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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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Meta-Analysis the Effect of Hormonal Contraception on Sexual Disfunction in Injection and Oral Contraceptive Acceptors Sumiyati, Sumiyati; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: One of the factors that cause sexual dysfunction is the use of hormonal contraception. The hormone progesterone in contraceptives functions to thicken cervical mucus. In addition, the hormone progesterone also facilitates the conversion of carbohydrates into fat so that one of the side effects is causing body weight to increase and reducing sexual arousal which causes an effect on sexual desire. This study aimed to analyze the effect of the use of injectable hormonal contraception and pills on the incidence of sexual dysfunction using a meta-analysis study. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flowchart diagram. The process of searching for articles was carried out with a range of 2011-2022 in the Google Scholar, PubMed, Science Direct, Researchgate and Springerlink databases. The keywords used in the article search are “hormonal contraceptive” AND “oral contraception” OR “pills contraceptive” AND “injectable contraceptive” AND “sexual dysfunction” AND “cross-sectional”. The inclusion criteria are full text articles with cross-sectional study design, articles using English, multivariate analysis with Adjusted Odds Ratio. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a cross-sectional study design originating from Iran, Indonesia, Malaysia, Ethiopia, Egypt, Washington, Sweden and Polan were meta-analyzed in this study. A meta-analysis of 7 articles showed that there was an effect of using injectable hormonal contraception on the incidence of sexual dysfunction 1.66 times compared to those not using injectable contraception, but this was not statistically significant (aOR= 1.66; 95% CI= 0.65 to 4.26; p= 0.290). Meanwhile, 7 articles showed that women using oral contraceptives had a 1.42 times risk of experiencing sexual dysfunction compared to not using oral contraceptives and this was statistically significant (95% CI= 1.04 to 1.92; aOR= 1.42; p= 0.030). Conclusion: Injectable hormonal contraceptives show that there is an effect on the incidence of sexual dysfunction, but statistically this relationship is not significant. Hormonal contraceptive pills showed an effect on the incidence of sexual dysfunction and was statistically significant. Keywords: sexual dysfunction, injectable contraceptives, oral contraceptives, meta-analysis. Correspondence:Sumiyati. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mia.azizi.ma@gmail.com. Mobile: +6282282246211.

The Effect of Kangaroo Mother Care on Increasing the Body Weight in Infants with Low Birth Weight: A Meta-Analysis Handayani, Anggun Fitri; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low Birth Weight (LBW) is a condition of babies born weighing <2,500 grams regardless of gestational age. Stabilization of the general condition is an important thing to do during the treatment period, there are several treatments for LBW babies, namely standard care with an incubator, monitoring nutritional intake and doing kangaroo mother care. This study aims to analyze the effect of kangaroo mother care on weight gain in LBW infants, with a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: infants with low birth weight. Intervention: Kangaroo Mother Care. Comparison: Conventional Method Care. Outcome: weight gain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “kangaroo mother care” AND “weight gain” OR “growth” AND “neonatal outcome” AND “low baby weight infants” OR “skin to skin contact” OR “kangaroo care” OR “kangaroo method” AND “Randomized Controlled Trial” OR “RCT”. The articles included are full-text English and Indonesian with a study design of a Randomized Controlled Trial from 2007 to 2020 and reporting on the Mean and SD in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 11 randomized controlled trials from India, Nepal, Pakistan, Bangladesh, Malaysia, Kenya, and Egypt were selected for a systematic review and meta-analysis. The data collected showed that kangaroo mother care increased the weight of LBW infants and was statistically significant (SMD= 1.05; 95% CI= 0.56 to 1.54; p<0.001). Conclusion: Kangaroo mother care increases weight in LBW babies.

Examining the Relationship between Vaping and Smoking among Texas High School Students Odeyemi, Joseph Olufemi
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Over the last decade, e-cigarettes have grown in popularity, surpassing cigarettes as the most widely used tobacco product among adolescents. Current evidence suggests that using e-cigarettes (vaping) is less harmful than smoking cigarettes; however, vaping has been linked to severe health consequences and an increased likelihood of transitioning to cigarettes. The upward trend of vaping is infrequently studied in concert with the prevalence of cigarette smoking. The objective of this study is to explore the prevalence of e-cigarette use and to assess potential associations with cigarette smoking among Texas adolescents.Subjects and Method: This study analyzed data on the prevalence of vaping and cigarette smoking among high school students from the 2019 Texas Youth Risk Behavior Survey (YRBS), a cross-sectional survey with a sample size of 2032. Participating schools were selected using a multi-level cluster sampling technique and variables of interest were measured using a stan-dardized self-administered questionnaire. The t-test and chi-square tests were used to determine significance of associations between estimates.Results: Almost one in five respondents (18.7%) reported vaping. Non-Hispanic White students (p< 0.001), bisexual students (p < 0.001) and students in the higher grades were more likely to report e-cigarette use. Overall, cigarette smoking appeared to be on the decline in contrast to e-cigarette use and there was a positive association between cigarette smoking and vaping (p < 0.001).Conclusion: The high prevalence of vaping among Texas high school students is a call to action. Halting the upward trend of e-cigarette use is a priority as these products predispose adolescents to significant morbidity.

Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital Rathod, Pallavi Anil; Jadhao, Avinash Namdeo; Barapatre, Amit Ramesh
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Blood transfusion is a life-saving procedure, but inappropriate use of blood and its components in obstetric emergencies, especially in cases of massive bleeding, increases the risk of morbidity and mortality. The aim of this study was to describe the determinants of blood and blood components in obstetrics in a tertiary care hospital with indications for transfusion for different components during the study. Subjects and Method: A Prospective Observational study was carried from May 2018 to December 2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. The independent variables are sociodemographic characteristics, parity, mode of delivery, education, hospital level, while dependent variables are frequency of obstetric transfusion. Frequency of transfusion of blood and its components obtained from case file of patient. The other data were collected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eighteen months period was done. Qualitative data were presented as frequency and percentages and analysed using the chi-square test. Results: During the whole study 366 of obstetric admission required transfusion of blood and its components. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most common indications for blood product transfusions followed by Accidental Haemorrhage (30%), Caesarean section (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemorrhage’s (13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retained placenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the most common type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%). Conclusion: : In obstetric emergencies, correct diagnosis and management of emergencies, A pre- planned, multidisciplinary protocol yields excellent effects in the management. Keywords: blood transfusion, pregnancy, anaemia, obstetric emergencies Correspondence: Avinash N. Jadhao. Associate Professor, Department of Biochemistry Seth GSMC & KEMH Parel Mumbai 400012, India. Email: avinashjadhao@kem.edu. Phone no.91 7718971066.

Effect of a National Nutrition Communications Campaign on Stunting Awareness and Promotion of Exclusive Breastfeeding Behavior among Rural Indonesian Mothers Moffat, Ryan Craig; Sayer, Alexis; Hawks, Megan; DeCook, Kiersten; Traub, McKayla; Linehan, Mary; Dearden, Kirk; Rachmi, Cut Novianti; West, Josh; Crookston, Benjamin; Hall, Cougar
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting affects 37% of Indonesian children and has lifelong consequences for the affected child. Childhood stunting can be prevented by promoting exclusive breastfeeding (EBF) and helping mothers overcome barriers to EBF. This study aimed to examine the effect of a National Nutrition Communications Campaign (NNCC) on stunting awareness and promotion of exclusive breastfeeding behavior among rural Indonesian mothers. Subjects and Method: Data came from interviews and a cross-sectional survey of 1,740 mothers with children under the age of 2 in three Indonesian districts, from November 2015 to March 2018. Measures included exposure to two different NNCC interventions: multi-media messages (media) and interpersonal communication strategies (IPC) and associations with stunting knowledge, breastfeeding knowledge, and breastfeeding perceptions/intentions. The data were analyzed by a multiple logistic regression. Results: Exposure to NNCC was positively associated with knowledge toward EBF (OR= 1.56; 95% CI= 1.10 to 2.19; p= 0.043), awareness of the importance of nutrition during the first 1000 days of life (OR= 1.90; 95% CI= 1.43 to 2.52; p<0.001), and having heard of stunting (OR= 1.93; 95% CI= 1.41 to 2.63; p<0.001). Exposure to IPC was positively associated with knowledge toward EBF (OR=1.78, CI95% 1.37 to 2.30, p<0.001), awareness of the importance of nutrition during the first 1000 days of life (OR= 3.02; 95% CI= 2.40 to 3.80; p<0.001), knowledge of EBF benefit to prevent stunting (OR= 3.05; CI 95%= 2.33 to 3.98; p<0.001), and having heard of stunting (OR= 3.15; CI 95%= 2.49 to 3.98; p<0.001). Exposure to IPC was a significant predictor of an intention to engage in EBF (p <0.050). Conclusion: These findings point to practical recommendations for national level social and behavior change communication efforts. Future campaigns should aim to be inclusive of: 1) mass media (television, radio, billboards, and social media) to promote health as these efforts provide for wide exposure while maintaining impact; and 2) IPC (face-to-face communications, classes, and support groups) as these efforts increase knowledge and impact on behavior, beliefs and intentions.

Effect of Stunting Education Counseling with Booklet Media on Parental Knowledge and Attitude As an Effort to Overcome Stunting Triatmaja, Dendy; Lestari, Keri; Setiabudiawan, Budi
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is developmental disorders experienced by children due to poor nutrition, repeated infections, and inadequate psychosocial stimulation. The problem of stunting in children under five shows an average rate of 35.3% in West Java. Stunting is a problem because it is associated with an increased risk of disease and death, suboptimal brain development, which results in delayed motor development and stunted mental growth. Jamika sub-district has a high prevalence of stunting under five in West Java, which is 23.7%. Pharmacists as Agents of Change can also optimize their role by providing information and education on stunting prevention. Subjects and Method: This study uses a design Pretest-posttest control group design at the Posyandu, Jamika Village, from February to April 2022. The total sample in this study was 30 people who were taken from mothers who had toddler 0-24 months of age. Samples were obtained by simple random sampling. The dependent attitudes of parents. The independent variable was knowledge. The data that has been collected is then analyzed using chi square test and odds ratio (OR). Results: Good knowledge increased the attitude of parents in efforts to overcome stunting at Posyandu, Jamaika village. Parents with good knowledge increased attitude by 1.40 times to have a positive attitude in efforts to overcome stunting, and this result is statistically significant (OR= 1.40; 95% CI= 0.87 to 2.23; p= 0.008). Conclusion: There was a relationship between good knowledge with attitude of parents as an effort to overcome stunting in the Posyandu, Jamika village with booklet media. Keywords: stunting, booklet, knowledge, attitudes, parents. Correspondence:Dendy Triatmaja. Master of Clinical Pharmacy Study Program. Universitas Padjadjaran. Jl. Raya Bandung Sumedang KM 21, Jatinangor 45363. Email: dendy20001@unpad.ac.id. Mobile: 082250888878.

Correlation Between Parenting Styles During The COVID-19 Pandemic with The Level of Personal Social Development of Preschool Children (3-6 Years) Harahap, Rahmaini Fitri; Manullang, Marito; Butar-Butar, Nurul Hajah; Nurfida, Nurfida
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The golden period (Golden Age) is the maturation of psychic and physical functions that respond to environmental stimuli and incorporate them into their personality. Child development is an important aspect that must be optimized in preschool, especially in the personal social aspect. Parenting patterns greatly determine the social activities of children in their development stage. This study aims to see the relationship between parenting patterns during the COVID-19 pandemic with the level of social development of preschool children (3-6 years). Subjects and Method: This research is an analytical observational study with a cross sectional design at Ummi Erni Kindergarten Pematang Johar on Friday, November 19, 2021. 30 subjects were selected by the total sampling method. The dependent variable is the level of child development. The independent variable is parenting. Data were analyzed by chi-square test. Results: From 30 subjects, it can be seen that there are 25 positive parenting styles with normal child development (83.3%), negative parenting patterns with suspected child development as many as 5 people (16.7%). This study shows that there is a significant relationship between parenting patterns and personal social development of preschool children (3-6 years) (p < 0.001). Conclusion: Parenting patterns are related to the personal social development of preschool children (3-6 years) at Ummi Erni Kindergarten, Pematang Johar Village.

Rising Trends of Cesarean Section in Bangladesh: Associated Factors and Long-Term Complications on Health of Mother and Children Hossain, Md. Altaf; Jahan, Ishrat; Haque, Mohammad Mozibul; Sarwar, Nazmul; Yeasmin, Nilufa; Islam, Dilshad
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: With taking into consideration of the high cesarean section (CS) rate, the objectives of this study were to ascertain factors associated with and point out metamorphose complications with high CS rates in Bangladesh. Subjects and Method: A cross-sectional study accounted for data collection from rural (196) and urban (241) women who gave birth to babies between 2005 and 2018 in Chattogram, Bangladesh. The study subjects were selected by using a systematic random sampling technique and the sample size was determined by using web-based Raosoft software. The delivery modes were dependent variables whereas influential factors and complications related to delivery were independent variables. The data were collected through face-to-face interviews using a pre-structured questionnaire. The height and weight of the participants were measured by using a stadiometer and weighing machine respectively. Data analysis was done by using regression analysis. Results: The results divulged that mingling of relative influence and doctor’s profit-making tendency, obstetric factors, and demand from a family with higher socioeconomic status contributed to the recent increased cesarean rate in urban areas (41.5%). The distended abdomen in mothers (OR= 5.11, 95% CI= 2.98 to 8.76) was strongly associated with CS (p< 0.05), and back pain, and urinary incontinence were about one and half times higher in CS mothers. However, miscarriage and pelvic organ prolapse were associated with decreased risks of CS. Postnatal complications include cold fever (OR= 11.95, 95% CI= 7.02 to 20.35), and pneumonia (OR= 5.79; 95% CI= 2.71 to 12.36) were highly prevalent in children with cesarean delivery. Conclusion: Cesarean section has become alarmingly increased in urban rather than rural areas of Bangladesh in recent decays. Awareness-raising, doctor commitment, government policy, and strict monitoring of private health facilities are needed to control high rates of cesarean delivery. Keywords: cesarean delivery; vaginal delivery; demographic factors; obstetric factors; postpartum complications. Correspondence: Md. Altaf Hossain, Department of Animal Resources Science, Sunchon National University, Suncheon, Jeollanam-do, South Korea. Telephone: +8201098532108; Email: altaf@cvasu.ac.bd

Prenatal Diagnosis and Management of Advanced Abdominal Pregnancy in Dr. Moewardi Hospital Surakarta: A Case Series Akbar, Uchti; Anggraini, Nutria Widya Purna; Yuliantara, Eric Edwin; Bachnas, Muhammad Adrianes; Ridwan, Robert; Sulistyowati, Sri
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The abdominal pregnancy is a pregnancy anywhere in the abdominal cavity other than the tube, ovary, and broad ligament. Abdominal pregnancy has 7.7 times greater risk than tubal pregnancy and 90 times greater than intrauterine pregnancy. This study aims to reveal the diagnosis and treatment of abdominal pregnancy in Dr. Moewardi Hospital Surakarta. Subjects and Method: This was a case series study conducted at Dr. Moewardi Hospital Surakarta. This study report three cases of advanced abdominal pregnancy at Dr Moewardi Hospital (2019 – 2020), that consisted of two cases of advanced abdominal pregnancy to term, and one advanced abdominal pregnancy with acute abdomen. Case presentation: Case 1 (it was found abdominal pregnancy at 30 weeks), the condition of the mother and the fetus was good, the pregnancy was continued until the gestational age was term. The patient was given corticosteroids for lung maturation and magnesium sulfate for neuroprotection. Case 2 (an abdominal pregnancy was found at term), it was decided to immediately terminate it with good preoperative preparation. Both patients in case 1 and case 2 had good result in both the mother and the fetus. The placenta was left in situ in both cases to prevent massive bleeding and injury to the gastrointestinal organs. Case 3 (advanced abdominal pregnancy with acute abdominal symptoms) decided to undergo an emergency laparotomy and removal of the placenta. Conclusion: Abdominal pregnancy must be diagnosed and managed properly to reduce maternal mortality and morbidity. In advanced abdominal pregnancy, it could be considered to continue the pregnancy until the term. The placenta management of in situ without methotrexate might be considered in cases of abdominal pregnancy.

Quality of Life in Children with Nephrotic Syndrome at Dr. Moewardi Hospital Kartawijaya, Andrew Andy Putra; Nugroho, Hari Wahyu; Nur, Fadhilah Tia
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Children with chronic disease often have poor quality of life. Nephrotic syndrome was one of the most common kidney diseases in children with a high number of relapses. Therefore, treatment for nephrotic syndrome might take a long time. Complications from the disease and medications might affect the quality of life of the patient. Subjects and methods: This was a cross sectional, descriptive analytic study. Children aged 5-18 years old who visited the nephrologic outpatient department of Dr Moewardi general hospital from july to September 2020 and fullfilled the inclusion criteria were included in the study. Quality of life was assessed using PedsQLTM 4.0 generic module.The analysis of this research was done by using chi-square and logistic regression. Results: A total of 27 children aged from 5-18 years old participated in this study. Decrease quality of life was reported in 22% based on report from parents. From parent’s report, gender (OR= 0.06; CI95%= 0.01 to 0.66; p= 0.008) was associated with decrease of quality of life in children with nephrotic syndrome. Most of the children had decreased quality of life in the psychososial domain according to parent’s report (OR= 4.70; 95% CI= 1.12 to 19.70; p= 0.026). Conclusion: 22% children with nephritic syndrome have decreased quality of life. Gender was the risk factors that might contribute to the decreased quality of life of children with nephrotic syndrome.

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