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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 381 Documents

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Pineapple Juice for Uterine Fundal Height Reduction in Postpartum Mothers Mulyadi, Jesica; Andriani, Lusi; Rachmawati, Rachmawati
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Uterine subinvolution occurs because the uterus cannot contract properly, causing bleeding, leading to death. Pineapple fruit is one of the herbal plants that can prevent uterine subinvolution and accelerate uterine involution. This study aimed to determine pineapple's effect on the reduction of uterine fundal height in postpartum mothers in Bengkulu City. Subjects and Method: This was a quasi-experiment. This study was conducted in Bengkulu City, Bengkulu, and using maternal postpartum injected oxytocin in the management stage III with one intervention group, namely the given juice pineapple. The sample used as many as 32 mothers postpartum in Bengkulu were taken by purposive sampling, by predetermined criteria. The dependent variable was uterine fundal height. The independent variables were pineapples juice, age, parity, early mobilization, and early initiation of breastfeeding. Data collection was carried out by the means of the direct interview using a questionnaire and observation sheet. The data were analyzed using independent t-test. Results: The bivariate analysis test results using the independent t-test showed that the group that consumed pineapples experienced a decrease in uterine fundal height for three days more than the control group. Pineapples juice (Mean= 2.55; SD= 1.66), without pineapples juice (Mean= 8.39; SD= 1.48; p <0.001). Age for interventions group, (Mean= 33.19; SD= 7.57) and control group (Mean= 27.56; SD= 8.45; p= 0.057). Parity for interventions group, (Mean= 2.38; SD= 1.45) and control group, (Mean= 2.12; SD= 1.31), p= 0.613. Early mobilization for interventions group, (Mean= 0.84; SD= 0.37) and control group, (Mean= 1.26; SD= 0.58), p= 0.022. Early initiation of breastfeeding for interventions group, (Mean= 16.44; SD= 6.64) and control group, (Mean= 16.38; SD= 5.69), p= 0.978. Conclusion: Pineapple juice and early mobilization affect lowering a uterine fundal height in mothers postpartum three days and can help speed up uterine involution in postpartum mother in Bengkulu City, Bengkulu.

Meta-Analysis: The Effectiveness of Using mHealth to Improve Antenatal Care Kartikasari, Mayriyana; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: One of the innovations in technology in health that can be used is mHealth. The use of technology such as mHealth allows for the dissemination of information to pregnant women in an effort to improve antenatal care. This study aims to determine the effectiveness of using mHealth on antenatal care. Subjects and Method: This was a systematic review and meta-analysis study using PICO, Population: Pregnant women, Intervention: Using mHealth, Comparison: Not using mHealth/ standard services, Outcome: ANC visits. The articles used in this study came from 6 databases including Pubmed, ScienceDirect, Google Scholar, BMJ, Springer link, Sage, and Core. The keywords of the article are, Telemedicine OR Mobile Health OR Health Mobile OR Telehealth OR mHealth OR eHealth AND Short Message AND Quality Improvement OR Quality Improvement OR Quality Improvements OR Quality Improvements AND Prenatal Care OR Prenatal Care OR Antenatal Care OR Antenatal Care. The articles included in this study are complete articles, RCT study designs for 2012-2022. Results: There are 8 RCT articles from 3 continents, including Africa (Kenya, Ethiopia, Zanzibar), Asia (India), America (Peru, Brazil). It was found that using mHealth could increase ANC visits by 1.32 times compared to not using mHealth (RR=1.32; 95% CI=1.10 to 1.59; p=0.003). Conclusion: effective use of mHealth to improve antenatal care.

Relationships between Body Mass Index, Nutritional Intakes, and Living Arrangement with Menstrual Cycle among Students Indriani, Aliza Umar; Annas, Jimmy Yanuar; Herawati, Lilik
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Disorders of the menstrual cycle are common in women aged 18-26 years. Indonesian Basic Health Research year 2013 data shows that as many as 13.7% of women of reproductive age experience problems with irregular menstrual cycles. Disturbances in the menstrual cycle can cause infertility and decrease the quality of life of students. The purpose of this study was to determine the relationship between body mass index (BMI), nutritional intake patterns, and living arrangements with the menstrual cycle of female students. Subjects and Method: A cross-sectional study was conducted at the Faculty of Medicine, Airlangga University, from July to September 2022. A total of 176 female students from the Faculty of Medicine, Airlangga University, class of 2018-2021 were selected using a purposive sampling technique. The dependent variable is the menstrual cycle. The independent variables are body mass index (BMI), patterns of nutritional intake, and living arrangements. The instrument used in this research is a questionnaire. Research data were analyzed using binary logistic regression. Results: Overweight BMI (OR= 49.32; 95%CI= 9.57 to 254.35; p<0.001) and patterns of excess nutrition (OR= 28.69 95%CI= 4.97 to 165.94; p<0.001) have a relationship with female students' menstrual cycles Faculty of Medicine, Airlangga University Conclusion: Overweight BMI and nutritional intake patterns together have a relationship to the menstrual cycle of female students at the Faculty of Medicine, Airlangga University. Keywords: body mass index, pattern of nutritional intake, living arrangement, menstrual cycle Correspondence: Aliza Umar Indriani, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Prof. Dr. Moestopo No. 47, Tambaksari, Surabaya 60132, East Java. Email: aliza.umar.indriani-2019@fk.unair.ac.id. Mobile: +6281252337795.

The Effect of Maternal Anemia on Low Birth Weight: A Systematic Review And Meta Analysis Azizah, Fara Khansa; Retno Dewi, Yulia Lanti; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight (LBW) is a risk factor for morbidity and mortality in infants. Several previous studies have suggested that maternal anemia has an effect on several adverse perinatal outcomes, including low birth weight. The purpose of this study was to investigate the effect of anemia in pregnant women on the incidence of low birth weight. Subjects and Method: This study is a systematic review and meta-analysis done by searching for articles published by the online database PubMed, ResearchGate, Science Direct, Google Scholar and EBSCO in 2016 to 2021. Population: pregnant women, intervention: anemia, comparison: no anemia, and outcome: low birth weight). Data analysis using RevMan software version 5.3. Results: Pregnant women who experience anemia during their pregnancy are at risk of giving birth to babies with low birth weight compared to mothers who are not anemic (OR= 3.42; 95% CI= 1.85-6.34; p < 0.001). Conclusion: Mothers who experience anemia during pregnancy is one of the risk factors for the occurrence of babies with low birth weight.

Relationship Between Family Social Support with Anxiety of Postpartum Bila, Zakia Jihan Salsa; Santoso, Budi; Akbar, Muhammad Ilham Aldika
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Anxiety is a psychological disorder that often occurs during the puerperium. The prevalence of anxiety disorders in the world's population is generally 3-8% with most cases in the productive age. Postpartum anxiety can have an impact on the condition of the mother and baby if not handled properly. This study aims to determine the relationship between family support and the degree of postpartum anxiety in postpartum mothers at RSIA Kendangsari Surabaya.Subjects and Method: A cross-sectional study was conducted at Kendangsari Surabaya from July to October 2022. A total of 94 postpartum women patients at RSIA Kendangsari Surabaya were selected for this study. The dependent variable is anxiety. The independent variable is family support. The instrument used in this research is a questionnaire. Research data were analyzed using the Spearman Rho test.Results: There is a negative and moderate relationship between family support and postpartum anxiety in postpartum mothers. Postpartum mothers who received good family support reduced the degree of postpartum anxiety, and this result was statistically significant (r= -0.48; p<0.001).Conclusion: Family social support has a significant relationship with the degree of postpartum anxiety in postpartum mothers at RSIA Kendangsari Surabaya.Keywords: postpartum period; family support; postpartum anxietyCorrespondence:

Maternal, Fetal and Service-Related Risk Factors for Stillbirths During Conflict Situation, Yemen, 2015-2016 Al-Shahethi, Ahmed Hamood; Zaki, Rafdzah Ahmad; Al-Serouri, Abdulwahed Abdulgabar; Bulgiba, Awang
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stillbirth is a silent traumatic canker, which is a major concern to individuals, health institutions countries worldwide and continues to be a major global problem responsible for nearly three million deaths each year. To estimate the stillbirth rate (SBR) and to identify the potential risk factors for stillbirth. Subjects and Method: A community-based prospective cohort study was undertaken between August 2015 and December 2016 in which 980 pregnant women in Sana’a city of Yemen were identified. A multi-stage cluster sampling was used to select participants from community households. The independent variables were socio-demographic, prenatal and past obstetric, special habit, birth and fetal. The dependent variable was stillbirth. The data collection of this study used a questionnaire. Binomial regression together with generalized linear models, were employed in this study. Results: The results identified that the stillbirth rate (SBR) was presently between 46.2 per 1000 and 45.2 per 1000 cases. The multivariable analysis identified teenage mothers aged < 20 years, with their first childbirth, had a (aOR= 3.70; 95% CI= 1.76 to 7.76; p<0.001) women with anemia (aOR = 2.23; 95% CI= 1.67 to 2.98; p<0.001), smoking snuff (aOR = 4.27; 95% CI= 1.17 to 15.55; p= 0.028), prolonged labor (> 24 hours) (aOR= 2.02; 95% CI= 1.38 to 2.96; p< 0.001), prolonged rupture of membranes (≥ 24 hours) (aOR= 2.22; 95% CI= 1.66 to 2.98; p<0.001), fetal mal-position (aOR= 4.60; 95% CI= 2.97 to 7.12; p<0.001), low birth weight (aOR= 14.90; 95% CI= 4.30 to 51.75; p<0.001) and fetal gestational age (in weeks) (aOR = 5.60; 95% CI= 2.52 to 12.41; p<0.001). These factors were associated with an increased risk of stillbirths. Conclusion: This study is encouraging pregnant women to deliver at health facilities, providing better management of obstetrical complications, proper antenatal care, and prompt referral services are essential for the reduction of stillbirths in Yemen. Keywords: stillbirth, risk factors, community-based study, cohort study, Sana’a city, Yemen Correspondence:Ahmed H. Al-Shahethi. National Center for Epidemiology and Diseases Surveillance, Ministry of Public Health and Population, Yemen. P.O. box: 299. Fax: +9671564720. Phone: +967771922712. Email: alshahethi71@yahoo.com, ahmedhamood71@gmail.com.

Meta-Analysis: Effect of Bullying on the Risk of Suicide in Adolescents Aprilia, Sholikha Dela; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.02.01

Background: Mental health disorders are among the most important public health problems globally. Bullying affects the lives of many children and young people. Studies in high-income countries have reported an association between bullying and suicidal behavior among school adolescents. For example, studies in various parts of the United States found that students who were bullied were significantly more likely to experience suicidal ideation, planning, and suicide attempts. This study aims to determine the effect of bullying on the risk of suicide in adolescents Subjects and Method: The meta-analysis was carried out according to the PRISMA flow chart and the PICO model. Q: Adolescent, I: Bullying , C: Not bullying, O: Risk of suicide. Search for articles in this study through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "bullying" AND "suicide" AND "adolescent". A full paper article with a cross-sectional study, the research subjects were adolescents, the relationship size used was the adjusted odds ratio, the research outcome was suicide risk. Analysis done with Revman 5.3 Results:A total of 11 articles with a cross sectional design from Israel, China, Vietnam, Tanzania, Canada, the United States, Iran and South Korea totaling 124,728 research samples. The results showed that adolescents who were bullied had a risk of suicide 2.70 times compared to those who did not experience bullying (aOR=2.70; 95% CI=1.88 to 3.87; p<0.001). Conclusion: Bullying can increase the risk of suicide in adolescents.

Meta-Analysis the Effect of Exclusive Breastfeeding on Anemia in Children Under Five Azizah, Fikri Dian Dinu; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The prevalence of iron deficiency anemia is still high, especially in children under five. One effort to prevent iron deficiency anemia is exclusive breastfeeding for newborns. This study aims to analyze exclusive breastfeeding on the incidence of anemia in children under five. Subjects and Method: This study is a systematic review and meta-analysis, with PICO as follows: Population= toddlers aged <5 years; Intervention= exclusive breastfeeding; Comparison= non-exclusive breastfeeding; Outcome= iron deficiency anemia. The articles used in this study were obtained from several databases including PubMed, Springer Link, Science Direct, and Google Scholar, which were published from 2012 to 2022. The keywords to search for articles are as follows: "Children" AND ("exclusive Breastfeeding" OR "formula" OR "mixed feeding") AND (anemia OR "Iron deficiency"). The articles included in this study were full-text articles with a cross-sectional study design. Articles are collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: A meta-analysis of 9 cross-sectional studies from Ethiopia, Taiwan, Bangladesh and China concluded that exclusive breastfeeding is effective in reducing the risk of anemia in children under five. Toddlers who are exclusively breastfed have a risk of developing anemia 0.55 times compared to those who are not exclusively breastfed, and the reduced risk is statistically significant (aOR= 0.55; 95% CI= 0.32 to 0.92; p= 0.020). Conclusion: Exclusive breastfeeding is effective in reducing the risk of anemia in children under five. Keywords: exclusive breastfeeding, anemia, toddlers. Correspondence: Fikri Dian Dinu Azizah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: fikridianda@gmail.com. Mobile: 081225002311.

Meta Analysis the Effects of Maternal Education, Residence, and Birth Delivery Place, on Exclusive Breastfeeding Amalia, Ade; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Health and intelligence are the main foundation for creating quality Human Resources (HR). Exclusive breastfeeding is one of the best steps to improve the quality of human resources from an early age, in the first six months of a baby's life. The success of exclusive breastfeeding is due to several factors including age, relatively low level of education, lack of utilization of health facility services, and increased marketing of formula milk in urban areas. This study aims to analyze the effect of mother's education, geographic location of mother's residence, and place of delivery on exclusive breastfeeding. Subjects and Method: The researcher uses a systematic review and meta-analysis research, by formulating the researcher's assessment in the PICO as follows. Population: Breastfeeding mothers. Intervention: basic education, rural areas, health facility services. Comparison: Higher education, urban, without health facility services. Outcome: Exclusive breastfeeding. The articles were obtained from PubMed, Google Scholar, Science Direct, MDPI, and Scopus databases. The search keywords for the article are “maternal education” AND “residence” AND “delivery place” AND “exclusive breastfeeding” AND cross-sectional. The inclusion criterias were full-text, cross-sectional study, and reported adjusted odds ratio (aOR). Data were analyzed by Review Manager application (RevMan 5.3). Results: 20 cross-sectional studies involving 107,952 lactating mothers from Asia, Europe, and Africa were selected for systematic review and meta-analysis. This meta-analysis showed that mothers with high education were 1.27 times more likely to exclusively breastfeed than mothers with low education (aOR= 1.27; 95% CI=1.01 to 1.59; p= 0.040). Mothers who live in rural areas are 2.16 times more likely to give exclusive breastfeeding than mothers who live in urban areas (aOR= 2.16; 95% CI= 1.17 to 4.01; p=0.010). Mothers who give birth in health care facilities are 1.79 times more likely to give exclusive breastfeeding compared to mothers who give birth at home (aOR= 1.79; 95% CI= 1.54 to 2.07; p=0.005) Conclusion: Maternal education, geographic location, and place of delivery increase the likelihood of exclusive breastfeeding. Keywords: maternal education, residence, delivery place, exclusive breastfeeding Correspondence: Ade Amallia. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: amalliaadelia@gmail.com. Mobile:081228466836.

Analysis of Using Telemedicine Application for Pregnant Women During COVID-19 Pandemic Based on ISO 9241-11 Zakiya, Nurani Zulfa; Cahya, Muhammad Ardian; Handayani, Samsriyaningsih
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.02.05

Background: The COVID-19 pandemic has affected the performance of several sectors, one of which is the quality of maternal and child health services. One of the factors contributing to the decline in the quality of maternal and child health services is limited access during the COVID-19 pandemic. Telemedicine is here as one of the answers to overcome the problem of limited access to health services during the COVID-19 pandemic. This study aims to analyze the use of telemedicine applications by pregnant women during the COVID-19 pandemic using the ISO 9241-11 framework. Subjects and Method: This research method is an observational study with a descriptive approach to analyze usability in three measurement aspects namely effectiveness, efficiency, and satisfaction. The number of samples used was 42 pregnant women who had used telemedicine applications that had been determined during the COVID-19 period with a sampling technique using random sampling. The instrument used is an adaptation of the Standardized Usability Questionnaire (SUQ) which will be analyzed using the Structural Equation Modeling-Partial Least Square (SEM-PLS) technique to determine the usability score of the application. Results: Based on the results of the Structural Equation Model-Partial Least Square (SEM-PLS) analysis, the ISO 9241-11 model has a goodness-of-fit model with an R-square value of 0.760 and a Q-square value of 0.577 with a Goodness of Fit (GoF) of 0.780. The effectiveness variable has a significant effect on the usability variable of the Teman Bumil application at a significance level of 5% with a statistical T value of 1,955. There is not enough evidence for the efficiency and satisfaction variables to say they have a significant effect on the usability of the Teman Bumil application at a 5% significance level with T-statistic values of 0.866 and 1.452. The usability score for the Friends Pregnant application is 44.45. Conclusion: The usability score obtained by the Teman Bumil application is 44.45, which means that Sahabat Bumil application has not been accepted by users as a system product that can help effectively, efficiently and satisfactorily. Keywords: telemedicine, pregnant women, COVID-19, ISO 9241-11, usability. Correspondence:Nurani Zulfa Zakiya, Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java . Email: nurani.zulfa.zakiya-2019@fk.unair.ac.id. Mobile: +6281217621007.

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