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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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The Effectiveness of Acupressure Points PC-6 and SP-3 on the Hyperemesis Gravidarum in Pregnant Women Ria, Matilda Bupu; Manek, Brigita Dina
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Handling of nausea and vomiting in first trimester mothers (emesis gravidarum) is mostly still using pharmacological therapy, even though there is a simple event by using massage at acupuncture points to treat emesis gravidarum. The purpose of this study was to analyze the effectiveness of PC-6 and SP-3 acupressure on emesis gravidarum in first trimester pregnant women. Subjects and Method: This study is a quasi-experimental research design using a control group pretest-posttest design. The study was conducted in July-August 2021. The population in this study were all pregnant women who experienced nausea and vomiting in the 1st trimester in the Nurobo Health Center Work area, Malacca Regency. A total of 40 pregnant women in the 1st trimester were used as samples which were divided into 4 groups of 10 people each, namely group 1 (PC-6 acupressure), group 2 (SP-3 acupressure), group 3 (combination of PC-6 and SP-3 acupressure), and group 4 or control group (vitamin B6). The sample was selected by consecutive sampling technique. Data analysis using Wilcoxon Rank-Test and Paired T-Test. Results: After intervention of accupressure in PC-6 point, SP-3 point, or combination of both PC-6 and SP-3 reduced frequency of vomiting and nausea and duration of nausea. Conclusion: accupressure in PC-6 point, SP-3 point, or combination of both PC-6 and SP-3 reduce frequency of vomiting and nausea and duration of nausea in pregnant women.

Predictors of Mortality of Pediatric Patients with COVID-19 in Dr Moewardi General Hospital Surakarta Aprilizia, Dwi Suryaning Ayu; Andarini, Ismiranti; Hafidh, Yulidar
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: COVID-19 has spread all over the world and became a global pandemic. In Indonesia, COVID-19 has officially defined the non-natural disaster of COVID-19 spread as national disaster in April 13th 2020. COVID-19 cases are predominant in adult population with higher severity particularly if accompanied with comorbidities resulting in a relatively high mortality rate. However, some recent studies showed that children are at a similar or higher risk to COVID-19 compared to adults. This study aims to evaluate the predictors of mortality in pediatric COVID-19 cases.Subjects and Method: This study used a cross-sectional design using data from medical records of pediatric patients with confirmed COVID-19 who were hospitalized in the isolation ward of Dr Moewardi General Hospital from March 2020 to August 2021. All variables with significant result in the bivariate analysis were analyzed using multivariate logistic regression. Data were analyzed using SPSS (IBM SPSS Statistics version 25) with significance of p value of < 0.05.Results: Results of this study showed that age 10-17 years (OR= 16.26; 95% CI= 1.47 to 179.56; p= 0.023), the use of oxygen mask (OR= 45.89; 95% CI = 5.39 to 390.58; p <0.001), and the use of continued oxygen therapy (OR= 181.48; 95% CI=11.25 to 2927.80; p <0.001) are predictors of mortality in pediatric patients with confirmed COVID-19.Conclusion: Age 10-17 years, use of oxygen mask and advanced oxygen therapy are predictors of mortality in pediatric patients with COVID-19 hospitalized in Dr Moewardi General Hospital Surakarta.Keywords: mortality, COVID-19, pediatric.Correspondence:

Psycho-Social Stimulation and Food Diversity of Children Detected Stunting Rahmawati, Dian; Agustin, Lia
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a growth failure in children under five due to chronic malnutrition so that children are too short for their age. According to WHO, stunting becomes a public health problem if the prevalence is 20% or more. The prevalence of stunting under five in Indonesia in 2018 was more than 20% so that it became a public health problem and needed to be addressed immediately. Food diversity describes the quality of food for toddlers. Providing a variety of foods will increase the risk of malnutrition, stunting, and disease disorders. Stunting not only has an impact on physical growth but also psychosocial development. This study aimed to analyze whether psychosocial stimulation and food diversity were associated with stunting. Subjects and Method: This research is an observational analytic with a case control approach. The study population was all toddlers aged 24-59 months in Bangkok Village, Gurah, Kediri, East Java, Indonesia, in August 2020. Using the fixed disease sampling technique, a sample of 25 stunting toddlers aged 24-59 months as the case group and 25 non-stunted toddlers as the control group. The dependent variable is the incidence of stunting, while the independent variables are psychosocial stimulation and food diversity. The stunting measurement was carried out based on the TB/U measurement. Measurement of psychosocial stimulation using the HOME (The Home Observation for Measurement of the Environment Revisited) questionnaire and diversity using the IDDS (Individual Dietary Diversity Score) questionnaire. The data collected were analyzed by Chi Square and Fisher's Exact Test. Results: The incidence of stunting was associated with psychosocial (p= o.o31) and food diversity (OR= 12.67; CI 95%= 3.31 to 48.50; p < 0.001). Conclusion: Psychosocial stimulation and food diversity are associated with stunting. Not consuming a variety of foods increases the incidence of stunting 12 times.

The Effectiveness of “Ibu Pintar” Bookmic on Maternal Knowledge and Attitude toward Complementary Feeding Practice in Children Aged 6-24 Months Lucita, Fifty K.; Yuniastuti, Ari; Farida, Eko
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Complementary Feeding Practice is an important factor for the fulfilment of children’s nutritional needs. Due to the nutritional imbalance between the energy and nutrient needed by infants and what provided by breastmilk, therefore it should be fulfilled by comple- mentary feeding. One third of toddlers worldwide are in developing countries who obtain adequate complementary feeding, with a standard frequency and variety. Meanwhile, in Indonesia two third or most of the children aged 0-24 months do not obtain appropriate complementary food. The study aims to develop “Ibu Pintar” Bookmic, a media which is valid and effective to improve maternal knowledge and attitude in appropriate complementary feeding practice. Subjects and Method: The design of the study used 2 methods. The first method was Research and Development to collect user data and subsequently generated a product that can be utilized to improve knowledge and attitude of mothers of toddlers. The second method was quasi expe- rimental design conducted before and after the study without any comparison to apply Paired Sample T-Test by using SPSS. Results: The result indicated that after the treatment with “Ibu Pintar” Bookmic maternal knowledge in complementary feeding practice was improved (Mean= 1.42; SD= 0.67) compared to maternal knowledge in complementary feeding practice before the treatment (Mean= 0.66; SD; 0.77), and the result was statistically significant (p < 0.001). After the treatment with “Ibu Pintar” Bookmic maternal attitude in complementary feeding practice was improved (Mean= 0.76; SD= 0.43) compared to maternal attitude in complementary feeding practice before the treatment (Mean= 0.44; SD; 0.50), and the resulf was statistically significant (p < 0.001). Conclusion: “Ibu Pintar” Bookmic is effective for maternal knowledge and attitude in complementary feeding practice. Keywords: knowledge, attitude, and complementary food. Correspondence: Fifty K. Lucita. Master’s Program in Public Health, Universitas Negeri Semarang. Email: fifty.kaa@gmail.com. Mobile: +62 858-6922-1419.

Postnatal care service utilization and associated factors among women in Goba woreda, Bale zone, Ethiopia: A community based cross-sectional study Wordofa, Debebe; Hail, Asfaw; Lamore, Yonas; Lette, Abate
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Postnatal care of mothers is essential to reduce maternal morbidity and mortality. Providing postnatal care to recently delivered mothers is quite essential. The aim of the study was to determine the postnatal care utilization and associated factors among women who gave birth in the last 12 months in Goba woreda, Bale Zone, Ethiopia, 2020. Subjects and Method: A community based quantitative cross-sectional study was conducted in Goba woreda from March to April, 2020 among reproductive age group mothers who gave birth the in last 12 months prior this data collection. In this study 422 subjects were conducted using Lottery method to select them. The independent variables were socio-demographics charctestics and obstetrics’ health related factors with outcome variable of postnatal care service utilization. Binary and multivariable logistic regressions analysis were computed to evaluate the factors associated with postnatal care services utilization. Results: In this study a total of 422 women were interviewed with a response rate of 100%. Out of the total respondents, 178 (42.2%) utilized postnatal care service after delivery within six weeks of their last birth. Educational level of mothers (OR= 1.96; 95% CI= 1.06 to 3.62; p= 0.050) maternal knowledge on postpartum danger sign & symptoms (OR= 1.78; 95% CI= 1.16 to 2.72; p= 0.010) pregnancy desire (OR= 1.89; 95% CI= 1.67 to 3.35; p= 0.050) ANC visit (OR= 2.80; 95% CI= 1.32 to 5.97; p= 0.010) and place of deliver (OR= 2.09; 95% CI= 1.30 to 3.34; p= 0.010) had showed statistical significant association with postnatal care utilization. Conclusion: More than half of respondents in Goba woreda were not utilized postnatal care service. Maternal educational status, maternal knowledge on postnatal danger signs and symptom, pregnancy desire for youngest child, ANC attendance and place of delivery found to be independent predictors for PNC service utilization.

Effect of Mother and Infant Skin to Skin Contact on Early Initiation Breastfeeding: A Meta Analysis Pertiwi, Mumpuni Intan; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Skin to Skin Contact (SSC) of mothers and babies immediately after giving birth provides many benefits at the beginning of breastfeeding, an effective intervention can increase the competence of breastfeeding babies compared to just getting routine care. This study aims to analyze the primary study of the effect of mother-infant skin to skin contact on the success of the first breastfeeding with a meta-analysis. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: mothers and newborns. Intervention: skin to skin contact. Comparison: Routine care. Outcome: Successful first breastfeeding. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles (“skin to skin contact” OR “early initiation breastfeeding” OR “kangaroo mother care” AND “first breastfeeding” OR “duration breastfeeding” AND “Randomized Control Trials” OR “RCT”). The articles included are full text in English and Indonesian with a Randomized Controlled Trial study design from 2011 to 2021 and reports on the Mean and SD in a multivariate analysis. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application. Results: A total of 10 randomized controlled trials from Iran, India, Pakistan, Egypt, and Thailand were selected for a systematic review and meta-analysis. The data collected showed that skin to skin contact increased the success of the first breastfeeding by 1.05 times compared to conventional method care (SMD= 1.10; 95% CI= 0.63 to 1.58; p<0.001). Conclusion: Skin to skin contact can increase the success of the first breastfeeding. Keywords: skin to skin contact, breastfeeding success, meta-analysis. Correspondence: Alfi Makrifatul Azizah. 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 Effect of Hypnotherapy on Serum Cortisol Levels in Post-Cesarean Patients Rizkiani, Inne; Respati, Supriyadi Hari; Sulistyowati, Sri; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.058 KB)

Background: After cesarean section, there is often an increase in stress and anxiety which can have a negative effect on pain perception. Cortisol is the main stress hormone that regulates the duration and intensity of the stress response. Hypnotherapy is a therapy with a hypnotic method to reach someone's subconscious mind. Hypnotherapy is thought to be able to help patients in the post-section coping method because it can cause feelings of pleasure, satisfaction, safety, comfort and can make a person feel they have the strength of themselves to deal with the anxiety they experience. This study aims to analyze the effect of hypnotherapy on serum cortisol levels in postareaal section patients.Subjects and Method: This study was an experimental single-blind randomized controlled trial post-test group design which was conducted in the Obstetrics and Gynecology wards of Dr. Moewardi Hospital Surakarta and Dr. R Soetijono Blora Hospital. The subjects of the study were post-sectional patients who were hospitalized and met the inclusion and exclusion criteria. Subjects were divided into 2 groups, namely the hypnotherapy group which consisted of 15 post-sectional patients who received hypnotherapy and the control group which consisted of 15 postareaal patients who did not receive hypnotherapy. All subjects were examined for cortisol levels in the Prodia laboratory using the Chemiluminescent microparticle immunoassay (CMIA) method. The data of both groups were analyzed using the Mann-Whitney test.Results: The median, minimum, and maxi-mum cortisol levels in the hypnotherapy group were 3.60, 2.10, and 4.40 respectively, while the median, minimum and maximum cortisol values in the control group were 10.50, 8.20 and 32.80 respectively. Effect size= -2,2. The results of the analysis test showed a significant difference in mean values (p <0.001).Conclusion: Hypnotherapy has an effect on decreasing cortisol levels in post-cesarean section patients.Keywords: Hypnotherapy, Cortisol, Post-cesarean sectionCorrespondence: Inne Rizkiani. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Sura-karta, Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126.Journal of Maternal and Child Health (2021), 01(03): 258-266https://doi.org/10.26911/thejmch.2021.06.03.01

Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa Serge, Toudonou; Barikissou Georgia, Damien; Badirou, Aguemon
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Most of the new-born deaths occur in developing countries where care access is poor. This study aimed to investigate the epidemiological aspects and factors associated with early neonatal death in maternity. Subjects and Method: A case-control study was conducted from 2018 to 2020 in the Savè-Ouessè (SaO) health zone in the Collines department in Benin. Two groups of new-borns aged 0-7 days were recruited, 176 cases and 176 controls. The dependent variable was early neonatal death. The main independent variables studied were related socio-demographic characteristics, medical and gynaeco-obstetric history, pregnancy-related illnesses, service use and quality of health care, and neonatal parameters. Data collection was carried out from October to December 2021 from delivery records at the maternity unit level. An additional questionnaire was addressed to corresponding mothers. Logistic regression model was used to identify factors that explain early neonatal death occurrence. Results: No Fertility desire (OR= 3.22; CI95%= 1.13 to 9.16; p =0.029); No Observance of ANC rhythms (OR= 5.14; CI95%= 1.63 to 16.15; p= 0.005); Supervised intake of SP (OR= 6.33; CI95%= 1.33 to 29.99; p<0.001); No Existence of active fetal movements (OR= 7.01; CI95%= 2.67 to 18.41; p<0.001); and Amniotic fluid colour/ Haematic (OR= 4.09; CI95%= 2.07 to 9.63; p<0.001) increased early neonatal death in SaO health zone from 2018 to 2020 in SaO health zone, BeninConclusion: Even if early neonatal mortality appears to be low in the SaO health zone, its reduction requires to strengthen family planning, to improve the observance of intermittent preventive treatment and to monitor obstetric labour. Keywords: perinatal death, early neonatal, death, associated factors, Benin. Correspondence:Damien Barikissou Georgia. Population Training and Research, University of Abomey-Calavi, Benin. Email: barikiss2000@yahoo.fr.

Meta-Analysis the Effect of Sensory Integration Therapy on Sensoric and Motoric Development in Children with Autism Spectrum Disorder Fitriyaningsih, Ayu; Dewi, Yulia Lanti Retno; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: It is estimated that 90% of children diagnosed with ASD will show impaired sensory processing. Children with sensory processing problems present with delayed motor development which is caused by an underlying disorder in their ability to interpret sensations. Sensory integration therapy is one of the therapeutic methods to overcome sensory and motor problems. This study aims to estimate the effect of sensory integration therapy on sensory and motor development in children with autism spectrum disorders.Subjects and Method: This research was conducted using a systematic review study design and a meta-analysis conducted with PRISMA flow diagrams. The article search process was carried out between 2011-2021 using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. The keywords used are “sensory integration” OR “sensory integration therapy” OR “ayres sensory integration” OR “sensory intervention” OR “sensory stimulation” AND “sensory processing” OR “sensory skills” OR “sensory system” AND “motor skills ” OR “motor developmental” AND “autism spectrum disorder” OR “autism”. Based on the database, there were 16 articles that met the inclusion criteria. The study design used was a Randomized Control Trial (RCT). The analysis was carried out using RevMan 5.3 software. Results: The meta-analysis is of 16 articles consisting of the continents of Asia, America, and Australia. Results showed that sensory integration therapy improved sensory development (SMD = 0.14; 95% CI -0.64 to 0.92; p = 0.73) and motor development (SMD = 0.42; 95% CI -0.27 to 1.11; p = 0.24). Conclusion: Sensory integration therapy did not significantly improve sensory and motor development in children with autism spectrum disorders.

Women's Responsibilities in Choosing Injectable Family Planning in Timor Tengah Selatan District Rahayu, Putu Sri; Tamtomo, Didik Gunawan; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Injectable contraception is the most popular contraceptive method in Indonesia with a user percentage of 63.71% of the coverage of modern family planning users. In addition to the benefits and practicality of its use, this method also has various negative impacts that can endanger the health of the acceptor. This study aims to explore and describe the acceptor's response to the negative impacts experienced as a form of responsibility for the health of the acceptor. Subjects and Method: This study was conducted using descriptive qualitative method with triagulation analysis technique that connects empirical facts. The dependent variable is injectable family planning. The independent variables are responsibility, patriarchal culture, and decision making. The study was conducted on 18 informants who are injection family planning acceptors in Timor Tengah Selatan Regency. Results: The informants do not mind experiencing the negative impacts of using injectable contraceptives and prioritize the benefits and practicality of their use. The low level of education of informants is a problem in receiving and digging information. Limited access to information is also hindered by the lack of infrastructure to reach health facilities. The high pressure of patriarchal culture is one of the decision-making factors and the high number of injecting family planning users. Conclusion: The acceptor's lack of information regarding the contraceptive method used is a barrier in responding to the negative impacts experienced.

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