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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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Nursing Intervention in Children with Diarrhea: A Case Study Titihalawa, Elly Marce; Kurniasih, Dwi; Panggus, Florida Listavia
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Diarrhea or gastroenteritis is a condition as watery bowel movements more than three times a day for two consecutive days, which may or may not be related to pathological conditions. Diarrhea can occur in all age groups, both toddlers, children and adults with various social groups. Diarrhea is the second leading cause of death in children under five years and almost 1.7 billion cases of diarrhea occur in children with a mortality rate of around 525,000. This study aims to describe the application of knowledge and practice of nursing care in children with diarrhea with the problem of risk of hypovolemia due to active fluid loss. Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at the Pontianak Level II Government Hospital, for 2 weeks. The sample used in this study were 4 key informants from 6 planned respondents and 3 triangulated informants. The key informants are nurses who work in the child care room, while the 3 triangulation informants are the client's family. The study variables were optimizing nursing interventions and diarrhea in children. Data collection was carried out by structured and direct interviews using a tape recorder before it was analyzed. Results: This study identified several themes such as meeting fluid needs, decreasing body temperature, and preventing damage to skin integrity, but in the case of diarrhea in children, meeting fluid needs is the nurse's main intervention that must be done in overcoming hypovolemia without forgetting the involvement of parents. Conclusion: Meeting fluid needs is a nurse's top priority in providing nursing care to diarrhea patients to prevent hypovolemia.

Intention of Women of Reproductive Age Participation on the Visual Inspection with Acetic Acid Uptake Nursanti, Devy Putri; Ellina, Agusta Dian
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The biggest problem in preventing cervical cancer depends on the compliance of women of childbearing age in carrying out a Visual Inspection with Acetic Acid (Via) examination, while obedient behavior will arise if there is a strong and consistent intention. Analyzing the effect of intention as a mediating variable between attitude, subjective norm and behavioral control on the behavior of VIA examination participation in women of reproductive age. Subjects and Method: A cross-sectional study was conducted on 164 women of childbearing age who were married in the working area of the Pesantren I Public Health Center, Kediri City. The independent variables (attitude, subjective norms, behavioral control), and the dependent variable (behavior), and the mediating variable (intentions). The sampling technique used simple random sampling. The questionnaire in this study was divided into two parts, the first part consisted of demographic details of the respondents and the second part related to the research variables. The analysis technique in this study uses path analysis. Results: This study shows that attitudes, subjective norms, and control behavior do not have a direct influence on behavior, but have an indirect influence with intention as a mediating variable. Conclusion: This study shows that attitudes, subjective norms, and control behavior do not have a direct influence on behavior, but have an indirect influence with intention as a mediating variable, this is in accordance with the behavioral constructs of the Theory of Planned Behavior. This means that the influence of Intention as a mediating variable between Attitude, Subjective Norm and Behavioral Control on the Behavior of VIA examination participation in women of childbearing age has been proven true. Keywords: theory of planned behavior, visual inspection of acetic acid, women of childbearing. Correspondence: Devy Putri Nursanti, Institute of Health Sciences Strada Indonesia, Jl. Manila 37, Sumberece Kota Kediri, E-mail: devyputri12@gmail.com, Phone: +62 812-5909-6664.

Excess Weight Gain in Pregnant Women and Prematurity: A Meta-Analysis Damalita, Annisa Fitriana; Dewi, Yulia Lanti Retno; 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: Premature birth as a cause of morbidity and mortality in neonates. Excessive weight gain in pregnant women is considered a risk factor for adverse pregnancy outcomes including preterm birth. This study aims to analyze the effect of excess weight gain in pregnant women on premature birth. Subjects and Method: This research is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Science Direct and Springerlink. The articles used are articles published from 2011-2021. The keywords to search for articles were: “gestational weight gain” AND “pregnancy” AND (“preterm birth” OR “premature birth”) AND “cohort study” AND “adjusted odds ratio”. The inclusion criteria used were full text articles in English with a cohort study design, multivariate analysis with Adjusted Odds Ratios (aOR), research subjects were pregnant women, intervention was excessive weight gain, comparison was normal weight gain (adequate). , the study outcome was preterm delivery (<37 weeks). The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: A total of 10 cohort study articles from China, Indonesia, Canada, Korea, Mexico, Puerto Rico, Saudi Arabia, and Taiwan were selected for systematic review and meta-analysis. The results showed that excess weight gain in pregnant women increased the risk of preterm birth and was statistically significant (aOR= 1.23; 95% CI= 1.01 to 1.48; p= 0.030). Conclusion: Excess weight gain in pregnant women increases the risk of premature birth.

A Study on Role of Antenatal Care in Pregnancy Outcome K, Akhila; Kumar, Prasanth; Bhavani, Kenche
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Antenatal care (ANC) and regular antenatal visits are one of the interventions that have the potential to improve both maternal and child survival. The utilization of antenatal services remains less than 60% in India. The study aimed to find out the association between ANC visits and pregnancy outcome. Subjects and Method: Cross-sectional study was conducted on 200 antenatal women in a tertiary care centre over a period of 3 months. After taking informed consent data was collected by interviewer technique using a pretested semi-structured questionnaire. Questionnaire includes information related to socio-demographic variables, number of ANC visits, delivery outcome (normal/ LSCS) low birth weight, stillbirths, and abortions. Thus, collected data was entered in excel and analyzed using epi info 7.22.6. The bivariate analysis was the chi-square test. Binary logistic regression was used to study the association between delivery outcome and its covariates. Logistic regression was also done to see the association between ANC visits and Low birth weight and stillbirths. Results: Out of 59 women who had less than 4 ANC visits had more number of abortions (18.6%) (OR= 32.08; CI 95%= 4.03 to 255.07; p<0.001), low birth weights (52.5%) (OR= 4.46; CI 95%= 2.31 to 8.62; p= 0.001), still births (8.5%) (OR= -1.00; CI 95%= -1 to -0.001 p=0.001), out of 22 illiterate mothers 16 of them had poor pregnancy outcomes (p= 0.002) and first ANC visit during first trimester had less complications (p <0.001). Binary logistic regression revealed significant association between delivery outcome and Socio-economic status (OR= 2.14; CI 95%= -1.47 to 3.13; p<0.001) as well as frequency of ANC visits (OR= 0.65; CI 95%= 0.55 to 0.77; p<0.001). Significant association was also observed between ANC visits and Low birth weight (OR= 0.52; CI 95%= -0.43 to 0.62; p <0.001). Logistic regression between ANC visits and stillbirths/abortion showed significant association (OR= 0.36 (CI 95%= -0.23 to 0.55; p<0.001). Conclusion: The study shows that less than 4 ANC visits, illiteracy increases the risk of poor pregnancy outcome. Women who had their first ANC visits during first trimester had less complications. Keywords: antenatal care, pregnancy outcomes, socio-demographic factors. Correspondence:Bhavani. Department of Community Medicine, Osmania Medical College, Hyderabad, Telangana. Email: bhavanikenche1969@gmail.com. Mobile: 9502710778.

The Experience of Mothers Caring for Children with Disabilities at the Persatuan Rakyat Indonesia Special School in Pekalongan, Central Java: A Phenomenological Study Maulinda, Amanda Via; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Disabilities are often called physical, mental and sensory disabilities or disorders that limit a person's ability to carry out daily activities. Parenting a child with a disability is not easy because the child cannot perform any activities independently and the child's behavior is not controlled. This results in a negative impact on the mother psychologically, physically and can disrupt family dynamics such as domestic violence and quarrels. This study aimed to explore the experiences of mothers caring for children with disabilities. Subjects and Method: This was a qualitative study with a phenomenological approach, conducted at the Persatuan Rakyat Indonesia Special School (SLB) in Pekalongan, Central Java. The study subjects were selected purposively as many as four participants, namely housewives without caregivers who have children with physical disabilities, deaf-speech, and mentally retarded children. Data were collected using in-depth interview technique. The tools used in this research are camera, recording device and interview guide. Data analysis using Colaizz's method. Results: This qualitative research resulted in seventeen themes that show the experience of mothers in caring for children with disabilities, namely destiny, mother's burden, mother's initial psychological response, emotional changes, behavioral changes, limited funds, obstacles in daily life, social stigma, financial support, social support, assistance efforts. health workers, efforts to seek other assistance, the attitude of the mother when the child conveys a choice, the attitude of the mother when the child acts inappropriately, the expectations and limitations of special health services for disability, the wisdom of spiritual improvement and bathing. Conclusion: Mother's experience in caring for children with disabilities found unstable emotional changes, excessive worry and excessive attention. Support is very influential for mothers in the form of information support, extended family support, nuclear family and the surrounding community. During caring for children with disabilities, mothers gain wisdom, namely increasing patience and gratitude.

Correlation between Antenatal Care and Anxiety in Primigravida Pregnant Women at Glagah Community Health Center Salsabila, Hawa Nur; Sulistiawati, Sulistiawati; Jayanti, Ratna Dwi
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: In the third trimester of pregnancy, the anxiety rate tends to increase, especially at the time of delivery. In addition, pregnant women who are less obedient in carrying out pregnancy tests and do not follow the integrated ANC. Therefore, pregnant women do not get information about preparation for childbirth so that when they are about to face labor, their anxiety increases. This study aims to analyze the relationship between Antenatal Care (ANC) Frequency and Anxiety in primigravida pregnant women in the third trimester at Glagah Health Center.Subjects and Method: This is a quantitative study, which is observational analytic using a cross sectional approach. The number of samples was 94 subjects who were included in the inclusion criteria with purposive sampling technique. The study was conducted in September until October 2021. The dependent variable was anxiety. The independent variables were ANC frequency, age, education, economy, family support. Data were collected using a questionnaire and analyzed by chi-square test.Results: The results showed that there was a significant relationship between frequency of ANC (p<0.001), education (p= 0.015), socioeconomy (p= 0.042), and family support (<0.001) on anxiety in third trimester primigravida pregnant women.Conclusion: Anxiety in primigravida pregnant women was influenced by frequency of ANC, education, socioeconomy, and family support.

Effect of Zinc Supplementation on Changes in Anthropometric Index of Toddler: A Meta-Analysis Usmaningrum, Desif Upix; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting occurs as a result of a long chain of malnutrition burden at every phase of life. Insufficient intake of protein energy in pregnancy and toddler growth has an impact on the risk of stunting under five. In addition, stunting is also considered to be closely related to deficiency of essential micronutrients, especially iron and zinc. Subjects and Method: This research is a systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on the eligibility criteria using the PICO Model. Population: Infants aged 0-59 months, Intervention: Zinc supplementation, Comparison: Placebo, Outcome: Anthropometric index of height for age (HAZ). The articles used were from PubMed, Google Scholar, Science Direct, and Scopus published from 2016 – 2022. The keywords used in the search were “zinc” AND “height” AND “infant” OR “toddler”. The inclusion criteria in this study were full paper articles with Randomized Control Trial, the intervention given was zinc with placebo comparison, research subjects were infants aged 0 – 59 months, and articles were published in English. The final results are presented in Standardized Mean Difference (SMD) in the analysis using the Revman 5.3 application. Results: Meta-analysis was carried out on 10 articles originating from the continents of Asia, Africa, and America. The results of the analysis showed that zinc supplementation increased the anthropometric index (HAZ) with SMD=0.51 units higher than placebo and statistically significant (SMD=0.51, 95% CI=0.17 to 0.85; p=0.003). Conclusion: The results of the meta-analysis showed that the administration of zinc supplementation increased the anthropometric index (HAZ) in children under five. Keywords: zinc, anthropometry, height for age, toddler. Correspondence: Desif Upix Usmaningrum. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: desifupix@student.uns.ac.id. Mobile: +6287838887228.

Biopsychosocial Analysis of Factors on COVID-19 Screening Awareness of Infertile Couples in Assisted Reproductive Technology Budihastuti, Uki Retno; Laqif, Abdurahman; Melinawati, Eriana; Prakosa, Teguh; Udiyanto, Hermawan; Priyanto, Heru Priyanto; Darto, Darto; Rantasari, Affi Angelia; Wasyanto, Trisulo; Anggraeni, Asih; Wijayanti, Agung Sari
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The development of screening methods for infertility patients during the Coronavirus-2019 (COVID-19) pandemic provides new challenges in the adaptation of children's want programs in the era of the COVID-19pandemic. Several screening methods have been developed but various factors affect the awareness of couples to want to do COVID-19 screening. This study aimed to analyze biopsychosocial factors associated with awareness of COVID-19 screening in infertile couples. Subjects and Method: A cross-sectional study conducted at The Sekar Polyclinic of Dr. Moewardi Regional General Hospital during the COVID-19 pandemic. A number of 60 infertile couple of reproductive age who underwent the ART program was selected by random sampling. The dependent variable was awareness for COVID-19 screening. The independent variables were anxiety, knowledge, age, and length of infertility. The data were obtained from medical record and questionnaire and analyzed by a multiple logistic regression. Results: Anxiety (OR= 26; 95% CI; p<0.001) and above-average knowledge levels (OR=16; 95% CI; p<0.001) affected awareness for COVID-19 screening. While the age and length of infertility do not affect awareness for COVID-19 screening (p >0.05). Conclusion: Anxiety and above-average knowledge levels affect awareness for COVID-19 screening.

The Effect of Recombinant Vascular Endothelial Growth Factor (VEGF)-121 Towards Placenta Growth Factor Serum Levels in Female Mice (Mus Musculus) with Preeclampsia Model Prabowo, Wisnu
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Preeclampsia is a multi systemic disease which recognized by the development of hypertension after 20 weeks of gestation with the presence of proteinuria or any signs indicative of target organ injury. The correct diagnosis and classification of the disease are essential since the therapies are unique in each class. Moreover, the angiogenic factors claims to play a significant role in the endothelial injury which plays as an etiology for preeclampsia. Thus, this study aimed to analyze the differences between angiogenic factors in pregnancy mice with preeclampsia models after administration of VEGF-121. Subjects and Method: Subject of the study were swiss’s strains of pregnancy mice (Mus musculus) which divided into three groups that consist of 10 subject of study in each group. Subjects for this research were recruited between March and May 2015 in Biomedical Laboratory of The Faculty of Veterinary Medicine, Universitas Airlangga as part of a cross sectional study designed for analytical experimental. The angiogenic factor which measured was PIGF serum levels with ELISA method and only group of pregnant mice with preeclampsia model which administred with injection of VEGF-121. Results: This study was conducted of 30 male and 30 female Mus musculus with homogeneous characteristic in terms of age, average body weight and have never been pregnant before. The differences in PIGF serum levels between three observed group are significant (p=0.035). Conclusion: Administration of VEGF-121 increased the PlGF serum levels in pregnant mice with preeclampsia model. Thus, the administration of VEGF-121 improves the condition of endothelial damage in preeclampsia with an increase in PlGF levels.

The Effectiveness of Lavender Aroma Therapy for Better Quality of Sleep in Pregnant Women: Meta-Analysis Teha, Zadia Dara Cynintya; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Sleep is a state of natural rest for the body that must be fulfilled every day. Sleep patterns of each individual are always different depending on age, lifestyle, environment, activities and health conditions. This study aims to analyze the primary study of the effectiveness of lavender aromatherapy to improve sleep quality in pregnant women with a meta-analysis. Subjects and Method: This study is a systematic review and meta-analysis with PICO as follows Population: pregnant women, Intervention: Giving lavender aromatherapy, Comparison: No aromatherapy given Outcome: Sleep quality. The articles used in this study were obtained from three databases, namely: Google Scholar, Pubmed, Science Direct with a time span between 2015-2022. The keywords used are “Lavender aromatherapy effect OR improving the quality of sleep AND pregnant AND Randomized Controlled Trials”. The articles were provided in full text in English and Indonesian, with a Randomized Controlled Trial study design and reporting on the Mean and SD in a multivariate analysis. The selection of articles was done by using a prism flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application. Results: A total of 9 randomized controlled trials originating from Iran and Indonesia were selected for a systematic review and meta-analysis. The data collected showed the effectiveness of aromatherapy on improving sleep quality in pregnant women was 0.38 times that of pregnant women who were not given aromatherapy (SMD= 0.38; 95% CI= 0.38 to 0.55) and statistically significant p=0.004. Conclusion: Giving lavender aromatherapy can improve sleep quality in pregnant women. Keywords: aromatherapy lavender, sleep quality in pregnant women, meta-analysis. Correspondence:Zadia Dara Cynintya Teha. Master’s Program in Public Health, Universitas Sebelas Maret. Jl.Lawu raya Seturan Caturtunggal Depok Sleman Yogyakarta 55281, Indonesia. Email: Cynintya@gmail.com. Mobile: +6283857619108.

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