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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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Effect of the Combination of Acupressure and Moringa oleifera Extract Consumption on Elevating Breast Milk Production and Adequacy in Lactating Mothers Wahidah, Nurul; Eko Ningtyas, Endah Aryati; Latifah, Leny
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.11

Abstract

Background: Exclusive breastfeeding is highly recommended because the nutrition is suitable for babies. However, there are still many babies who do not get exclusive breastfeeding. For this reason, there is a need for innovation that can be used as an effort to increase the production and adequacy of breast milk for breastfeeding mothers with a combination of Accupresure and Moringa oleifera extract. This study aimed to prove the potential of a combination of acupressure and Moringa oleifera extract as an intervention in increasing the production and adequacy of breast milk for breastfeeding mothers.Subjects and Method: This study used quasi experiment and pretest-posttest design with control group conducted at the Kelingi IV/C Health Center, Musi Rawas Regency, from December 2022-January 2023. It consisted of an intervention group consisting of a combination of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract and a control group of counseling for breastfeeding mothers, namely 40 breastfeeding mothers with babies 0-6 months. The dependent variables were the hormone prolactin and baby's weight. The independent variable was the combination of acupressure and extra Moringa oleifera. The data were analyzed by Wilcoxon.Results: The indicator affected by the combination of acupressure and Moringa oleifera extract was an increase in milk production using the prolactin hormone indicator after intervention (Mean= 304.60; SD=131.22) than before intervention (Mean= 162.85; SD= 140.44), and this was statistically significant (p<0.001). There was an increase in the adequacy of breastfeeding using the infant's weight indicator after intervention (Mean= 5550.00; SD=1240.75) than before intervention (Mean= 5015.00; SD= 1444.87), and this was statistically significant (p=0.030).Conclusion: The combination intervention of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract for 10 days effectively increases the production and adequacy of breast milk for nursing mothers. Keywords: acupressure, Moringa oleifera, prolactin hormone, baby's weight. Correspondence: Nurul Wahidah. Applied Masters Program, Postgraduate School, Health Polytechnic, Ministry of Health, Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Kota Semarang, 50239, Central Java, Indonesia. Email: wahidahnurul246@gmail.com.
Determinant Factors of Anemia in Pregnant Women at Kebomas Health Center Eka Puspitasari, Dyan; Katmini, Katmini
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.12

Abstract

Background: The period of pregnancy is when the body really needs maximum food intake, both physically and spiritually. This study aimed to examine the effect of nutritional intake, trust, and iron consumption compliance on anemia in pregnant women at the Kebomas Health Center. Subjects and Method: This was cross-sectional study in the Kebomas Health Center Work Area. A sample of 168 pregnant women was selected by simple random sampling. The dependent variable was anemia. The independent variables were nutritional intake, trust, and iron consumpt­ion compliance. The data were collected by the questionnaire and analyzed by multiple logistic regression. Results: Anemia in pregnant women increased with poor nutritional intake (aOR= 19.52; 95% CI= 14.87 to 38.37; p= 0.001), less trust (aOR= 18.37; 95% CI= 13.34 to 36.09; p= 0.001), and inadherent to iron con­sumption (aOR= 14.82; 95% CI= 10.28 to 27.34; p <0.001). Conclusion: Anemia in pregnant women increases with poor nutritional intake, less trust, and inadherent to iron con­sumption. Keywords: nutrition intake, compliance, anemia. Correspondence: Dyan Eka Puspitasari. Master’s Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila No. 37, Kediri 64133, East Java, Indonesia. Email: dyanekapuspitasari­@gmail.com. Mobile: +628123129993.
Factorial Validity and Reliability of a Food Behavior Checklist for Japanese Pregnant and Postpartum Women Fujita, Megumi; Yamaguchi, Sanae; Banna, Jinan; Suzuki, Asuka
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.06

Abstract

Background: Dietary education programs for pregnant and postpartum Japanese women are conducted during health check-ups and in childbirth education classes, but there is no tool to evaluate their food behavior. Therefore, this study examined the factorial validity, test–retest reliability, and internal consistency of the food behavior checklist (FBC) for pregnant and postpartum Japanese women. Subjects and Method: This was a longitudinal study. We screened 4,000 women aged 18–45 years who were either pregnant or nursing an infant aged <1 years and enrolled in Freeasy, a platform with 4.5 million panels. Data were collected from 97 pregnant women and 203 postpartum women through an online survey. They completed the 21-item FBC on a web survey twice at an interval of 3 weeks. After performing principal component analyses, internal consistency was calculated using Cronbach’s α. The intraclass correlation coefficient (ICC) and kappa (κ) coefficient were calculated to assess the test–retest reliability. Results: There were 21 items loaded on six factors (fruit and vegetable quantity, vegetable variety, balanced fish and meat intake, sweetened beverages, eating habits, and food consciousness). Cronbach’s α for the total scale was 0.77. ICC for the test–retest reliability of individual items ranged from 0.35 to 0.62, and ICC for the total scale was 0.62. The κ coefficient values ranged from 0.26 to 0.52, indicating fair-to-moderate strength of agreement between the test and retest. Conclusion: The FBC demonstrated factorial validity, test–retest reliability, and internal consistency, indicating its potential application in evaluating the effects of the dietary education programs on pregnant and postpartum women, which include taking a staple meal, folic acid, and avoiding raw food consumption. This compact tool can be conveniently used by midwives and provide practical guidance during maternal health check-ups. Keywords: pregnant, postpartum, dietary, checklist, reproducibility. Correspondence: Megumi Fujita. Yamagata University, 2-2-2 Iida Nishi Yamagata, 990-9585, Japan. Email: f.megumi@med.id.yamagata-u.ac.jp Mobile: + 81 23-628-5443.
Towards Optimizing Caesarean Section: Robson Ten Group Analysis of Caesarean Section and It’s Determinants in a Tertiary Hospital in South-South, Nigeria Makinde, Olakunle Ifeoluwa; Osegi, Nkencho
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.02

Abstract

Background: To optimize caesarean section (CS), Robson classification is useful for audit of CS rates within and across hospitals and regions. Valid conclusions are also possible by analyzing other characteristics of parturients that determine CS rates based on Robson groups. This study aimed to analyzed CS rate and determine the impact of parturients’ age and booking status on delivery by CS based on Robson classification.  Subjects and Method: A cross-sectional descriptive study that classified parturients into Robson 10-groups using data from hospital records at the Federal Medical Centre Yenagoa (FMCY) in Bayelsa State, south-south, Nigeria. The dependent variable was mode of delivery. The independent variables were parturients’ age and booking status by Robson group. The study instrument was a predesigned spreadsheet used to collect real-time relevant data on all deliveries from patients’ hospital records. Descriptive statistics were presented using frequencies, percentages, mean and standard deviation. Chi-square, Exact test and logistic regression were used to determine association of parturients’ age and booking status with mode of delivery. Level of significance was p <0.05. Results: There were 556 deliveries during the study period and 269 CSs, giving a CS rate of 48.4%. Robson group 3 made the highest (27.9%) contribution to CS rate, followed by group 10 (22.3%), 5 (13.8%) and 1 (11.2%). The commonest indication for CS was cephalopelvic disproportion, followed by severe preeclampsia. Booked parturients in Robson groups 1 and 3 had 61.0% reduced odd (OR= 0.39; 95% CI = 0.15 to 0.99; p = 0.050) and 74.8% reduced odd (OR= 0.25; 95% CI= 0.14 to 0.45; p < 0.001) of delivery by CS, respectively.   Conclusion: The CS rate at the FMCY was contributed largely by group 3, 10, 5 and 1 parturients. Using Robson classification, CS rate can be focused to targeted intervention to optimize CS.  Keywords: caesarean section rate, hospital, Robson classification, Robson 10-group. Correspondence: Olakunle Ifeoluwa Makinde. Department of Obstetrics and Gynaecology, Federal Medical Centre Yenagoa, Bayelsa State, Nigeria. Email: olakunleife@gmail.com. Mobile: +2348032136315.
Mindfulness Based Cognitive Therapy on the Anxiety Reduction in 3rd Trimester of Pregnant Women Sundari; Runjati, Runjati; Mardiyono, Mardiyono
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.09

Abstract

Background: Untreated pregnancy anxiety can have a significant impact on the pregnancy and postpartum outcomes. Causing mental disorders during pregnancy has an increased risk and adverse effects on the mother and fetus. Mindfulness Based Cognitive Therapy (MBCT) can increase awareness about the function of thought patterns in daily activities and is able to control awareness of thoughts, feelings and body gestures that can affect anxiety levels and cortisol hormones in the body. This study aimed to examine the effect MBCT to reduce anxiety in 3rd trimester of pregnant women. Subjects and Method: This was a randomized controlled trial. A sample of 20 pregnant women divided into two groups. Intervention group was MBCT with 8 sessions for 30 minutes each session within a period of 2 weeks. The control group was health education and usual care. The dependent variable was anxiety. The independent variable was MBCT. Anxiet was measured using HARS questionnaires. Difference of anxiety between groups were tested using independent t-test. Results: Mean of anxiety score in the MBCT group (Mean= 16.40; SD= 4.01) was lower than in the control group (Mean= 23.60; SD= 7.37), and it was statistically significant (p = 0.015). Conclusion: MBCT is effective to reduce anxiety in 3rd trimester of pregnant women. Keywords: Mindfulness Based Cognitive Therapy, pregnancy, anxiety. Correspondence: Sundari. Master’s Program of Applied Midwifery, Health Polytechnics, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Central Java 50268. Email: sundarisst3@­gmail.com. Mobile: 0821-7591-9584.
Health Indicators for Accelerating Stunting Reduction: Family Practices in Indonesian Borderland Rua, Yusfina Modesta; Nahak, Maria Paula Marla
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.02

Abstract

Background: The Indonesian government has established the latest family-based approach to implement the national strategy to accelerate the reduction of stunting in Indonesia through a family-based intervention approach. Family-based intervention is proven scientifically efective in preventing growth retardation in children under five. However, this research was conducted on families with children aged 0-2 years so that all of the presented problems can be used as a reference in providing family-based interventions. This study aims to describe family health practices in preventing stunting among the people in the border areas of Indonesia and Timor Leste. Subjects and Method: This was a quantitative descriptive study with a cross-sectional design, conducted from May to June 2022. A total of 257 families (out of a total population of 566) with children aged 0-24 months spread across 16 integrated healthcare centers (Posyandu) at the Haliwen Health Center, Belu District, East Nusa Tenggara Province, Indonesia. The subjects in this study were selected by simple random sampling. The single variable in this study was family health practices in preventing stunting, consists of 18 indicators adopted and elaborated from presidential regulation 72 concerning accelerating the reduction of stunting. the data collected by a set of questionnaires. The data analyze by univariate analysis to describe frequency (n) and percentage (%) of each indicators. Results: Out of a total of 18 assessed indicators, most families still use open garbage cans, burning garbage for destruction, and did not carry out pre-marital health screening. Conclusion: The results of this study showed that most of the health indicators had been carried out by families with infants under two years old. It is in line with the growth status of under-two, most of whom are not stunted. Keywords: stunting, children under two, family-based intervention. Correspondence: Maria Paula Marla Nahak. Nursing study program, Universitas Timor, Indonesia. Jln. El Tari - Km. 09, Sasi, Kefamenanu, Timor Tengah Utara, Nusa Tenggara Timur, Indonesia. Email: paulamarla@­unimor.ac.id.
Factors Associated with Maternal Deaths in Cotonou Hospitals, Benin Agballa, Gottfried; Sossa, Charles; Aguemon, Badirou; Damien, Georgia Barikissou; Boyi Hounsou, Christelle; Agossou, Christian; Adjibodé, Omer O.; Djossou, Elvire; Tokpanoudé, Ignace; Dossou, Jean-Paul
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.07

Abstract

Background: Maternal mortality remains a major public health issue in Benin. This study aimed to determine the hospital-based maternal mortality ratio and factors related with maternal deaths. Subjects and Method: We conducted a case-control study over two years from 1st January 2020 to 31 December 2021 in four Cotonou hospitals. It included 264 maternal deaths (case) matched to 264 controls by delivery mode. The dependent variable was the status at discharge. Independent variables included socio-demographic characteristics, gyneco-obstetric information, medical and gynecologic history as well as type of complications. Univariate and multivariate analysis were performed to identify the factors associated with maternal deaths. Results: The hospital-based maternal mortality ratio was 1403 deaths per 100,000 live births. Age superior than or equal to 30 years old (OR= 3.09; 95% CI= 1.52 to 6.41; p=0.002), admission by a referral from public health facility (OR=4.26; 95% CI= 2.60-7.10; p<0.001) or private health facility (OR= 4.52; 95% CI= 2.49-8.38 ; p<0.001); parity between 1 and 3 (OR=2.72; 95% CI= 1.27 to 6.15; p= 0.012), gestational age less than or equal to 31 weeks (OR=3.77; 95% CI= 2.13 to 6.84 ; p<0.001) and the occurrence of non-infectious (OR= 1.94; 95% CI= 1.27 to 2.97; p= 0.002) and fetal com­pli­cations (OR= 1.98; 95% CI= 1.13 to 3.54; p=0.018) were the factors associated to maternal deaths. Conclusion: Strengthening policies aiming to increase access to modern methods of contraception and safe abortion, improving the referral system, and implementing multifaceted contextualized interventions could contribute to reducing maternal mortality. Keywords: maternal death, maternal mortality, associated factors, Benin. Correspondence:Gottfried Agballa. Department of Public Health; Faculty of Health Sciences, University of Abomey-Calavi,  Benin and Department of Biostatistics, Epidemiology, Population and Diseases Control; Centre de Recherche en Reproduction Humaine et en Démographie, Benin. Email: gottfried.­ag­ba­lla­@yahoo.fr  Telephone number: +22995278136
Effect of Antenatal Care and Postnatal Care on Exclusive Breastfeeding Practice: Meta Analysis Agusningtyas, Nisia Hari; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.01

Abstract

Background: The World Health Organization (WHO) reports that 2 out of 3 babies do not get exclusive breastfeeding and only 41% of babies aged 0-6 months get exclusive breastfeeding. It is believed that ANC and PNC examinations can increase the possibility of mothers to start and maintain exclusive breastfeeding, because mothers will receive information and support about the benefits of exclusive breastfeeding, the importance of giving colostrum, and the right technique for positioning and attachment in breastfeeding. This study aims to analyze the effect of ANC and PNC on the practice of exclusive breastfeeding. Subjects and Method: This study is a systematic and meta-analysis study, with the following PICO Population = Breastfeeding mothers. Intervention = ANC <4 times and no PNC. Comparison = ANC ≥4 times and PNC. Outcome = Exclusive breastfeeding. The articles used in this study were obtained from several databases including PubMed, Google Scholar, EBSCO, Springer Link, Science Direct, and Pro Quest. The keywords used are “ANC and exclusive breastfeeding”, “PNC and exclusive breastfeeding”. The inclusion criteria were full-text article observational study designs. Articles are 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 originating from Ethiopia, Tanzania, The Gambia, Saudi Arabia, and Indonesia, it was found that regular ANC, which was 4 times or more, has the possibility of giving exclusive breastfeeding by 1.55 times ANC (aOR=1.55; 95% CI=1.29 to 1.88; p=0.001) and mothers who conduct PNC have the possibility of giving exclusive breastfeeding by 2.43 times (aOR=2.43; 9 5%CI=1.78 to 3.31; p=0.001). Conclusion: ANC and PNC examinations can improve the practice of exclusive breastfeeding. Keywords: ANC, PNC, and Exclusive Breastfeeding Correspondence: Nisia Hari Agusningtyas. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: harinisia@gmail.com. Mobile: +6282138344620
Meta Analysis: Effects of Family Support, Family Income, and Domestic Violence on Postpartum Depression Mulyani, Noris Hadi Sri; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.12

Abstract

Background: Postpartum depression is a form of depression that occurs during the puerperium with specific symptoms that appear 4-6 weeks after delivery and can last for months, affecting the happiness and emotional relationship between mother and child. This study aims to analyze the effect and estimate the size of the effect of family support, family income levels and domestic violence on the incidence of depression among postpartum women with a meta-analysis. Subject and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: postpartum mothers. Intervention: strong family support, high family income levels and domestic violence. Comparison: weak family support, low family income level and no domestic violence. Outcome: postpartum depression. The online databases used are Google Scholar, Hindawi, PubMed, Science Direct, Scopus, and ResearchGate. There were 18 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: Meta-analysis of 18 articles with cross-sectional research designs from different countries, with a sample size of 29,638 research subjects. The results of the meta-analysis show that there is an effect of family support on the risk of postpartum depression. Mothers who received high family support had a risk of experiencing postpartum depression by 0.69 times lower compared to those who received low family support (aOR= 0.69; 95% CI= 0.38 to 1.27; p=0.240). Mothers with high family income levels have a risk of experiencing postpartum depression by 0.50 times lower compared to low family income levels (aOR= 0.50; 95% CI= 0.28 to 0.90; p=0.020). Mothers who experience domestic violence have a risk of postpartum depression by 4.20 times higher compared to those who do not experience domestic violence and the relationship is statistically significant (aOR=4.20; CI 95% =2.56 hingga 6.88; p<0.001). Conclusion: Strong family support and high levels of family income reduce the risk of postpartum depression. Meanwhile, domestic violence increases the risk of postpartum depression. Keywords: Postpartum Depression, Family suport, Family income, Domestic violence. Correspondence: Noris Hadi Sri Mulyani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: hadinoris@gmail.com. Mobile: 08157996639
Meta-Analysis of Associations between Maternal Age, Low Hemoglobin Level during Pregnancy, Low Birth Weight, and Preterm Birth Kusumawati, Ima; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.10

Abstract

Background: Maternal age <19 years and anemia in pregnancy are often associated with adverse neonatal outcomes. This study aims to analyze the relationship between maternal age <19 years and anemia in pregnancy (Hb <11 g/dL) on the incidence of low birth weight babies (LBW) and premature birth. Subjects and Method: The research meta-analysis took cohort studies published in 2018-2022. The PICO formulation used: the population is pregnant women, the intervention consists of groups of pregnant women aged <19 years and pregnant women with anemia (Hb<11 gr/dL), comparison is the group of pregnant women aged 20-35 years and pregnant women are not anemic while Outcomes were LBW and premature birth. Search articles through databases: PubMed, springer, science direct and google scholar with the keywords “Adolescence pregnancy OR young OR Teenage AND Pregnancy AND neonatal outcome OR Low birth weight OR preterm birth OR Low weight”, “Anemia OR Maternal anemia AND Neonatal outcome OR Preterm birth". Data analysis using the Review Manager (RevMan) 5.4 application. Results: A total of 7 cohort articles on pregnancy aged <19 years and 5 cohort articles on anemia were analyzed. Articles come from Canada, Turkey, England, Russia, Finland, China, Chinese Taipei, Ethiopia, Zambia and Bangladesh. The sample sizes were n=43,399 (maternal age and LBW), n=55,049 (maternal age with premature birth), n=16,544,075 (anemia and premature birth). Pregnant women aged <19 years have a 1.63 risk of giving birth to LBW babies (aOR= 1.63; 95% CI= 0.96 to 2.78; p= 0.070) and 1.41 times giving birth to premature babies (aOR= 1.41; 95% CI= 0.78 to 2.56; p= 0.250). Pregnant women with anemia have a 1.60 times risk of giving birth to premature babies (aOR= 1.60; 95% CI= 1.10 to 2.32; p= 0.010). Conclusion: The age of pregnant women <19 years does not have a significant effect on the occurrence of LBW and premature birth. Pregnant women with anemia increase the risk of premature birth. Keywords: Maternal age, anemia, low birth weight, premature birth Correspondence: Ima Kusumawati. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email:Ima.kusumawati@student.uns.ac.id Mobile: +6285740839246

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