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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 549 Documents

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A Descriptive Study of Gestational Diabetes Mellitus in Yogyakarta Indriani, Indriani; Hardyanti, Siti
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Gestational Diabetes Mellitus (GDM) is a disorder of carbohydrate tolerance that increases blood sugar levels. It is first known during the second and third trimester of pregnancy. This study aims to determine the description of gestational diabetes mellitus (GDM) incidence in Sleman Yogyakarta in 2018. Subjects and Method: This research was observational descriptive with a retrospective approach. This study used secondary data wich written from medicalrecords blood sugar classifica-tion ≥105 gr/dL and fasting blood sugar ≥126 gr/dL. The population was 1023. The sample was 80 which was taken by using simple random sampling technique from January-December 2018 at Minggir Primary Health Center, Tempel I Primary Health Center and Mlati 1 Primary Health Center, Sleman, Yogyakarta. Results: The results of the study showed that from 80 pregnant women who examined their blood sugar levels, 47 subjects (58.8%) experienced DMG, 39 subjects (48.8%) aged ≥35 years, 50 subjects (62.5%) had preterm gestational age, 34 subjects (42.5%) had primary education (elementary/ junior high), 47 subjects (58.8%) did not work/housewives, 54 subjects (67.5%) were parity ≥2x, 38 subjects (47.5% ) were overweight, 47 subjects (58.8%) had GDM history, 47 subjects (58.8%) had hypertension in pregnancy, and 41 subjects (51.3%) had an incomplete Ante Natal Care (ANC) examination. Conclusion: It can be concluded that the incidence of GDM in Sleman is high, with characteristics of age at risk (≥35 years), history of previous illnesses and obesity.

Differences Levels of Sodium, Potassium, Calcium, and Magnesium Before and After Cisplatin Administration in Child with Osteosarcoma Wardhana, Hendra; Riza, Muhammad; Umma, Husnia Auliyatul
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.923 KB)

Background: Cisplatin is one of the most commonly used cytostatic chemotherapy agents, especially in patients with solid tumors such as osteosarcoma. The exact mechanism of whether and how cisplatin causes electrolyte disturbances is still unclear. This study aims to determine the differences in levels of sodium, potassium, calcium, and magnesium with the administration of cisplatin in children with osteosarcoma.Subjects and Method: This was an analytical retrospective study using secondary data in the form of medical records. The sample size in this study was calculated by the single proportion for

Is Remakuda Juice Effective to Elevate Haemoglobin Level and Descend Dysmenorrhea in Female Adolescents? Fatmawati, Zeny; Fatmawati, Elis; Rustanti, Elly
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The negative effect of low hemoglobin levels for adolescents can reduce intelligence, learning achievement, mental motor development, inhibition of optimal height growth and reproductive health. Dysmenorrhea is pain or discomfort that occurs in the abdomen during menstruation as a result of prostaglandin secretion which can increase uterine contractions. The purpose of this study was to determine the effect of Remakuda juice on an increase in hemoglobin and a decrease in the intensity of dysmenorrhea in female adolescents. Subjects and Method: An experimental study with no control group was conducted at Junior High School I Tembelang, Jombang, East Java, in September 2021. A total of 60 female adolescents was selected by purposive sampling. The dependent variables were hemoglobin level and dysmenorrhea. The independent variable was Remakuda juice. Dysmenorrhea was measured by the Numeric Rating Scale (NRS) and the Wong Baker Pain Rating Scale. Hemoglobin level was measured by digital haemometer. The data were analyzed using t-test. Results: Hemoglobin levels after intervention (Mean= 2.00; SD= 0.00) were higher than before (Mean= 1.73; SD= 0.45), with p= 0.010. Dysmenorrhea after intervention was lower (Mean= 1.43; SD= 0.59) than before (Mean= 2.70; SD= 0.65), with p<0.001. Canclusion: Remakuda juice can increase hemoglobin levels and reduce dysmenorrhea in female adolescent.

Meta-Analysis: The Effect of Physical Activity in Reducing Excessive Gestational Weight Gain and Gestational Diabetes Mellitus among Overweight and Obese Pregnant Women Cahyaningrum, Hapsari; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The prevalence of overweight and obesity among women continues to increase every year. Overweight and obesity can lead to complications in pregnancy such as Excessive gestational weight gain (EGWG) and Gestational diabetes mellitus (GDM). Physical activity intervention is an option to prevent EGWG and GDM. The study aims to analyze the effects of physical activity interventions in reducing EGWG and GDM. Subjects and Method: The study used a meta-analysis study design by following PRISMA guidelines. The research question was formulated in PICO. The population was pregnant women with a Body Mass Index (BMI) of > 25 kg/m2. The intervention used was measured physical activity. The comparison was without measured physical activity. The outcomes were EGWG and GDM. Article search was carried out through the databases such as PubMed, Cochrane Library, Scopus Database, and PEDro which was published from 2011 to 2020. The article search used the following keywords: "pregnancy" OR "pregnant woman" AND "obese" OR "overweight" AND "excessive gestational weight gain" OR "gestational weight gain" OR "weight gain" AND "gestational diabetes mellitus" OR "gestational diabetes" AND "exercise " OR "antenatal exercise" OR "physical activity". Articles that met the criteria were full-text articles with a Randomized Control Trial (RCT) study design. The assessment of the quality of the study was conducted with Cochrane Collaboration's Tool for Assessing Risk of Bias and the articles were subsequently analyzed using the Review Manager 5.4 application. Results: A total of 10 articles analyzed in this study came from Asian, European, Australian, and American countries with a total sample of 2,086. The results of the meta-analysis showed that overweight and obese pregnant women who performed measured physical activity did not experience weight changes compared to those who did not engage in physical activity (SMD= 0.03; 95% CI= 0.17 to 0.73; p=0.770). However, overweight and obese pregnant women who do measured physical activity experience changes in fasting sugar levels compared to those who did not do measured physical activity (SMD= 0. 20; CI95%= 0.30 to 0.10; p=0.001). Conclusion: The results of this study state that physical activity interventions are effective in reducing GDM but not for EGWG in overweight and obese pregnant women. Keywords: physical activity, excessive gestational weight gain, gestational diabetes mellitus, overweight and obese pregnant women, meta-analysis. Correspondence: Hapsari Cahyaningrum. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: hapsaricahyaningrum27@gmail.com. Mobile: 081328932469.

Feeding Practice with Preventing Stunting on Keluarga Harapan Program Recipients in Pangkajene and Islands Districts Mardhatillah, Mardhatillah; Sulaiman, Zulkarnain; Febrianti, Devy; Adri, Khaeriyah; Said, Sunandar
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.808 KB)

Background: Stunting is a condition where toddlers are shorter in length and height than their age. Percentage of stunting children in Pangkajene and Islands Districts with the highest percentage of 29.10% and the number of PKH recipients in 2019 as many as 16,498. The purpose of this study was to determine the relationship between Feeding Practice and the incidence of stunting on Keluarga Harapan Program recipients in Pangkajene and Islands Districts. Subjects and Method: The type of research used is observational with a cross sectional study design. The independent variable in this study is stunting and the dependent variable are feeding practice, Low Birth Weight and Economic status. The research location was carried out in Pangkajene and Islands Districts. The population in this study was all infants or toddlers from PKH recipient parents in Pangkajene and Islands Districts as many as 2,946 people in 2019 - 2021. The research sample was infants or toddlers from PKH parents who had participated in the Family Development Session as many as 71 people with the purposive method sampling. Primary data was collected using a questionnaire while secondary data was obtained from the social service of Pangkajene and Islands Districts. This study using the chi square test. Results: Incidence of stunting was higher in respondents with irregular feeding practice than in regular feeding practice (OR=0.54; CI 95% 0.33 to 0.91; p=0.024). The incidence of stunting was higher at low birth weight compared to toddlers with normal birth weight (OR= 0.41; CI 95% 0.23to 0.73; p = 0.001). The incidence of stunting is higher in economic status below the provincial minimum wage < Rp. 3,103,800 compared to economic status > Rp. 3,103,800 (OR = 2.25; CI 95% 1.16 to 4.38; p=0.01). Conclusion: Low economic status has a risk of 2.252 times experiencing stunting.

Meta-Analysis the Effect of Oral Combination Contraceptive on Hypertension and Stroke Zuhaira, Ulul Azmi; Pamungkasari, Eti Poncorini; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Combined oral contraceptives are a form of contraception that are considered safe and effective for some women, but this does not rule out the possibility that combined oral contraceptives contribute to adverse health effects. Several epidemiological studies have shown that oral contraceptives have adverse effects on women's health. The use of contraceptive pills containing the hormones estrogen and progesterone can cause an increase in blood pressure and also stroke if used continuously. The purpose of this study was to estimate the magnitude of the risk of using combined oral contraceptives on the incidence of hypertension and stroke with a meta-analysis study. Subjects and Method: This was a systematic review and meta-analysis using PRISMA flowchart diagram guidelines. The article search process was carried out between 2007-2022 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search were “oral contraceptive” OR “contraceptive pills” OR “combined oral contraceptive” AND “hypertension” OR “blood pressure” AND “stroke” AND “women of reproductive age”. The inclusion criteria for full text articles using case control observational methods, articles using English, and articles using multivariate analysis with adjusted Odds Ratio results. Articles that have met the requirements are analyzed using the RevMan 5.3 application. Results: A total of 14 articles with case-control study designs originating from China, Ethiopia, the United States, Italy, and the Netherlands were carried out in a meta-analysis in this study. Meta-analysis of 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of hypertension 1.44 times compared to those who did not use combined oral contraceptives (aOR= 1.44; 95% CI= 1.12 to 1.84; p= 0.004). Meanwhile, 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of stroke by 2.08 times compared to those who did not use combined oral contraceptives (aOR= 2.08; 95% CI= 1.48 to 2.92; p < 0.001). Conclusion: Combined oral contraceptives increase the risk of hypertension and stroke. Keywords: combined oral contraceptives, hypertension, stroke, meta-analysis Correspondence:Ulul Azmi Zuhaira. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ululazmizuhaira@gmail.com. Mobile: +6282245012258.

The Utilization of Android-Based Application as a Stunting Prevention E-Counseling Program Innovation during Covid-19 Pandemic Friska, Erlin; Andriani, Helen
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting in children is one of the most significant barriers to human development, globally affecting approximately 162 million children under 5 years of age. During the Covid-19 pandemic, the development of communication and information media such as smartphones has encouraged the creation of various kinds of application-based health innovations known as mobile health. The purpose of this study was to analyze the utilization of android-based applications as a stunting prevention e-counseling program innovation in the Covid-19 pandemic era. Subjects and Method: This research was a systematic review. The articles were selected from Google Scholar, PubMed, ScienceDirect, and Elsevier. The keywords for this review are: prevention, education, stunting counseling, Covid-19, android-based stunting prevention application, stunting counseling application during the Covid-19 pandemic, application for stunting, android application for stunting. The search process to exclude the articles used for this literature review using the PRISMA method. Results: The results showed that the existence of an Android-based stunting prevention application innovation can make it easier for the public to monitor health, obtain the education, and provide counseling to health workers. This is in line with government policies during the Covid-19 pandemic which urges the public to limit activities. Conclusion: The conclusion of this study is android-based applications are very friendly if used by the wider community because they can access information anytime and anywhere, are more flexible, and affordable.

Meta-Analysis the Effect of Prenatal Yoga to Lower Anxiety and Stress in Intrapartum Women Wulandari, Adetya; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Pregnant women are very susceptible to complications or high risk during pregnancy, especially before delivery, causing anxiety and stress. Prenatal yoga is known to relax breathing which can relax muscles and reduce anxiety. The purpose of this study was to analyze the effect of prenatal yoga on pregnant women on anxiety and stress in the face of labor. Subjects and Method: This study was a meta-analysis with the following PICO, population: pregnant women. Intervention: prenatal yoga. Comparison: not doing prenatal yoga. Result: reduced stress and anxiety. Keywords to search for articles “Prenatal Yoga” OR “Pregnancy yoga” AND “Anxiety” AND “Stress” AND “randomized controlled trial”. The articles included are full-text English and a randomized controlled trial study design from 2009-2021. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 12 RCT studies from the Asian, American and European continents were selected for systematic review and meta-analysis. Based on 9 articles stated that pregnant women who do prenatal yoga can reduce anxiety about childbirth by 0.86 times compared to not doing prenatal yoga (SMD = -0.86; 95% CI -1.50 to -0.21; p= 0.010) and 5 articles state that pregnant women those who do prenatal yoga can reduce stress during childbirth by 1.23 times compared to those who do not do prenatal yoga (SMD= -1.23; 95% CI= -1.59 to -0.87; p< 0.001). Conclusion: Prenatal yoga can reduce anxiety and stress in pregnant women in the face of childbirth. Keywords: anxiety, stress, pregnancy, prenatal yoga Correspondence: Adetya Wulandari. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Mobile: 081274814357. Email: Adetya1507@gmail.com.

Meta-Analysis the Effect of Obesity and Stress on Menstrual Cycle Disorder Annarahayu, Lutfi; Dewi, Yulia Lanti Retno; Adriyani, Rita Benya
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: There are many factors that influence menstrual patterns to become irregular, including stress and obesity. Menstrual cycle irregularities can have a serious impact on women's health, which will affect the metabolic, fertility, sexual and reproductive systems. This study aims to analyze the influence of obesity and stress on menstrual cycle disorders with a meta-analysis study. Subjects and Method: This study is a systematic study and meta-analysis, with the following PICO, Population= women of childbearing age. Intervention= obesity and stress. Comparison = not obese and not stressed. Outcome = disruption of the menstrual cycle. The articles used in this study were obtained from several databases, including PubMed, ScienceDirect and Google Scholar. The keywords used are "menstrual disorder and obesity and stress", "obesity and menstrual irregularity", "obesity OR stress AND menstrual irregularity OR cross sectional study". The articles included in this study are full text articles with a cross sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: Meta-analysis of 8 observational studies showed that obese women were 4 times more likely to have menstrual cycle disorders than normal weight (aOR= 4.19; 95% CI= 1.99 to 8.84; p= 0.002). Meta-analysis of 6 observational studies showed that women with stress had a risk of experiencing menstrual cycle disorders 1.28 times compared to women who did not experience stress (aOR= 1.28; 95% CI= 1.13 to 1.45; p = 0.001). Conclusion: Obesity and stress affect menstrual cycle disorders.

Effect of Antenatal Betamethasone and Dexamethasone on Maternal Blood Glucose Levels, Fetal Movement, Nst Parameters, and Umbilical Artery Doppler Chaurasia, Amrita; Singh, Vidhi
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The rationale of the study is to establish the time duration of recovery of disturbed sugar values and NST parameters following steroid administration and which drug has a lesser rate of hyperglycemia and lesser disturbance of DFMC and NST parameters, so as to advocate better drugs for fetal lung maturity. This study aims to compare the changes in maternal serum glucose levels, daily fetal movement count, NST parameters, and umbilical artery doppler following Betamethasone and Dexamethasone administration in antenatal women. Subjects and Method: The study design is a prospective observational cohort study. 100 pregnant patients, were recruited into 2 equal groups who received Betamethasone and Dexamethasone in Obstetrics & Gynaecology department, MLN Medical College, Prayagraj. The independent variables are Age, Gravidity, and BMI while the dependent variables are postprandial blood sugar values, Daily Fetal Movement Count, Fetal Heart Rate, Non-Stress Test Parameters, and Doppler Flow Veloci- metry of the Umbilical artery. Categorical variables were compared using the Chi-square test, while, for continuous variables T-test was used. Study instruments include Glucometer, Cardiotocography, and Ultrasound. Results: Significant changes in the glycemic profile and fetal movements were noted. The mean ± SD glucose rise after 24 hrs in Group A (Mean= 140.10; SD= 35.90) and group B (Mean= 113.26; SD= 27.90), with p<0.001. 54% and 24% women perceived reduced fetal movements (p = 0.002) while 14% and 12% women had reduced variability on NST (p = 0.766) in Group A and Group B respectively, with 66.6% and 85.71% showing reduced flow on Doppler. Conclusion: Antenatal Betamethasone as well as Dexamethasone administration causes significant changes in maternal hyperglycemia, FHR, and DFMC at 24hrs while changes were non-significant in NST parameters and Doppler. Maternal hyperglycemia resolved within 72hrs with a resolution of decreased fetal movement perception. Umbilical artery flow decreased 24 hrs following steroid administration with more profound changes with betamethasone.

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