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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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Socioeconomic Determinants of Diarrhea among Under-Five Children in Bangladesh: Do Education and Wealth Matter? Alauddin, Sharlene; Haque, M. Ershadul
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The purpose of this study is to assess the current status of diarrhea among the under-five children in Bangladesh by exploring the risk factors which are associated with this disease. Subjects and Method: In this study, a nationally representative cross-sectional data had been used and the sample of women having under five children was selected by using a two stage stratified sampling method. A total of 7410 under five children were included. The dependent variable of this study was the status of diarrhea disease in the two weeks preceding the survey. The independent variable was education-wealth composition along with some other important variables such as age of children, delivery by caesarean section, migration status, mother’s age at birth, type of residence, source of toilet facility, sources of drinking water. The bivariate analysis was chi-square. The multivariate analysis was a multiple logistic regression. Results: According to this research study, education and wealth didn’t show any impact individually in the logistic regression model but when we excluded education and wealth from the model and create it is composition, it worked as a significant influential factor of diarrhea disease in Bangladesh. Women who were literate and their wealth status was not rich (OR= 0.64; 95% CI= 0.43 to 0.96; p= 0.030), women who were literate and rich (OR= 0.55; 95% CI= 0.35 to 0.88; p = 0.012) had significant association with childhood diarrhea. In addition to that only children age between 6-23 months (OR= 3.49; 95% CI= 2.23 to 5.48; p<0.001) and 24-35 months (OR= 1.75; 95% CI= 1.08 to 2.85; p= 0.023) worked out as a significant predictor of childhood diarrhea. Conclusion: This study was expected to help to build up a proper understanding about the socio-economic factors in order to reduce the childhood diarrhea in Bangladesh.

Meta-Analysis: Breastfeeding and Its Correlation with Stunting Azizah, Alfi Makrifatul; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a problem of chronic malnutrition in the first 100 days of life, which can be prevented by breastfeeding in children. This study aims to analyze the relationship between breastfeeding and the incidence of stunting based on the results of a number of similar primary studies previously. Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P= Children under five, I= Breastfeeding, C= Not Breastfeeding, O= Stunting. Article searches were conducted using electronic databases, namely PubMed, Goegle Scholar and Science Direct. Article searches were conducted using the keyword and Mesh methods as follows “Breastfeeding” AND “Stunting” AND “Children” “Breastfeeding and Malnutrition” OR “Breastfeeding Benefits”. sectional, the articles were analyzed using the Review Manager 5.3 application. Results: There were 8 articles from the continents of Africa, Asia and South America which included Ethiopia, Rwanda, Tanzania, Zambia, Pakistan, Indonesia, and Ecuador from 2001-2022 which were analyzed using PRISMA flow diagrams. Research studies show that children who are breastfed have a risk of experiencing stunting as much as 0.62 times compared to those who are not breastfed (aOR= 0.62; CI 95%= 0.41 to 0.94; p= 0.020). Conclusion: Breastfeeding can reduce the risk of children experiencing stunting.

Do Massage and Relaxation Music Therapy Increase Breast Milk Volume? A Meta-Analysis Sakinah, Sakinah; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast milk contains various nutrients that meet the needs of infants’ growth and development. Furthermore, breast milk also contains various antibodies that will protect infants from viruses and bacteria to avoid infections and various diseases. Various conditions encountered by postpartum mothers often lead to stress and anxiety that generate a low milk supply, thus the infants do not get breast milk optimally. This study aims to discover the effect of massage and relaxation music therapy on breast milk volume. Subjects and Method: The study used systematic review and meta-analysis using the PICO model. Population= postpartum mother, Intervention= massage and relaxation music therapy, Comparison= no massage and relaxation music therapy, and Outcome= breast milk volume. Article search was conducted in various databases, namely PubMed, BMC, ScienceDirect, ResearchGate, SpringerLink, and NCBI. The articles were collected in 1 month. The articles were published from 2012-2022. The keywords in this article search were "Massage AND Lactation" OR "Massage AND Milk Production" AND "Music AND Milk Production" OR "Relaxation AND Breastfeeding" AND "Randomized Controlled Trial". The inclusion criteria were full-text articles with an RCT study design, the correlation size used was mean and SD, and the articles were in English. The articles were analyzed using the RevMan 5.3 application. Results: This study used 14 articles with sample populations from China, India, Indonesia, the United Kingdom, Iran, Malaysia, Thailand, and Turkey. The administration of massage had a positive effect 1.42 times more effective on the increase of breast milk volume compared to without massage (SMD= 1.42; CI 95%= 0.98 to 1.86; p<0.001). Relaxation music therapy can increase breast milk volume by 0.46 times compared to without relaxation music therapy (SMD= 0.46; 95% CI= 0.31 to 0.60; p<0.001). Conclusion: Massage and relaxation music therapy have a positive effect on the increase of breast milk volume. Keywords: massage, relaxation music therapy, breast milk volume, postpartum. Correspondence: Sakinah. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: sakinah13579@gmail.com. Mobile: +6282386391993.

Meta-Analysis: Are Acupressure and Birthing Ball Exercise Associated with Labor Pain? Astuti, Susiana Yuni; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Management of pain in labor is identified as one of the most important topics related to pregnancy and childbirth. Acupressure and birthing ball exercise are one of the non-pharmacological methods of managing labor pain to help mothers cope with the labor process. This management can relieve pain sensations by increasing the woman's well-being, comfort, and sense of control in labor. This study aims to estimate the effect of acupressure and birthing ball exercise on labor pain. Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2021. The keywords used are (“labor pain” OR labor pain) “AND (“acupressure” OR “acupressure hegu”) AND (“birthing ball” OR “birthing ball exercise”) AND “randomized controlled trial”. Inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the size of the relationship used with Mean SD, the intervention given was acupressure and birthing ball exercise, research subjects were mothers in the first stage of active labor. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis of 16 articles showed results for acupressure (SMD -1.29; 95% CI= -2.35 to 0.24; p=0.02) and birthing ball exercise (SMD -0.73; 95% CI= -1.56 to 0.11; p=0.09). Conclusion: Acupressure and birthing ball exercise each have an effect on reducing labor pain.

Association between Employer Provided and Planned Maternity Leave Duration and Breastfeeding Duration Kamat, Natasha; Miller, Emily
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The American Academy of Pediatrics recommends breastfeeding for at least one year. However, studies have shown that the constraints of the Family and Medical Leave Act (FMLA), which provides 12 weeks of unpaid leave, may impede this recommendation. Our objective was to evaluate whether employer provided and planned maternity leave duration was associated with breastfeeding duration. Subjects and Method: This was a prospective cohort study wherein 480 postpartum women were recruited from Prentice Hospital between May and July of 2017. Participants completed a questionnaire immediately postpartum and at 12 to 14 weeks postpartum. Independent variables were employer provided and planed maternity duration and partner leave duration. Dependent variables were intention to breastfeed for one year and actual breastfeeding status at 12 to 14 weeks postpartum. Bivariable and multivariable analyses were performed. Results: Of the 480 women enrolled, 226 (47.28%) intended to breastfeed for at least one year. Women who planned a longer maternity leave were significantly more likely to intend to breastfeed for at least one year (37.41% vs 35.71%, p= 0.033). This persisted after controlling for possible confounders (aOR = 4.08, CI 95%= 1.10 to 15.13, p= 0.040) However, there was no difference in intention to breastfeed for at least one year by the duration of employer allocated maternity or partner leave. There were no differences in actual breastfeeding rates at 12 weeks postpartum across various durations of intended or taken maternity or partner leave. Conclusion: Increased planned maternity leave duration is associated with increased intention to breastfeed, however actual breastfeeding rates at 12 weeks postpartum were not associated with maternity leave duration.

Meta-Analysis the Effect of Hormonal Contraception on the Weight Gain and Hypertension in Women of Reproductive Age Kusumaningtiyas, Zonna Aditiya; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Hormonal contraception is a contraceptive method that can prevent pregnancy because it contains estrogen and progesterone. The use of hormonal contraception for a long time can cause side effects including increased body weight, cholesterol deposits, and hypertension. The purpose of this study was to examine, analyze, and estimate the magnitude of the effect of the use of hormonal contraception on the incidence of weight gain and hypertension in women of childbearing age based on the results of previous similar studies. Subjects and Method: This study is a systematic review and meta-analysis using PRISMA flowchart diagrams. The process of searching for articles was carried out between 2004-2021 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search are ""Hormonal Contraception" AND “DPMA injection” AND "Weight Gain" AND "Hypertension". Inclusion criteria for full text articles used the observational Randomized Controlled Trial method, the articles used English, and reported the Mean and SD in multivariate analysis. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a Randomized Controlled Trial study design originating from Thailand, Indonesia, Pakistan, America, California, Africa, Ethiopia, and Kenya were meta-analyzed in this study. Meta-analysis of 7 articles showed that hormonal contraception had an effect on weight gain in women of childbearing age by 0.03 units but not statistically significant (SMD= 0.03; 95% CI= 0.07 to 0.14; p= 0.530). Meanwhile, 7 articles showed that hormonal contraception increased the incidence of hypertension in women of childbearing age by 0.10 units, but it was not statistically significant (SMD= 0.10; 95% CI= 0.17 to 1.37; p= 0.460). Conclusion: Hormonal contraception increases body weight and hypertension in women of childbearing age. Keywords: hormonal contraception, weight gain, hypertension, meta-analysis. Correspondence:Zonna Aditiya Kusumaningtiyas. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: zonnaaditiya22@gmail.com. Mobile: +6282234998054.

Increase Breast Milk Production for Postpartum Mothers with Oxytocin Massage Using Innovative Massage Tools Istighosah, Nining; Sari, Aprilia Nurtika
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Goal 3 of Global commitment of 2015-2030 Sustainable Development Goals (SDGs) program is to ensure a healthy life and to promote well-being for all people at all ages in the 2nd achievement indicator targeting by 2030. It is hoped to end infant and under-five mortality that can be avoided, with all countries trying to reduce the Neonatal Mortality Rate to at least 12 per 1,000 KH and the Toddler Mortality Rate by 25 per 1,000 KH. Infant mortality cases caused by nutritional factors reached 53%. Several diseases that arise due to malnutrition include pneumonia (13.2%), diarrhea (17.2%) and perinatal problems (36%). Breast milk is the best food for babies and has the right balance of nutrients, is bioavailable, easy to digest, protects babies from disease, and has anti-inflammatory properties. This study aims to analyze the difference in the volume of breast milk before and after the mother received oxytocin massage with the Effleurage technique and a combination of innovative massage tools. Subjects and Method: This research is a quasi experiment. The study was conducted in the City of Kediri from August to September 2020. The sample used was post partum women on days 4 to 10 using simple random sampling technique. The dependent variable is the volume of breast milk. The independent variable is the type of oxytocin massage treatment with effleurage technique, and the combination of oxytocin massage with efflurage technique and innovative massage tools. Data analysis per treatment and control groups used the one-way annova test with 95% CI. Results: There was no difference in the mean volume of breast milk in mothers who received lactation massage using the innovative massage method (Mean= 21.65; SD= 15.43; p= 0.994), conventional Efflurage massage (Mean= 22.15; SD= 15.43; p= 0.330), and in control group (Mean= 20.50; SD= 15.43; p=0.386). Conclusion: There was no difference in the mean volume of breast milk in each group and this result was not statistically significant.

Associations between Smoking, Intrauterine Device Uptake, and Ectopic Pregnancy: A Meta Analysis Yanuari, Ridha Rossela; Pamungkasari, Eti Poncorini; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Ectopic pregnancy is an important cause of maternal morbidity and mortality, estimated to occur in approximately 1-2% of pregnancies worldwide. Smoking and history of using intrauterine devices are risk factors for ectopic pregnancy. This study aims to estimate the magnitude of the relationship between smoking and a history of using intrauterine devices on the incidence of ectopic pregnancy based on a number of previous primary studies. Subjects and Method: This study is a systematic review and meta-analysis. The articles used in this study were obtained from several databases, including: PubMed, Google Scholar, and Science Direct which were published from 2000-2020. The inclusion criteria used are full text articles with Case Control design. The keywords used to search for articles were as follows: smoking AND "ectopic pregnancy" AND multivariate; "use of intrauterine device" AND "ectopic pregnancy" AND multivariate; smoking OR cigarette AND “use of intrauterine device” AND “ectopic pregnancy” OR “tubal pregnancy” AND multivariate. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3. Results: A meta-analysis of 7 articles showed that women of reproductive age who smoked had a 2.20 times risk of ectopic pregnancy compared to women of reproductive age who did not smoke (aOR= 2.20; 95% CI= 1.45 to 3.34; p= 0.002). A meta-analysis of 9 articles showed that women of reproductive age with a history of using intrauterine devices had a 2.28 times risk of ectopic pregnancy compared to women of reproductive age who did not use intrauterine devices (aOR= 2.28; 95% CI= 1.74 to 2.98; p<0.001). Conclusion: Smoking and a history of using intrauterine devices increase the risk of ectopic pregnancy.

Meta Analysis the Effect of Gestational Diabetes Mellitus on Macrosomia and Sectio Caesarea Ratna, Tantri Yunita; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Gestational Diabetes Mellitus (GDM) is the degree of glucose intolerance that occurs during pregnancy. DMG is caused by damage to cells and insulin resistance, resulting in hyperglycemia and an increase in abnormal growth/macrosomia which causes cesarean delivery. This study aims to analyze the magnitude of the effect of DMG on the incidence of macrosomia and caesarean section with a meta-analysis study. Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagram. Article searches were conducted through journal databases including: PubMed, Science Direct, and Google Scholar by selecting articles published in 2000-2020. The keywords used were: "gestational diabetes mellitus" OR "diabetes in pregnancy" AND macrosomiaAND "sectio caesarean" OR "perinatal outcomes" OR "pregnancy outcome". The inclusion criteria in this study were full text articles with an observational study design, articles using English, analysis using multivariate with adjusted odds ratio. Eligible articles were analyzed using Revman 5.3 app. Results: A total of 22 articles were reviewed in this study with a cohort study design. Meta-analysis of 12 articles showed that pregnant women with gestational diabetes mellitus had a 1.36 times risk of giving birth to a macrosomic baby compared to those without gestational diabetes mellitus (aOR=1.36; 95% CI=1.15 to 1.60; p<0.003), while 10 articles showed pregnant women with gestational diabetes mellitus had a 1.35 times risk for cesarean delivery than those without gestational diabetes mellitus (aOR=1.35; 95% CI=1.17 to 1.55; p<0.001). Conclusion: Gestational Diabetes Mellitus has a weak effect on macrosomia births and caesarean section.

The Effect of Low Dose of Aspirin on the Preeclampsia in Pregnant Women: A Meta-Analysis Arianty, Meike; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: In 2020 there were 4,627 maternal deaths in Indonesia. Preeclampsia is a complication in pregnancy that occurs 2-8% of all pregnancies and is a major cause of maternal morbidity. Low-dose aspirin has been shown to be a safe and effective primary prevention for the incidence of preeclampsia. With preventive measures can reduce both moral and material losses for patients at high risk for the incidence of preeclampsia. The purpose of this study was to estimate the magnitude of the effect of low-dose aspirin on the incidence of preeclampsia in pregnant women based on previous research. Subjects and Method: This study is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Cochrane, Science Direct. The articles used are published articles from 2012-2022. The keywords used to search the article were “Aspirin OR Acetylsalicylic Acid AND Prevention AND Pre-Eclampsia OR Toxemia AND Randomized Controlled Trials”. The inclusion criteria used are articles with randomized control trial studies, full text articles are available, the results of the analysis used are Risk Ratio. The population of the study was high-risk pregnant women, the research intervention was the administration of low-dose aspirin, the study comparison was a placebo, and the outcome of the study was preeclampsia, the articles were in English or Indonesian. The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: A total of 7 articles from China, America, India, Congo, Guatemala, Pakistan, and Finland showed that aspirin had an effect of 0.87 times in reducing the incidence of preeclampsia when compared with placebo or no administration (RR = 0.87; 95% CI 0.72 to 1.05). although not statistically significant (p=0.160). Conclusion: Low-dose aspirin affects the incidence of preeclampsia in pregnant women.

Page 15 of 38 | Total Record : 374

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