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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 Profile of Physical Activity in Children Surviving Acute Lymphoblastic Leukemia based on the Global Physical Activity Questionnaire in Surakarta Zahara, Dini Safitri; Riza, Muhammad; Nugroho, Hari Wahyu
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Acute lymphoblastic leukemia is one of the most common malignancies in children with the highest incidence aged 3-7 years. Management and treatments such as chemotherapy and radiotherapy have musculoskeletal and neuromuscular side effects which can significantly reduce the physical activity of leukemia patients and survivors. This study aims to determine the profile of the physical activity level of children with acute lymphoblastic leukemia as assessed by the Global Physical Activity Questionnaire (GPAQ) in Surakarta, Indonesia. Subjects and Method: This was a study with a cross-sectional design. Children who survived acute lymphoblastic leukemia who had completed chemotherapy at Dr. Moewardi Hospital and met the inclusion criteria were included in this study. A sample of 26 patients was selected through purposive sampling. Demographic data were obtained through interviews and the profile of the patient's physical activity level was assessed using the GPAQ questionnaire. Data analysis was performed using a Pearson Correlation test with SPSS 22.0. Results: The total sample in this study was 26 children with acute lymphoblastic leukemia. As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. There was a significant relationship between length of stay (p=0.001), age (p=0.004), gender (p=0.031), and the degree of risk of acute lymphoblastic leukemia (p=0.004) with the category of physical activity based on the GPAQ score. Conclusion: As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. The length of time being a survivor, the degree of risk of acute lymphoblastic leukemia, the age of the survivor, and gender are risk factors for decreased physical activity in children.

Association between Women’s Empowerment and Other Socio-Demographic and Nutritional Factors on Stunting among Children Aged 6 to 59 Months: Data from 2016 EDHS Baruda, Yirgalem Shibiru; Yilma, Mengistu; Gebremariam, Mulugeta Betre; Assebe, Lelisa Fekadu
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is the most prevalent form of malnutrition in children under five years of age in Ethiopia. Evidence supporting women’s impact on reducing child stunting is limited. In this paper, we examine the association between women’s empowerment and socio-demographic factors on stunting among children aged 6 to 59 months. Subjects and Method: The study used the EDHS 2016 dataset. Children aged 6-59 months whose mothers (aged 15-49 years) were living with their husbands at the time of the survey were included. We enrolled 8,496 mother and child pairs. Complex sample logistic regression analysis was employed to determine the association between child stunting and the predictors. Data analyses were employed using SPSS Version 22. Results: Around 2,624 (31%) of the mothers were 25 to 29 years old. In the 12 months before the survey, around 45% (3,806) of the mothers were employed; 2,072 (54%) of them had seasonal jobs, and the 1,734 (45%) remaining mothers had full-time employment. Among employed mothers, about 50.5% (1,921) had not received payment for their work. Household wealth index (AOR= 1.9; 95% CI= 1.44 to 2.73) and maternal height (AOR= 1.9; 95% CI= 1.28 to 2.82), and having a boy child (AOR= 1.3; 95%CI= 1.08 to 1.46) is more liked associating with stunting. But maternal attitude towards wife-beating (AOR= 1.1; 95% CI= 0.89 to 1.26) had no association with it. Conclusion: children born from the poorest households, low maternal height (<145cm), and male sex have increased risk of stunting. Lastly, Mothers' economic and socio-familial empowerment do not predict the risk of child stunting. Keywords: stunting, empowerment, women, Ethiopian demographic health survey. Correspondence: Yirgalem Shibiru Baruda. School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. Email: yirgalemsh75@gmail.com.

Neutrophil-Lymphocyte Ratio as a Diagnosis Predictor in Pediatric COVID-19 Patients at Dr. OEN Kandang Sapi Hospital, Surakarta, Central Java, Indonesia Retno Edi, Dyah Wulaningsih; Nugroho, Irfan Dzakir
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: COVID-19 is a global pandemic and affects all ages, even newborns. Until March 2021, there were 127 million cases of COVID-19 worldwide. In Indonesia, there were almost 1.5 million cases. The main symptoms of COVID-19 are fever and cough, simple laboratory tests such as measuring the neutrophil-lymphocyte ratio (NLR) are also included in the EWS (early warning score) so that they can be used to diagnose COVID-19 with a cut-off limit value of 3.13. The purpose of this study was to determine the value of NLR as a predictor of diagnosis in pediatric patients confirmed by RT-PCR Swab examination at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta. Subjects and Method: A diagnostic test study that assessed the sensitivity, specificity, negative predictive value and positive predictive value of the NLR value as a predictor of COVID-19 diagnosis in pediatric patients confirmed by RT-PCR Swab examination at the time level of March 2020 - March 2021. Data were taken from electronic medical records of inpatients and sampling was done by consecutive admission sampling. Results: A total of 153 study subjects with 34 PCR (+) patients and 119 PCR (-) patients. The characteristics of the study sample were seen from gender, age, symptoms, chest x-ray and patient outcomes. The NLR cutoff limit value for pediatric COVID-19 patients is 1,625 with an AUC (area under curve) of 0.504. The NLR value of 1.625 has a sensitivity of 0.588 (58.8%) and a specificity of 0.513 (51.3%). The PPV (positive predictive value) was 0.256 (25.6%), the NPV (negative predictive value) was 0.813 (81.3%), the PPR (positive predictive ratio) was 1.207 and the NPR (negative predictive ratio) result was 0.803. Conclusion: The NLR cutoff value of 1,625 with a sensitivity of 58.8% cannot be used as a predictor of COVID-19 diagnosis in pediatric patients at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta.

The Effectiveness of Aromatherapy and Music Therapy to Reduce Pain during Stage-1 of Birth Delivery: A Meta-Analysis Hasanah, Uswatun; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Labor pain is an uncomfortable feeling during the labor process, which causes a reduction in uterine contractions,

The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis Fitriana, Alfira; Kristiyanto, Agus; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Nausea and vomiting in pregnancy is a common condition experienced by 50-80% of pregnant women between 6 to 12 weeks of pregnancy. Acupressure stimulation can stimulate and increase blood circulation and vital energy, so as to maintain normal body functions. The purpose of this study was to determine the effect of acupressure on hyperemesis gravidarum and labor pain in pregnant and childbirth women. Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT) design. Research subjects are pregnant women or giving birth. The intervention given was acupressure with the comparison not being given acupressure or fake acupressure, articles published in English and Indonesian. The PICO research problems were as follows: Population= pregnant women and childbirth, Intervention= giving acupressure, Comparison= sham acupressure or without acupressure, Outcome= reduced intensity of nausea and vomiting and labor pain. The study was conducted using an effect size (Standardized Mean Difference). Meta-analysis was carried out using RevMan 5.3 with a random effect model. Results: A total of 20 articles were reviewed in a meta-analysis in this study. Meta-analysis of 9 articles showed acupressure was effective in reducing hyperemesis gravidarum. Pregnant women who received acupressure therapy experienced hyperemesis gravidarum 0.8 units lower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A meta-analysis of 11 articles showed that acupressure was effective in reducing labor pain. Pregnant women who received acupressure therapy experienced labor pain 1.8 units lower than without acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001). Conclusion: Acupressure can reduce the intensity of nausea and vomiting in pregnant women who experience hyperemesis gravidarum as well as the intensity of labor pain in pregnant women.

The Effectiveness of Acupressure Points PC-6 and SP-3 on the Hyperemesis Gravidarum in Pregnant Women Ria, Matilda Bupu; Manek, Brigita Dina
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Handling of nausea and vomiting in first trimester mothers (emesis gravidarum) is mostly still using pharmacological therapy, even though there is a simple event by using massage at acupuncture points to treat emesis gravidarum. The purpose of this study was to analyze the effectiveness of PC-6 and SP-3 acupressure on emesis gravidarum in first trimester pregnant women. Subjects and Method: This study is a quasi-experimental research design using a control group pretest-posttest design. The study was conducted in July-August 2021. The population in this study were all pregnant women who experienced nausea and vomiting in the 1st trimester in the Nurobo Health Center Work area, Malacca Regency. A total of 40 pregnant women in the 1st trimester were used as samples which were divided into 4 groups of 10 people each, namely group 1 (PC-6 acupressure), group 2 (SP-3 acupressure), group 3 (combination of PC-6 and SP-3 acupressure), and group 4 or control group (vitamin B6). The sample was selected by consecutive sampling technique. Data analysis using Wilcoxon Rank-Test and Paired T-Test. Results: After intervention of accupressure in PC-6 point, SP-3 point, or combination of both PC-6 and SP-3 reduced frequency of vomiting and nausea and duration of nausea. Conclusion: accupressure in PC-6 point, SP-3 point, or combination of both PC-6 and SP-3 reduce frequency of vomiting and nausea and duration of nausea in pregnant women.

Predictors of Mortality of Pediatric Patients with COVID-19 in Dr Moewardi General Hospital Surakarta Aprilizia, Dwi Suryaning Ayu; Andarini, Ismiranti; Hafidh, Yulidar
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: COVID-19 has spread all over the world and became a global pandemic. In Indonesia, COVID-19 has officially defined the non-natural disaster of COVID-19 spread as national disaster in April 13th 2020. COVID-19 cases are predominant in adult population with higher severity particularly if accompanied with comorbidities resulting in a relatively high mortality rate. However, some recent studies showed that children are at a similar or higher risk to COVID-19 compared to adults. This study aims to evaluate the predictors of mortality in pediatric COVID-19 cases.Subjects and Method: This study used a cross-sectional design using data from medical records of pediatric patients with confirmed COVID-19 who were hospitalized in the isolation ward of Dr Moewardi General Hospital from March 2020 to August 2021. All variables with significant result in the bivariate analysis were analyzed using multivariate logistic regression. Data were analyzed using SPSS (IBM SPSS Statistics version 25) with significance of p value of < 0.05.Results: Results of this study showed that age 10-17 years (OR= 16.26; 95% CI= 1.47 to 179.56; p= 0.023), the use of oxygen mask (OR= 45.89; 95% CI = 5.39 to 390.58; p <0.001), and the use of continued oxygen therapy (OR= 181.48; 95% CI=11.25 to 2927.80; p <0.001) are predictors of mortality in pediatric patients with confirmed COVID-19.Conclusion: Age 10-17 years, use of oxygen mask and advanced oxygen therapy are predictors of mortality in pediatric patients with COVID-19 hospitalized in Dr Moewardi General Hospital Surakarta.Keywords: mortality, COVID-19, pediatric.Correspondence:

Psycho-Social Stimulation and Food Diversity of Children Detected Stunting Rahmawati, Dian; Agustin, Lia
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a growth failure in children under five due to chronic malnutrition so that children are too short for their age. According to WHO, stunting becomes a public health problem if the prevalence is 20% or more. The prevalence of stunting under five in Indonesia in 2018 was more than 20% so that it became a public health problem and needed to be addressed immediately. Food diversity describes the quality of food for toddlers. Providing a variety of foods will increase the risk of malnutrition, stunting, and disease disorders. Stunting not only has an impact on physical growth but also psychosocial development. This study aimed to analyze whether psychosocial stimulation and food diversity were associated with stunting. Subjects and Method: This research is an observational analytic with a case control approach. The study population was all toddlers aged 24-59 months in Bangkok Village, Gurah, Kediri, East Java, Indonesia, in August 2020. Using the fixed disease sampling technique, a sample of 25 stunting toddlers aged 24-59 months as the case group and 25 non-stunted toddlers as the control group. The dependent variable is the incidence of stunting, while the independent variables are psychosocial stimulation and food diversity. The stunting measurement was carried out based on the TB/U measurement. Measurement of psychosocial stimulation using the HOME (The Home Observation for Measurement of the Environment Revisited) questionnaire and diversity using the IDDS (Individual Dietary Diversity Score) questionnaire. The data collected were analyzed by Chi Square and Fisher's Exact Test. Results: The incidence of stunting was associated with psychosocial (p= o.o31) and food diversity (OR= 12.67; CI 95%= 3.31 to 48.50; p < 0.001). Conclusion: Psychosocial stimulation and food diversity are associated with stunting. Not consuming a variety of foods increases the incidence of stunting 12 times.

The Effectiveness of “Ibu Pintar” Bookmic on Maternal Knowledge and Attitude toward Complementary Feeding Practice in Children Aged 6-24 Months Lucita, Fifty K.; Yuniastuti, Ari; Farida, Eko
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Complementary Feeding Practice is an important factor for the fulfilment of children’s nutritional needs. Due to the nutritional imbalance between the energy and nutrient needed by infants and what provided by breastmilk, therefore it should be fulfilled by comple- mentary feeding. One third of toddlers worldwide are in developing countries who obtain adequate complementary feeding, with a standard frequency and variety. Meanwhile, in Indonesia two third or most of the children aged 0-24 months do not obtain appropriate complementary food. The study aims to develop “Ibu Pintar” Bookmic, a media which is valid and effective to improve maternal knowledge and attitude in appropriate complementary feeding practice. Subjects and Method: The design of the study used 2 methods. The first method was Research and Development to collect user data and subsequently generated a product that can be utilized to improve knowledge and attitude of mothers of toddlers. The second method was quasi expe- rimental design conducted before and after the study without any comparison to apply Paired Sample T-Test by using SPSS. Results: The result indicated that after the treatment with “Ibu Pintar” Bookmic maternal knowledge in complementary feeding practice was improved (Mean= 1.42; SD= 0.67) compared to maternal knowledge in complementary feeding practice before the treatment (Mean= 0.66; SD; 0.77), and the result was statistically significant (p < 0.001). After the treatment with “Ibu Pintar” Bookmic maternal attitude in complementary feeding practice was improved (Mean= 0.76; SD= 0.43) compared to maternal attitude in complementary feeding practice before the treatment (Mean= 0.44; SD; 0.50), and the resulf was statistically significant (p < 0.001). Conclusion: “Ibu Pintar” Bookmic is effective for maternal knowledge and attitude in complementary feeding practice. Keywords: knowledge, attitude, and complementary food. Correspondence: Fifty K. Lucita. Master’s Program in Public Health, Universitas Negeri Semarang. Email: fifty.kaa@gmail.com. Mobile: +62 858-6922-1419.

Postnatal care service utilization and associated factors among women in Goba woreda, Bale zone, Ethiopia: A community based cross-sectional study Wordofa, Debebe; Hail, Asfaw; Lamore, Yonas; Lette, Abate
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Postnatal care of mothers is essential to reduce maternal morbidity and mortality. Providing postnatal care to recently delivered mothers is quite essential. The aim of the study was to determine the postnatal care utilization and associated factors among women who gave birth in the last 12 months in Goba woreda, Bale Zone, Ethiopia, 2020. Subjects and Method: A community based quantitative cross-sectional study was conducted in Goba woreda from March to April, 2020 among reproductive age group mothers who gave birth the in last 12 months prior this data collection. In this study 422 subjects were conducted using Lottery method to select them. The independent variables were socio-demographics charctestics and obstetrics’ health related factors with outcome variable of postnatal care service utilization. Binary and multivariable logistic regressions analysis were computed to evaluate the factors associated with postnatal care services utilization. Results: In this study a total of 422 women were interviewed with a response rate of 100%. Out of the total respondents, 178 (42.2%) utilized postnatal care service after delivery within six weeks of their last birth. Educational level of mothers (OR= 1.96; 95% CI= 1.06 to 3.62; p= 0.050) maternal knowledge on postpartum danger sign & symptoms (OR= 1.78; 95% CI= 1.16 to 2.72; p= 0.010) pregnancy desire (OR= 1.89; 95% CI= 1.67 to 3.35; p= 0.050) ANC visit (OR= 2.80; 95% CI= 1.32 to 5.97; p= 0.010) and place of deliver (OR= 2.09; 95% CI= 1.30 to 3.34; p= 0.010) had showed statistical significant association with postnatal care utilization. Conclusion: More than half of respondents in Goba woreda were not utilized postnatal care service. Maternal educational status, maternal knowledge on postnatal danger signs and symptom, pregnancy desire for youngest child, ANC attendance and place of delivery found to be independent predictors for PNC service utilization.

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