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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.
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Articles 374 Documents
Maternal self-efficacy and life satisfaction among mothers of children on the autistic spectrum disorder (ASD) and mothers of children with typical development Greenbank, Alicia; Menzin, Daniela
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.2024.09.04.04

Abstract

Background: The purpose of the present study is to examine the relationship between maternal self-efficacy and life satisfaction among mothers of children on the autistic spectrum disorder (ASD) and mothers of children with typical development. The research hypotheses were about the relationship between the maternal self-efficacy and the satisfaction with life, and about the differences in the maternal self-efficacy and the satisfaction with life between the two groups of mothers. Subjects and Method: The sample consisted of 125 mothers, of which 61 were mothers of children with ASD and 64 were mothers of children with typical development. The mothers answered two online questionnaires: a life satisfaction questionnaire and a maternal self-efficacy questionnaire. Results: The research findings indicated a positive relationship between the maternal self-efficacy and the life satisfaction, so that mothers who reported a higher level of maternal self-efficacy showed higher satisfaction with their lives. Also, differences were found in the life satisfaction between the two groups of mothers: mothers of children with typical development reported a higher satisfaction with life. Contrary to expectations, no differences were found in the maternal self-efficacy between the two groups of mothers. Conclusion: The uniqueness of the study is in the examination of the experience of mothering children with ASD among mothers in Israel, in light of the scant research literature on this subject. In addition, the current study examines the relationship between two important areas: the maternal self-efficacy and the life satisfaction, a relationship about which there is little research both in the context of mothers in general and in the context of mothers of children with ASD in particular. The research findings also have an applied contribution - the findings may help multi-professional teams develop awareness of the experience of mothering a child with ASD, the need for support and accompaniment for mothers and collaborative work with them.
Maternal Death Self-Risk Perception as a Predictor of Women’s Delivery Site Preferences in Ile-Ife, Nigeria Esan, Oluwaseun; Grace Okonta, Uchechi; Samuel Oladapo, Oluwaseun; Phillip Gbolade, Adetomiwa; Adebayo Oyewole, Tesleem
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.2024.09.04.03

Abstract

Background: Increased uptake of health facility delivery could improve the worsening maternal mortality in low and middle-income countries. Several factors that determine women’s preferred delivery site had been reported in the literature, but none had explored women’s self-perception of maternal death as a predictor of their delivery site, hence this study. Subjects and Method: A cross-sectional study of 183 women recruited serially at the immuni­za­tion clinic of two primary health facilities in Ile-Ife, Nigeria. Data was obtained using an interviewer-administered questionnaire. Their maternal death self-risk perception score by type of delivery site was determined with a minimum and maximum obtainable score of 7 and 35. Descriptive and inferential statistical analysis was done including a simple and multiple binary logistic regression. Results: The mean age of the respondents (Mean= 29; SD= 5.26).  About 130 (71.0%) of the women delivered at a health facility. The majority of the women (91.8%) were aware of maternal death, while 32 (17.5%) feared death in their last pregnancy, with a mean maternal death self-risk perception score ((Mean= 24.96; SD= 2.69) (95% CI= 24.55 to 25.33)). The higher the maternal death self-risk perception score, the greater the odds of a facility-based delivery (AOR=1.40, 95% CI=1.20 to 1.64, p<0.001). However, alongside other confounding variables, only a facility-based ANC registration (AOR= 607.52, 95% CI= 1.39 to 2.66*105, p=0.039) and women’s personal reasons (AOR=0.02; 95%CI= 0.01 to 0.51; p=0.018) significantly influenced delivering at a health facility and non-health facility respectively.   Conclusion: The place of ANC registration and personal reasons such as the women’s influential decision-makers better predicted their eventual delivery site. Nonetheless, the development and standardization of maternal death self-risk perception criteria for women is encouraged.
Maternal Perception of COVID-19's Potential Impact on the Development of Children Born During the Pandemic Laughlin, Emma; Clinch, Caroline; Ballback, Rachel; Ghulmi, Lima; Hilton, Claudia
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.2024.09.04.06

Abstract

Background: COVID-19 impacted the world population through isolation and social distancing recommendations, which affected new mothers’ participation in social interactions. Social inter­action is a critical aspect of child development that was limited due to the COVID-19 pandemic. This study aimed to answer the question, “What are the maternal perceptions of the potential impact of social measures during the COVID-19 pandemic on the development of children born during the pandemic?”             Subjects and Method: This qualitative research is important to explore the potential impact of COVID-19 on the maternal perception of child development during the pandemic. Five online interviews were conducted with mothers who gave birth to their first child between March 2020 and March 2021. Open, axial, and selective coding were utilized to identify relevant themes. Results: Participants felt gross and fine motor skills, cognition, and socioemotional skills were not impacted by COVID-19, but there was a perceived impact on language and communication skills. Conclusion: The perceived decrease in language and communication skills due to social distancing measures of COVID-19 was congruent with the initial hypothesis: “Delayed language and communi­cation skills are a concern identified by mothers of children born during the pandemic”. 
Effectiveness of Childbirth Education and Hypnobirthing Assistance in Improving Labor Outcome Himawati, Yulia; Demartoto, Argyo; Murti, Bhisma
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.2024.09.03.06

Abstract

Background: Childbirth education and assistance with hypnobirthing is an autohypnosis technique, namely an effort to instill positive intentions through suggestion into the soul or subconscious mind during pregnancy and preparation for childbirth. This study aims to analyze the effectiveness of childbirth education and assistance with hypnobirthing in improving childbirth outcomes. Subjects dan Methode: The Randomized Controlled Trial (RCT) study was conducted at the Pratama D'Maryam Clinic, Yogyakarta from August to December 2023. A total of 154 pregnant women were selected for this study. Dependent variables are anxiety, depression, complications, and delivery time. The independent variables are childbirth education and assistance with hypnobirthing. Therapy is given 2 times a week with a duration of 3 hours. The study instrument is a questionnaire. Data analysis used Independent T-Test. Results: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women (Effect Size= 1.22; p<0.001), reducing depression levels (Effect Size= 1.19; p<0.001), and shortening labor time (Effect Size= 0.08; p = 0.016). Conclusion: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women, reducing depression levels, and shortening labor time.
The Efficacy of Melatonin in Neonatal Sepsis with Respiratory Distress: A Randomized Controlled Study Hidayah, Dwi; Nur Irfani Agita
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.03

Abstract

Background: Neonatal sepsis is a significant condition worldwide, contributing to high morbidity and mortality, especially in developing countries such as Indonesia. Neonatal sepsis can rapidly progress to respiratory distress. Melatonin, an effective antioxidant and free radical scavenger, may be an adjuvant therapy. This study aimed to evaluate the efficacy of melatonin in neonatal sepsis with respiratory distress. Subjects and Method: A double-blind randomized controlled study was conducted on 42 neonatal sepsis with respiratory distress diagnosed with clinical and laboratory criteria. The subjects were randomly allocated into treatment and control groups, receiving a single dose of oral melatonin 20 mg and a placebo, respectively. The dependent variables were improvement of suplementation in oxygenation and ventilator, outcome, and hospital length of stay. The independent variables was suplementation melatonin The oxygen supplementation and ventilation support were measured at baseline and 72 hours after therapy. We analyzed all data with SPSS 25 using independent t test and determined the significance level at p < 0.050.              Results: Seven of the 21 subjects in the treatment group experienced decreased oxygen supplemen­tation and ventilation support, which was statistically significant (p = 0.009). While the outcome for both groups was the same proportion, it was statistically not significant (p = 1.000). Conclusion: Melatonin administration significantly decreased oxygen supplementation and ventilation support.
Analysis of Prophylactic Antibiotic Administration in BPJS-Covered Patients Undergoing Caesarean Section at Husada Utama Hospital, Surabaya Alfarendra, Muhammad Daffa; Indrayanti, Mufida; Yulia, Rika; Herawati, Fauna
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.2024.09.04.11

Abstract

Background: Considering the importance of the rational use of antibiotics to prevent the develop­ment of antibiotic resistance, especially in surgical patients who are at risk of developing Surgical Site Infections (SSI). A study will be conducted to evaluate the use of antibiotics in caesarean section patients at Husada Utama Hospital Surabaya. Subjects and Method: This study uses a descriptive observational research design with a retrospective data collection approach on patients who underwent either emergency or elective caesarean section (CS) on January – may 2024 at Husada Utama Hospital Surabaya. The variables in this study are the antibiotic use patterns of CS patients, which include the type of antibiotics used, the antibiotic dosage, the duration of antibiotic administration, the amount of antibiotic use measured by the DDD/100 bed days method and DU90%, the appropriateness of antibiotic use according to the national formulary and hospital antibiotic guidelines, the response time for CS surgery, and the risk of developing surgical site infection (SSI). The sample for this study consisted of patients who underwent either emergency or elective CS surgery at the Husada Utama Hospital Surabaya from January to May 2024. Results: From January to May 2024, 69 samples were analysed. These included 65 patients undergoing elective caesarean sections and 4 patients undergoing emergency caesarean sections with a response time of <30 minutes. The antibiotics used were cefazolin 2 g and ceftriaxone 1 g, administered intravenously over 30-60 minutes. Antibiotic consumption was measured using the DDD/100 bed days method and DU 90% segment. The amount of cefazolin used was 26.50 DDD/100 bed days and the amount of ceftriaxone used was 0.96 DDD/100 bed days. Cefazolin was the most commonly used antibiotic in all types of surgery, accounting for 95.65% of the DU 90% segment. Antibiotic use 95.65% was in accordance with PPAB guidelines and Ministry of Health regulations in terms of type, dosage and route of administration. There were no surgical site infections during the study period. Conclusion: Ninety five percent of antibiotic use in caesarean section patients in the hospital is in accordance with the type of antibiotic recommended in the antibiotic use guidelines, which is cefazolin. The use of the broad-spectrum antibiotic ceftriaxone is 0.96 DDD/100 bed days. The programme to control antimicrobial resistance in the obstetrics and gynaecology unit, especially regarding the prophylactic use of antibiotics, is effective.
Qualitative Analysis of Pregnant Women with Preeclampsia at Muhammadiyah Ahmad Dahlan Hospital, Kediri Respati, Laras Laxita Winda; Indasah, Indasah; Puspitasari, Yenny
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.2024.09.04.05

Abstract

Background: Together with bleeding and infection included in the deadly triad, gestational hyper­tension affects 5-10% of pregnancies worldwide. Pre-eclampsia itself causes more than 70,000 maternal deaths and 500,000 fetal deaths. This study aimed to find significant predisposing factors that cause preeclampsia. Subjects and Method: Qualitative study with a phenomenological approach conducted at Muhammadiyah Ahmad Dahlan Hospital. The informants in this study were 15 pregnant women with preeclampsia. The focus of this research is to explore the predisposing factors for preeclampsia in pregnant women There are 4 research focuses related to pregnant women with preeclampsia, namely: (1) demographic data of pregnant women; (2) obstetric history; (3) nutrition; and (4) family health history. Data collection was carried out using interview techniques. The data collection were collected by interview techniques. Results: Pregnant women with preeclampsia were mostly housewives or low socio-economic, old and too young, obese, had families with a history of hypertension, were pregnant with different husbands. All of this can be detected using the preeclampsia screening sheet. Conclusion: Preeclampsia screening is performed periodically, to identify and diagnose the condition early, to allow for more careful monitoring and effective disease management.
Development of A Detection Tool in Pregnant Women and Its Recommendations in Utilizing Artificial Intelligence Oktaviani, Nur Hilda; Widyawati, Melyana Nurul; Kurnianingsih, Kurnianingsih
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.2024.09.03.11

Abstract

Background: Chronic Energy Deficiency (CED) can be experienced by women of reproductive age (WUS) aged 15–45 years old since adolescence then continues during pregnancy and breastfeeding due to low energy and nutrient reserves. Health technology innovation that utilizes artificial intelligence, i.e. Digital mid-uppr arm circumference (MUAC) which is a digital measurement tool that can make it easier to read anthropometric measurement results, especially in measuring upper arm circumference to detect pregnant women who experience CED. Subjects and Method: This was a Research and Development with a pre-experimental design with an on shot case study. The number of samples is 100 Subjects, which is done 3 times each month for 3 months. The sample was selected by purposive sample. The analysis used artificial intelligence. Results: Digital MUAC level of accuracy in detecting CED in pregnant women and its recommendations that utilize artificial intelligence, an accuracy level of 100%. Conclusion: The CED detection tool Digital MUAC, is a tool capable of detecting CED and providing recommendations based on the results of CED detection in pregnant women who utilize artificial intelligence by having accurate measurement results with an accuracy value of 100%.
Factors Affecting Age of Menarche: A Cross-Sectional Aisy, Jihan Rohadatul; Pamungkasari, Eti Poncorini; Murti, Bhisma
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.2024.09.04.07

Abstract

Background: Early menarche or first menstruation has been associated with increased risk of breast cancer and cardiovascular disease. Understanding the factors that influence the age of menarche is very important to provide promotive and preventive actions that can be carried out by schools and families. This study aims to analyze the factors that influence the age of menarche. Subjects and Method: This study used an observational analytical study with a cross-sectional design. The subjects in this study were 125 female students at 5 public elementary schools in Malang City, East Java, Indonesia. The dependent variable was the age of menarche. The independent variables were nutritional status (BMI), stress, parenting patterns, and parenting pattern dominance. Data analysis used univariate, bivariate, and multivariate models with multiple linear regression methods. Results: Age of menarche decreased with stress (b = -0.50; 95% CI = -0.70 to -0.29; p <0.001), BMI ≥25 (b= -9.00; 95% CI = -16.75 to -1.25; p = 0.023), authoritarian parenting style (b = -1.05; 95% CI = -1.53 to -0.58; p<0.001), and the dominance of parenting patterns by single parents or guardians (b= -4.92; 95% CI = -9.42 to -0.42; p = 0.032). The age of menarche was higher in adolescents with a lower BMI than a normal BMI (b = 4.78; 95% CI = 1.20 to 8.36; p = 0.009). This multiple linear regression analysis model showed moderate model suitability with an Adj R-Squared value of 46.81%. Conclusion: Multiple linear regression analysis showed a relationship between stress factors, authoritarian parenting patterns, dominant parenting patterns, and BMI with a decrease in the age of menarche which was statistically significant.
Effects of Family Income and Maternal Education on the Risk of Low Birth Weight Maryana, Dyan; Murti, Bhisma; Pamungkasari, Eti Poncorini
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.2024.09.03.10

Abstract

Background: LBW babies are still a problem, especially in developing countries. Family income and maternal education are factors that influence health service outcomes, including preventing low birth weight babies. The aim of this study was to analyze the influence of family income and maternal education on the risk of low birth weight babies. Subject and Methods: Observational analytical research design with a cross sectional approach. The sampling technique is random sampling. The research was conducted in Blora Regency, Central Java with a sample size of 200 mothers with newborn babies. The dependent variable is low birth weight. The independent variables consist of exposure to cigarette smoke, maternal age, family income, pos pelayanan terpadu strata and maternal education. The study instrument used was a questionnaire. Data were analyzed using path analysis with STATA 13. Result: The results of the path analysis explain that the risk of low birth weight babies is directly influenced by family income and this influence is statistically significant. Pregnant women with high family income have a risk of giving birth to babies with low birth weight 0.5 times compared to low family income (OR= 0.52; 95% CI= 0.27 to 1.00; p= 0.050). There was no significant effect of pos pelayanan terpadu strata or exposure to cigarette smoke on the risk of babies with low birth weight (LBW). Family income is influenced by the mother's education and this influence is statistically significant. The higher the mother's education, the higher the family income (OR= 2.35; 95% CI= 1.32 to 4.21; p = 0.004). There is a relationship between maternal age and maternal education and this relationship is statistically significant. Older mothers on average had lower education (OR= 0.43; 95% CI= 0.24 to 0.77; p = 0.004). Conclusion: There is a direct influence between family income, pos pelayanan terpadu strata and exposure to cigarette smoke on the risk of LBW babies. There is an indirect effect between maternal education on family income, and maternal age on maternal education.