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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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Assessment of risk factors for Neonatal Abstinence Syndrome (NAS) using a Standardized Surveillance Case Definition in Clark County, NV Bryant, Rachel; Delise, Brandon; Zhang, Ying; Beckford, Niema; Lockett, Cassius
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.2024.09.01.07

Abstract

Background: Neonatal Abstinence Syndrome (NAS) is a withdrawal syndrome in neonates that can occur due to drug exposure during pregnancy. This study had two objectives: (1) Assess the implementation of the Council of State and Territorial Epidemiologists (CSTE) Tier 2 case definition for NAS surveillance in Clark County, Nevada and (2) Identify risk factors for NAS. Subjects and Method: This study utilized hospital discharge data. Claim-based records from non-federal acute care hospitals located in Clark County during 2016-2022 were analyzed.  All newborn inpatient discharge records from January 1, 2016 to September 30, 2022 in Clark County, Nevada were selected.  ICD-10-CM codes were utilized based on the CSTE Tier 2 case definition. Any neonate record that met the case definition, including any record with the diagnosis code P96.1, was considered a NAS confirmed case. Codes for suspect cases, maternal history of substance use, unspecified maternal medication, and transmitted noxious-substances were also assessed. A multiple logistic regression model using backward stepwise selection was developed to find risk factors related to NAS-confirmed births. Results: In Clark County, Nevada, the NAS incidence rate from January 2016 to September 2022 was 7.4 per 1,000 births. In 2022 alone, the rate of NAS was 8.9 per 1,000 births. Estimated rates of NAS were highest among neonates who were White at 13 per 1,000 births. Hospital J, the largest academic medical center in Southern Nevada, had the highest NAS confirmed case rate at 11.3 per 1000 newborn hospitalizations. Results from the multiple logistic regression model showed the odds of being born with NAS among neonates who identified as White were 5.0 (OR=5.17; 95% CI= 4.29 to 6.24; p <0.001) times more likely to have NAS compared to the Hispanic group. Conclusion: Given that 2022 had the highest rate of confirmed NAS cases there is a need to collect substance and diagnosis-specific data about prenatal substance use to identify unmet service care and disparities.
A Systematic Review of NT-proBNP as Prognostic Biomarker for Preeclampsia Complications Bachnas, Muhammad Adrianes; Asaduddin, Aiman Hilmi; Ali, Agni Shalha; Indarta, Ardhia Fefrine; Anshari, Shafira Yasmine; Febrinasari, Ratih Puspita; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.06

Abstract

Background: Preeclampsia can lead to maternal and fetal complications due to its ability to cause multiple organ disorders. Interestingly, N-terminal pro-brain-type natriuretic peptide (NT-proBNP) levels were higher in preeclampsia than in non-preeclampsia, representing cardiovascular mal¬function as the potential cause. Moreover, NT-proBNP also has a potential role in predicting complications that will arise in preeclampsia. This systematic review was performed to determine the role of NT-proBNP plasma levels in predicting maternal and fetal complications in preeclampsia.Subjects and Method: This systematic review was conducted based on PRISMA-P by previous observational study from scientific databases, namely Hinari, Cochrane Library, ScienceDirect, Scopus, and grey literature in OCLC’s OAISTER between 2006 and 2021. The search keyword used were ((NTproBNP) OR (NT-proBNP) OR (N-terminal pro-BNP) OR (N-terminal pro-Brain Natriuretic Peptide)) AND ((preeclampsia) OR (pre-eclampsia)) AND (pregnancy complications). Newcastle - Ottawa Quality Assessment Scale (NOS) was used to assess quality of included studies.Results: After study selection, five studies from 156 studies were considered eligible and selected in this systematic review. The results showed that pre-eclampsia complications occurred with NT-proBNP levels above 500 mg/dL, which cardiovascular complications may occurred above 700 mg/dL. NT-proBNP levels were higher in women with maternal complications such as placental abruption, HELLP (Hemolysis, elevated liver enzyme levels, and low platelet levels) syndrome, eclampsia, pulmonary oedema, congestive heart failure, cerebrovascular accident, renal dysfunction, and hypertensive retinopathy. Furthermore, increased NT-proBNP levels were associated with fetal growth restriction, resulting in low birth weight. NT-proBNP was significantly higher in pregnant women due to a combination of pre-existing volume overload and NT-proBNP clearance dysfunction in kidney. Conclusion: NT-proBNP levels were associated with adverse outcomes in preeclampsia. NT-proBNP serum levels could be used to predict maternal-fetal complications in preeclampsia.
The Effectiveness of Online Learning to Improve Knowledge About Metabolic Syndrome in Pregnancy Sri Sulistyowati; Muhammad Adrianes Bachnas; Eric Edwin Yuliantara; Anggraini, Nutria Widya Purna; Wisnu Prabowo; Supriyadi Hari Respati; Hafi Nurinasari; Robert Ridwan; Lini Astetri; Arib Farras Wahdan; Yonathan Siswo Pratomo; Vidya Ismiaulia
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.04

Abstract

Background: Metabolic syndrome is a persistent global health problem and a risk factor for diabetes and heart disease. A metabolic syndrome that occurs during pregnancy will pose a threat to maternal and fetal health. The incidence of metabolic syndrome during pregnancy, especially in developing countries, will become a serious public health problem in the future. This study aims to assess the effectiveness of online learning in improving the knowledge of online learning participants on metabolic syndrome cases in pregnancy. Subjects and Method: This was a cross-sectional study conducted in July through Zoom online learning on Metabolic Syndrome in Pregnancy attended by 125 participants. The dependent variable was knowledge about metabolic syndrome in pregnancy. The independent variable was online learning. The data obtained from this study were in the form of pretest and post-test scores. The data were analyzed by t-test. Results: The mean score of knowledge about metabolic syndrome in pregnancy after online learning was higher (Mean= 90.8; SD= 14.05) than before (Mean= 60.08; SD= 6.94), and this was statistically significant (p= <0.001). Conclusion: Online learning is effective to improve knowledge about metabolic syndrome in pregnancy among Indonesian Obstetrics and Gynecology Association (POGI) members and young POGI members.
Effectiveness of Rose and Jasmine Aromatherapy on The Phase 1 Labor Duration in Intrapartum Mothers at Aisyiyah General Hospital, Kudus, Central Java Asmawati, Lilik; Fatmasari, Diyah; Suwondo, Ari; Widyawati, Melyana Nurul
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.2024.09.01.10

Abstract

Background: Unhandled prolonged labor can cause death for the mother and baby. Prolonged labor is caused by inadequate contraction. Uterotonics and aromatherapy can improve the contraction. Rose and jasmine aromatherapy increase oxytocin level and aid the birth process. This study aims to compare the effectiveness of rose and jasmine aromatherapy on duration of labor in women in the first stage of labor at Aisyiyah Hospital Kudus. Subject and Methods: This research was a true experimental study with posttest-only control group design. The number of samples was determined using simple random sampling. The number of samples was 45 respondents (15 rose aromatherapy, 15 jasmine aromatherapy, 15 control). Aromatherapy (1-3%) was given through diffuser for 30 minutes. Each respondent who had prolonged labor was given aromatherapy during first stage of labor, then the duration of labor was measured. The data was analyzed using Kruskal-Wallis test. Results: In the normality test by Shapiro-Wilk test, the value of p=0.006 (p<0.05), which means that the data is not normally distributed. Homogeneity test with the Lavene test yields p=0.044 (p<0.05) which indicates that the variance of data is not homogeneous. Then continued with the Kruskal-Walls test, it was found that there was no significant difference in the effectiveness of giving rose aromatherapy, jasmine aromatherapy and standard treatment on the duration of labor in women with prolonged labor (p=0.104). Conclusion: There was no significant difference in the labor duration in rose, jasmine and control groups.
Newborn Calf Circumference to Identify Low Birth Weight Neonates Atriadewi, Hambrah Sri; Hafidh, Yulidar; Andarini, Ismiranti
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.2024.09.01.09

Abstract

Background: The absence of birth weight records for infants remains a prevalent issue in developing countries, including Indonesia. The timely identification of low birth weight (LBW) and premature neonates, particularly those born outside well-equipped healthcare facilities is vital within the critical first 48 hours of life. This study aimed to ssess the potential utility of calf circumference in identifying low birth weight infants. Subjects and Method: A cross-sectional study was conducted on 100 neonates aged between 0 – 48 hours old who were treated at Dr. Moewardi General Hospital, Surakarta from May 2022 to August 2022. The dependent variable was neonates birth weight. The independent variables was calf circumference. Calf circumference was measured using non elastic but flexible measuring tape, with measure­ment precision up to the nearest 0.1 cm. The cut-off point of calf circumference was determined with the ROC curve. Results: Calf circumference significantly correlates with birth weight (p<0.001), with r=0.969. The calf circumference cut-off value of 10.35 cm in LBW had an AUC of 0.99, a sensitivity of 98.0%, a specificity of 98.0%, and a positive predictive value of 98.0%, a negative predictive value of 98.0%. The calf circumference cut-off value was 8.85 cm for LBW neonates, which had an AUC of 0.93, with a sensitivity of 83.9%. specificity 85.7%, positive predictive value 98.7%, negative predictive value 28.6%. Conclusion: Calf circumference in newborns can be used to identify neonates with low birth weight.
Delta Neutrophil Index and C-Reactive Protein as Predictors of Mortality in Early Onset Neonatal Sepsis at Dr. Moewardi Hospital Deaneva, Almira Muthia; Siregar, Rustam; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.08

Abstract

Background: Neonatal sepsis is an infection disease in newborns that still be a major problem in developing countries such as Indonesia. Early onset sepsis has higher mortality and morbidity. A simple and applicable biomarkers are needed to predict mortality in early onset neonatal sepsis. This study aimed to investigate whether Delta Neutrophil Index (DNI) and C-Reactive Protein (CRP) can be used as predictors of mortality in early onset neonatal sepsis. Subjects and Method: A cohort study that was conducted at neonatal HCU and NICU at Dr. Moewardi Hospital from March to June 2023. Total of 30 neonates aged 0-72 hours which met the inclusion criteria and became research subjects. The dependent variable was the mortality of neonatal sepsis. The independent variable were levels of DNI and CRP values.  The instruments were flowcytometry to measure levels of DNI and Enzyme Linked Immunoassay (ELISA) for determining CRP values. Data were analyzed using SPSS 25.0. Bivariate analysis was using Chi square and Fisher exact followed by multivariate analysis using logistic regression with p<0.05. Results: Thirty early onset septic neonates were included in study, of whom 17 children died and 13 children survived. Both DNI and CRP had significant correlation with mortality of neonatal sepsis (p<0.001). The DNI cut-off value of ≥ 5.4% (OR = 10.83; 95% CI 1.96 to 59.63; p = 0.004) can predict mortality in early onset neonatal sepsis. The CRP cut-off values of ≥5.75 mg/L (OR = 15.56;  95%CI 2.59 to 93.57; p = 0.001) could predict early onset neonatal sepsis mortality. Other factors such as gender, gestational age, birth weight and blood culture couldn’t be used as predictors of mortality in neonatal sepsis, with p value >0.05. Conclusion: DNI and CRP could be used as predictors of mortality in early onset neonatal sepsis.
The The Role of Lactate Level as Predictor of Mortality Critically Ill Children at Moewardi Hospital Zilmi, Reza Ervanda; Pudjiastuti, Pudjiastuti; Siregar, Rustam
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.2024.09.01.08

Abstract

Background: The prevalence of mortality among critically ill children worldwide, particularly in Indonesia, remains alarmingly high. Numerous studies have indicated that elevated lactate levels serve as a significant predictor of mortality in this vulnerable population. The primary objective of this study is to elucidate the predictive value of lactate levels in determining mortality risk among critically ill children. Subjects and Method: A cohort prospective study was conducted in children aged between 1 month and 18 years old who met the criteria for critically ill children treated in the Pediatric High care unit (PHCU) of Dr. Moewardi General Hospital, Surakarta from January to June 2023. The dependent variable was the mortality. The independent variable was lactate level serum. The data were collected using questionnaire and observation sheet. The cut off point of lactate level was determined with  ROC curve. Results: Among thirty critically ill pediatric patients, 43.3% died, while 56.7% survived. The deceased predominantly comprised females, with a mean age of 5.62 years (SD= 4.14). The mean lactate levels of those who died in the first hour, 6 hours, and 24 hours (Mean= 2.94; SD= 0.90) with a cut-off value of ≥2.35 mmol/L, (Mean= 3.20; SD= 0.50) with a cut-off value of ≥ 2.35 mmol/L and (Mean= 3.65; SD= 0.53) with a cut-off value of ≥2.95 mmol/L, respectively. The 24th hours lactate levels (persistence hyperlactatemia) had the highest sensitivity (92.3%) and specificity (100%) for predicting mortality (p<0.001). Conclusion: In critically ill children, lactate level of ≥2.95 mmol/L is a good predictor of mortality.
The Relationship between Clean and Healthy Living Behavior and Risk of Diarrhea in Toddler Febriawan, Naufal Rafi'; Khasanah, Uswatun; Yusuf, Ade
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.09

Abstract

Background: Diarrhea is a process of defecation in which the stool is more liquid which can be accompanied by blood or mucus with the intensity of defecation increasing more than 3 times a day. The occurrence of diarrhea in children is often attributed to inadequate environmental hygiene. This study aimed to examined the relationship between clean and healthy behavior (PHBS) and diarrhea among toddlers in the working area of ​​the Kalijaga Permai Cirebon Community Health Center. Subjects and Method: This was a cross-sectional study conducted at ​​the Kalijaga Permai Cirebon Community Health Center from May to June 2023. A total of 119 mothers with toddlers (aged 0-59 months) was selected for this study. The dependent variable was diarrhea. The independent variable was clean and healthy behavior (PHBS). The data were collected using a questionnaire and analyzed using chi square. Results: Mothers with poor PHBS increased the risk of diarrhea in children by 4.69 times compared to good PHBS (OR= 4.69; 95% CI = 3.04 to 7.24; p<0.001). Conclusion: Implementation of household clean and healthy behavior lower the risk of diarrhea.
Exploring the Drivers of Home Births: Perspectives, Risks, Benefits, and Policy Implications in Zamboanga Sibugay, Philippines Modillas, Marichu B.; Oliva, Dave L.; Opada, Lynne Leah M.; Gallego, Randy Ian
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.04

Abstract

Background: The persistence of home births in the Philippines remains conspicuous, despite the enforcement of policies discouraging this practice and the prevailing concerns about its safety. This research aims to delve into the various perspectives of women concerning home births to describe the underlying motivations behind their choices, their perceptions of the associated risks and benefits, and their stance on the “no home-birthing policy” of the state. Subjects and Method: This was a descriptive, cross-sectional study involving 80 mothers drawn from Malangas, Zamboanga Sibugay, Philippines through a referral-based sampling method. The study examined sociodemographic characteristics as independent variables, while dependent variables included perceived reasons for home birth preference, associated risks and benefits, and respondents' views on the "no home-birthing" policy. Data were described in descriptive statistics. Results: The findings showed that the inclination of women toward giving birth at home without the presence of professional birth attendants emanates from a multitude of factors. These include economic considerations, the sense of a familiar and comfortable environment, deeply rooted cultural beliefs, challenges related to accessibility to health facilities, and geographical impediments. Notwithstanding the inherent health risks, women opt for home births due to cost considerations, improved accessibility, and as a means of expressing their cultural and personal convictions. Consequently, the "no home-birthing policy" implemented in the Philippines is seen to reflect an effort to safeguard maternal and neonatal health by promoting facility-based deliveries. Conclusion: The study underscores the importance of developing a holistic healthcare strategy that harmonizes women's autonomy and cultural practices with the crucial goal of ensuring safe childbirth, especially in marginalized areas.
Is Low Dose Aspirin Reduced the Risk of Preeklampsia? Kurrniati, Era; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.01

Abstract

Background: The maternal mortality rate is the number of maternal deaths resulting from pregnancy, childbirth and postpartum processes, which is an indicator of women's health status. Efforts that can be made to accelerate the reduction in maternal mortality are by ensuring that every mother is able to access quality health services. Low-dose aspirin has been proven to be a safe and effective primary prevention of preeclampsia. This study aims to determine the effect of low dose aspirin on the incidence of preeclampsia. Subjects and Method: Cross sectional research was conducted at the Community Health Center, Blora, Central Java, Indonesia. A sample of 200 pregnant women was selected using random sampling. The dependent variable is preeclampsia. The independent variables are age, income, aspirin consumption, primigravida, multigravida and hypertension. Data were collected by questionnaire and analyzed by multiple logistic regression. Results: The results of logistic regression analysis in this study concluded that the risk of preeclampsia increased at age <20 years or ≥35 years (OR= 4.62; 95% CI= 1.89 to 11.28; p= 0.001), gravida 2-3 (OR= 3.03; CI 95 %= 1.01 to 9.05; p= 0.047), gravida ≥3 (OR= 4.41; 95% CI= 1.07 to 18.18; p= 0.040) and history of hypertension (OR= 2.41; 95% CI= 1.02 to 5.69; p= 0.005 ). The risk of preeclampsia decreased with income > IDR 2,000,000 (OR= 0.44; 95% CI= 0.22 to 0.87; p= 0.019) and administration of low-dose aspirin (OR= 0.13; 95% CI= 0.05 to 0.35; p <0.001). Conclusion: The risk of preeclampsia increases with age, gravida 2-3, gravida ≥3 and history of hypertension. The risk of preeclampsia decreases with high income and administration of low-dose aspirin.

Page 28 of 38 | Total Record : 374

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