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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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Analysis of Caesarean Section Rates and Source of Payment Using the Robson Classification System Nurhayati, Fitasari Nidia; Prasetyo, Budi; Miftahussurur, Muhammad
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Sectio caesarea delivery is the last alternative to save the mother and fetus when normal delivery is not possible. The increase in caesarean section worldwide has become a major public health problem, so it is necessary to supervise to reduce the number of caesarean sections that are considered unnecessary, one of which is through the Robson Classification. The existence of health insurance for the people of Indonesia, including BPJS which covers the costs of sectio caesarea, makes it possible to increase the incidence of sectio caesarea. The aim of the study was to analyze the incidence of sectio caesarea and financing status based on Robson's classification at Muhammadiyah Babat Hospital. Subjects and Method: This study used a retrospective observational analytic method with a cross sectional design. The research sample was mothers giving birth at Muhammadiyah Babat Hospital who were included in the inclusion criteria and were taken through a total sampling technique of 127 mothers giving birth. The dependent variable is sectio caesarea. The independent variable is financing status. The instrument used was medical record data collected in collection sheets and analyzed using the Chi Square test. Results: A total of 87 (68.5%) subjects gave birth by sectio caesarea with the prevalence of the Robson group 2, 4, and 5 as the main contributor. A total of 64 (63.4%) subjects gave birth by sectio caesarea with BPJS financing status. The results of the chi-square analysis showed that mothers with BPJS financing status reduced the incidence of sectio caesarea, and it was statistically significant (OR= 0.23; 95% CI= 0.06 to 0.80; p= 0.026). Conclusion: The data shows that the incidence of sectio caesarea is still very high and most are in the Robson group 1-5 with BPJS financing status. Based on Robson's grouping results, there is a relationship between financing status and the incidence of sectio caesarea, BPJS financing status reduces the incidence of caesarean section. Keywords: sectio caesarea, robson classification, financing status. Correspondence: Budi Prasetyo. Department of Obstetrics and Gynecology, Facullty of Medicine, Universitas Airlangga, Indonesia, Jl. Mayjen Pro. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java, Indonesia. Email: budi-p@fk.unair.ac.id. Mobile: +6281553019486

Factors of Primary Postpartum Hemorrhage among Women Delivered at Yirgalem General Hospital Southern, Ethiopia: A case control study Gebretsadik, Achamyelesh; Melaku, Nebiyu
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Primary postpartum hemorrhage continues to be the top leading cause of maternal mortality and morbidity all over the world, contributing about one third of all maternal mortality. Despite its public health importance of this problem, little is known about factors that contribute to primary postpartum hemorrhage especially in Ethiopia. The aim of this study was to assess the risk factors of primary postpartum hemorrhage. Subjects and Method: Hospital based unmatched case control study design was used. The study was conducted in July 2019, among delivered women at Yirgalem general hospital from January 1, 2014 to December 30, 2018; to all cases of primary postpartum hemorrhage (n= 218) and 436 controls selected by using simple random sampling techniques. Women with primary postpartum hemorrhage were cases and women who had not diagnosed for primary postpartum hemorrhage were controls. Descriptive statistics and logistic regression analysis were made. Statistical association was measured by AOR and its 95% CI. Results: Incidence of primary postpartum hemorrhage was 221 in 8,506 live births (2.6%) in the study period. Primiparas (AOR= 0.37 ;95% CI= 0.23 to 0.6; p= 0.001), grand multiparas (AOR= 5.80; 95% CI= 2.90 to 11.6; p <0.000) and rural maternal address (AOR= 1.90; 95% CI= 1.20 to 3.00; p= 0.008) were factors that have a statistically significant association with primary postpartum hemorrhage. Conclusion: Parity and rural residence were associated factors. Therefore, the government and other responsible stakeholders should give attention to women with grand multiparas and those women residing in rural area. Immediate identification of risk factors and management might reduce largely the occurrence of primary PPH and related maternal deaths.

The Effect of Endorphin Massage on Reducing The Intensity of Back Pain in Third Trimester Pregnant Women: A Systematic Review Astuti, Kh Endah Widhi; Murwati, Murwati; Fitriani, Nur
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: During the period of pregnancy, the mother will experience physical and psychological changes that will cause discomfort, one of them is back pain. Persistent pain not resolved immediately can result in chronic pain. Endorphin massage is a non-pharmacological method with touch or light massage techniques that can provide a feeling of calm and comfort to pregnant women who are entering late pregnancy until before labor. This study aimed to determine the effect of endorphin massage on decreasing back pain intensity in third trimester pregnant women. Subjects and Method: This systematic review uses three databased article searches, namely Pubmed, Research Gate and Schoolar with a publication time of the last 5 years. The criteria inclusion were pregnant women who experienced back pain and given endorphin massage. There was no comparison, quasi-experimental research design, randomized control and trial, qualitative research, cross-sectional. Articles published in 2015 – 2020 both of Indonesian and English Article. The exclusion criteria were the article with systematic review method. Results: Nine articles that met the inclusion criteria were used in this study. The article mostly discusses the effect of endorphin massage on reducing back pain intensity in third trimester pregnant women (7 articles) and compares the effect of endorphin massage with other non-pharmacological therapies (2 articles) with 5 articles using a pre-experimental research design and 4 articles using a research design. Quasy-experiments and the average number of samples in the articles reviewed were more than 250 subjects. Conclusion: Endorphin massage is effective in reducing the intensity of back pain in the third trimester of pregnant women.

Maternal Employment and Nutritional Status of Preschool Children Yasmeen, Wahida; Rahman, Md. Motiur; Asaduzzaman, H. M; Sultana, Hafiza; Saha, Tanmoy; Jinia, Syeda Tahmina Ferdous; Alom, Foisal Mahammad Mosiul; Ahmed, Syed
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The early childhood development is most crucial and the mother’s care and attention is essential. The purpose of the study was to compare the nutritional status of preschool children between employed and unemployed mothers. Subjects and Method: The comparative cross-sectional study was conducted among 400 children aged fewer than five years with their respondents. The study was conducted in the urban community of Rajshahi city from January, 2018 to December, 2018. The dependent variables were nutritional status of preschool children. The independent variables were socio-demographic characteristics and maternal employment. Respondents were selected by a purposive sampling method and data were collected by semi-structured questionnaire by face-to-face interview. Nutritional status was determined by anthropometric measurements. The statistical analysis was conducted using SPSS version 21. The findings of the study were presented by frequency, percentage, Mean, SD and Chi square test. Results: The mean ages of the employed and unemployed mothers were Mean= 30.79; SD=2.99 and Mean= 30.58; SD= 2.89 years respectively. Most of the employed mothers (91.0%) practiced exclusive breast-feeding for 6 months. Among the unemployed mothers, 64.0% practiced, which was a high statistical difference (p <0.001). There was highly significant statistical difference among mothers of two groups regarding starting complementary feeding as p=0.004. There was no significant statistical difference regarding children’s mid upper arm circumference (MUAC) classification. Weight for age (WAZ) - score, height for age (HAZ)-score and weight for height (WHZ)-score of employed and unemployed mother’s children showed a significant difference (p<0.05). Conclusion: Maternal employed status plays an essential role in determining child health care practice, which may influence a child’s health and development in later life. Keywords: childhood nutrition, maternal employment, stunting, underweight, wasting. Correspondence: Md. Motiur Rahman, Out Patient Department (OPD), Upazila Health Complex, Muksudpur, Gopalganj, Banhladesh. Email: motiuramc21@gmail.com. Mobile: 01937121255.

Meta-Analysis: The Effect of Early Breastfeeding Initiation on Hypothermia and Diarrhea in Infants Hidayah, Fristyaningrum; Retno, Yulia Lanti; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Early initiation of breastfeeding is the process of letting the baby instinctively breastfeed within the first hour after birth, along with skin-to-skin contact between the baby and the mother's skin which can prevent hypothermia in the baby. This study aims to analyze the relationship between early initiation of breastfeeding and the incidence of hypothermia in infants. Subjects and Method: This is a systematic review and meta-analysis study. Population= Infants aged 0-59 months, Intervention= early initiation of breastfeeding, Comparison= no early initiation of breastfeeding, Outcomes= incidence of hypothermia and diarrhea. Article searched through journal databases include: PubMed, Science Direct, Google Scholar, research gate, and Springerlink. The keywords used are breastfeeding" OR "early initiation of breastfeeding" OR "initiation breastfeeding" AND newborn OR neonatal OR neonate OR infant OR children OR child AND hypothermia OR “low body temperature” OR “low temperature” OR thermoregulation OR “body temperature regulation "AND diarrhea OR diarrhea. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria included full-text articles with cross-sectional studies, multivariate analysis results in the form of AOR values and published in English from 2011-2021. Eligible articles were analyzed using Revman 5.3 application. Results: Sixteen articles from Ethiopia, Vietnam, Bangladesh, Pakistan, Tanzania, and India were included in the meta-analysis. Meta-analysis in 7 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of hypothermia in infants (aOR= 0.32; 95% CI= 0.21 to 0.48; p<0.001). Meta-analysis in 9 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of diarrhea in infants (aOR = 0.81; 95% CI = 0.76 to 0.86; p<0.001). Conclusion: Early initiation of breastfeeding reduced the risk of hypothermia and diarrhea in infants. Researchers recommend implementing early initiation of breastfeeding in the first hour of birth to prevent the risk of hypothermia and diarrhea in infants.

Attitude and Family Support Influenced Human Papilloma Virus Vaccination in Female Midwifery Students Putri, Ilfinur Anissa; Handayani, Samsriyaningsih; Tjokroprawiro, Brahmana Askandar
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: In 2019 there were 13,078 cases of cervical cancer in East Java, and in 2018 the prevalence reached 2.2 per 1,000 population. However, the coverage of HPV (Human Papilloma Virus) vaccination as primary prevention of cervical cancer in Indonesia is still low. The purpose of this study was to analyze the influencing factors and the most influencing factors for female midwifery students in Human Papilloma Virus vaccination. Subjects and Method: This was an observational analytic study with a cross sectional design. The study was conducted in East Java. The study population was midwifery students. A sample of 252 midwifery students in East Java was selected by consecutive sampling. The dependent variable was HPV vaccination. The independent variables are attitudes and family support. The data were collected by online questionnaire form and analyzed by a multiple logistic regression. Results: Family support increased the likelihood of HPV vaccination in midwifery students (OR= 5.03; CI = 1.83 to 13.76; p= 0.002). Conclusion: Family support increased the likelihood of HPV vaccination in midwifery students.

Evaluation of Placental Pathology in Term Low Birth Weight Babies Sanchita, Paul; Binoy, Borah Kumar; Amilee, Gogoi
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight is the single most risk factor for perinatal mortality and placenta due to its importance in fetomaternal circulation plays an important role in pregnancy outcome. The present study aims to evaluate the pathological changes in the placenta in term (38-42 weeks) low birth weight babies. Subjects and Method: It is case control study done in Jorhat Medical College and Hospital during the period from June 2020 to May 2021. Consecutive sampling was done. 100 placentae were subjected to detailed gross and histological examination. Sixty placentae were from full term babies with birth weight less than 2,500g (LBW). Fourty placentae from full term babies with birth weight more than 2,500g were included in control group. Weight of the baby was taken within the 1st hour of birth and APGAR score was noted. Gross and microscopic examination of placentae was done. Statistical correlation was carried out between them by using Student t-test with SPSS software, P value <0.05 was taken as statistically significant. Results: Weight of term LBW cases placentae were lighter compared to control, diameter of the placentae in term LBW cases placenta was lesser compared to control (p= 0.045). The syncytial knot count, cytotrophoblastic cell proliferation and perivillous fibrin deposition was more in placentae of term LBW cases compared to controls (p= 0.045). Conclusion: Placental pathology among term LBW cases was high in comparison tocontrol group. The present study shows the importance of histopathological examination of the placenta to know the exact mechanism of placental dysfunction in term LBW cases. Keywords: low birth weight, perivillous fibrin deposition, syncytial knot count, cytotrophoblastic cell proliferation. Correspondence:Dr Sanchita Paul ,house no.129, karimganj, Assam. Pin: 788710. Phone: 9678801472, Email: sanchitavortex@gmail.com.

Meta-Analysis: The Effect of Prenatal Yoga and the Use of Transcutanal Electric Nerve Stimulation During Pregnancy on Labor Pain Widyawati, Fiqi; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Pregnant women are suggested to do light exercise to reduce complaints such as spasms, low back pain, hypertension and other problems. Prenatal yoga and the use of TENS are media that can help reduce pain during labor. The aimed of the study was to analyze the effect of prenatal yoga and the use of TENS during pregnancy on labor pain with a meta-analysis study.Subjects and Method: This was a systematic review and meta-analysis. The study was carried out using PRISMA flow diagrams. Search articles through journal databases including PubMed, Google Scholar, and Science Direct by selecting articles published in 2001-2021. The keywords used were "pregnancy" OR "pregnant" AND "pregnant women" AND "pregnant" AND "prenatal yoga" AND "Transcutaneous electrical nerve stimulation" AND "labor pain" AND "Randomized Controlled Trial". Article searches were performed using the PICO model. Population: Pregnant women, Inter

Relationships between Duration of Breastfeeding, Child Nutritional Status, and Development Jamaluddin, Sri Rezki Wahdania; Faradilah, Andi; Fitriani, Rini
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast milk is one of the factors that can affect growth and development. WHO is promoted exclusive breastfeeding and also encourages mother to raise breastfeeding until the children reach 2 year of age. This study was aimed to examine the relationships between the duration of breastfeeding, child nutritional status and development. Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in three health centers, in Makassar, South Sulawesi, Indonesia, from December 2019 to January 2020. A total of 200 mothers with children aged 1-3 years old were selected by purposive sampling. The dependent variables were child nutritional status and child development. The independent variable was duration of breastfeeding. Child development was measured using developmental pre-screening questionnaire. The other variables were collected by questionnaire. The relationships between variables were analyzed by Pearson correlation. Results: Duration of breastfeeding was not associated with child nutritional status (r= -0.01; p= 0.970). Duration of breastfeeding increased child development, but it was statistically not significant (r= 0.04; p= 0.550). Conclusion: Duration of breastfeeding is not associated with child nutritional status. It increases child development, but it is statistically not significant.

Relationships between Smoking, Age, Body Mass Index, and Abstinence with DNA Fragmentation Index in Male Infertile Patients Ediningtyas, Atifa Nadira; Laqif, Abdurahman; Melinawati, Eriana; Respati, Supriyadi Hari
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight (LBW) is defined as a newborn baby weighing less than 2500 grams. Low birth weight is a serious condition in developing countries. The impact of cigarette smoke on pregnant women who are exposed to cigarette smoke is at a higher risk of complications, such as miscarriage, premature birth, or babies born with low weight. This study aims to analyze the relationship between exposure to secondhand smoke and low birth weight. Subjects and Method: This research is a systematic review and meta-analysis by systematically reviewing primary articles from Pubmed, Google Scholar, Scient Direct and Springerlink by selecting articles published in 2012-2022. The articles searched using PICO were P: Pregnant women, I: exposed to cigarette smoke, C: not exposed to cigarette smoke, O: low birth weight. Keywords "Exposure to smoking pregnant women" OR "Expectant mother" OR "Pregnancy women" OR "Exposed to cigarettes" OR "Secondhand smoke exposure" OR "Cigarette smoke expo- sure" AND "Low birth weight" OR "Low weight babies" AND “Case control” AND “Adjusted odds ratio”. Articles used PRISMA flow diagrams and analyzed using Review Manager 5.3. Results: There were nine articles analyzed consisting of Nepal, Morocco, Ethiopia, Sierra Leone, India, Indonesia and China. Meta-analysis showed that cigarette smoke exposure increased the risk of low birth weight and was statistically significant (aOR = 2.19; 95% CI = 1.58 to 3.03; p < 0.001). Conclusion: Exposure to cigarette smoke increases the risk of weight gain in LBW infants by 2.19 times compared to not exposed to cigarette smoke. Keywords: exposure to cigarette smoke, low birth weight, meta-analysis. Correspondence:Winei Handriani. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: wineihandriani02@gmail.com. Mobile: 083150000253.

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