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Journal of Maternal and Child Health

thejmch
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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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Effect of Mother and Infant Skin to Skin Contact on Early Initiation Breastfeeding: A Meta Analysis Pertiwi, Mumpuni Intan; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Skin to Skin Contact (SSC) of mothers and babies immediately after giving birth provides many benefits at the beginning of breastfeeding, an effective intervention can increase the competence of breastfeeding babies compared to just getting routine care. This study aims to analyze the primary study of the effect of mother-infant skin to skin contact on the success of the first breastfeeding with a meta-analysis. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: mothers and newborns. Intervention: skin to skin contact. Comparison: Routine care. Outcome: Successful first breastfeeding. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles (“skin to skin contact” OR “early initiation breastfeeding” OR “kangaroo mother care” AND “first breastfeeding” OR “duration breastfeeding” AND “Randomized Control Trials” OR “RCT”). The articles included are full text in English and Indonesian with a Randomized Controlled Trial study design from 2011 to 2021 and reports on the Mean and SD in a multivariate analysis. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application. Results: A total of 10 randomized controlled trials from Iran, India, Pakistan, Egypt, and Thailand were selected for a systematic review and meta-analysis. The data collected showed that skin to skin contact increased the success of the first breastfeeding by 1.05 times compared to conventional method care (SMD= 1.10; 95% CI= 0.63 to 1.58; p<0.001). Conclusion: Skin to skin contact can increase the success of the first breastfeeding. Keywords: skin to skin contact, breastfeeding success, meta-analysis. Correspondence: Alfi Makrifatul Azizah. 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 Effect of Hypnotherapy on Serum Cortisol Levels in Post-Cesarean Patients Rizkiani, Inne; Respati, Supriyadi Hari; Sulistyowati, Sri; Budihastuti, Uki Retno; 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: After cesarean section, there is often an increase in stress and anxiety which can have a negative effect on pain perception. Cortisol is the main stress hormone that regulates the duration and intensity of the stress response. Hypnotherapy is a therapy with a hypnotic method to reach someone's subconscious mind. Hypnotherapy is thought to be able to help patients in the post-section coping method because it can cause feelings of pleasure, satisfaction, safety, comfort and can make a person feel they have the strength of themselves to deal with the anxiety they experience. This study aims to analyze the effect of hypnotherapy on serum cortisol levels in postareaal section patients.Subjects and Method: This study was an experimental single-blind randomized controlled trial post-test group design which was conducted in the Obstetrics and Gynecology wards of Dr. Moewardi Hospital Surakarta and Dr. R Soetijono Blora Hospital. The subjects of the study were post-sectional patients who were hospitalized and met the inclusion and exclusion criteria. Subjects were divided into 2 groups, namely the hypnotherapy group which consisted of 15 post-sectional patients who received hypnotherapy and the control group which consisted of 15 postareaal patients who did not receive hypnotherapy. All subjects were examined for cortisol levels in the Prodia laboratory using the Chemiluminescent microparticle immunoassay (CMIA) method. The data of both groups were analyzed using the Mann-Whitney test.Results: The median, minimum, and maxi-mum cortisol levels in the hypnotherapy group were 3.60, 2.10, and 4.40 respectively, while the median, minimum and maximum cortisol values in the control group were 10.50, 8.20 and 32.80 respectively. Effect size= -2,2. The results of the analysis test showed a significant difference in mean values (p <0.001).Conclusion: Hypnotherapy has an effect on decreasing cortisol levels in post-cesarean section patients.Keywords: Hypnotherapy, Cortisol, Post-cesarean sectionCorrespondence: Inne Rizkiani. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Sura-karta, Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126.Journal of Maternal and Child Health (2021), 01(03): 258-266https://doi.org/10.26911/thejmch.2021.06.03.01

Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa Serge, Toudonou; Barikissou Georgia, Damien; Badirou, Aguemon
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Most of the new-born deaths occur in developing countries where care access is poor. This study aimed to investigate the epidemiological aspects and factors associated with early neonatal death in maternity. Subjects and Method: A case-control study was conducted from 2018 to 2020 in the Savè-Ouessè (SaO) health zone in the Collines department in Benin. Two groups of new-borns aged 0-7 days were recruited, 176 cases and 176 controls. The dependent variable was early neonatal death. The main independent variables studied were related socio-demographic characteristics, medical and gynaeco-obstetric history, pregnancy-related illnesses, service use and quality of health care, and neonatal parameters. Data collection was carried out from October to December 2021 from delivery records at the maternity unit level. An additional questionnaire was addressed to corresponding mothers. Logistic regression model was used to identify factors that explain early neonatal death occurrence. Results: No Fertility desire (OR= 3.22; CI95%= 1.13 to 9.16; p =0.029); No Observance of ANC rhythms (OR= 5.14; CI95%= 1.63 to 16.15; p= 0.005); Supervised intake of SP (OR= 6.33; CI95%= 1.33 to 29.99; p<0.001); No Existence of active fetal movements (OR= 7.01; CI95%= 2.67 to 18.41; p<0.001); and Amniotic fluid colour/ Haematic (OR= 4.09; CI95%= 2.07 to 9.63; p<0.001) increased early neonatal death in SaO health zone from 2018 to 2020 in SaO health zone, BeninConclusion: Even if early neonatal mortality appears to be low in the SaO health zone, its reduction requires to strengthen family planning, to improve the observance of intermittent preventive treatment and to monitor obstetric labour. Keywords: perinatal death, early neonatal, death, associated factors, Benin. Correspondence:Damien Barikissou Georgia. Population Training and Research, University of Abomey-Calavi, Benin. Email: barikiss2000@yahoo.fr.

Meta-Analysis the Effect of Sensory Integration Therapy on Sensoric and Motoric Development in Children with Autism Spectrum Disorder Fitriyaningsih, Ayu; Dewi, Yulia Lanti Retno; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: It is estimated that 90% of children diagnosed with ASD will show impaired sensory processing. Children with sensory processing problems present with delayed motor development which is caused by an underlying disorder in their ability to interpret sensations. Sensory integration therapy is one of the therapeutic methods to overcome sensory and motor problems. This study aims to estimate the effect of sensory integration therapy on sensory and motor development in children with autism spectrum disorders.Subjects and Method: This research was conducted using a systematic review study design and a meta-analysis conducted with PRISMA flow diagrams. The article search process was carried out between 2011-2021 using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. The keywords used are “sensory integration” OR “sensory integration therapy” OR “ayres sensory integration” OR “sensory intervention” OR “sensory stimulation” AND “sensory processing” OR “sensory skills” OR “sensory system” AND “motor skills ” OR “motor developmental” AND “autism spectrum disorder” OR “autism”. Based on the database, there were 16 articles that met the inclusion criteria. The study design used was a Randomized Control Trial (RCT). The analysis was carried out using RevMan 5.3 software. Results: The meta-analysis is of 16 articles consisting of the continents of Asia, America, and Australia. Results showed that sensory integration therapy improved sensory development (SMD = 0.14; 95% CI -0.64 to 0.92; p = 0.73) and motor development (SMD = 0.42; 95% CI -0.27 to 1.11; p = 0.24). Conclusion: Sensory integration therapy did not significantly improve sensory and motor development in children with autism spectrum disorders.

Women's Responsibilities in Choosing Injectable Family Planning in Timor Tengah Selatan District Rahayu, Putu Sri; Tamtomo, Didik Gunawan; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Injectable contraception is the most popular contraceptive method in Indonesia with a user percentage of 63.71% of the coverage of modern family planning users. In addition to the benefits and practicality of its use, this method also has various negative impacts that can endanger the health of the acceptor. This study aims to explore and describe the acceptor's response to the negative impacts experienced as a form of responsibility for the health of the acceptor. Subjects and Method: This study was conducted using descriptive qualitative method with triagulation analysis technique that connects empirical facts. The dependent variable is injectable family planning. The independent variables are responsibility, patriarchal culture, and decision making. The study was conducted on 18 informants who are injection family planning acceptors in Timor Tengah Selatan Regency. Results: The informants do not mind experiencing the negative impacts of using injectable contraceptives and prioritize the benefits and practicality of their use. The low level of education of informants is a problem in receiving and digging information. Limited access to information is also hindered by the lack of infrastructure to reach health facilities. The high pressure of patriarchal culture is one of the decision-making factors and the high number of injecting family planning users. Conclusion: The acceptor's lack of information regarding the contraceptive method used is a barrier in responding to the negative impacts experienced.

Proportion of Birth Asphyxia and Its Associated Factors among Newborns Delivered in Public Hospitals in Addis Ababa, Ethiopia, 2019: A Multicenter Cross-Sectional Study Godie, Yohannes; Yenus, Hedija; Ayenew, Fentahun; Birhanu, Dires; Guadie, Yitayal
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Birth asphyxia is a serious clinical problem that causes neonatal mortality and morbidity worldwide, Even though Ethiopia has made significant progress in lowering the under-five mortality rate, the neonatal mortality burden has not decreased significantly, which may be due to birth asphyxia. Therefore, the purpose of this study was to address this gap by assessing the prevalence of neonatal asphyxia and its associated factors among newborns in Addis Ababa public hospitals, Ethiopia. Subjects and Method: A facility-based cross-sectional study was conducted on 683 live newborns born at Addis Ababa public hospitals. Data were gathered through structured face-to-face interviews, questionnaire administration, and a systematic random sampling technique with proportional allocation. For statistical analysis, data were entered into Epi-data version 4.6 and exported to SPSS version 26. All variables with p-value ≤ 0.2 were taken into the multivariable model. A statistical significant level was declared at 95% CI and adjusted odds ratio (AOR) at a p <0.05. Results: The prevalence of birth asphyxia was 72 (10.6%) with a 95 % CI of (8.3 to 13.0). According to this study, birth asphyxia was significantly associated with the odds of newborns whose mothers were not educated (AOR= 8.09; 95 % CI= 1.63 to 40.19; p= 0.011), prolonged labor (AOR= 3.52; 95 % CI= 1.47 to 8.43; p= 0.005), ante-partum hemorrhage (AOR= 5.36, 95 % CI= 1.69 to 16.99; p= 0.004), preeclampsia (AOR= 5.09, 95 % CI= 2.09 to 12.47; p <0.001). Conclusion: Birth asphyxia was found in 10.6 % of neonates. Birth asphyxia was significantly predicted by the mother's educational level, complicated labor, and low birth weight. Keywords: proportion, Birth asphyxia, Newborns, Addis Ababa. Correspondence: Yohannes Godie. Debre Markos University, Ethiopia, Email: yohannesguadie@gmail.com, Mobile: +25192857735.

The Relationship between Maternal Characteristics and Health Workers Role on Early Complementary Feeding in the Era of the COVID-19 Pandemic Ramadhani, Fitri; Frety, Endyka Erye; Husada, Dominicus
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Early complementary feeding in Indonesia, especially in Palu city, is still relatively high and should focus. Early complementary feeding can negatively affect babies, such as being more susceptible to disease than babies who only get breast milk. This study aims to analyze the relationship between maternal characteristics and the role of health workers on early complementary feeding in the Pantoloan Public Health Center, Palu City. Subjects and Method: This research is quantitative research with a cross-sectional study. The study was conducted in all Integrated Healthcare Centers in the Pantoloan Health Center working area from April to October 2021. The research sample was mothers aged 0-6 months with inclusion and exclusion criteria. Sampling is done by total sampling. Complementary feeding was the dependent variable in this study. The independent variables in this study were the mother's characteristics in the form of age, education, occupation, maternal parity, and the role of health workers. This Data was collected using a questionnaire and analyzed by univariate and bivariate tests. Results: The results showed that there was a significant relationship between maternal characteristics in the form of age (p= 0.031), education (p= 0.002), occupation (p= 0.035), parity (p= 0.027), and the role of health workers (p= 0.046) in the provision of early complementary feeding in the work area of the Pantoloan Public Health Center, Palu City. Conclusion: Early complementary feeding can be influenced by maternal characteristics such as age, education, occupation, and parity, as well as the influence of the role of health workers.

The Effect of Chest Physiotherapy on Children's Quality of Life with Acute Lymphoblastic Leukemia and Pneumonia at Dr. Moewardi Hospital, Surakarta Fikritama, Aisya; Andarini, Ismiranti; Widjaya, Sri Lilijanti
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 (ALL), a malignancy that is the most common form of leukemia found in children, accounting for about 30 percent of all pediatric cancer. The incidence of pneumonia is often found in children undergoing treatment for ALL. Complications of ALL and the side effects of its treatment can affect children’s quality of life. This study aimed to the effect of chest physiotherapy on children's quality of life with acute lymphoblastic leukemia and pneumonia. Subjects and Method: This was a quasi-experiment study conducted at the pediatric ward of Dr. Moewardi Hospital Surakarta, from February to August 2021. A number of 60 children aged 2-18 years with lymphoblastic leukemia and pneumonia was selected for this study. These children were divided into two groups, (1) 30 children with chest physiotherapy (intervetion group) and (2) 30 children received standard care (control group). Patients and parents were asked to fill out a quality of life assessment using the PedsQLTM 4.0 generic module. Mean difference of quality of life before and after chest physiotherapy between intervention and control group was examined using independent t test. Results: After intervention of chest physiotherapy, quality of life score in the intervention group (Mean= 68.91; SD= 12.30) was higher than control group (Mean= 60.12; SD= 7.72), with p= 0.002. Conclusion: Chest physiotherapy improves the quality of life in children with acute lymphoblastic leukemia and pneumonia.

Correlation between Low Birthweight and Underweight in Children Under Five: A Meta-Analysis Nurfitria, Adilla Misi; Raharjo, Setyo Sri; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Underweight among children results in growth disorders, and stunting. The study aims to determine the correlation between low birthweight and underweight in children under five based on primary studies previously conducted. Subjects and Methods: This study used a meta-analysis study with PICO as follows: P=chidren under five, I= low birthweight, C= normal birthweight, O= underweight. The search for articles in this study used databases, namely Pubmed, Google Scholar, and Springerlink. The article search used the following keywords: Low birth weight AND underweight OR underweight toddler AND low birthweight. The articles were analyzed by using Review Manager 5.3. Results: There were 9 articles from Ghana, Bangladesh, East Kenya, Pakistan, Malawi, China, Ethiopia, and Rwanda from 2017-2022 analyzed by using PRISMA flow diagrams. These results indicated that children under five with a history of low birthweight had 2.21 times risk of being underweight compared to children under five who had a history of normal birthweight (aOR= 2.21; CI 95% = 1.96 to 2.49; p<0.001). Conclusion: Children under five with low birthweight history are at risk of being underweight. Keywords: low birthweight, underweight, children under five, meta-analysis Correspondence: Adilla Misi Nurfitria. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Adillamisi2502@gmail.com. Mobile: +6285786605313.

Lipid Profile (Total Cholesterol, LDL, HDL, Triglyceride) of Injection Contraceptive Acceptors in Semarang Surati, Surati; Priyatno, Djoko
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Hormonal injectable contraceptives are the most common choice taken by women. The 3-month injection of contraception is DMPA, one of the most effective contraceptive methods currently used. Using injectable contraceptives, especially DMPA, influences fat metabolism, especially lipoproteins. Changes in fat metabolism cause disturbances in the balance of blood fat fractions (fluctuation of HDL, LDL and total cholesterol levels) due to hormonal influences. Subjects and Method: Descriptive with an observational design study. Seventy-three women accepted injection contraceptive three months with a usage period of more than three years recorded in the Tlogosari Kulon Community Health Center. They were selected based on sample criteria, including inclusion criteria and exclusion criteria, where these criteria determine whether or not the sample can be used. The dependent was lipid profile (cholesterol, trigliceryd, LDL, HDL). The independent variables was contraceptive injections three months. There are seventy-three respondents. Results: The respondents in this study had 3-month injection contraceptive use of were less than the same as six years of use, namely 41 people, while for use more than the same as seven years there were 32 people and show that most of the research respondents had a lipid profile that was still within normal limits. For the cholesterol levels, 23% is normal, and 76% is abnormal, Trigliceryd level 66% is normal, and 34 % is abnormal. LDL levels 100% is normal, and for the HDL levels, 63% is normal, and 37% is abnormal. Conclusion: Most of the lipid profiles of respondents were normal. However, on cholesterol levels, respondents had more abnormal levels than normal, but for other lipid profiles (Trigliceryd, LDL, HDL), most respondents had normal levels.

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