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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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Relationships between History of COVID-19 Disease, Anxiety, and Symptoms of Obsessive Compulsive Disorder (OCD) in Adolescents Age 20-24 Years Christanti, Ayu Novia; Ningyas, Woro Setia; Karimah, Azimatul; Lestari, Pudji
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The COVID-19 pandemic triggers anxiety and worry in society. Active cases have continued to grow since the government announced the first patient of COVID-19 in Indonesia. In the midst of the pandemic, adolescent is a dominant groups in society infected with COVID-19. This situation can affect the psychological condition of adolescents. This study aims to analyze the relationship between the history of COVID-19 and anxiety and symptoms of Obsessive Compulsive Disorder (OCD) in adolescents aged 20-24 years in Surabaya. Subjects and Method: A cross-sectional study was conducted in Surabaya City from October to November 2022. As many as 100 youth aged 20-24 years in Surabaya were the subjects of this study. The dependent variable is anxiety and obsessive compulsive disorder (OCD) symptoms. The independent variable is adolescents aged 20-24 years with a history of COVID-19. The instruments used were questionnaires and PCR swab evidence collection. Research data were analyzed using Pearson's correlation. Results: The results showed that 74 subjects (74%) had mild anxiety. Meanwhile, there were 16 subjects (16%) who had symptoms of OCD. Analysis of the chi-square correlation test between history of COVID-19 disease and anxiety showed that there was no relationship between the two variables with a p value = 0.704. Analysis of the chi-square correlation test between history of COVID-19 disease and OCD symptoms showed that there was no relationship between the two variables with a p value = 0.086. Conclusion: There is no relationship between history of COVID-19 disease and anxiety in adolescents aged 20-24 years in Surabaya and there is no relationship between history of COVID-19 disease and symptoms of OCD in adolescents aged 20-24 years in Surabaya. Keywords: COVID-19, anxiety, Obsessive Compulsive Disorder (OCD) symptoms. Correspondence: Ayu Novia Christanti. Study Program of Midwifery, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo 47, Pacar Kembang, Tambaksari, Surabaya, East Java 60132. Email: ayu.novia.christanti-2019@fk.unair.ac.id. Mobile: +6283849353637.

Correlations between Maternal Knowledge, Attitude, and Posyandu Utilization on Nutritional Status in Children Under Five Prasticha, Anggraini Dian; Sampurna, Mahendra Tri Arif; Dewanti, Linda
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Malnutrition is a condition of deficiency, excess, or imbalance of nutrients from the amount of nutrients needed by the body. One of the ways to prevent malnutrition is by monitoring regularly through a program of public health activities, namely weighing toddlers. This study aims to determine the relationship between mother's knowledge, mother's attitude, and utilization of integrated health post (posyandu) in weighing toddlers with toddlers' nutritional status. Subjects and Method: A cross-sectional study was conducted in Semambung Village, Wonoayu District, Sidoarjo Regency, in August 2022. A total of 144 mothers and their children was selected using a proportionate stratified random sampling. The dependent variable is nutritional status. The independent variables are knowledge, mother's attitude, and posyandu utilization. The data were collected by a questionnaire. Data were analyzed by Chi square test and Odds ratio (OR). Results: Maternal irregular visit at integrated health post were at risk for having underweight (WAZ) (OR= 3.39; 95% CI= 1.46 to 7.84; p= 0.003) and stunted (WHZ) children (OR= 4.37; 95% CI= 1.20 to 15.84; p= 0.016). Conclusion: It can be concluded that there is no relationship between mother's knowledge, mother's attitude and nutritional status of toddlers. and there is a relationship between posyandu utilization and the nutritional status of children under five based on the WAZ and WHZ indexs. Keywords: knowledge, attitude, posyandu utilization, nutritional status. Correspondence:Anggraini Dian Prasticha. Midwifery Program Study, Faculty of Medicine, Airlangga University, Indonesia, Jl. Mayjen Pro. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya, East Java 60132, Indonesia. Email: anggraini.dian.prasticha-2019@fk.unair.ac.id. Mobile: +6281235205296.

Relationship Between Anxiety and Asthma Control Among Pregnant Women with Asthma Aenah, Winda; Bakhtiar, Arief; Frety, Endyka Eyre
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Asthma is a disorder of the airways in the form of chronic inflammation (inflammation). Pregnancy with a history of asthma certainly feels uncomfortable and can interfere with daily activities, this is what will cause an anxiety response. Anxiety in pregnancy with a history of asthma will certainly have an influence on asthma control in pregnant women, so there is a need for research on this case. The purpose of this study was to determine the relationship between anxiety levels and the incidence of asthma control in pregnant women with asthma comorbidities at Airlangga University Hospital, Surabaya. Subjects and Method: This was an analytic observational study with cross sectional design. The sample in this study were pregnant women with comorbid asthma at Airlangga University Hospital who visited from January to March 2022 and sample selection used a purposive sampling method. The dependent variable is the level of asthma control. The independent variable is the level of anxiety. The research instrument used a Hamilton Anxiety Rating Scale (HARS) and Asthma Control Test (ACT) questionnaire. Data were analyzed using the Spearman Correlation test. Results: There was a positive and moderate relationship between anxiety and asthma control in pregnant women with asthma comorbidities. Pregnant women with comorbid asthma who experienced severe anxiety had total control of asthma control, and this result was statistically significant (r= 0.41; p= 0.002). Conclusion: There is a significant relationship between anxiety and the level of asthma control in pregnant women with asthma comorbidities at Airlangga University Hospital. Keywords: pregnancy, anxiety, asthma control. Correspondence: Winda Aenah. Midwifery Program Study, Faculty of Medicine, Universotas Airlangga,Indonesia. Jl. Mayjen Prof.Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java. Email: winda.aenah-2019@fk.unair.ac.id. Mobile: +6285785099130.

Relationship between Anxiety and Breast Milk Expulsion in Lactating Mothers Rohma, Annisa Nur; Utomo, Martono Tri; Etika, Risa; Ningtyas, Woro Setia
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breastfeeding is the process of giving mother's milk to babies from birth to two years. Exclusive breastfeeding can protect babies and children against dangerous diseases and strengthens the affection (bonding) between mother and child. However, the exclusive breastfeeding coverage rate is still low due to failure to breastfeed. One of the factors that influence failure in the breastfeeding process can be caused by not releasing milk. The smoothness of breastfeeding is strongly influenced by psychological factors, namely anxiety. This study aims to analyze the relationship between anxiety and the smoothness of breastfeeding in breastfeeding mothers in Slahung District, Ponorogo Regency. Subjects and Method: A cross-sectional study was conducted in Slahung District, Ponorogo Regency in November 2022. A total of 83 breastfeeding mothers were selected for this study. The dependent variable is the smooth expulsion of breast milk. The independent variable is anxiety. The instrument used is a questionnaire. The data were analyzed by Chi-Square test and odds ratio (OR). Results: Anxiety affects the smooth release of breast milk in nursing mothers. Breastfeeding mothers who experience anxiety are at risk of experiencing a milk ejection process that is not smooth as much as 26.18 times compared to breastfeeding mothers who do not experience anxiety, and these results are statistically significant (OR= 26.18; 95% CI= 3.20 to 214.12; p<0.001). Conclusion: Anxiety affects the smooth release of breast milk in nursing mothers. Keywords: anxiety, smooth milk production. Correspondence: Annisa Nur Rohma, Midwifery Program Study, Faculty of Medicine, Universotas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya, East Java, 60132. Email: annisa.nur.rohma-2019@fk.unair.ac.id. Mobile: +6285708790065.

The Role of Ferritin Serum Level as Predictor Sepsis Mortality on Children in Dr. Moewardi Hospital of Surakarta Sucianto, Agus; Pudjiastuti, Pudjiastuti; Kawuryan, Diah Lintang
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Sepsis cause death in the worldwide pediatric population. Eestablishing the diagnosis of sepsis in children is challenging because the symptoms are varied and not specific. Serum ferritin is an acute phase protein which can be elevated in sepsis. This study aimed to determine the role of ferritin level as a predictor for sepsis mortality in pediatric patient Subjects and Method: A cross sectional study was conducted in children aged between 1 months and 18 years old diagnosed with sepsis who were treated at Dr. Moewardi General Hospital, Surakarta from November 2021 to April 2022. The statistical analysis used SPSS 25 with p<0.05 was considered significant. The cut off point of serum ferritin level was determined with ROC curve. Results: A cross sectional study was conducted in children aged between 1 months and 18 years old diagnosed with sepsis who were treated at Dr. Moewardi General Hospital, Surakarta from November 2021 to April 2022. The statistical analysis used SPSS 25 with p<0.05 was considered significant. The cut off point of serum ferritin level was determined with ROC curve. Conclusion: Serum ferritin level can be predictor of mortality in children with sepsis. Keywords: ferritin, mortality in sepsis, children. Correspondence: Agus Sucianto. Department of Pediatrics, Sebelas Maret University/ Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Kolonel Sutarto Street No. 132, Surakarta, Indonesia. Email: sucianto22@gmail.com. Mobile: 081227595134.

Social Determinants in Association with Postpartum Blues during the Transition Period of COVID-19 Pandemic Mujab, Salwa Tsabitah Althaf; Theresa, Ria Maria; Saleh, Arman Yurisaldi; Lardo, Soroy
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The COVID-19 pandemic has considerably impacted individuals' lives, extensively from mental and socioeconomic aspects, that requires someone to adapt. For postpartum mothers who also need to go through the maternal psychological adaptation phase, the pandemic could impose overwhelming emotional tension on them, increasing the risk of experiencing postpartum blues. This study aims to analyze the relationship between social factors that are affected during a pandemic with the incidence of postpartum blues on screening test results during the transition period of the COVID-19 pandemic in Banyumanik, Semarang. Subjects and Method: This was a cross-sectional study conducted in Banyumanik, Semarang, from November to December 2022. 39 subjects were selected using a consecutive sampling technique. The dependent variable is postpartum blues. The independent variables include marital status, employment status of the mother, employment status of the spouse, and family income level. The study instrument was EPDS questionnaire. The data were analyzed used Chi-square. Results: Out of 39 subjects, 13 (33.3%) were experiencing postpartum blues, and 26 (66.7%) were not experiencing it. Mother’s employment status associated with postpartum blues. Mothers who unemployed have a risk of experiencing postpartum blues 1.65 times compared to employed, but these were not statistically significant (OR= 1.65; 95% CI= 0.40 to 6.77; p= 0.727). Family income level associated with postpartum blues. Mothers with low to moderate family income reduced postpartum blues by 0.73 times compared to mothers with high income levels, but these were not statistically significant (OR= 0.73; 95%CI= 0.19 to 2.80; p= 0.908). Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues. Conclusion: Mother’s employment status and family income status associated with postpartum blues. Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues. Keywords: social factors, postpartum blues, screening test results, COVID-19 pandemic. Correspondence: Salwa Tsabitah Althaf Mujab. Medical Bachelor Program, Faculty of Medicine, UPN Veteran Jakarta, Indonesia. Jl. Rumah Sakit Fatmawati, Pondok Labu, Jakarta Selatan, DKI Jakarta 12450. Email: salwatsabitaham@upnvj.ac.id. Mobile: +628122608388.

Experiences and Coping Strategies of School Going Breastfeeding Adolescents from Katima-Mulilo and Sesheke Secondary Schools in Sesheke district, Western Province of Zambia Mooto, Mutakatala; Makukula, Marjorie Kabinga; Sianchapa, Brenda
Journal of Maternal and Child Health Vol. 8 No. 3 (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.2023.08.03.12

Background: The re-entry policy was introduced in Zambia in 1997 to allow pregnant girls to continue their education. However, the increase in dropout rates among re-entered adolescents has become a significant concern in schools, so it is necessary to explore and understand the lived experiences of school-going breastfeeding adolescents. The re-entry policy needs to be revised to protect the school-going breastfeeding adolescent (SGBA) from the challenges related to mothering while schooling. The study aimed to explore the experiences and coping strategies of SGBA in Secondary Schools of Western Province in Zambia. Subjects and Method: The study employed a descriptive phenomenology design the research sample comprised sixteen (16) participants. Fourteen (14) girls re-entered after maternity leave. Nine (9) from Sesheke and five from Katima-Mulilo secondary schools, including two (2) guidance teachers, one (1) from each school. A purposive sampling technique without maximum variation was used. Data generation was through in-depth, semi-structured interview guides and which were audio recorded. In addition, the data underwent manual and Microsoft word coding accompanied by Nvivo version 11 and thematic analysis. Results: The findings revealed that breastfeeding school-going breastfeeding adolescents experienced many challenges in pursuing and completing their school. The challenges ranged from combining roles of schooling and mothering, financial challenges, stigma and discrimination, poor academic performance and lack of breastfeeding space within school premises, including minimal and lack of support from peers and school authority.Conclusion: The data shows the numerous challenges faced by breastfeeding adolescents. Therefore, the Ministry of Education, schools, parents and other stakeholders should review and amend the re-entry policy to enable it to respond to girls’ needs to improve their stay in school and performance. Keywords: Coping Strategies, Breastfeeding, Adolescents, Experiences, School-going. Correspondence: Mooto Mutakatala, Department of Midwifery Women and Child Health, Faculty of Midwifery, University of Zambia, Lusaka, School of Nursing Sciences P O BOX 50110. Email: mootomutakatala@gmail.com. Mobile:+26 0977502912.

Caretakers' Role in Personal Hygiene Children with Down Syndrome Purnamawati, Rifka; Shaluhiyah, Zahroh; Suryoputro, Antono
Journal of Maternal and Child Health Vol. 8 No. 3 (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.2023.08.03.01

Background: Despite their flaws, children with down syndrome require caretakers' involvement, especially in personal hygiene. Caretakers play a critical role in meetings in terms of cleanliness. This study investigates the role of caretakers in the Personal Hygiene of children with down syndrome. Subjects and Method: This study was a qualitative phenomenological approach conducted at Public Disability-Specific Schools in Semarang, Central Java, Indonesia. Purposive sampling of 10 people based on specific criteria is used to find participants. In-depth interviews, observations, and field notes were used to collect data. Results: This study has resulted that the role of caretakers in the personal hygiene of children with down syndrome is divided into five themes: developing communication skills with children, providing examples through specific media, providing surrounding support, providing a reward or consequences, and modeling. Conclusion: The role of caretakers has a significant impact on the learning of personal hygiene, so strategies are required to enable children to carry out self-cleaning tasks thoroughly. Keywords: caretaker; personal hygiene; down syndrome. Correspondence:Rifka Purnamawati. Master’s Program in Health Promotion, Diponegoro University, Indonesia. Email: rifka_purnamawati@yahoo.com. Mobile: +6287836126783.

The Influence of Maternal Social Deprivation on Undernutrition in Children Under 5 Years in Northern and Southern Nigeria Obi, Nkiru Jacinta; Harris, Jenine
Journal of Maternal and Child Health Vol. 8 No. 3 (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.2023.08.03.05

Background: Undernutrition is a global public health issue that has far-reaching consequences on the health and development of individuals as well as economic and social impacts on communities and countries. Middle and low-income countries like Nigeria bear the highest burdens and Nigeria has an unequal distribution of this burden between the North and South. Maternal socioeconomic factors have been implicated in the burden of undernutrition. This study examines the regional differences in these factors as key determinants of the inequalities in the distribution of the burden of undernutrition. Subjects and Method: We conducted a secondary data analysis of the child-recode data set from the cross-sectional 2018 Nigerian Demographic Health Survey (NDHS). NDHS participants were selected from all thirty-six states in Nigeria and the Federal Capital Territory (FCT) via a two-stage stratified cluster design. The child-recode data set includes 33,924 children aged 0 to 59 months. The dependent variables are weight for age, height for age, and weight for height. Independent variables of interest include the mother’s education, mother’s employment status, wealth quintile, and residence. Additional confounders included the age and sex of the child. Bivariate and multivariable logistic regression models were used to examine the association between region, maternal deprivation factors, and undernutrition. Results: The unadjusted odds of being underweight (OR=2.80; 95% CI=2.53 to 3.10; p<0.001), stunted (OR=3.09; 95% CI=2.84 to 3.37; p<0.001), or wasted (OR=1·91; 95% CI=1.62 to 2.28; p<0.001) were statistically significantly higher in children living in the North compared to children in the South. Across all 3 indices of undernutrition, the most consistent factors affecting childhood undernutrition were the mother's education (no formal education) and wealth quintile (poorest households). The regional differences in the prevalence of undernutrition persisted, after accounting for maternal deprivation factors that are more prevalent in the Northern parts of Nigeria. Conclusion: Policies and programs to improve childhood undernutrition should be community-centered and focus on mitigating the inequities in important contributory factors. Further research to explore the role of childhood infections and environmental factors such as water, sanitation, and hygiene in the regional differences in undernutrition in Nigeria is needed. Keywords: nutrition, social deprivation, Nigeria, children. Correspondence: Nkiru Jacinta Obi. Washington University in St. Louis, 1 Brookings Drive, St. Louis, Missouri. Mobile: 513-3027517. Email: nkiruobih@gmail.com.

Pathological Changes of Placenta in Intrauterine Fetal Death Paul, Sanchita; Kalita, Abhijit
Journal of Maternal and Child Health Vol. 8 No. 3 (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.2023.08.03.10

Background: Examination of placenta is one of the most common investigations undertaken after a stillbirth and is one of the most valuable. Examination of placenta can yield information that may be important in the immediate and later management of the mother and infant. The present study aims to evaluate the pathological changes in placenta in intrauterine fetal deaths. Subjects and Method: It is a cross sectional comparative study conducted in Jorhat Medical College and Hospital, Jorhat for a period of one year from July 2020 to June 2021. Total 144 placenta were collected that comprised of 72 cases of intra uterine fetal death and 72 controls were taken. The cases and controls were selected by systematic random sampling. Statistical correlation was carried out by using Student T test with SPSS software or statistical significance p value of less than 0.05 was considered. Results: Placental weight, diameter and umbilical cord length and diameter were found to be significantly decreased in fetal deaths (p <0.05). Intervillous fibrinoid, peri villous fibrinoid, calcification, syncytial knots, infarction were found to be significantly associated with intrauterine fetal deaths in this study (p <0.05). Conclusion: The present study shows that significant information can be gathered by placental examination in adverse fetal outcome and can be used to know the cause of death and further management and prevention in future. Keywords: intrauterine death, syncytial knots, calcification, intervillous fibrin, peri villous fibrin Correspondence: Sanchita Paul, house no. 129, Karimganj, Assam. Pin: 788710. Phone: 9678801472. Email: sanchitavortex@gmail.com

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