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Journal of Maternal and Child Health
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : 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
Meta-Analysis the Effect of Postpartum Exercise on Uterine Fundal Height Istiqomah, Anisa Ikhlasani Nur; Murti, Bhisma; Adriani, Rita Benya
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.2024.09.03.01

Abstract

Background: Postpartum is a period that is at risk of causing complications and often contributes to maternal mortality rates in Indonesia. One of the causes of maternal death is an irregularity in the involution process, resulting in the risk of postpartum hemorrhage. This study aims to analyze and estimate the influence of postpartum exercise on reducing TFU in postpartum mothers. Subjects and Method: This study is a systematic review and meta-analysis. Search for articles through journal databases including: Google Scholar, PubMed, and Springer Link by selecting articles published from 2013 to February 2023. The population in the study was postpartum mothers with intervention in the form of postpartum exercise, comparison in the form of no intervention or no postpartum exercise, and the outcome is a decrease in TFU. The keywords used were (effect OR Influence) AND (“Parturition Gymnastics” OR “Postpartum Gymnastics” AND “fundal height” OR “decline of fundal height” OR “high uterine fundus” OR “Symphysial fundal height” OR “SFH” OR TFU”) AND (postpartum). The inclusion criteria were full paper articles using the Randomized Controlled Trial (RCT) research method, the analysis results used the Mean SD value, the intervention provided was postpartum exercise, the research subjects were postpartum mothers, with an outcome of decreasing TFU. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application. Results: Meta-analysis of 6 articles showed that postpartum exercise has an effect on reducing TFU in postpartum mothers by 0.46 units, which was higher than other interventions or no intervention, but this was not statistically significant. (SMD -0.46; 95% CI= -1.99 to 1.07; p=0.550). Conclusion: Postpartum exercise has an effect on reducing TFU in postpartum mothers.
Meta Analysis of Factors Determining Postnatal Care Utilization Astari, Rahmi Windhy; Wardani, Aulia Ayu Kusuma; Maryana, Dyan; Kurniati, Era; Murti, Bhisma; Tursina, Elsa
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.2024.09.03.02

Abstract

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
The Associations between Parity, Family Income, Residence, and Abortion Incidence: A Meta-Analysis Putri, Annessa Marknalia Sasqia; Soraya, Mira Mashita; Aisy, Jihan Rohadatul; Murti, Bhisma; Munawaroh, Siti Mar'atul
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.2024.09.03.03

Abstract

Background: Abortion is a complex and controversial issue found across the country. The decision to terminate a pregnancy involves many aspects in terms of medical, ethical, moral, religious, social, economic, and legal. Understanding the factors that influence the incidence of abortion is critical to developing strategies to effectively address this issue. This study aims to analyze and estimate the magnitude of the effects of parity, family income, and residence with the incidence of abortion. Subjects and Method: Systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: women of childbearing age. Intervention: multipara, high income, and urban residence. Comparison: primapara, low income, and rural residence. Outcome: The incidence of abortion. The basic data used involved Google Scholar, PubMed, BMC, Elsivier, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with observational study design using multivariate analysis that attaches aOR values and is published from 2014-2023. Data analysis using Review Manager 5.3 application. Results: Ten case control studies and nine cross-sectional studies from the Americas, Africa, and Asia were selected for the meta-analysis. Multiparous (aOR= 1.12; CI 95%= 0.54 to 2.34; p= 0.750), high family income (aOR= 0.55; CI 95%= 0.22 to 1.34; p= 0.190), and urban dwellings (aOR= 1.17; CI 95%= 0.88 to 1.55; p = 0.270) increases the risk of abortion in women of childbearing age, but is not statistically significant. Conclusion: Multipara, high family incomes, and urban residences increase the risk of the likelihood of having an abortion in women of childbearing age, but are not statistically significant.
Meta Analysis: Correlations between Age at Menarche, Parity, and Hormonal Contraceptive Use with Breast Cancer in Women of Reproductive Age Hidayati, Khairani Nur; Purnama, Hanif Wildan; Nugrahani, Anna; Murti, Bhisma; Veibiani, Nindita Arum
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.2024.09.03.05

Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer death in women worldwide. The implementation of the program in reducing the incidence of breast cancer is focused on prevention based on evidence of risk factors. This study aims to estimate factors that influence the incidence of breast cancer in women of productive age. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: Women of productive age. Interventions: menstruation at ≥13years, parity (multipara) and using hormonal contraceptives. Comparison: menstruation at <13years, parity (nullipara) and not using hormonal contraceptives. Result: breast cancer. The articles used in this study came from 2 databases, namely Google Scholar and BMC. The keywords of the article were "menarche" AND "parity" AND "risk factor" AND "breast cancer". The articles included in this study were full paper articles, used case control study designs, publication year ranged from 2014-2023, and measure of association was in Adjusted Odds Ratio. Articles were analyzed using the Review Manager 5.4 application. Results: Thirteen case-control studies indicated that women who menstruated at ≥13 years old lowered the likelihood of breast cancer by 0.69 times (aOR=0.69; CI 95%= 0.57 to 0.84; p= 0.001). Eleven case-control studies indicated that multiparous parity lowered the likelihood of breast cancer by 0.49 times (aOR=0.49; CI 95%= 0.34 to 0.72; p= 0.001). Eleven case-control studies indicated that using contraception increased the likelihood of breast cancer by 1.47 times (aOR=1.47; CI 95%= 1.12 to 1.93; p= 0.006). Conclusion: Menstruation age <13 years old, parity (nullipara) and use of hormonal contraceptives are predictors in breast cancer cases in women of productive age.
Effects of Pregnancy Planning, Complication, and Social Support on Depression in Pregnant Women Rosid, Sultonnur; Umar, Alwan Dhafi; Putra, Gilang Pamungkas Ardi; Murti, Bhisma; Handayani, Anggun Fitri
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.2024.09.03.09

Abstract

Background: Depression is a mental symptom that arises with symptoms of loss of spirit, mood swings, and disruption of daily activities. Symptoms of depression are commonly experienced by pregnant women, but symptoms of depression can be treated and prevented. Recognizing the causes or determinants of depression in pregnant women is important to prevent the onset of depressive symptoms. This study aimed to estimate the effect of planning, complications, and social support on depression in pregnant women. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used are between 2017 and 2023. Population = pregnant women. Intervention = Poor planning, complications, low social support. Comparison= Good planning, no complications, high social support. Outcome = Depression. Articles are compiled from databases such as Google Scholar, PubMed, and Science Direct. Literature search using the keywords "Planned" OR "Unplanned" AND "Complication" AND "Social Support" AND "Depression" AND "Cross Sectional". A total of 19 articles met the inclusion criteria for the meta-analysis, and were further assessed using RevMan 5.3. Results: Meta-analysis using a cross-sectional study design of 16 primary study articles from Ethiopia, Greece, Portugal, Germany, Iceland, Sri Lanka, China, Nigeria, Tanzania, and Kenya with a total sample of 7234 subjects showed that poor planning (aOR= 1.89; CI 95%= 1.56 to 2.30; p< 0.001); pregnancy complications (aOR=2.00; CI 95%= 1.72 to 2.32; p< 0.001); Symptoms of depression improved in pregnant women and these results were statistically significant. Low social support (aOR= 1.24; CI 95%= 0.75 to 2.05; p< 0.400) increased depressive symptoms in pregnant women but was not statistically significant. Conclusion: Poor planning, pregnancy complications, and low social support increase depressive symptoms in pregnant women.
What is the Evaluating the Roles of Lifestyle, Genetics, and Menstrual Cycle in Polycystic Ovarian Syndrome: A Meta-Analysis Pramukawati, Dian Ayu; Ayu Rachmawati, Rulita; Levi Rismawati, Normalia; Murti, Bhisma; Mar'atul Munawaroh , Siti
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.2024.09.03.08

Abstract

Background: The WHO in 2023 reports that polycystic ovary syndrome (PCOS) has affected about 8–13% of women of reproductive age. Some studies report that lifestyle, hormones, and genetics are one of the risk factors for PCOS. This study aims to analyze and estimate the magnitude of the effects of obesity, smoking, irregular menstruation, and having a family history of PCOS with the incidence of PCOS in women of childbearing age. Subjects and Method: Systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: women of childbearing age. Intervention: obesity, smoking, irregular periods, and a family history of PCOS. Comparison: Normal BMI, no smoking, regular periods, and no family history of PCOS. Outcome: PCOS. The basic data used involves Google Scholar, PubMed, BMC, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with observational study design using multivariate analysis that attaches aOR values and is published from 2013-2024. Data analysis using Review Manager 5.3 application. Results: Five primary studies were used to analyze obesity with PCOS. Women with obesity had 2.49 times the risk of developing PCOS compared to non-obese (OR= 2.49; CI 95%= 1.59 to 3.88; p < 0.001). Five primary studies were used to analyze smoking with PCOS. Women with smoking habits have a risk of developing PCOS 1.42 times compared to nonsmokers (OR= 1.42; CI 95%= 1.04 to 1.95; p= 0.03). Ten primary studies were used to analyze irregular periods with PCOS. Women with irregular periods had a 3.32 times risk of developing PCOS compared to regular periods (OR= 3.32; CI 95%= 2.77 to 3.97; p < 0.001). Eleven primary studies used for analysis had a family history of PCOS with PCOS. Women with a family history of PCOS had a 2.94 times higher risk of having PCOS than no family history of PCOS (OR= 2.94; CI 95%= 2.11 to 4.09; p < 0.001). Conclusion: Obesity, smoking, irregular periods, and a family history of PCOS increase the risk of PCOS in women of childbearing age.
Hypothermia Management in Newborns Artificial Intelligence Based: Systematic Review Rahmawati, Ika; Widyawati, Melyana Nurul; Kurnianingsih, Kurnianingsih; Walin, Walin
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.2024.09.03.12

Abstract

Background: Hypothermia in newborns that is not treated properly will lead to respiratory failure and death. Hypothermia in newborns is 4 times more dangerous than hypothermia in adults. Care in the delivery room plays an important role in it. Neonatal service technology in the delivery room must be responsive, able to monitor and effective. Artificial intelligence can help determine management as needed. This study aims to analyze and examine the management of hypothermia in newborns based on artificial intelligence using the systematic review method. Subjects and Method: This study is a systematic review with PICO including: (1) Population: newborns; (2) Intervention: artificial intelligence; (3) conventional hypothermic treatment; (4) Artificial intelligence is feasible to be used in the management of neonatal hygiene.  The databases used are Google Scholar, PubMed, Science Direct, and Proquest. The inclusion criteria include fulltext in Indonesian and English with the study subject  of newborns with hypothermia. The exclusion criteria for this study are articles published under the last five years. Results: A total of 9 articles show that the existence of artificial intelligence can provide feedback support in the prevention of hypothermia efficiently and facilitate effective treatment. Conclusion: Hypothermic prevention feedback with artificial intelligence Fuzzy logic can save time and facilitate appropriate treatment.
The Nutritional Status of Breastfeeding Mothers and Breastfeeding Adequacy in Indonesia: A Systematic Review Rachmadiani, Ainindya Pasca; Nadhiroh, Siti Rahayu
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.02

Abstract

Background: One of the basic capitals for the formation of quality human beings is the consump­tion of breast milk. The amount of breast milk produced is highly dependent on the mother's diet. This study aimed to identify the relationship between the nutritional status of breastfeeding mothers and breast milk adequacy in Indonesia. Subjects and Method: This was a systematic review using PICO model to formulate the research question. Population= breastfeeding mothers. Intervention= adequate BMI and MUAC. Comparation= poor BMI and MUAC. Outcome= breast milk adequacy. The database used is Google Scholar with keywords “Anthropometry” OR “BMI” OR “Breastfeeding mothers” OR “breast milk adequacy” OR “Indonesia”. There were 10 cross-sectional studies and 2 cohort studies published in 2011-2023 that met the inclusion criteria. Results: There is mostly a relationship between the nutritional status of breastfeeding mothers as measured by BMI and MUAC with the adequacy of breast milk. Conclusion: The adequacy of breast milk can be influenced by the nutritional status of the mother while breastfeeding. The nutritional status of breastfeeding mothers is no less important than the nutritional status of pregnant women so that risks such as stunting do not occur.
Analysis of Influential Factors on Postnatal Care Utilization: A Community-based Cross-sectional Study in Kwadaso Municipality, Ghana Owusu, Sarah Boafowaa; Bonney, Richard Abeiku; Safo, Kwame Sarkodie; Abudey, Samuel; Adu, Randolph Baah; Dassah, Edward Tieru
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.01

Abstract

Background: Postnatal care is central to maternal well-being as it averts cognitive complications and illnesses that come from childbirth. Non-utilization of postnatal care hinders initiatives aimed at improving maternal morbidity and mortality because postnatal care is an essential component of those initiatives. This study sought to determine factors associated with the utilization of postnatal care services among mothers in Kwadaso Municipality. Subjects and Method: Community-based cross-sectional study to assess the factors associated with utilization of postnatal care services among mothers in Kwadaso Municipality. A multistage sampling technique was used to recruit 568 women for the study. The dependent variable was mothers' utilization of postnatal care (PNC). The independent variable was demographic characteris­tics of mothers, socio-economic status, educational level, accessibility to healthcare facilities, know­ledge of PNC Services, and awareness of PNC services. The data were collected using a structured questionnaire, the data obtained were analyzed using STATA version 14.0, and the variables were analyzed using the chi-square test and multiple logistic regression and p=0.050 was considered statistically significant. Results: The mean age was 20-25 years 22.4 (SD=3.7 years) and 55.5% were married. The level of knowledge of the mothers on postnatal care services was 71.8% and 82.3% of the subjects knew postnatal period is more dangerous to the lives of mothers and their babies. The unadjusted odds of women who were married (OR= 2.11; 95% CI= 0.86 to 7.46; p=0.042), with two children (OR=4.17; 95% CI= 0.03 to 5.30; p= 0.025), earned GHC 500.00 monthly (OR= 3.47; 95% CI= 0.26 to 5.73; p=0.038), or delivered at the hospital (OR= 3.18= 95%CI= 0.02 to 8.06; p=0.014) were statistically significantly higher in women who were not married, had more than or less than four children, earned less than GHC 500.00 or delivered at other places aside the hospital. Conclusion: This study contributes to the ongoing discourse on maternal health and underscores the importance of evidence-based interventions to improve the health and well-being of mothers and infants.
The The Relationship Between Infant Birth Weight, Gestational Age, and Hyperbilirubinemia Incidence in Neonates Steve, Cornelius; Hidayah , Dwi; Nugroho , Irfan Dzakir; Putra, Andhika Trisna
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.12

Abstract

Background: Neonatal hyperbilirubinemia is an occurrence where a serum bilirubin value of 5-10mg/dL is obtained and is characterized by jaundice in newborns. This occurrence can be influenced by several factors, one of which is the birth weight of the baby <2,500 grams which is called Low Birth Weight (LBW). The incidence of LBW can be influenced by maternal age, infections that occurred before pregnancy, and one of them is gestational age LBW it self is one of the most critical health problems in various countries. Therefore, researchers are interested in finding the relationship between infant birth weight and gestational age with the incidence of neonatal jaundice. Subjects and Method: This was a cross-sectional study conducted in Rumah Sakit Umum Daerah Dr. Moewardi on Surakarta. The subjects of this study were 89 neonates who were included in the criteria. The population of this study were neonates with hyperbilirubinemia. Sampling was carried out retrospectively using patient medical records from January to December 2021, using purposive sampling technique. The dependent variable was incidence of hyperbilirubinemia. The independent variables were low birth weight and gestational age. The data were then processed using SPSS version 26 and analyzed using the chi-square test. Results: LBW and preterm increased the incidence of neonatal hyperbilirubinemia in neonates. Infants with LBW increased neonatal hyperbilirubinemia by 2.34 times compared to adequate birth weight, and this result was statistically significant (OR = 2.34; 95% CI = 1.58 to 3.47; p<0.001). Preterm infants increased neonatal hyper­bilirubinemia by 2.55 times compared to term, and this result was statistically significant (OR = 2.55; 95% CI = 1.68 to 3.58; p <0.001). Conclusion: There is an important correlation between infant birth weight and gestational age with the incidence of hyperbilirubinemia in neonates in the perinatology room at Rumah Sakit Umum Daerah Dr. Moewardi, Surakarta.