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Journal of Maternal and Child Health
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.
Arjuna Subject : -
Articles 374 Documents
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Meta-Analysis: The Effect of Lifestyle Interventions on Decreased Postpartum Weight Retention Fazrina, Gina; Hastuti, Uki Retno Budi; Adriani, Rita Benya
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.2023.08.03.02

Abstract

Background: Postpartum weight retention is the increase in postnatal weight compared to pre-pregnancy weight. This weight gain may persist and increase the long-term prevalence of obesity in women. The application of lifestyle interventions consisting of diet, physical activity, and behavior change interventions is believed to be able to reduce postpartum weight retention. This study aims to determine the effectiveness of lifestyle interventions carried out during pregnancy for reducing postpartum weight retention based on various types of interventions derived from studies that have been conducted. Subjects and Method: The writing of this meta-analysis was based on the PRISMA 2020 flow diagram with population: pregnant women, intervention: lifestyle intervention, comparison: without lifestyle intervention, and outcome: postpartum weight retention. The selected articles are full articles, randomized controlled trials (RCT) issued in 2013 – 2022, and are in English. Selected studies were assessed based on the JBI Critical Appraisal Checklist for RCT and then analyzed using RevMan 5.3. Results: 778 articles were identified from December 2022 to January 2023 and 14 RCT articles were obtained for meta-analysis. The diet subgroup accompanied by a behavior change intervention had the largest effect size (SMD = -0.60, 95% CI -0.86 to -0.33, p<0.001), followed by the diet subgroup accompanied by physical activity and behavior change intervention (SMD = -0.10, CI 95 % -0.14 to -0.06, p < 0.001). Physical activity was found to reduce postpartum weight retention, but not statistically significant. The results of the type of intervention subgroup difference test showed a statistically significant effect (p = 0.001). Conclusion: Diets coupled with behavioral interventions show superior results. Variations in the types of lifestyle interventions carried out during pregnancy can influence the success of interventions for postpartum weight loss. Keywords: Postpartum weight retention, lifestyle intervention, diet, physical activity, meta-analysis. Correspondence:Gina Fazrina. Master’s Program in Public Health, Universitas Sebelas Maret Surakarta, Jl. Ir. Sutami 36A, Central Java 57126, Indonesia. Email: ginafazrina@gmail.com. Mobile: +6281212533833.
Prenatal, Perinatal, and Other Risk Factors of Attention-Deficit Hyperactivity Disorder in Soerojo Hospital Sutanto, Doddy BL; Sevriana, Ery Surya; Pangestuti, Rayi Citra Ayu; Hanifa, Yumna Nur Millati; Bangun, Susi Rutmalem
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.2023.08.03.08

Abstract

Background: Long-term negative effects on academic ability and social activities can persist into adulthood in children with neurodevelopmental disorders characterized by inattention, hype­r­activity, and impulsivity (Attention Deficit Hyperactivity Disorder/ ADHD). Genetic, neurotrans­mitter, neurological, environmental, psychosocial, brain trauma, and addictive factors are some of the predisposing factors for ADHD. But theoretically, maternal risk factors  often contribute to neuropsychiatric disorders, because of their potential influence on child brain development. This study aimed to assess the proportion of maternal risk factors consisting of prenatal, perinatal, and other factors of ADHD in Soerojo Hospital. Subjects and Method: A descriptive-analytic study with a retrospective approach was conducted on April-June 2022 at Soerojo Hospital. A total of 90 subjects pediatric patients diagnosed with ADHD selected by purposive sampling. The data were collected using questionnaires. The data were described in frequency (n) and percent (%). Results: The proportion of prenatal risk factors are mother’s age at pregnancy (19%), maternal disease history (8%), hormonal contraception pre-pregnancy (24%), maternal psychopathology (34%), maternal excess weight (49%); the proportion of perinatal risk factors are premature birth (12%), operative abdominal and vaginal delivery (49%), low birth weight (13%), neonatal emer­gencies (34%); while other factors are hereditary factors (13%), exposure to cigarettes (47%), and marital conditions (23%). Conclusion: The most common maternal risk factors were maternal excess weight, operative abdominal and vaginal delivery, exposure to cigarettes, maternal psychopathology, and neonatal emergencies. Keywords: ADHD, maternal risk factor, prenatal, perinatal. Correspondence: Doddy Sutanto, Department of Obstetric and Gynecology, Soerojo Hospital, Magelang, Indonesia, Jl. Ahmad Yani No. 169, Magelang 56115, Central Java. Email: doddysutanto.soerojo­hospital@­gmail.­com.
Enhancing Knowledge and Attitude with a Sex Educational Pop-up Book for Adolescents with Intellectual Disabilities Mansur, Arif Rohman; Sari, Ira Mulya; Deswita, Deswita; Neherta, Meri; Herien, Yelly; Farlina, Mutia; Yuni, Annisa Rahma; Sholihat, Annisa
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.2023.08.03.11

Abstract

Background: Adolescents with Intellectual Disabilities (ID) adolescents lack of understanding, access to information, and limited knowledge of the sexual behaviours of their peers in the general population. The need for accurate information about sex education is very important in order to stay safe and healthy. However, there is no appropriate, population-specific, and empirically validated sexual education content for individuals with intellectual disabilities. Education for Adolescents with ID requires media in concrete or real physical form and is designed in an attractive way so that they can understand the topic or theme being taught, All information about educational objects is displayed in the form of three-dimensional embossed images or commonly called pop-up books. This study aimed to analyze the effectiveness of sex education using the Pop-up Book on the knowledge and attitude of an adolescent student with an ID in Special Primary Schools (SPS) Children 1 Padang.    Subjects and Method: This is a pre-experimental design with one group pretest-posttest design conducted from April to August 2022. The target population is all students with ID in SPS 1 Padang. This study used purposive sampling, and the sample size is 21. The independent variable of this study was sexual education using the Pop-up Book while the dependent variable was knowledge and attitude were measured using a questionnaire. Data were analyzed by paired t-test. Results: The average knowledge score increased after (Mean= 11.1; SD= 2.47) given the sexual education intervention with Pop-up book media compared to before (Mean= 9.33; SD=2.13), and this result was statistically significant (p = 0.028). The average attitude score increased after (Mean= 5.86; SD= 1.24) given the sexual education intervention with Pop-up book media compared to before (Mean= 3.67; SD= 0.48), and this result was statistically significant (p<o.001). Conclusion: The pop-up book efficacy for students’ understanding of sexual education. Keywords: teenager, perspective, mental retardation, recognition, pop-up book, sexual education. Correspondence: Arif Rohman Mansur. Department of Children and Maternity, Faculty of Nursing, Universitas Andalas, Padang West Sumatera, Indonesia. Email: arifroh­manman­surphd­@nrs.­unand.ac.id. Mo­bi­le: 085228892075.  
Development of Mobile Health EPDS for Early Detection of Postpartum Blues for Postpartum Mothers at The Working Area of Puskesmas Sentani, Jayapura Regency Handayani, Endah Purwanti
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.2023.08.03.03

Abstract

Background: Postpartum mothers who cannot adapt to their new role as parents or have no family support can experience psychological (mental) disorders, namely postpartum blues, postpartum depression, and even postpartum psychosis. The purpose of this study was to develop MHEPDS for early detection of postpartum blues. Subjects and Method: Research and Development (R&D) & quasi-experimental research was conducted on postpartum mothers in the work area of the Sentani Health Center, Jayapura Regency from May 2022 to July 2022. A sample of 30 postpartum mothers was selected by simple random sampling. The dependent variable is mobile health EPDS. The independent variable is the EPDS scale. Other data collected by questionnaire. Data were analyzed by analyzing paired sample T test using the Stata 13 application. Results: Based on the results of the feasibility test of the MHEPDS application by psychologists, media and midwives for the design aspect the figure was 89.33% and for the clarity of information aspect it was 82.67%. For scores ranging from 81-100%, it is declared very feasible. The paired samples T test showed no difference between MHEPDS (Mean=15.2; SD=6.70) and EPDS (Mean=14.9; SD=6.52), and this result was not statistically significant (p= 0.662). Conclusion: The MHEPDS application has been made and can be used to detect postpartum blues events. The feasibility test for the application is declared feasible and can be used in postpartum mothers. Keywords: postpartum blues, EPDS, MHEPDS, research and development Correspondence: Endah Purwanti Handayani, Jayapura College of Health Sciences. Jl. Youmakhe Kelurahan Hinekombe Sentani 99352, Papua. Email: kakaendahmanise@gmail.com. Mobile: 085254440490.
Interest Profile of Infant’s Mother on Receiving Multiple Injection Immunization Pratiwi, Setyo Endah; Sriatmi, Ayun; Agushybana, Farid
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.2023.08.03.07

Abstract

Background: Multiple injections are giving more than one type of immunization in one visit which aims to protect children earlier in vulnerable times, immunization visits will be fewer so that it will make it easier for children with difficult or limited access to health services, people Older people do not need to come to health facilities repeatedly, increase efficiency for health service providers, and avoid missed opportunities. This study aimed to determine a significant relationship between the independent variables, namely knowledge, perceived vulnerability, perceived severity, perceived benefits, perceived barriers, and family support with the dependent variable, namely the infant's mother's interest in receiving multiple injection immunization. Subjects and Method: This study was a cross sectional study. A sample of 407 infant's mothers were selected in this study. The dependent variable was namely the infant's mother's interest in receiving multiple injection immunization. The independent variable were namely knowledge, perceived vulnerability, perceived severity, perceived benefits, perceived barriers, and family support. The data were analyzed by SPSS application. Results: The average score of correct answers related to the knowledge of mothers who are interested (Mean= 7.32; SD= 1.23) greater than mothers who are not interested (Mean= 5.23; SD= 0.87). The average score of correct answers related to the perceived vulnerability of mothers who are interested (Mean= 23.45; SD= 4.61) greater than mothers who are not interested (Mean= 10.39; SD= 0.87). The average score of correct answers related to the perceived severity of mothers who are interested in receiving multiple injection cages (Mean= 9.70; SD= 4.42) greater than mothers who are not interested (Mean= 7.45; SD= 0.92). The average score of correct answers related to the perceived benefit of mothers who are interested (Mean= 16.74; SD= 3.38) greater than mothers who are not interested (Mean= 7.32; SD= 0.7o). The average score of correct answers related to the perceived barrier of mothers who are interested (Mean= 23.18; SD= 4.31) greater than mothers who are not interested (Mean= 11.78; SD= 1.17). The average score of correct answers related to the family support of mothers who are interested in receiving multiple injection cages (Mean= 28.89; SD= 5.16) greater than mothers who are not interested (Mean= 16.08; SD= 1.38). All these results were significant statistic (p<0.001). Conclusion: There is a significant influence between know­ledge, perceived vulnerability, perceiv­ed severity, perceived benefits, perceived barriers, and family support with the infant's mother's interest in receiving multiple injection immunization. Keywords: multiple injections, immunization, infants mother. Correspondence: Setyo Endah Pratiwi. Department of Public Health, Postgraduate School, Universitas Diponegoro. Jl. Prof. Sudarto No. 13 Tembalang, Semarang 50275, Central Java. Email: endah­sulthan­13­@­gmail.com. Mobile: +62 822-2137-5962
A Study on The Disease Pattern and Outcome in Neonatal Intensive Care Unit, Tertiary Care Hospital of Andhra Pradesh Krishnaiah, Murali; Basha, Md Sajid; Khaleef, Abdul; Rahman, Zia Ur
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.2023.08.03.06

Abstract

Background: There was very scanty data available regarding the neonatal morbidity and mortality patterns in NICU. Hence, the current study aimed to document and analyze the disease pattern, and outcome in neonates admitted in NICU of tertiary care center. Subjects and Method: A prospective observational study was conducted at neonatal intensive care unit (NICU) of SVRRGGH, Tirupati from September 2014 to August 2015. A total of 2287 newborns were admitted who met selection criteria. All neonate’s demographics, clinical profile, and outcome were analyzed. Results: From a total of 2287 newborns, 71.7% were delivered vaginally, 56.05% were male, 38.0% were <2500 g, and 48.02% were preterm babies. The neonatal deaths consisted of 448 (19.58%) newborns; 71.98% of whom pre-term babies, 80.8% of whom birth weight >2.5kg, 23.2% of whom out born, and majority died before 7 days of age. Neonatal sepsis (30.65%) is the most common cause of death followed by birth asphyxia hypoxic ischemic encephalopathy in 29.04%, hyaline membrane disease (11.03%), neonatal jaundice (9.68%), meconium aspiration syndrome (7.69%), hemorrhagic disease of newborn (1.68%), and congenital malformations (2.79%). There was a statistical association observed between neonatal death and gender (p= 0.023); neonatal death and mode of admission; neonatal death and gestational age (p <0.001); neonatal death and birth Weight (p< 0.001). Conclusion: current study identified preterm, low birth weight, neonatal sepsis, birth asphyxia, Hyaline membrane disease as major causes of morbidity and Neonatal sepsis, Hyaline Membrane Disease, and HIE as the major contributors to the neonatal mortality. Improving antenatal care, maternal health checkup and timely referral of high risk cases to tertiary care centers may help to improve neonatal outcome. Keywords: neonatal sepsis, antenatal care, low birth weight, neonatal mortality. Correspondence: Department of Pediatrics, Government general hospital, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh-516002, India
Meta-Analysis the Effect of Cord Clamping Time on Hemoglobin Elevation in Newborn Infants Dilafa, Rynda Arum; Rahardjo, Setyo Sri; Murti, Bhisma
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.2023.08.03.09

Abstract

Background: Fulfillment of iron needs is very important in the first 1000 days of human life, with sufficient amounts of iron can determine the quality of life in the future, to produce a healthy and quality generation. Delaying clamping and cutting the umbilical cord for about 1-2 minutes can increase the amount of blood flowing to the newborn so as to prevent low hemoglobin in the neonatal period. This study aims to analyze the effect of delayed cord cutting on hemoglobin levels in newborns. Subjects and Method: This study was a systematic study and meta-analysis, with the following PICO Population= term newborn at 48 hours after birth. Intervention= Time delay of clamping the umbilical cord (≤60 seconds). Comparison= Immediate cord clamping time (≤15 seconds). Outcome= Hemoglobin Level. The articles used in this study were obtained from several databases including PubMed, Science Direct and Google Scholar. The keywords used were: “umbilical cord and infant”, “Delayed Cord Clamping”, “Delayed Cord Clamping and Immediate Cord Clamping” “DCC and Hemoglobin “DCC and Anaemia”. Inclusion criteria were full-text articles of randomized controlled experimental study design. trial (RCT) Articles were collected using PRISMA flow diagrams Articles were analyzed using the Review Manager 5.3 application. Results: Based on the results of a meta-analysis of 9 primary studies on the effect of cord clamping time on increasing newborn hemoglobin levels originating from Pakistan, China, Thailand, India, Bangladesh, the United States, and Nigeria, it can be concluded that delayed cord clamping in newborns birth increased the hemoglobin level by 0.81 units compared to clamping the cord immediately after birth, and this result was statistically significant (SMD= 0.81; 95% CI= 0.30 to 1.32; p=0.002). Conclusion: Delay in cutting the umbilical cord can increase hemoglobin in full-term newborns without indications. Keywords: delayed cord clamping, hemoglobin. Correspondence: Rynda Arum Dilafa. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ryndaarumd@gmail.com. Mobile: +6285­852358033  
The Effectiveness of "Segi Busui" Booklet Media toward Knowledge and Attitude concerning Balanced Nutrition in Breastfeeding Mothers of 0-6 Months Darmayanti, Mey Linda; Yuniastuti, Ari; Budiono, Irwan
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.2023.08.03.04

Abstract

Background: Balanced nutrition for mothers during breastfeeding is closely related to breast milk production, puerperal recovery, and other influences on the sustainability of the puerperal or breastfeeding mother. The thing that needs to concern is that if the nutrition for breastfeeding mothers is not met, the nutritional needs for breast milk production will be taken from the mothers’ body reserves. This condition will cause the mother to experience the risk of disease and chronic malnutrition. This study aims to develop the "Segi Busui" Booklet media and to determine the effectiveness of the "Segi Busui" booklet media toward knowledge and attitude concerning balanced nutrition in breastfeeding mothers of 0-6 months babies. Subjects and Method: The method used in the study was Research and Development (RnD) using the Borg and Gall model. The type of study used to determine the effectiveness was pre-experimental with one group pretest-posttest design. The sample in this study was 48 breastfeeding mothers of 0-6 months babies. The dependent variables were knowledge and attitudes. The independent variable was the booklet “Segi Busui". The data were collected using questionnaires. The analysis technique used was the Wilcoxon test. Results: The average score of maternal knowledge increased after (Mean= 19.65; SD= 0.93) the "Segi Busui" booklet intervention compared to before the intervention (Mean= 13.06; SD= 1.74), and the result was statistically significant (p<0.001). Meanwhile, the maternal attitude score increased after (Mean= 66.71; SD= 3.48) the "Segi Busui" booklet intervention compared to before the intervention (Mean= 53.60; SD= 5.93), and the result was statistically significant (p<0.001) Conclusion: The “Segi Busui" booklet media is effective in increasing knowledge and attitudes concerning balanced nutrition in breastfeeding mothers of 0-6 months babies. Keywords: booklet media, knowledge, attitude, balanced nutrition of breastfeeding mothers. Correspondence: Mey Linda Darmayanti. Master’s Program in Public Health, Universitas Negeri Semarang. Jl. Kelud Utara III No.15, Semarang, Central Java 50237. Email: meylindadarmayanti­1605­@gmail.com. Mobile 085641131716.  
Assessment of Barriers and Facilitators to Institutional Delivery in an Urban Area of Delhi: A Community Based Cross- Sectional Study Sharma, Aarti; Raj, Vipin; Tiwari, Nitin; Kumar, Devendra; Bachani, Damodar
Journal of Maternal and Child Health Vol. 8 No. 4 (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.2023.08.04.01

Abstract

Background: Since motherhood is one of the most important roles in the life of any women and needs utmost priority in dealing with the delivery time, so the study was conducted with the aim to explore data related to antenatal check-ups and associated barriers for not availing the services and the reasons for the health facility preferred (Govt. or Private). for which a semi structured, pretested interview schedule was administered to all the study subjects for obtaining the relevant details. Subjects and Method: The community based cross sectional study was carried out in Palam area of west Delhi from January to December 2016 with a sample size was of 250 and analysis was done using Statistical Package for Social Sciences (SPSS version 20). The independent variables under study were social demographic characteristics, while dependent variables were the different reasons cited for preferring home delivery by the study subjects. Results: Among the women interviewed, 60.8% women preferred a Govt. health care facility for antenatal services, 14.4% visited only private health care facility for complete antenatal services whereas 22.4% were those who availed antenatal service from both Government as well as Private health care. Nearly two-third (65.2%) of the deliveries took place in Government facility, whereas around 25% preferred private facility for the delivery and remaining 10% were home deliveries. Conclusion: The reasons need to be explored by systematic continuous monitoring and supervision of services including periodic beneficiaries view point on services being provided, re-orientation of service providers and counselling of pregnant women in order to achieve hundred percent institutional deliveries or by skilled birth attendant. Keywords: barriers, facilitators, institutional delivery. Correspondence: Devendra Kumar. Department of Community Medicine, Autonomous State Medical College, Firozabad, Uttar Pradesh, India. Email: deven­­dra­ku­mar­224224@gmail.com. Mobile: +919818102046.
Effect of Environmental Factors on the Acute Respiratory Infection Incidence Among Toddlers Shafira, Widya; Khasanah, Uswatun; basyir, Pahmi budiman saputra
Journal of Maternal and Child Health Vol. 8 No. 4 (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.2023.08.04.07

Abstract

Background: Acute Respiratory Infection (ARI) is one of main public health problems found in Cirebon. Defining the factors governing this problem is crucial to reduce the burden of the disease. This study aims to analyze the effect of environmental factors on the incidence of ARI in toddlers in the territory of Gempol Community Health Center of Cirebon district. Subjects and Method: This was a cross sectional study conducted at Gempol Community Health Center, Cirebon district, West Java, Indonesia. A total of 97 subjects were surveyed using question­naire and direct measurement based on the Lemeshow formula. Independent variables taken into account were air pollution, exposure to cigarette smoke, air ventilation at subjects’ house, humidity inside the house, and occupant density. Data were analyzed by Chi-Square test and Logistic Regression test. Results: Multivariate results showed that air population (OR= 4.72; 95% CI= 1.65 to 13.46; p = 0.004); humidity in the house (OR= 8.95; 95% CI= 3.06 to 26.13; p = 0.001); humidity in the house (OR= 3.38; 95% CI= 1.15 to 9.87; p = 0.026) increased with the the acute respiratory infection incidence among toddlers, and there were statistically significant. Conclusion: House humidity is the most significant factor governing the incidence of ARI in the territory of Gempol Community Health Center of Cirebon District. Keywords: acute respiratory infection, toddler, environmental factors. Correspondence: Uswatun Khasanah. Faculty of Medicine, Universitas Swadaya Gunung Jati. Taman pemuda 1A, Sunya­ragi, Kesambi Sub District, Cirebon 45132, West Java, Indonesia. Email: uswatun­hasa­nah7@­gmail.com. Mobile +6281320001650.

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