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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 381 Documents

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Factors Affecting Willingness to Vaccinate COVID-19 in Pregnant Women in Manggarai Regency, East Nusa Tenggara, Indonesia Halu, Silfia Angela Norce; Dafiq, Nur; Banul, Maria Sriana; Laput, Dionesia Octaviani; Trisnawati, Reineldis E.
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The COVID-19 vaccination has been recommended by WHO and the Ministry of Health of the Republic of Indonesia. Vaccination is carried out by pregnant women starting from the age of 13 weeks. Vaccines are expected to reduce the risk of pregnant women exposed to COVID-19. However, participation in receiving the COVID-19 vaccine in Manggarai Regency is still low. The purpose of this study was to analyze the factors that influence the willingness to vaccinate against COVID-19 in pregnant women in Manggarai Regency Subjects and Method: This was an analytic observational study with a cross-sectional design approach. This study was conducted in Manggarai Regency, East Nusa Tenggara, from January to May 2022. The sample in this study was 65 pregnant women who had never been vaccinated against COVID-19 with purposive sampling technique. The dependent variable in this study is the willingness of the vaccine. The independent variables are knowledge about COVID-19, knowledge about COVID-19 vaccination, belief, safety, effectiveness and side effects of COVID-19. Data collection using questionnaires and data processing using logistic regression analysis Results: Vaccination willingness was strongly influenced by mother's knowledge about COVID-19 in pregnancy (b=0.046; 95% CI= 0.003 to 0.73; p= 0.031), belief in the COVID-19 vaccine (b= 0.044; CI 95%= 0.003 to 0.757; p= 0.169), vaccination safety (b= 0.048; 95% CI= 0.004 to 0.639; p= 0.022). there was no significant effect, namely knowledge of vaccines (b= 0.195; 95% CI = 0.019 to 2.007; p=0.169) and vaccine effectiveness (b= 0.470; 95% CI= 0.048 to 0.4578; p=0.516). Conclusion: Vaccination willingness was strongly influenced by mother's knowledge about COVID-19 in pregnancy, belief in the COVID-19 vaccine and vaccination safety. Keywords: covid-19, vaccine, factor Correspondence: Silfia Angela Norce Halu. Diploma III of Midwifery, Universitas Katolik Indonesia Santu Paulus Ruteng, Manggarai, East Nusa Tenggara, Indonesia. Email: occe.halu@gmail.com. Mobile: 081259163953.

Exclusive Breastfeeding Practice and Its Association with Breastfeeding Self-Efficacy among Mothers Giving Birth during the COVID-19 Pandemic in Indonesia: A Brief Report Angelina, Angelina; Lesmanadjaja, Alicya; Agung, Fransisca Handy; Octavius, Gilbert Sterling
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast milk is the best nutrition for most infants, and current recommendations encourage mothers to keep giving breast milk during the COVID-19 pandemic. This study aimed to examine Exclusive Breastfeeding Practice and its association with breastfeeding self-efficacy in lactating women during COVID-19 pandemic. Subjects and Method: This is an analytic cross-sectional study involving mothers giving birth since March 2020 and their infants aged under 6 months. An online-based questionnaire, including the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), was distributed through social media from April to September 2020. The dependent variable was exclusive breastfeeding rate, and the independent variables were BSES-SF score, mother working status, educational level, place of birth, birth method, and COVID-19 status. Results: There were 113 respondents, and the rate of exclusive breastfeeding was 79.6%. Self-efficacy score in mothers who give exslusive breastfeeding (Mean= 58.4; SD= 0.8) was higher than non exclusive breastfeeding (Mean= 44.8; SD= 13.4) and it was statisfically significant (p <0.001). Conclusion: This study showed that during the COVID-19 pandemic exclusive breastfeeding rate might remain high in populartions with good breastfeeding self-efficacy.

Does Husband Support Associated with the Duration of Breastfeeding? Pratiwi, Bintang Agustina; Lesmi, Anisa; Husin, Hasan; Angraini, Wulan; Suryani, Desri
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breastfeeding coverage in the Bengkulu ranks second lowest (68.9%) in Indonesia. The husband is the closest person mother who can support successful breastfeeding up to 2 years. This study aimed to examine the effect of husband support on the duration of breastfeeding. Subjects and Method: This was a cross sectional study. A sample of 44 fathers who had children aged 2-3 years in Lingkar Barat community health center, Bengkulu, was selected for this study. The dependent variable was breastfeeding duration. The independent variable was informational support, assessment support, instrumental support and emotional support. Data collection using a valid and reliable questionnaire. Data analysis was performed using multiple linear regression. Results: The results showed the informational support (b= 0.37; 95% CI= -0.07 to 0.75; p= 0.046), apprisial support (b= 0.29; 95% CI= -0.39 to 0.98; p= 0.393), and instrumental support (b= 0.43; 95% CI= -0.18 to 1.05; p= 0.161) were positively associated with the duration of breastfeeding. Emotional support was negatively associated with the duration of breastfeeding (b= -0.37; 95% CI= -1.03 to 0.29; p= 0.252). Conclusion: Husband's support is associated with length of breastfeeding.

The Effect of Vitamin D Deficiency on Anemia in Children and Adolescents: Meta-Analysis Dianika, Bani; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Anemia in children and adolescents has an impact on central nervous system damage that can continue into adulthood. Some evidence states that one of the causes of anemia is vitamin D deficiency. This study aims to estimate the magnitude of the effect of vitamin D deficiency on the incidence of anemia in children and adolescents, through 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: children and adolescents, intervention: vitamin D deficiency, comparison: no vitamin D deficiency, outcome: anemia. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the search key "Vitamin D" OR "25-Hydroxy Vitamin D" OR "25(OH)D" AND "Anemia" OR " Anemia". The included article is a full-text cross-sectional study design from 2010 to 2022 and reports the adjusted odds ratio (aOR) in multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.4 application. Results: A total of 9 cross-sectional studies involving 18,608 children and adolescents from the Americas and Asia were selected for meta-analysis. Children and adolescents with vitamin D deficiency had a risk of anemia 2.87 times compared to those without vitamin D deficiency (aOR= 2.87; 95% CI= 2.36 to 3.48; p<0.001). Conclusion: Vitamin D deficiency increases the risk of anemia in children and adolescents. Keywords: vitamin D deficiency, anemia, children, adolescents Correspondence:Bani Dianika. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: banidian27@gmail.com. Mobile: +62852227339349.

Vitamin D Status in Madura Pregnant Women with Hypertension: A Case Control Study Setiarsih, Dini; Hastuti, Pramudji; Nurdiati, Detty Siti; Putri, Lidia Aditama
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Vitamin D deficiency is inversely related to blood pressure and may contribute to the genesis and maintenance of hypertension. However, in many clinical studies the relationship between vitamin D status and blood pressure has not shown consistent results. This study aims to analyze differences in vitamin D status in Madurese ethnic pregnant women with hypertension and non-hypertension. Subjects and Method: This research is an analytical observational design with a case control study. The target population in this study were pregnant women who came from the Madurese ethnicity. The affordable population is pregnant women who come from the Madurese ethnicity in the Work Area of the Bangkalan District Health Office. The study was conducted in the period from May 2018 to February 2020. The sampling technique used was consecutive sampling. The sample size was 105 pregnant women with hypertension and 105 controls. The independent variables included consumption of food sources of vitamin D and exposure to ultraviolet B rays. The dependent variable was vitamin D levels. Data on consumption of foods that were sources of vitamin D was obtained using the Food Frequency Questionnaire (FFQ). Data on exposure to ultraviolet B (UV B) rays were obtained by questionnaire. Data on vitamin D levels were obtained from the collection of blood serum which was then analyzed by ELISA Kit. Independent Sample T and chi square test were used to analyze the differences in variables between the two groups. Results: The mean value of vitamin D levels in the case and control groups were 37.87 ng/mL and 37.89 ng/mL, respectively. Subjects with vitamin D insufficient status were more in the case group (19.00%) than the control group (16.20%). The results showed that there was no significant difference between the two groups in vitamin D levels (p= 0.984) and vitamin D status (p= 0.587). Insufficient exposure to UV B provides a 3.95 times greater risk of experiencing insufficient vitamin D. Conclusion: The conclusion of this study is that the role of vitamin D in the incidence of hypertension in pregnancy has not been determined.

The Profile of Physical Activity in Children Surviving Acute Lymphoblastic Leukemia based on the Global Physical Activity Questionnaire in Surakarta Zahara, Dini Safitri; Riza, Muhammad; Nugroho, Hari Wahyu
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Acute lymphoblastic leukemia is one of the most common malignancies in children with the highest incidence aged 3-7 years. Management and treatments such as chemotherapy and radiotherapy have musculoskeletal and neuromuscular side effects which can significantly reduce the physical activity of leukemia patients and survivors. This study aims to determine the profile of the physical activity level of children with acute lymphoblastic leukemia as assessed by the Global Physical Activity Questionnaire (GPAQ) in Surakarta, Indonesia. Subjects and Method: This was a study with a cross-sectional design. Children who survived acute lymphoblastic leukemia who had completed chemotherapy at Dr. Moewardi Hospital and met the inclusion criteria were included in this study. A sample of 26 patients was selected through purposive sampling. Demographic data were obtained through interviews and the profile of the patient's physical activity level was assessed using the GPAQ questionnaire. Data analysis was performed using a Pearson Correlation test with SPSS 22.0. Results: The total sample in this study was 26 children with acute lymphoblastic leukemia. As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. There was a significant relationship between length of stay (p=0.001), age (p=0.004), gender (p=0.031), and the degree of risk of acute lymphoblastic leukemia (p=0.004) with the category of physical activity based on the GPAQ score. Conclusion: As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. The length of time being a survivor, the degree of risk of acute lymphoblastic leukemia, the age of the survivor, and gender are risk factors for decreased physical activity in children.

Association between Women’s Empowerment and Other Socio-Demographic and Nutritional Factors on Stunting among Children Aged 6 to 59 Months: Data from 2016 EDHS Baruda, Yirgalem Shibiru; Yilma, Mengistu; Gebremariam, Mulugeta Betre; Assebe, Lelisa Fekadu
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is the most prevalent form of malnutrition in children under five years of age in Ethiopia. Evidence supporting women’s impact on reducing child stunting is limited. In this paper, we examine the association between women’s empowerment and socio-demographic factors on stunting among children aged 6 to 59 months. Subjects and Method: The study used the EDHS 2016 dataset. Children aged 6-59 months whose mothers (aged 15-49 years) were living with their husbands at the time of the survey were included. We enrolled 8,496 mother and child pairs. Complex sample logistic regression analysis was employed to determine the association between child stunting and the predictors. Data analyses were employed using SPSS Version 22. Results: Around 2,624 (31%) of the mothers were 25 to 29 years old. In the 12 months before the survey, around 45% (3,806) of the mothers were employed; 2,072 (54%) of them had seasonal jobs, and the 1,734 (45%) remaining mothers had full-time employment. Among employed mothers, about 50.5% (1,921) had not received payment for their work. Household wealth index (AOR= 1.9; 95% CI= 1.44 to 2.73) and maternal height (AOR= 1.9; 95% CI= 1.28 to 2.82), and having a boy child (AOR= 1.3; 95%CI= 1.08 to 1.46) is more liked associating with stunting. But maternal attitude towards wife-beating (AOR= 1.1; 95% CI= 0.89 to 1.26) had no association with it. Conclusion: children born from the poorest households, low maternal height (<145cm), and male sex have increased risk of stunting. Lastly, Mothers' economic and socio-familial empowerment do not predict the risk of child stunting. Keywords: stunting, empowerment, women, Ethiopian demographic health survey. Correspondence: Yirgalem Shibiru Baruda. School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. Email: yirgalemsh75@gmail.com.

Neutrophil-Lymphocyte Ratio as a Diagnosis Predictor in Pediatric COVID-19 Patients at Dr. OEN Kandang Sapi Hospital, Surakarta, Central Java, Indonesia Retno Edi, Dyah Wulaningsih; Nugroho, Irfan Dzakir
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: COVID-19 is a global pandemic and affects all ages, even newborns. Until March 2021, there were 127 million cases of COVID-19 worldwide. In Indonesia, there were almost 1.5 million cases. The main symptoms of COVID-19 are fever and cough, simple laboratory tests such as measuring the neutrophil-lymphocyte ratio (NLR) are also included in the EWS (early warning score) so that they can be used to diagnose COVID-19 with a cut-off limit value of 3.13. The purpose of this study was to determine the value of NLR as a predictor of diagnosis in pediatric patients confirmed by RT-PCR Swab examination at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta. Subjects and Method: A diagnostic test study that assessed the sensitivity, specificity, negative predictive value and positive predictive value of the NLR value as a predictor of COVID-19 diagnosis in pediatric patients confirmed by RT-PCR Swab examination at the time level of March 2020 - March 2021. Data were taken from electronic medical records of inpatients and sampling was done by consecutive admission sampling. Results: A total of 153 study subjects with 34 PCR (+) patients and 119 PCR (-) patients. The characteristics of the study sample were seen from gender, age, symptoms, chest x-ray and patient outcomes. The NLR cutoff limit value for pediatric COVID-19 patients is 1,625 with an AUC (area under curve) of 0.504. The NLR value of 1.625 has a sensitivity of 0.588 (58.8%) and a specificity of 0.513 (51.3%). The PPV (positive predictive value) was 0.256 (25.6%), the NPV (negative predictive value) was 0.813 (81.3%), the PPR (positive predictive ratio) was 1.207 and the NPR (negative predictive ratio) result was 0.803. Conclusion: The NLR cutoff value of 1,625 with a sensitivity of 58.8% cannot be used as a predictor of COVID-19 diagnosis in pediatric patients at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta.

The Effectiveness of Aromatherapy and Music Therapy to Reduce Pain during Stage-1 of Birth Delivery: A Meta-Analysis Hasanah, Uswatun; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Labor pain is an uncomfortable feeling during the labor process, which causes a reduction in uterine contractions,

The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis Fitriana, Alfira; Kristiyanto, Agus; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Nausea and vomiting in pregnancy is a common condition experienced by 50-80% of pregnant women between 6 to 12 weeks of pregnancy. Acupressure stimulation can stimulate and increase blood circulation and vital energy, so as to maintain normal body functions. The purpose of this study was to determine the effect of acupressure on hyperemesis gravidarum and labor pain in pregnant and childbirth women. Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT) design. Research subjects are pregnant women or giving birth. The intervention given was acupressure with the comparison not being given acupressure or fake acupressure, articles published in English and Indonesian. The PICO research problems were as follows: Population= pregnant women and childbirth, Intervention= giving acupressure, Comparison= sham acupressure or without acupressure, Outcome= reduced intensity of nausea and vomiting and labor pain. The study was conducted using an effect size (Standardized Mean Difference). Meta-analysis was carried out using RevMan 5.3 with a random effect model. Results: A total of 20 articles were reviewed in a meta-analysis in this study. Meta-analysis of 9 articles showed acupressure was effective in reducing hyperemesis gravidarum. Pregnant women who received acupressure therapy experienced hyperemesis gravidarum 0.8 units lower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A meta-analysis of 11 articles showed that acupressure was effective in reducing labor pain. Pregnant women who received acupressure therapy experienced labor pain 1.8 units lower than without acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001). Conclusion: Acupressure can reduce the intensity of nausea and vomiting in pregnant women who experience hyperemesis gravidarum as well as the intensity of labor pain in pregnant women.

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