematosus (SLE). Therefore, this study aimed to compare the proportion of preeclampsia in pregnant women with mild and moderate-severe SLE. Subjects and Method: This cross-sectional design conducted in RSUD Dr. Moewardi. The population consisted of pregnant women with SLE treated at RSUD Dr. Moewardi between 2021 and 2023. A total of 77 pregnant patients with SLE selected from this study. The dependent variable was preeclampsia. The independent variable was pregnant women with SLE. This study utilized tools and materials in the form of medical record data from the Obstetrics and Gynecology Department at Dr. Moewardi Hospital, Surakarta. Data were analyzed using bivariate analysis with SPSS software and Fisher’s exact test tests. Results: A total of 77 subjects who met the inclusion criteria. Subjects with moderate-severe degrees had preeclampsia 28.6% (n = 4). While subjects with mild degrees experienced preeclampsia 20.6% (n = 13). There was no significant relatoionship between the degree of systemic lupus erythematosus activity and preeclampsia (p = 0.496). Conclusion: This study showed no significant association between the degree of systemic lupus erythematosus activity and preeclampsia.
Comparison of Pregnancy Loss Proportions Between Pregnant Women with Mild and Moderate-Severe Systemic Lupus Erythematosus Dinda Husna Azalia Soesetyo; Muhammad Adrianes Bachnas; Lilik Wijayanti; Abdurahman Laqif
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.06

Abstract

Background: Pregnancy in systemic lupus erythematosus (SLE) patients is considered high-risk due to potential negative impacts on both the mother and fetus, such as pregnancy loss. One of the factors influencing pregnancy loss in SLE patients is increased lupus activity and antiphospholipid syndrome (APS). This study aimed to evaluate the relationship between pregnancy loss and SLE disease activity levels. Subjects and Method: This cross-sectional study conducted at Dr. Moewardi Hospital. The population consisted of pregnant women with SLE treated at RSUD Dr. Moewardi between 2021 and 2023. A total of 81 pregnant patients with SLE selected through purposive sampling. The dependent variable was pregnancy loss. The independent variable was pregnant women with SLE. This study utilized tools and materials in the form of medical record data from the Obstetrics and Gynecology Department at Dr. Moewardi Hospital, Surakarta. Data were analyzed using bivariate analysis with SPSS software and Fisher’s exact test tests. Results: A total of 81 respondents meeting the inclusion criteria were included, consisting of 66 pregnant women with mild SLE activity and 15 pregnant women with moderate-to-severe SLE activity. There was no significant relationship between the degree of systemic lupus erythematosus activity and pregnancy loss (p =0.723). Conclusion: There is no significant association between pregnancy loss and the degree of systemic lupus erythematosus activity, whether mild or moderate-severe.
Relationship Between Pregnancy Anemia and Depression in Postpartum Mothers: Systematic Review Wijayanti, Poppy; Bainuan, Lina Darmayanti; Yuliana, Nur Aida
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.10

Abstract

Background: Anemia is one of the most significant global public health problems that affects a person's physical and mental abilities. Geography, lifestyle, and diet influence the prevalence of anemia in pregnant women, which is estimated to range from 14 to 80% in different countries (WHO, 2019. This study aims to analyze the relationship between pregnancy anemia and the incidence of depression in postpartum mothers. Subjects and Method: Systematic Review using the PRISMA diagram in the RevMan 5.3 application. Database searches from PubMed, Scopus, Wiley Online Library, and Science Direct were conducted in 2022-2024, and can be accessed for free, with the search terms "Anemia in pregnancy" OR "Low level of hemoglobin in pregnancy" AND "depression". Results: A total of 6 articles that were selected from 432 quantitative articles based on inclusion and exclusion criteria, showed that there was a significant relationship between gestational anemia and the incidence of depression in postpartum mothers. However, some articles have not shown a significant association between pregnancy anemia and postpartum depression. Conclusion: Although there are studies that have not significant results, the administration of blood supplement tablets and monitoring of Fe intake in pregnant women for the prevention of anemia is important because there is a 50% chance of causing depression and other consequences during and after childbirth.
A Path Analysis of Social Cognitive Theory Implementation in Exclusive Breastfeeding Rismawati, Normalia Levi; Pamungkasari, Eti Poncorini; Novika, Revi Gama Hatta
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.09

Abstract

Background: Choosing exclusive breast milk is the best decision made by mothers for the health of mothers and babies, breast milk is the best nutrition for babies in the first 6 months of life. This study aims to identify how Social Cognitive Theory (SCT) factors through self-efficacy, outcome expectation, modeling, and reinforcement in maternal decision-making to determine the choice of exclusive breastfeeding and the success of exclusive breastfeeding. Subjects and Methods: This study uses a cross sectional study approach. The target population is mothers who have children aged 0-6 months in 12 health centers in the Boyolali Regency area. A total of 256 study samples were determined using the Purposive Random Sampling technique. The dependent variable is the selection of exclusive breast milk. The independent variables are self-efficacy, outcome expectation, modeling, reinforcement. Data were collected through questionnaires and multivariate analysis using pathway analysis techniques and using STATA 17. Results: The results of the pathway analysis showed that the selection of exclusive breast milk was directly influenced by self-efficacy (OR= 2.22; CI 95%= 1.22 to 4.02; p=0.009) and strengthening (OR= 5.06; CI 95%= 2.81 to 9.14; p<0.001). The selection of exclusive breast milk was indirectly influenced through self-efficacy by modeling (OR= 1.74; CI 95%= 1.00 to 3.02; p=0.050), outcome expectation (OR= 2.66; CI 95%= 1.55 to 4.56; p<0.001). Influenced by strengthening by outcome expectations (OR= 2.98; CI 95%= 1.70 to 5.23; p<0.001). Conclusion: The choice of exclusive breastfeeding is directly influenced by self-efficacy and strengthening. It is also indirectly influenced by modeling and outcome expectations
The Differences in Characteristics of Preeclampsia Before and During The COVID-19 Pandemic: Systematic Review Kusuma, Rahayu; Aditiawarman, Aditiawarman; Atika, Atika
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.08

Abstract

Background: The COVID-19 pandemic has entered Indonesia since 2020 and has become a global pandemic. In the pre-pandemic period, Preeclampsia was one of the main causes of death of pregnant women in Indonesia. During the COVID-19 pandemic, the mortality rate of pregnant women and childbirth due to preeclampsia has the possibility of an increase. The cause of preeclampsia in pregnant women is not yet known. Early detection of risk factors and early treatment of preeclampsia are not carried out quickly and appropriately due to social restrictions due to the pandemic. Subject and Method: This study is a systematic review literature review conducted on selected databases (PubMed, Science Direcet, Unair Repository) with a publication year between 2017 and 2022. Literature uses Indonesian and English. The literature included was literature with cohort, cross sectional, and case control methods. The quality assessment of the literature was carried out using the EPHPP (Effective Public Health Practice Project). Results: There were no significant differences in Preeclampsia characteristics i.e. age at pregnancy, parity, and BMI in both periods before and during the COVID-19 pandemic. However, differences were found that only existed in the period during the COVID-19 pandemic, namely comorbid diseases and previous history of preeclampsia Conclusions: In the period before and during the COVID-19 pandemic, pregnant women with preeclampsia did not show differences in outcomes in characteristics, but in the history of comorbid diseases and previous history of preeclampsia.

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