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Journal of Maternal and Child Health

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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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The Effectiveness of Hypnobreastfeeding and Marmet Techniques in Improving Breast Milk Production Rusmilawaty, Rusmilawaty; Hapisah, Hapisah; Rafidah, Rafidah
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast milk as a natural food is the best food that a mother can give to a newborn child. Judging from the factor of peace of mind and mind to produce good breast milk, the mental condition and mind must be calm. The psychological state of the mother who is depressed, sad, stressed, anxious, depressed and tense will reduce the volume of breast milk. One of the methods that can be done to increase milk production is Hypnobreastfeeding and marmet technique.The purpose of this study was to examine the effectiveness of hypnobreastfeeding and marmet techniques in increasing breast milk production. Subjects and Method: This study used a quasi-experimental design with a non-equivalent control group design. The population in this study were pregnant women ≥36 weeks in the Banjar District Health Center in 2019 (Aranio, Astambul and Mataraman). The sample of the study was 45 pregnant women ≥36 weeks consisting of 3 groups, namely the group that received hypnobreastfeeding treatment, the group that received the marmet technique treatment and the group that did not get the treatment consisted of 15 people each. Bivariable analysis used the one way anova statistical test. Results: Breast milk production in the hypnobreasfeeding group Hypnobreastfeeding vs control group (mean= 2.00; SD= 0.50; p= 0.001); The marmet technique vc marmet technique group (mean= 1.87; SD= 0.50; p= 0.002). The marmet technique vc control group (mean= -18.7; SD= 0.50; p= 0.002). Conclusion: Pregnant women should get hypnobreasfeeding during pregnancy and after giving birth, health workers, especially midwives, to have hypnobreasfeeding skills.

Meta-Analysis: Effect of Endometriosis and Intrauterine Device Contraceptive on Ectopic Pregnancy Habibatullah, Afifa Intifadha; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Ectopic pregnancy is an early complication of pregnancy with high morbidity and mortality. Several studies have examined a history of endometriosis and Intrauterine Device Contraceptive (IUD) use as risk factors for ectopic pregnancy, but have shown mixed results. This study aims to analyze the influence of a history of endometriosis and IUD use on the incidence of ectopic pregnancy based on previous primary studies. Subjects and Method: This was a systematic review and meta-analysis conducted with the PRISMA flow diagram guidelines. The article search process was carried out on the PubMed, Google Scholar, Science Direct, SAGE, JSTOR, and Scopus databases, for articles published from 2005 to 2022. The keywords used were: “Endometriosis” AND “Intrauterine Contraceptive Device” OR “Intrauterine Device” OR “IUD” OR “IUCD” AND “Ectopic Pregnancy” OR “Extrauterine Pregnancy” OR “Tubal Pregnancy” OR “Pregnancy Outcomes” OR “Pregnancy Complications” AND “Multivariate” OR “Multivariable” OR “Adjusted Odds Ratio” OR “aOR ". Analysis was performed with RevMan 5.3 software. Population: pregnant women of reproductive age. Intervention: endometriosis, using the IUD. Comparison: no endometriosis, no IUD use. Outcome: ectopic pregnancy. Inclusion criteria were full-text observational study articles in English and Indonesian, with ectopic pregnancy as the outcome, analyzed multivariately by including adjusted Odds Ratio/aOR. The analysis was carried out using Review Manager 5.3 software. Results: A total of 11 articles from Asia, Europe, Africa, Australia, and North America were found to meet the criteria and were included in the meta-analysis. The results of the overall analysis of 4 articles consisting of 2 cohort studies and 2 case-control studies were that endometriosis increased the risk of ectopic pregnancy 1.39 times higher than without endometriosis (aOR = 1.39, 95% CI = 1.16-1.68; p < 0.001). The results of the analysis of 7 case-control study articles showed that the use of IUDs increased the risk of ectopic pregnancy 1.35 times compared to not using the IUD and was not statistically significant (aOR = 1.35, 95% CI = 0.45-4.03; p = 0.590). Conclusion: Endometriosis is a risk factor for ectopic pregnancy. IUD use increased the risk of ectopic pregnancy but was not statistically significant. Keywords: endometriosis, intrauterine device contraceptive, ectopic pregnancy, meta-analysis. Correspondence: Afifa Intifadha Habibatullah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: alfimakrifatulazizahh@gmail.com. Mobile: +6285375335480.

The Differences of Women’s Sexual Drive Condition between Triclofem and Cyclofem Users Syabani, Sekar Arum Aisyah; Santoso, Budi; Annas, Jimmy Yanuar
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Various factors contribute to changes in the condition of a woman's sexual drive, one of which is the use of hormonal contraception. The majority of women of childbearing age use the injectable hormonal contraceptive method to prevent pregnancy. The injection method of contraception consists of two types, namely triclofem and cyclofem. However, until now it is not known with certainty the difference in sexual drive between triclofem and cyclofem contraception users. The purpose of this study was to compare the value of total sexual drive in users of triclofem and cyclofem contraception. Subjects and Method: A cross-sectional study was conducted in October 2022 at PMB Maria, Tambaksari District, Surabaya City. A total of 152 subjects were selected in this study. The dependent variable is sexual drive, the independent variable is the use of triclofem and cyclofem contraception. Data were analyzed using the Mann-Whitney test. Results: There was a significant difference between the mean sexual drive for users of triclofem contraception and the mean sexual drive for users of cyclofem contraception, namely users who were ?35 years old (p= 0.001), worked (p= 0.020), and had used contraception >2 years (p = 0.004). Contraceptive users aged <35 years (p=0.415), not working (0.082), and duration of contraceptive use ?2 years (p=0.578) showed no significant difference between the mean sexual drive of Triclofem contraceptive users and the mean sexual drive in users of cyclofem contraception. Conclusion: There was a significant difference between the condition of sexual drive in contraception users of triclofem and cyclofem only in users with characteristics of age ?35 years, working, and having used contraception for >2 years. Also, users of triclofem contraception show lower sexual drive than users of cyclofem contraception. Keywords: sexual drive, contraceptive users, triclofem, and cyclofem. Correspondence: Sekar Arum Aisyah Syabani. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java. Email: sekar.arum.aisyah-2019@fk.unair.ac.id. Mobile: +6281385876519.

The Effect of Traditional Games (Congklak) on Cognitive and Fine Motor Development in Children Under Five Rukmini, Rukmini
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: In theory, games can be used as a stimulus for optimizing brain development in children under five. Traditional game may be useful to improve brain development. This study aimed to analyze the effect of traditional games (congklak) on cognitive and fine motor development in children under five. Subjects and Method: This was a quasi-experiment study with pre and post-test design conducted at Gembong Sawah, Surabaya, East Java, in February 2021. A total of 33 childrens under five was selected by random sampling. The dependent variable were cognitive and fine motor development. The independent variable was traditional game (congklak). The data were collected by a set of questionnaire and analyzed by Wilcoxon. Results: Cognitive development on children under five was higher after intervention (Mean= 34.72; SD= 6.07) than before (Mean=26.88; SD= 6.12) and it was statistically significant (p<0.001). Fine motor development in children under five (Mean= 24.58; SD= 3.96) was higher than before (Mean=18.52; SD= 4.61) and it was statistically significant (p<0.001). Conclusion: Traditional game (congklak) effectively improves cognitive and fine motor development among children under five.

The Effectiveness of Gym Ball and Ambon Banana Consumption Against Menstrual Pain Reduction in Teenagers Hidayah, Nur; Fatmawati, Rizka
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: There are many ways to eliminate or reduce pain, both pharmacologically. Non-pharmacological pain management is safer to use because it does not cause side effects like drugs, because non-pharmacological therapy uses physiological processes. Research Objectives The purpose of this study was to analyze the effectiveness of the Gym Ball and bananas on the reduction of menstrual pain in adolescents. Subjects and Method: A quasi research without a control group was conducted at SMP N 23 Surakarta, Central Java, from April to September 2019. A sample of 46 students was selected by accidental sampling. The dependent variable is menstrual pain. The independent variable is gymball and the provision of ambon bananas. Pain scale was measured by a verbal rating scale questionnaire. Data were analyzed by paired t-test. Results: Pain scores after treatment (Mean= 0.76; SD= 0.60) were lower than before treatment (Mean= 1.93; SD= 0.39), and were statistically significant (p= 0.001). Conclusion: There is an effect of gym ball and banana consumption to reduce menstrual pain.

Meta-Analysis the Effect of Hormonal Contraception on Sexual Disfunction in Injection and Oral Contraceptive Acceptors Sumiyati, Sumiyati; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: One of the factors that cause sexual dysfunction is the use of hormonal contraception. The hormone progesterone in contraceptives functions to thicken cervical mucus. In addition, the hormone progesterone also facilitates the conversion of carbohydrates into fat so that one of the side effects is causing body weight to increase and reducing sexual arousal which causes an effect on sexual desire. This study aimed to analyze the effect of the use of injectable hormonal contraception and pills on the incidence of sexual dysfunction using a meta-analysis study. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flowchart diagram. The process of searching for articles was carried out with a range of 2011-2022 in the Google Scholar, PubMed, Science Direct, Researchgate and Springerlink databases. The keywords used in the article search are “hormonal contraceptive” AND “oral contraception” OR “pills contraceptive” AND “injectable contraceptive” AND “sexual dysfunction” AND “cross-sectional”. The inclusion criteria are full text articles with cross-sectional study design, articles using English, multivariate analysis with Adjusted Odds Ratio. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a cross-sectional study design originating from Iran, Indonesia, Malaysia, Ethiopia, Egypt, Washington, Sweden and Polan were meta-analyzed in this study. A meta-analysis of 7 articles showed that there was an effect of using injectable hormonal contraception on the incidence of sexual dysfunction 1.66 times compared to those not using injectable contraception, but this was not statistically significant (aOR= 1.66; 95% CI= 0.65 to 4.26; p= 0.290). Meanwhile, 7 articles showed that women using oral contraceptives had a 1.42 times risk of experiencing sexual dysfunction compared to not using oral contraceptives and this was statistically significant (95% CI= 1.04 to 1.92; aOR= 1.42; p= 0.030). Conclusion: Injectable hormonal contraceptives show that there is an effect on the incidence of sexual dysfunction, but statistically this relationship is not significant. Hormonal contraceptive pills showed an effect on the incidence of sexual dysfunction and was statistically significant. Keywords: sexual dysfunction, injectable contraceptives, oral contraceptives, meta-analysis. Correspondence:Sumiyati. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mia.azizi.ma@gmail.com. Mobile: +6282282246211.

The Effect of Kangaroo Mother Care on Increasing the Body Weight in Infants with Low Birth Weight: A Meta-Analysis Handayani, Anggun Fitri; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low Birth Weight (LBW) is a condition of babies born weighing <2,500 grams regardless of gestational age. Stabilization of the general condition is an important thing to do during the treatment period, there are several treatments for LBW babies, namely standard care with an incubator, monitoring nutritional intake and doing kangaroo mother care. This study aims to analyze the effect of kangaroo mother care on weight gain in LBW infants, with a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: infants with low birth weight. Intervention: Kangaroo Mother Care. Comparison: Conventional Method Care. Outcome: weight gain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “kangaroo mother care” AND “weight gain” OR “growth” AND “neonatal outcome” AND “low baby weight infants” OR “skin to skin contact” OR “kangaroo care” OR “kangaroo method” AND “Randomized Controlled Trial” OR “RCT”. The articles included are full-text English and Indonesian with a study design of a Randomized Controlled Trial from 2007 to 2020 and reporting on the Mean and SD in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 11 randomized controlled trials from India, Nepal, Pakistan, Bangladesh, Malaysia, Kenya, and Egypt were selected for a systematic review and meta-analysis. The data collected showed that kangaroo mother care increased the weight of LBW infants and was statistically significant (SMD= 1.05; 95% CI= 0.56 to 1.54; p<0.001). Conclusion: Kangaroo mother care increases weight in LBW babies.

Examining the Relationship between Vaping and Smoking among Texas High School Students Odeyemi, Joseph Olufemi
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Over the last decade, e-cigarettes have grown in popularity, surpassing cigarettes as the most widely used tobacco product among adolescents. Current evidence suggests that using e-cigarettes (vaping) is less harmful than smoking cigarettes; however, vaping has been linked to severe health consequences and an increased likelihood of transitioning to cigarettes. The upward trend of vaping is infrequently studied in concert with the prevalence of cigarette smoking. The objective of this study is to explore the prevalence of e-cigarette use and to assess potential associations with cigarette smoking among Texas adolescents.Subjects and Method: This study analyzed data on the prevalence of vaping and cigarette smoking among high school students from the 2019 Texas Youth Risk Behavior Survey (YRBS), a cross-sectional survey with a sample size of 2032. Participating schools were selected using a multi-level cluster sampling technique and variables of interest were measured using a stan-dardized self-administered questionnaire. The t-test and chi-square tests were used to determine significance of associations between estimates.Results: Almost one in five respondents (18.7%) reported vaping. Non-Hispanic White students (p< 0.001), bisexual students (p < 0.001) and students in the higher grades were more likely to report e-cigarette use. Overall, cigarette smoking appeared to be on the decline in contrast to e-cigarette use and there was a positive association between cigarette smoking and vaping (p < 0.001).Conclusion: The high prevalence of vaping among Texas high school students is a call to action. Halting the upward trend of e-cigarette use is a priority as these products predispose adolescents to significant morbidity.

Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital Rathod, Pallavi Anil; Jadhao, Avinash Namdeo; Barapatre, Amit Ramesh
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Blood transfusion is a life-saving procedure, but inappropriate use of blood and its components in obstetric emergencies, especially in cases of massive bleeding, increases the risk of morbidity and mortality. The aim of this study was to describe the determinants of blood and blood components in obstetrics in a tertiary care hospital with indications for transfusion for different components during the study. Subjects and Method: A Prospective Observational study was carried from May 2018 to December 2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. The independent variables are sociodemographic characteristics, parity, mode of delivery, education, hospital level, while dependent variables are frequency of obstetric transfusion. Frequency of transfusion of blood and its components obtained from case file of patient. The other data were collected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eighteen months period was done. Qualitative data were presented as frequency and percentages and analysed using the chi-square test. Results: During the whole study 366 of obstetric admission required transfusion of blood and its components. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most common indications for blood product transfusions followed by Accidental Haemorrhage (30%), Caesarean section (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemorrhage’s (13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retained placenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the most common type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%). Conclusion: : In obstetric emergencies, correct diagnosis and management of emergencies, A pre- planned, multidisciplinary protocol yields excellent effects in the management. Keywords: blood transfusion, pregnancy, anaemia, obstetric emergencies Correspondence: Avinash N. Jadhao. Associate Professor, Department of Biochemistry Seth GSMC & KEMH Parel Mumbai 400012, India. Email: avinashjadhao@kem.edu. Phone no.91 7718971066.

Effect of a National Nutrition Communications Campaign on Stunting Awareness and Promotion of Exclusive Breastfeeding Behavior among Rural Indonesian Mothers Moffat, Ryan Craig; Sayer, Alexis; Hawks, Megan; DeCook, Kiersten; Traub, McKayla; Linehan, Mary; Dearden, Kirk; Rachmi, Cut Novianti; West, Josh; Crookston, Benjamin; Hall, Cougar
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting affects 37% of Indonesian children and has lifelong consequences for the affected child. Childhood stunting can be prevented by promoting exclusive breastfeeding (EBF) and helping mothers overcome barriers to EBF. This study aimed to examine the effect of a National Nutrition Communications Campaign (NNCC) on stunting awareness and promotion of exclusive breastfeeding behavior among rural Indonesian mothers. Subjects and Method: Data came from interviews and a cross-sectional survey of 1,740 mothers with children under the age of 2 in three Indonesian districts, from November 2015 to March 2018. Measures included exposure to two different NNCC interventions: multi-media messages (media) and interpersonal communication strategies (IPC) and associations with stunting knowledge, breastfeeding knowledge, and breastfeeding perceptions/intentions. The data were analyzed by a multiple logistic regression. Results: Exposure to NNCC was positively associated with knowledge toward EBF (OR= 1.56; 95% CI= 1.10 to 2.19; p= 0.043), awareness of the importance of nutrition during the first 1000 days of life (OR= 1.90; 95% CI= 1.43 to 2.52; p<0.001), and having heard of stunting (OR= 1.93; 95% CI= 1.41 to 2.63; p<0.001). Exposure to IPC was positively associated with knowledge toward EBF (OR=1.78, CI95% 1.37 to 2.30, p<0.001), awareness of the importance of nutrition during the first 1000 days of life (OR= 3.02; 95% CI= 2.40 to 3.80; p<0.001), knowledge of EBF benefit to prevent stunting (OR= 3.05; CI 95%= 2.33 to 3.98; p<0.001), and having heard of stunting (OR= 3.15; CI 95%= 2.49 to 3.98; p<0.001). Exposure to IPC was a significant predictor of an intention to engage in EBF (p <0.050). Conclusion: These findings point to practical recommendations for national level social and behavior change communication efforts. Future campaigns should aim to be inclusive of: 1) mass media (television, radio, billboards, and social media) to promote health as these efforts provide for wide exposure while maintaining impact; and 2) IPC (face-to-face communications, classes, and support groups) as these efforts increase knowledge and impact on behavior, beliefs and intentions.

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