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Journal of Maternal and Child Health

thejmch
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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 374 Documents

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Burnout among Indian Maternity Care Providers during COVID-19 Pandemic Paul, Sayanti; Joycerani, D; Upadhyaya, Mansi; Sanyal, Poushali; Pal, Arghya
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Occupational burnout among healthcare providers has been a matter of focus since many years. Burnout can involve emotional and physical exhaustion and cause reduced acknow-led

Teenage Pregnancy in Malang: The Analysis on Stunting Incidence in Toddler Aged 24-59 Months Setyarini, Didien Ika; Triningsih, Reny Wahyu; Aryani, Hening Ryan
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a chronic malnutrition problem characterized by short stature. Stunting toddlers are generally susceptible to disease, have a below normal level of intelligence and low productivity. The high prevalence of stunting in the long term will have an impact on economic losses for Indonesia, which one of the causes of it is early pregnancy. The aim of this study was to described teenage pregnancy with the incidence of stunting in 24-59 months toddlers. Subjects and Method: This research was a cross-sectional study. Sampling was carried out by a two-stage cluster sampling method using purposive sampling. 96 stunted toddlers were obtained. The dependent variable was mother's age at first pregnancy. The independent variable was stunting incidence. Data was collected using questionnaire data, body length, and weight measurements. Data were analyzed with descriptive analysis using SPSS Statististic 20. Results: 51.6% stunted toddlers were born by <20 years old mother at the time of first pregnancy. Almost all stunted toddlers were in the moderate stunting category (92.5%). 65.6% stunted toddlers didn’t get exclusive breastfeeding. 5.4% of 7.5% severe stunted toddlers were born by < 20 years old- mother at the time of first pregnancy. Conclusion: Pregnancy in teenager, when the mother herself is still growing, increases the risk of stunting. Stunting can also occur due to the lack of breastfeeding. It is necessary to make efforts to mature early marriage because it has an impact on unfavorable outcomes. Keywords: 24-59 months, pregnancy, stunting, teenage, and toddlers. Correspondence:Didien Ika Setyarini. Department of Midwifery, Poltekkes Kemenkes Malang. Jl. Besar Ijen No. 77C Malang 65119, East Java, Indonesia. Email:didien_ika@poltekkes-malang.ac.id. Mobile:08164- 296003

Difference Of Fetal Weight Between Conventional vs Electric Smoke Exposure in Mice (Mus Musculus) Kusumastuti, Nurry Ayuningtyas; Haeriyah, Siti; Susilowati, Yuni
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The increase in tobacco excise rates (CHT) or cigarette excise in early 2020 is a reason for smokers to switch to using e-cigarettes. WHO reports that about 64.9% of adult men in Indonesia are smokers, while in women it is 2.1%. This shows that Indonesia is ranked first in the world. Exposure to e-cigarettes and conventional cigarettes will affect pregnancy and the fetus it contains. However, in reality, most people have the perception that e-cigarettes are safer than conventional cigarettes because their nicotine content is much lower than conventional cigarettes. The purpose of this study was to analyze differences in exposure to e-cigarettes and conventional cigarettes on fetal weight in mice (mus musculus).Subjects and Method: This study used a true experimental design which was divided into two groups, namely 16 female mice as a group given exposure to e-cigarettes and 16 female mice as a group being exposed to conventional cigarettes. The dependent variable is the weight of the fetus. The independent variables were exposure to e-cigarettes and conventional cigarettes. The instrument in this study used a digital gold scale with an accuracy of 0.01 gram. Data were analyzed using the Mann Whitney test.Results: On average, exposure to e-cigarettes had a greater fetal weight (Mean= 1.61; SD= 0.64) than exposure to conventional cigarettes (Mean= 1.48; SD= 1.19), and this result was statistically significant (p < 0.001).Conclusion: There are differences in exposure to e-cigarettes and conventional cigarettes on fetal weight in mice (Mus musculus).

The Effectiveness of Fish Oil and Ginger Drink in Reducing Dysmenorrhea: A Meta Analysis Novitasari, Isnaini; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Dysmenorrhea causes 34-50% of women to be unable to work in the workplace and 40% of adolescent girls are absent from school. Fish oil and ginger are used as alternatives to NSAIDs, because although the use of NSAIDs is effective in reducing dysmenorrhea pain, they have side effects that are harmful to health after long-term conventional therapy. This study aims to estimate the magnitude of the effect of fish oil and ginger in reducing dysmenorrhea in women of reproductive age. Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct, ProQuest, Springer Link, and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT). The study subjects are women of productive age. The treatment given was the consumption of fish oil or ginger with a placebo comparison, dysmenorrhea assessment using standardized measuring instruments such as VAS, Cox, questionnaires, etc. Articles published in English. The PICO Research Problem are population= women of reproductive age, intervention= fish oil or ginger, comparison= placebo, and outcome= dysmenorrhea. The study was assessed using an effect size (Standardized Mean Difference). Meta analysis was performed using RevMan 5.3 with Random Effect Model. Results: A total of 14 articles were reviewed in a meta-analysis in this study. Meta-analysis of 6 articles showed that fish oil reduced dysmenorrhea pain in women of reproductive age higher than placebo (Standardized Mean Difference= -1.06; 95% CI= -1.76 to -0.36; p= 0.003). Meta-analysis of 8 articles showed that ginger reduced dysmenorrhea pain in women of childbearing age more than placebo (Standardized Mean Difference= -0.77; 95% CI= -1.26 to -0.27; p=0.002). Conclusion: Fish oil and ginger are effective in reducing dysmenorrhea pain in women of reproductive age.

Maternal Age Correlates with Stunting in Children: Systematics Review Astuti, Fardhiasih Dwi; Azka, Arlina; Rokhmayanti, Rokhmayanti
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Teenage mother should be ready for the consequences to come. It is important to get prepared both mentally and economically. A teenage mother and her offspring are at risk of malnutrition and stunting. This study aims to analyze the correlation between maternal age and the incidence of stunting based on published articles. Subjects and Method: A systematic review was conducted to find the correlation between maternal age and the incidence of stunting. The research was conducted by seeking into the database by using PubMed, Ebsco, Google Scholar, and SpringerLink. The keywords used were "risk factor" OR “determinant” AND “stunting” AND "young maternal age" OR "adolescent mother*" OR "teen mother*" OR "adolescent pregnancy" OR "teen pregnancy" AND "logistic regression" OR “multivariate”. The obtained articles underwent screening and conformity assessment. Articles that met the criteria were subsequently extracted. Results: 1,048 articles were discovered from PubMed, Ebsco, Google Scholar and SpringerLink databases and 9 of them were included in the review. The articles were from Turkey, Tanzania, Pakistan, Ghana, Uganda, Burundi, 2 articles were from Ethiopia, and 1 article covered Brazil, Guatemala, India, Philippines, and South Africa. The prevalence of stunting in each region from the obtained articles showed a variation from 13.8% - 79.5%. It discovered the correlation between maternal age during pregnancy and incidence of stunting that pregnant women under the age of 20 were at greater risk for stunting compared to women aged ≥ 20 years (OR 1.37 – 7.56). Women at a younger age were at greater risk of having stunting children. Conclusion: The correlation between maternal age during pregnancy and stunting indicates that the younger the mothers, the higher the risk for stunting. The risk for stunting will decrease with the increasing maternal age at the time of delivery. Keywords: adolescence, stunting, teenage mothers, maternal age Correspondence: Fardhiasih Dwi Astuti. Jl. Prof. DR. Soepomo Sh, Warungboto, Umbulharjo, Yogyakarta, Special Region of Yogyakarta. Email: Fardhiasih.dwiastuti@ikm.uad.ac.id.

The Effectiveness of Hypnobreastfeeding and Marmet Techniques in Improving Breast Milk Production Rusmilawaty, Rusmilawaty; Hapisah, Hapisah; Rafidah, Rafidah
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast milk as a natural food is the best food that a mother can give to a newborn child. Judging from the factor of peace of mind and mind to produce good breast milk, the mental condition and mind must be calm. The psychological state of the mother who is depressed, sad, stressed, anxious, depressed and tense will reduce the volume of breast milk. One of the methods that can be done to increase milk production is Hypnobreastfeeding and marmet technique.The purpose of this study was to examine the effectiveness of hypnobreastfeeding and marmet techniques in increasing breast milk production. Subjects and Method: This study used a quasi-experimental design with a non-equivalent control group design. The population in this study were pregnant women ≥36 weeks in the Banjar District Health Center in 2019 (Aranio, Astambul and Mataraman). The sample of the study was 45 pregnant women ≥36 weeks consisting of 3 groups, namely the group that received hypnobreastfeeding treatment, the group that received the marmet technique treatment and the group that did not get the treatment consisted of 15 people each. Bivariable analysis used the one way anova statistical test. Results: Breast milk production in the hypnobreasfeeding group Hypnobreastfeeding vs control group (mean= 2.00; SD= 0.50; p= 0.001); The marmet technique vc marmet technique group (mean= 1.87; SD= 0.50; p= 0.002). The marmet technique vc control group (mean= -18.7; SD= 0.50; p= 0.002). Conclusion: Pregnant women should get hypnobreasfeeding during pregnancy and after giving birth, health workers, especially midwives, to have hypnobreasfeeding skills.

Meta-Analysis: Effect of Endometriosis and Intrauterine Device Contraceptive on Ectopic Pregnancy Habibatullah, Afifa Intifadha; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Ectopic pregnancy is an early complication of pregnancy with high morbidity and mortality. Several studies have examined a history of endometriosis and Intrauterine Device Contraceptive (IUD) use as risk factors for ectopic pregnancy, but have shown mixed results. This study aims to analyze the influence of a history of endometriosis and IUD use on the incidence of ectopic pregnancy based on previous primary studies. Subjects and Method: This was a systematic review and meta-analysis conducted with the PRISMA flow diagram guidelines. The article search process was carried out on the PubMed, Google Scholar, Science Direct, SAGE, JSTOR, and Scopus databases, for articles published from 2005 to 2022. The keywords used were: “Endometriosis” AND “Intrauterine Contraceptive Device” OR “Intrauterine Device” OR “IUD” OR “IUCD” AND “Ectopic Pregnancy” OR “Extrauterine Pregnancy” OR “Tubal Pregnancy” OR “Pregnancy Outcomes” OR “Pregnancy Complications” AND “Multivariate” OR “Multivariable” OR “Adjusted Odds Ratio” OR “aOR ". Analysis was performed with RevMan 5.3 software. Population: pregnant women of reproductive age. Intervention: endometriosis, using the IUD. Comparison: no endometriosis, no IUD use. Outcome: ectopic pregnancy. Inclusion criteria were full-text observational study articles in English and Indonesian, with ectopic pregnancy as the outcome, analyzed multivariately by including adjusted Odds Ratio/aOR. The analysis was carried out using Review Manager 5.3 software. Results: A total of 11 articles from Asia, Europe, Africa, Australia, and North America were found to meet the criteria and were included in the meta-analysis. The results of the overall analysis of 4 articles consisting of 2 cohort studies and 2 case-control studies were that endometriosis increased the risk of ectopic pregnancy 1.39 times higher than without endometriosis (aOR = 1.39, 95% CI = 1.16-1.68; p < 0.001). The results of the analysis of 7 case-control study articles showed that the use of IUDs increased the risk of ectopic pregnancy 1.35 times compared to not using the IUD and was not statistically significant (aOR = 1.35, 95% CI = 0.45-4.03; p = 0.590). Conclusion: Endometriosis is a risk factor for ectopic pregnancy. IUD use increased the risk of ectopic pregnancy but was not statistically significant. Keywords: endometriosis, intrauterine device contraceptive, ectopic pregnancy, meta-analysis. Correspondence: Afifa Intifadha Habibatullah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: alfimakrifatulazizahh@gmail.com. Mobile: +6285375335480.

The Differences of Women’s Sexual Drive Condition between Triclofem and Cyclofem Users Syabani, Sekar Arum Aisyah; Santoso, Budi; Annas, Jimmy Yanuar
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Various factors contribute to changes in the condition of a woman's sexual drive, one of which is the use of hormonal contraception. The majority of women of childbearing age use the injectable hormonal contraceptive method to prevent pregnancy. The injection method of contraception consists of two types, namely triclofem and cyclofem. However, until now it is not known with certainty the difference in sexual drive between triclofem and cyclofem contraception users. The purpose of this study was to compare the value of total sexual drive in users of triclofem and cyclofem contraception. Subjects and Method: A cross-sectional study was conducted in October 2022 at PMB Maria, Tambaksari District, Surabaya City. A total of 152 subjects were selected in this study. The dependent variable is sexual drive, the independent variable is the use of triclofem and cyclofem contraception. Data were analyzed using the Mann-Whitney test. Results: There was a significant difference between the mean sexual drive for users of triclofem contraception and the mean sexual drive for users of cyclofem contraception, namely users who were ?35 years old (p= 0.001), worked (p= 0.020), and had used contraception >2 years (p = 0.004). Contraceptive users aged <35 years (p=0.415), not working (0.082), and duration of contraceptive use ?2 years (p=0.578) showed no significant difference between the mean sexual drive of Triclofem contraceptive users and the mean sexual drive in users of cyclofem contraception. Conclusion: There was a significant difference between the condition of sexual drive in contraception users of triclofem and cyclofem only in users with characteristics of age ?35 years, working, and having used contraception for >2 years. Also, users of triclofem contraception show lower sexual drive than users of cyclofem contraception. Keywords: sexual drive, contraceptive users, triclofem, and cyclofem. Correspondence: Sekar Arum Aisyah Syabani. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java. Email: sekar.arum.aisyah-2019@fk.unair.ac.id. Mobile: +6281385876519.

The Effect of Traditional Games (Congklak) on Cognitive and Fine Motor Development in Children Under Five Rukmini, Rukmini
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: In theory, games can be used as a stimulus for optimizing brain development in children under five. Traditional game may be useful to improve brain development. This study aimed to analyze the effect of traditional games (congklak) on cognitive and fine motor development in children under five. Subjects and Method: This was a quasi-experiment study with pre and post-test design conducted at Gembong Sawah, Surabaya, East Java, in February 2021. A total of 33 childrens under five was selected by random sampling. The dependent variable were cognitive and fine motor development. The independent variable was traditional game (congklak). The data were collected by a set of questionnaire and analyzed by Wilcoxon. Results: Cognitive development on children under five was higher after intervention (Mean= 34.72; SD= 6.07) than before (Mean=26.88; SD= 6.12) and it was statistically significant (p<0.001). Fine motor development in children under five (Mean= 24.58; SD= 3.96) was higher than before (Mean=18.52; SD= 4.61) and it was statistically significant (p<0.001). Conclusion: Traditional game (congklak) effectively improves cognitive and fine motor development among children under five.

The Effectiveness of Gym Ball and Ambon Banana Consumption Against Menstrual Pain Reduction in Teenagers Hidayah, Nur; Fatmawati, Rizka
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: There are many ways to eliminate or reduce pain, both pharmacologically. Non-pharmacological pain management is safer to use because it does not cause side effects like drugs, because non-pharmacological therapy uses physiological processes. Research Objectives The purpose of this study was to analyze the effectiveness of the Gym Ball and bananas on the reduction of menstrual pain in adolescents. Subjects and Method: A quasi research without a control group was conducted at SMP N 23 Surakarta, Central Java, from April to September 2019. A sample of 46 students was selected by accidental sampling. The dependent variable is menstrual pain. The independent variable is gymball and the provision of ambon bananas. Pain scale was measured by a verbal rating scale questionnaire. Data were analyzed by paired t-test. Results: Pain scores after treatment (Mean= 0.76; SD= 0.60) were lower than before treatment (Mean= 1.93; SD= 0.39), and were statistically significant (p= 0.001). Conclusion: There is an effect of gym ball and banana consumption to reduce menstrual pain.

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