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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 Pregnancy with Hepatitis B on Preterm Birth and Gestational Diabetes Mellitus Haniah, Alfi Zamilul; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
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.2024.09.01.01

Abstract

Background: HBsAg positive pregnant women are responsible for around 50% of the global disease burden. Hepatitis B is caused by inflammation or infection of liver cells caused by the HBV virus. Pregnant women with hepatitis B can experience increased levels of cytokines which then cause pregnancy disorders. This study aims to examine the effect of pregnancy with hepatitis B on the incidence of preterm birth and Gestational Diabetes Mellitus (GDM). Subjects and Method: This study is a meta-analysis study and a systematic review. The articles used were obtained from several electronic databases including PubMed, Science Direct, Research Gate, and Google Scholar. The articles used in this study were articles that have been published from 2012-2022. The keywords to search for articles are as follows Pregnancy AND (“Hepatitis B” OR HBV OR HBsAg) AND (“pregnancy outcome” OR “fetal outcome”) AND (“preterm birth” OR “preterm delivery” OR premature) AND (“gestational diabetes mellitus” OR GDM). The researched article is a complete text with an observational study design. Articles were collected using the PRISMA diagram, and analyzed using the Review Manager 5.4 application. Results: A total of 14 prospective and retrospective cohort studies were analyzed. Articles were originated from China, Hong Kong, France and Botswana. Hepatitis B in pregnancy increased the risk of preterm birth (aOR=1.20; CI 95%=1.09 to 1.33; p<0.001) and gestational diabetes mellitus (aOR= 1.20; CI 95%= 1.12 to 1.28; p<0.001). Conclusion: Hepatitis B in pregnancy increases the risk of preterm birth and GDM significantly.
Meta-Analysis: Effects of Hormonal Contraceptive Use and History of Sexually Transmitted Disease on the Risk of Cervical Cancer Damayanti, Siti; Budihastuti, Uki 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.2023.08.06.05

Abstract

Background: Cervical cancer is a sexually transmitted disease (STD) with the fourth largest number of new cases and deaths worldwide. This study aimed to analyze the effects of the use of hormonal contraception and a history of STD on the risk of cervical cancer in women. Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: women of reproductive age. Intervention: use of hormonal contraception and history of sexually transmitted infections Comparison: not using hormonal contraception and history of sexually transmitted infections Outcome: Cervical Cancer. The process of searching for articles is by searching through online journal databases which include Google Scholar, Elsevier and PubMed. With keywords “oral pill” OR “1 month injection” OR “3 month injection” OR “implant” OR “hormonal contraception” AND “cervical cancer” OR “syphilis” OR “chlamydia” OR “herpes” OR “gonorrhea” OR ”HIV” AND “Sexually transmitted infections” AND “Cross sectional” AND aOR. Articles were selected using the PRISMA flow and data analysis using the Review Manager 5.3 application. Results: This meta-analysis consisted of 12 articles from Africa and Asia . The total sample was 8,240. The use of hormonal contraception (aOR = 2.34; 95% CI= 1.83 to 4.66; p<0.001) and had history of STD (aOR = 1.97; 95% CI = 1.49 to 2.61; p<0.001) increased the risk of cervical cancer. Conclusion: The use of hormonal contraception and has history of std increase the risk of cervical cancer. Keywords: hormonal contraception, history of sexually transmitted infections, cervical cancer. Correspondence: Siti Damayanti. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami No.36, Kentingan, Jebres, Surakarta 57126, Central Java, Indonesia. Email: Sitidamayanti269@gmail.­com.
Effect of Health Education Using WhatsApp Group on Knowledge About Visual Inspection Acetate Test Rambe, Rizka Sititah; Amra, Ricca Nophia; Bancin, Fitriani
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.2023.08.06.04

Abstract

Background:  According to the World Health Organization (WHO) in 2016 nearly 9 million women died from cervical cancer. Public awareness to detect early the disease is low. Visual Inspection Acetate (VIA) test for cervical cancer is considered a taboo solution. Women feel embarrassed to carry out VIA examination. Research is lacking whether health education through communication media using WhatsApp groups is effective. This study aimed to determine the effect of health education using WhatsApp group on knowledge about cervical cancer and VIA. Subjects and Method: This was a quasi-experiment with one group pre-test and post-test design, conducted at the Simpang Kiri Health Center in February 2023. A total of 98 women of reproductive age were selected for this study. The dependent variable was knowledge about cervical cancer and VIA. The independent variable was health education using WhatsApp group. The data were collected by questionnaire. The mean difference of knowledge before and after WhatsApp group education was tested by paired t-test. Results: The mean score of knowledge about VIA after WhatsApp group education was higher (Mean= 16.61; SD= 3.24) than before (Mean= 11.35; SD= 1.69), and this was statistically significant (p = 0.011). Conclusion: WhatsApp group education is effective to improve knowledge about cervical cancer and VIA among women of reproductive age. Keywords: WhatsApp, education, knowledge, visual acetate inspection. Correspondence: Rizka Sititah Rambe. Midwifery Academy of Medica Bakti Persada. Jl. Pinang Baris Desa Lae Oram Dusun Indah No. 193, Simpang Kiri, Subulussalam, 24781, Aceh, Indonesia. Email: ramberizka76@gmail.com. Mobile: 082363695492.
Factors Influencing Intrauterine Contraceptive Device Uptake Amra, Ricca Nophia; Rambe, Rizka Sititah; Bancin, Fitriani
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.2023.08.06.03

Abstract

Background: The Intrauterine Contraceptive Device (IUD) is an effective long-term reversible contraceptive method suitable for women of reproductive age. However, its uptake is low in Aceh province, Indonesia. This study aimed to analyze factors influencing IUD uptake among women of reproductive age in Aceh. Subjects and Method: This was a case control study conducted at the Simpang Kiri Health Center, Subulussalam, Aceh from January to June, 2023. A total of 106 women of reproductive age were selected for this study. The dependent variable was IUD uptake. The independent variables were age, education, knowledge, parity, attitudes, socio­demographic variable, and the role of health personnel. Data on IUD uptake were obtained from medical records in Subulussalam District Health Office and the Simpang Kiri Health Center, in Aceh. The other data were collected by questionnaire and observation. The data were analyzed by multiple logistic regression. Results: Factors increasing the IUD uptake in women of reproductive age were good knowledge (OR= 11.11; 95% CI= 3.29 to 37.58; p<0.001) and the active role of health personnel (OR= 8.36; 95% CI= 2.73 to 25.61; p <0.001). Positive attitude increased IUD uptake, but it was statistically non-significant (OR= 1.26; 95% CI= 0.39 to 3.97; p=0.697). Conclusion: Factors increasing the IUD uptake in women of reproductive age are good knowledge and the active role of health personnel. Positive attitude increases IUD uptake, but it is statistically non-significant. Keywords: intrauterine contraceptive device, case control, reproductive. Correspondence: Ricca Nophia Amra. Midwifery Academy of Medica Bakti Persada. Jl. Pinang Baris Desa Lae Oram Dusun Indah No. 193, Simpang Kiri, Subulussalam, 24781, Aceh, Indonesia. Email: ricca.ubudiyah­@gmail.com. Mobile: 082294425839.
Development and Feasibility Testing of Digital Measurement Tools for the Height of Uterine Fundus Mutiah, Mar'atu; Fatmasari, Diyah; Sumarni, Sri
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.2023.08.06.11

Abstract

Background: Uterine Fundus Height (TFU) is an indicator for monitoring fetal well-being during pregnancy. So far, TFU measurements are still carried out manually with several weaknesses such as human error, takes a long time, and less efficiency, which requires new innovations. This study aims to develop a tool for measuring uterine fundal height by utilizing an artificial intelligence-based rotary encoder sensor to determine gestational age and estimated fetal weight. Subjects and Method: This study used Research and Development (R&D) in the R&D stage with stages carried out at the Adem Ayem Clinic from January to February 2023. Expert validation testing and small-scale product trials. A total of 10 pregnant women were selected in this study, they were divided into two groups: (1) Five pregnant women using a digital TFU measuring instrument; and (2) Five pregnant women used a measuring tape. The dependent variables are uterine fundal height, gestational age and estimated fetal weight. The independent variable is a tool for measuring uterine fundal height. Differences in TFU in the intervention and control groups were analyzed using the Mann Whitney test. Results: Development of a tool for measuring uterine fundal height that provides feasible and valid results in measuring uterine fundal height and determining gestational age and estimating fetal weight. Conclusion: Development of a tool for measuring uterine fundal height that provides feasible and valid results in measuring uterine fundal height and determining gestational age and estimating fetal weight. Keywords: uterine fundal height, gestational age, estimated fetal weight, rotary encoder sensor, pregnant women. Correspondence: Mar’atu Mutiah. Applied Masters Program, Health Polytechnic, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, 50239, Central Java, Indonesia. Email: mara220792@gmail.com.
Effectiveness of Auricular Acupuncture on Interleukin-6 Levels and the Duration of Birth Delivery in Primigravida Mothers during Active Phase of Labor Setiawandari, Setiawandari; Andarwulan, Setiana; Hubaedah, Annah
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.2023.08.06.08

Abstract

Background: Auricular acupuncture (AKAR) is a diagnostic and treatment system based on normalizing bodily dysfunctions through stimulation of specific points on the ear. Ear stimulation involves neurological reflexes, neurotransmitters, cytokines, the immune system, and inflammation. Subjects and Method: This study is a true experimental design with a pretest-posttest control group. The study population was all 43 primigravida mothers who were expected to give birth between May and July 2023. The research sample was part of the first stage of labor during the primigravida active phase. The selection of research subjects was carried out by consecutive sampling. Subjects who met the inclusion criteria were divided into two groups, namely the AKAR intervention group and the deep breathing relaxation control group. The dependent variable was auricular acupuncture, and the independent variable was a duration of labor and interleukin-6. The instrument uses laboratory tests that are carried out, the research site only has a simple laboratory room and does not have a deep freezer - 800C, so the biomarker test is carried out in the laboratory. Assessment of the length of labor using a partograph. Data analysis used the Mann-Whitney test,  the Wilcoxon Signed Rank test and the Independent  Sample test Results: The results of post-treatment serum IL-6 levels in the AKAR group were higher (Mean= 187.24; SD= 41.65) pg/mL before the pre-treatment (Mean= 157.67; SD= 51.85) pg/mL, and this difference was significant (p <0.001). Post-treatment serum IL-6 levels in the RND group were higher (Mean= 181.30; SD= 56.86) pg/mL before the pre-treatment (155.65; SD= 50.07) pg/mL. The results of the pre-treatment serum IL-6 levels in the AKAR group were slightly higher (Mean= 157.67; SD= 51.85) pg/mL compared to the RND group (Mean= 155.65; SD= 50.07) pg/mL. Post-treatment, the IL-6 serum level in the AKAR group were higher (Mean= 187.24; SD= 41.65) pg/mL compared the RND group (Mean= 181.30; SD=56.86) pg/mL. The AKAR group had 12 (57%) active phase I stages of labor that lasted less than 360 minutes and 9 (33%) more than 360 minutes. In the RND group, 9 (45%) delivered less than 360 minutes, and 11 (55%) more than 360 minutes. The mean length of labor for the AKAR group was shorther (Mean= 365.40; SD= 65.60) minutes than the RND group (Mean= 407.55; SD = 77.27). Conclusion: There was a difference between IL-6 levels before and after treatment, so it was concluded that AKAR and RND affected serum IL-6 levels in the first stage of labor in the active primigravida phase. There was no significant difference in the length of labor in the active phase of the first stage of labor in primigravidas between AKAR and RND. Keywords: acupuncture, auricular, interleukin-6, length of labor. Correspondence: Setiana Andarwulan. Program Study Midwife Professional Education, Faculty of Science and Health, PGRI Adi Buana University, Surabaya Jl Dukuh Menanggal XII No. 4, East Java, Indonesia. Email: setianaandarwulan@unipasby.ac.id. Mobile: 085806227033.
Factors Affecting Nutritional Status (Height for Age) of Children Under Five in Rote Ndao District, Kupang, Nusa Tenggara Timur, Indonesia Picauly, Intje; Boeky, Daniela; Oematan, Grouse
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.2024.09.01.04

Abstract

Background: Nusa Tenggara Timur (NTT) Province has many problems related to nutritional intake and public health. Pregnant women and children under five are groups of people who are very vulnerable to this problem. Many government programs have been implemented but to date there are still high maternal and infant mortality rates as well as high problems of malnutrition and stunting. This study aimed to determine what factors influence the nutritional status of toddlers in Rote Ndao Regency. Subjects and Method: This was a cross-sectional study conducted in Rote Ndao Regency, Kupang, NTT, Indonesia, from August to November 2023. A total of 43 mothers who had children aged 12-59 months were selected for this study. The dependent variable was nutritional status (height for age/ HAZ). The independent variables were maternal knowledge on nutrition and stunting, history of infectious diseases, and local-food-based supplementary feeding. Supplementary feeding was measured using food frequency questionnaire (FFQ). Nutritional status was measured by height for age. The data were analyzed using a multiple linear regression. Results: Maternal nutritional knowledge (b= 0.37; 95% CI = 0.23 to 0.50; p = 0.001), no history of infection (b= 0.98; 95% CI= 0.72 to 1.24; p= 0.001), and local-food-based supplementary feeding (b= 1.33; 95% CI= 0.71 to 1.96; p= 0.001) positively and significantly increased nutritional status (height for age) in children under five. Conclusion: Maternal nutritional knowledge, no history of infection, and local-food-based suplementary feeding positively and significantly increase nutritional status (height for age) in children under five.
Correlation between Preeclampsia and Infant Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Zuvarcan, Diaz Alifarizki; Putra, David Anggara; Martuti, Sri
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.2024.09.01.03

Abstract

Background: Preeclampsia is a pregnancy complication with a triad of symptoms including high blood pressure, proteinuria, and tissue swelling as well as convulsions and coma. Preeclampsia in pregnant women can cause disruption in the supply of nutrients and oxygen to the fetus which can inhibit fetal growth and development (intrauterine growth restriction). In several similar previous studies, there were different variations in results which could be caused by multifactorial factors. This research was conducted to determine the relationship between preeclampsia in pregnant women and low birth weight babies by including confounding factors into the research. Subjects and Method: This was a retrospective case control study at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. A total of 120 live birth infants was selected using purposive sampling. The dependent variable was low birth weight (LBW). The independent variables were pre­eclampsia, maternal age, gestational age, parity, gemelli, anemia, and asthma. Data were collected from medical records of Dr. Moewardi Hospital from January to December 2022. The data were analyzed using a multiple logistic regression. Results: Preeclampsia increased LBW by 7.75 times compared to without preeclampsia, and this was a statistically significant (OR= 7.75; 95% CI= 2.77 to 21.71; p<0.001). In addition, there was a confounding variable of gestational age (OR= 18.47; 95% CI= 6.46 to 52.79; p<0.001). Conclusion: Preeclampsia increases LBW, and this is a statistically significant.
Meta Analysis: Effect of Exclusive Breastfeeding on Child’s Development Dwiantini, Feby; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
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.2024.09.01.05

Abstract

Background: Breast milk contains enough nutritional content for infants aged 0 to 6 months even without additional food. Exclusive breastfeeding has a positive impact on growth and development disorders experienced by babies. This study aimed to analyze and estimate the effect size of exclusive breastfeeding on 5 areas of child development, namely gross motor, fine motor, communication, problem solving and personal social. Subjects and Method: It was a meta-analysis study conducted in accordance to PRISMA flow chart and PICO. Population= children aged 6 months to 5 years. Intervention= exclusive breast­feed­ing. Comparison= non-exclusive breastfeeding. Outcome= child development (gross motor, fine motor, communication, problem solving, and personal social). Articles were obtained from Google Schoolar, Science Direct, and PubMed. Inclusion criterias were cohort study, full text article, and child development measurement using the ages & stages questionnaire. Data analysis was conducted using Revman 5.3. Results: 8 cohort studies from the America, Australia, Europe, Africa, and Asia were selected for meta-analysis. Total sample was 22,048. Exclusive breastfeeding increased child’s development (aOR= 1.07; 95% CI= 1.04 to 1.10; p < 0.001). Exclusive breastfeeding had a positive effect on all five areas of gross motor development (aOR= 1.05; 95% CI= 1.00 to 1.10; p= 0.030), fine motor (aOR= 1.10; 95% CI= 1.02 to 1.18; p= 0.009), communication (aOR= 1.06; 95% CI = 1.01 to 1.11; p= 0.020), problem solving (aOR= 1.12; 95% CI= 1.02 to 1.21; p= 0.010) and personal social (aOR= 1.10; 95% CI= 1.03 to 1.17; p= 0.005). Conclusion: Exclusive breastfeeding significantly increases child’s development.
Effects of Husband Support, Family Income, Employed Mothers, and Antenatal Care Visit on Exclusive Breastfeeding Widiantoro, Reza; Khairunnisa1, Khairunnisa; Furqon, Mashaf Fahrur Murdo; Murti, Bhisma; Handayani, Anggun Fitri
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.2024.09.01.06

Abstract

Background: Breastfeeding is advantageous to the infants health. Employed mothers experienced various challenges in providing exclusive breastfeeding. Studies suggest that husband support contribute to lactating mothers efficacy, improves breastfed duration, and reduces risk factors for bottle feeding. This study aimed to estimate the influence of husband's support, income, working mother, and ANC visits on exclusive breastfeeding. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA and PICO model. Population= lactating mothers. Intervention= low husband's support, high income, employed mother, irregular ANC visit. Comparison= high husband's support, low income, unemployed mother, regular ANC visits. Outcome= exclusive breastfeeding. Articles published from 2013 to 2023 were collected from Google Scholar, PubMed, and Science Direct. Literature search using the keywords "family support or husband support" AND "Income" AND "Employment" AND "Antenatal Care Visit" or "ANC Visit" AND "Exclusive Breastfeeding" AND "Cross Sectional". Selected articles were assessed using RevMan 5.3. Results: 18 cross sectional studies from Indonesia, Ethiopia, Somalia, Brazil, Thailand, Taiwan, Jordan, and India were selected for meta-analysis. Total sample was 7,234. High husband's support (aOR= 3.41; 95% CI= 2.36 to 4.91; p= 0.010), regular ANC visits (aOR=1.87; 95% CI= 1.11 to 3.17; p= 0.020) significantly increased exclusive breastfeeding. High income (aOR= 1.11; 95% CI= 0.51 to 2.44; p=0.790) and unemployment mothers (aOR= 1.11; 95% CI= 0.46 to 2.68; p=0.820) increased exclusive breastfeeding, but it was statistically non-significant. Conclusion: High husband support, regular ANC visits, high income, and unemployed mothers increase exclusive breastfeeding.

Page 27 of 38 | Total Record : 374

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