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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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Proportion of Birth Asphyxia and Its Associated Factors among Newborns Delivered in Public Hospitals in Addis Ababa, Ethiopia, 2019: A Multicenter Cross-Sectional Study Godie, Yohannes; Yenus, Hedija; Ayenew, Fentahun; Birhanu, Dires; Guadie, Yitayal
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Birth asphyxia is a serious clinical problem that causes neonatal mortality and morbidity worldwide, Even though Ethiopia has made significant progress in lowering the under-five mortality rate, the neonatal mortality burden has not decreased significantly, which may be due to birth asphyxia. Therefore, the purpose of this study was to address this gap by assessing the prevalence of neonatal asphyxia and its associated factors among newborns in Addis Ababa public hospitals, Ethiopia. Subjects and Method: A facility-based cross-sectional study was conducted on 683 live newborns born at Addis Ababa public hospitals. Data were gathered through structured face-to-face interviews, questionnaire administration, and a systematic random sampling technique with proportional allocation. For statistical analysis, data were entered into Epi-data version 4.6 and exported to SPSS version 26. All variables with p-value ≤ 0.2 were taken into the multivariable model. A statistical significant level was declared at 95% CI and adjusted odds ratio (AOR) at a p <0.05. Results: The prevalence of birth asphyxia was 72 (10.6%) with a 95 % CI of (8.3 to 13.0). According to this study, birth asphyxia was significantly associated with the odds of newborns whose mothers were not educated (AOR= 8.09; 95 % CI= 1.63 to 40.19; p= 0.011), prolonged labor (AOR= 3.52; 95 % CI= 1.47 to 8.43; p= 0.005), ante-partum hemorrhage (AOR= 5.36, 95 % CI= 1.69 to 16.99; p= 0.004), preeclampsia (AOR= 5.09, 95 % CI= 2.09 to 12.47; p <0.001). Conclusion: Birth asphyxia was found in 10.6 % of neonates. Birth asphyxia was significantly predicted by the mother's educational level, complicated labor, and low birth weight. Keywords: proportion, Birth asphyxia, Newborns, Addis Ababa. Correspondence: Yohannes Godie. Debre Markos University, Ethiopia, Email: yohannesguadie@gmail.com, Mobile: +25192857735.

The Relationship between Maternal Characteristics and Health Workers Role on Early Complementary Feeding in the Era of the COVID-19 Pandemic Ramadhani, Fitri; Frety, Endyka Erye; Husada, Dominicus
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Early complementary feeding in Indonesia, especially in Palu city, is still relatively high and should focus. Early complementary feeding can negatively affect babies, such as being more susceptible to disease than babies who only get breast milk. This study aims to analyze the relationship between maternal characteristics and the role of health workers on early complementary feeding in the Pantoloan Public Health Center, Palu City. Subjects and Method: This research is quantitative research with a cross-sectional study. The study was conducted in all Integrated Healthcare Centers in the Pantoloan Health Center working area from April to October 2021. The research sample was mothers aged 0-6 months with inclusion and exclusion criteria. Sampling is done by total sampling. Complementary feeding was the dependent variable in this study. The independent variables in this study were the mother's characteristics in the form of age, education, occupation, maternal parity, and the role of health workers. This Data was collected using a questionnaire and analyzed by univariate and bivariate tests. Results: The results showed that there was a significant relationship between maternal characteristics in the form of age (p= 0.031), education (p= 0.002), occupation (p= 0.035), parity (p= 0.027), and the role of health workers (p= 0.046) in the provision of early complementary feeding in the work area of the Pantoloan Public Health Center, Palu City. Conclusion: Early complementary feeding can be influenced by maternal characteristics such as age, education, occupation, and parity, as well as the influence of the role of health workers.

The Effect of Chest Physiotherapy on Children's Quality of Life with Acute Lymphoblastic Leukemia and Pneumonia at Dr. Moewardi Hospital, Surakarta Fikritama, Aisya; Andarini, Ismiranti; Widjaya, Sri Lilijanti
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 (ALL), a malignancy that is the most common form of leukemia found in children, accounting for about 30 percent of all pediatric cancer. The incidence of pneumonia is often found in children undergoing treatment for ALL. Complications of ALL and the side effects of its treatment can affect children’s quality of life. This study aimed to the effect of chest physiotherapy on children's quality of life with acute lymphoblastic leukemia and pneumonia. Subjects and Method: This was a quasi-experiment study conducted at the pediatric ward of Dr. Moewardi Hospital Surakarta, from February to August 2021. A number of 60 children aged 2-18 years with lymphoblastic leukemia and pneumonia was selected for this study. These children were divided into two groups, (1) 30 children with chest physiotherapy (intervetion group) and (2) 30 children received standard care (control group). Patients and parents were asked to fill out a quality of life assessment using the PedsQLTM 4.0 generic module. Mean difference of quality of life before and after chest physiotherapy between intervention and control group was examined using independent t test. Results: After intervention of chest physiotherapy, quality of life score in the intervention group (Mean= 68.91; SD= 12.30) was higher than control group (Mean= 60.12; SD= 7.72), with p= 0.002. Conclusion: Chest physiotherapy improves the quality of life in children with acute lymphoblastic leukemia and pneumonia.

Correlation between Low Birthweight and Underweight in Children Under Five: A Meta-Analysis Nurfitria, Adilla Misi; Raharjo, Setyo Sri; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Underweight among children results in growth disorders, and stunting. The study aims to determine the correlation between low birthweight and underweight in children under five based on primary studies previously conducted. Subjects and Methods: This study used a meta-analysis study with PICO as follows: P=chidren under five, I= low birthweight, C= normal birthweight, O= underweight. The search for articles in this study used databases, namely Pubmed, Google Scholar, and Springerlink. The article search used the following keywords: Low birth weight AND underweight OR underweight toddler AND low birthweight. The articles were analyzed by using Review Manager 5.3. Results: There were 9 articles from Ghana, Bangladesh, East Kenya, Pakistan, Malawi, China, Ethiopia, and Rwanda from 2017-2022 analyzed by using PRISMA flow diagrams. These results indicated that children under five with a history of low birthweight had 2.21 times risk of being underweight compared to children under five who had a history of normal birthweight (aOR= 2.21; CI 95% = 1.96 to 2.49; p<0.001). Conclusion: Children under five with low birthweight history are at risk of being underweight. Keywords: low birthweight, underweight, children under five, meta-analysis Correspondence: Adilla Misi Nurfitria. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Adillamisi2502@gmail.com. Mobile: +6285786605313.

Lipid Profile (Total Cholesterol, LDL, HDL, Triglyceride) of Injection Contraceptive Acceptors in Semarang Surati, Surati; Priyatno, Djoko
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Hormonal injectable contraceptives are the most common choice taken by women. The 3-month injection of contraception is DMPA, one of the most effective contraceptive methods currently used. Using injectable contraceptives, especially DMPA, influences fat metabolism, especially lipoproteins. Changes in fat metabolism cause disturbances in the balance of blood fat fractions (fluctuation of HDL, LDL and total cholesterol levels) due to hormonal influences. Subjects and Method: Descriptive with an observational design study. Seventy-three women accepted injection contraceptive three months with a usage period of more than three years recorded in the Tlogosari Kulon Community Health Center. They were selected based on sample criteria, including inclusion criteria and exclusion criteria, where these criteria determine whether or not the sample can be used. The dependent was lipid profile (cholesterol, trigliceryd, LDL, HDL). The independent variables was contraceptive injections three months. There are seventy-three respondents. Results: The respondents in this study had 3-month injection contraceptive use of were less than the same as six years of use, namely 41 people, while for use more than the same as seven years there were 32 people and show that most of the research respondents had a lipid profile that was still within normal limits. For the cholesterol levels, 23% is normal, and 76% is abnormal, Trigliceryd level 66% is normal, and 34 % is abnormal. LDL levels 100% is normal, and for the HDL levels, 63% is normal, and 37% is abnormal. Conclusion: Most of the lipid profiles of respondents were normal. However, on cholesterol levels, respondents had more abnormal levels than normal, but for other lipid profiles (Trigliceryd, LDL, HDL), most respondents had normal levels.

Anxiety and It's Relationship with Adherence to Visit Antenatal Care in Pregnant Women Ainun, Siti Zaimatul; Sari, Gadis Meinar; Frety, Endyka Erye
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Pregnant women were listed as one of the vulnerable groups at risk of being infected with COVID-19 due to physiological changes during pregnancy that result in a decrease in partial immunity. Anxiety experienced by pregnant women causes low compliance in conducting pregnancy tests. This study aims to determine the relationship between anxiety levels and antenatal care compliance in third trimester pregnant women. Subjects and Method: This study used a correlation analytic design with a cross sectional approach. The population in this study were all third trimester pregnant women in Kebonrejo Hasmlet, Kebonrejo Village, Grati District, Pasuruan Regency in November 2021 as many as 37 people. The sampling technique in this research was total sampling. The research instrument used a questionnaire and MCH handbook. Data analysis using Chi-square test.Results: from 37 subjekts, almost all of them experienced mild anxiety, namely 29 subjekts (78.4%), and most of them did not comply with ANC, namely 25 subjects (67.6%). The chi-square test show that there is a relationship between anxiety levels and ANC compliance in third trimester pregnant women during the COVID-19 pandemic (p<0.001). Conclusion: Anxiety levels was associated with ANC compliance in third trimester pregnant women during the COVID-19 pandemic.

Enhancing Nutrients Knowledge during Pregnancy through Webinars to Prevent Stunting Bachnas, Muhammad Adrianes; Sulistyowati, Sri; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Prabowo, Wisnu; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Yuliani, Saffana Oka; Carissa, Dinda; Alamsyah, Meuthia
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Indonesia still has a high stunting rate, 1.2 million out of 5 million births each year result in stunted baby growth. linear growth in utero, the process can be caused by maternal malnutrition, which can result in intrauterine growth inhibition and low birth weight, and result in stunting. This study aims to analyze the effectiveness of the webinar in improving nutrition knowledge during pregnancy to prevent stunting growth. Subjects and Method: This is a cross sectional study conducted in July, 15th 2022 using the Zoom Meeting webinar platform. Target population are all young POGI and POGI Members who took part in webinars and online conversations using the Zoom Meeting program. This study used random sampling, and sample size are 161. The independent variables of this study was learning via webinars while the dependent variable was nutrient knowledge. Data were analyzed by paired t-test statistical test. Results: There was a significant difference score of knowledge in pregnant women after (Mean= 8.60) compared to before webinars (Mean= 6.52). Conclusion: The result of this study indicates that learning method via webinars increased maternal understanding about optimal nutrient during pregnancy. Keywords: stunting, nutrients, webinar, pregnant women Correspondence: Nutria Widya Purna Anggraini. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Jl. Kolonel Sutarto No. 132 Jebres, Surakarta. Email: nutria_dr@staff.uns.ac.id. Mobile: 08122651819.

Husband Support on BOM Massage Practice and Reducing Fatigue in Post Partum Mothers Umarianti, Tresia; Putriningrum, Rahajeng; Prasetyoningsih, Aris; Prasetyo, Budi
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: BOM massage is a combination of ways to treat breasts so that breast milk can produce and provide relaxation to postpartum mothers. Mothers after giving birth may experience psychological fatigue related to anxiety or depression which can hinder the smooth flow of breast milk. The support of the husband and close family will greatly help the process of comfort and relaxation of the mother during the process of undergoing the postpartum period. This study aims to determine the effect of husband's assistance in the implementation of BOM messages on the level of fatigue of postpartum mothers. Subjects and Method: This research is an analytic experimental study with RCT (Randomized Controlled Trial) design. The research was conducted at PMB Ngudi Saras Palur Karanganyar. The research subjects were 44 postpartum mothers, which were divided into 22 with husband's assistance and 22 others without husband's assistance. The sampling method is purposive sampling. Data were analyzed using independent-sample t-test. Results: Fatigue test results in the intervention group were lower (Mean= 2.82; SD= 1.05) compared to the control group (Mean= 7.14; SD= 1.04). Statistical test Independent-Sample T-test has an effect size of 4.13 and there is an effect with a p<0.001. Conclusion: Husband's assistance in the implementation of BOM Massage has an effect on the level of fatigue of postpartum mothers in Palur Karanganyar.

The Effect of Prenatal Yoga on Birth Labor Duration and Pain: A Meta Analysis Riawati, Meida Siwi; 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

Background: Increased psychological burden during pregnancy can cause problems with the quality of the fetus and cause complications in pregnancy. The lack of knowledge about labor pain management and the mother's perception of prolonged labor makes the mother experience an increase in the psychological burden during pregnancy. One alternative therapy needed in dealing with a happy pregnancy and minimal trauma delivery is to do prenatal yoga. The purpose of this study was to estimate the magnitude of the effect of prenatal yoga on the duration of labor and labor pain. Subjects and Method: This study uses a systematic review and meta-analysis research design. The time of the selected test results is between 2005 to 2021. The search for articles is carried out for 1 month. Research data was searched from databases: PubMed, Science Direct, Springer Link, Google Scholar, Chocrance Library. The inclusion criteria in this study were full text articles in English, the study design used a randomized controlled trial. Article searches were carried out using the PICO model. The population in this study were pregnant women, the intervention was in the form of prenatal yoga, comparison was without prenatal yoga, and the outcomes were labor duration and labor pain. Data processing is carried out using the Review Manager (RevMan 5.3) by calculating the standardized mean difference to determine the combined research model and form the final result of the meta-analysis. Results: There are 9 articles in the study of the effect of prenatal yoga on the duration of labor and there are 5 articles on labor pain. The study showed that prenatal yoga significantly reduced labor duration (SMD= 0.88; 86% CI -1.31 to -0.44 p<0.001). Prenatal yoga can also reduce labor pain (SMD = 0.88; 77% CI -1.44 to -0.33 p = 0.002). Conclusion: Prenatal yoga can reduce labor duration and reduce labor pain.

Meta-Analysis the Effect of Complementary Feeding Practice on Stunting in Children Aged 6-59 Months Babys, Isna Yuswella; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: A child's ability to achieve growth standards is determined by the adequacy of food intake. Malnutrition in toddlers increases the risk of stunting, which is a serious problem. Stunting is closely related to neurocognitive development, risk of non-communicable diseases, and decreased productivity. Appropriate complementary feeding is an important milestone in efforts to improve survival and promote healthier child growth and development and can significantly reduce stunting. This study aims to estimate the magnitude of the effect of poor complementary feeding practices on the incidence of stunting in toddlers using a meta-analysis study. Subjects and Method: The meta-analysis was carried out with the initial step of formulating the research problem using the PICO technique. The study population were children aged 6-59 months with poor complementary feeding, compare with good complementary feeding. The study outcome was stunting. Articles were selected from Google Scholar, PubMed, Springer Link, and Research Gate databases. The keywords used were "complementary Feeding practice" OR "meal frequency" OR "dietary diversity" AND "Stunting". The inclusion criteria were full text, observational studies, and the results reported in Adjusted Odds Ratio (aOR). Analysis of articles using RevMan 5.3. Results: A meta-analysis involved 16 articles. The results showed that the low variety of complementary feeding increased the incidence of stunting 1.72 times compared to various types of complementary feeding (Aor= 1.72; 95% CI= 1.54 to 1.92; p < 0.001). Infrequent complementary feeding increased the incidence of stunting by 1.85 (aOR= 1.85; 95% CI 1.34 to 2.55; p <0.001). Conclusion: The diversity of types of complementary foods and low frequency of giving complementary foods increase the incidence of stunting in children aged 6-59 months. Keywords: complementary feeding practice, feeding frequency, food diversity, stunting. Correspondence: Isna Yuswella Babys. Master’s Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: isnababys@gmail.com. Mobile: 082354707563.

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