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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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Meta-Analysis the Effect of Hormonal Contraception on the Weight Gain and Hypertension in Women of Reproductive Age Kusumaningtiyas, Zonna Aditiya; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Hormonal contraception is a contraceptive method that can prevent pregnancy because it contains estrogen and progesterone. The use of hormonal contraception for a long time can cause side effects including increased body weight, cholesterol deposits, and hypertension. The purpose of this study was to examine, analyze, and estimate the magnitude of the effect of the use of hormonal contraception on the incidence of weight gain and hypertension in women of childbearing age based on the results of previous similar studies. Subjects and Method: This study is a systematic review and meta-analysis using PRISMA flowchart diagrams. The process of searching for articles was carried out between 2004-2021 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search are ""Hormonal Contraception" AND “DPMA injection” AND "Weight Gain" AND "Hypertension". Inclusion criteria for full text articles used the observational Randomized Controlled Trial method, the articles used English, and reported the Mean and SD in multivariate analysis. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a Randomized Controlled Trial study design originating from Thailand, Indonesia, Pakistan, America, California, Africa, Ethiopia, and Kenya were meta-analyzed in this study. Meta-analysis of 7 articles showed that hormonal contraception had an effect on weight gain in women of childbearing age by 0.03 units but not statistically significant (SMD= 0.03; 95% CI= 0.07 to 0.14; p= 0.530). Meanwhile, 7 articles showed that hormonal contraception increased the incidence of hypertension in women of childbearing age by 0.10 units, but it was not statistically significant (SMD= 0.10; 95% CI= 0.17 to 1.37; p= 0.460). Conclusion: Hormonal contraception increases body weight and hypertension in women of childbearing age. Keywords: hormonal contraception, weight gain, hypertension, meta-analysis. Correspondence:Zonna Aditiya Kusumaningtiyas. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: zonnaaditiya22@gmail.com. Mobile: +6282234998054.

Increase Breast Milk Production for Postpartum Mothers with Oxytocin Massage Using Innovative Massage Tools Istighosah, Nining; Sari, Aprilia Nurtika
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Goal 3 of Global commitment of 2015-2030 Sustainable Development Goals (SDGs) program is to ensure a healthy life and to promote well-being for all people at all ages in the 2nd achievement indicator targeting by 2030. It is hoped to end infant and under-five mortality that can be avoided, with all countries trying to reduce the Neonatal Mortality Rate to at least 12 per 1,000 KH and the Toddler Mortality Rate by 25 per 1,000 KH. Infant mortality cases caused by nutritional factors reached 53%. Several diseases that arise due to malnutrition include pneumonia (13.2%), diarrhea (17.2%) and perinatal problems (36%). Breast milk is the best food for babies and has the right balance of nutrients, is bioavailable, easy to digest, protects babies from disease, and has anti-inflammatory properties. This study aims to analyze the difference in the volume of breast milk before and after the mother received oxytocin massage with the Effleurage technique and a combination of innovative massage tools. Subjects and Method: This research is a quasi experiment. The study was conducted in the City of Kediri from August to September 2020. The sample used was post partum women on days 4 to 10 using simple random sampling technique. The dependent variable is the volume of breast milk. The independent variable is the type of oxytocin massage treatment with effleurage technique, and the combination of oxytocin massage with efflurage technique and innovative massage tools. Data analysis per treatment and control groups used the one-way annova test with 95% CI. Results: There was no difference in the mean volume of breast milk in mothers who received lactation massage using the innovative massage method (Mean= 21.65; SD= 15.43; p= 0.994), conventional Efflurage massage (Mean= 22.15; SD= 15.43; p= 0.330), and in control group (Mean= 20.50; SD= 15.43; p=0.386). Conclusion: There was no difference in the mean volume of breast milk in each group and this result was not statistically significant.

Associations between Smoking, Intrauterine Device Uptake, and Ectopic Pregnancy: A Meta Analysis Yanuari, Ridha Rossela; Pamungkasari, Eti Poncorini; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Ectopic pregnancy is an important cause of maternal morbidity and mortality, estimated to occur in approximately 1-2% of pregnancies worldwide. Smoking and history of using intrauterine devices are risk factors for ectopic pregnancy. This study aims to estimate the magnitude of the relationship between smoking and a history of using intrauterine devices on the incidence of ectopic pregnancy based on a number of previous primary studies. Subjects and Method: This study is a systematic review and meta-analysis. The articles used in this study were obtained from several databases, including: PubMed, Google Scholar, and Science Direct which were published from 2000-2020. The inclusion criteria used are full text articles with Case Control design. The keywords used to search for articles were as follows: smoking AND "ectopic pregnancy" AND multivariate; "use of intrauterine device" AND "ectopic pregnancy" AND multivariate; smoking OR cigarette AND “use of intrauterine device” AND “ectopic pregnancy” OR “tubal pregnancy” AND multivariate. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3. Results: A meta-analysis of 7 articles showed that women of reproductive age who smoked had a 2.20 times risk of ectopic pregnancy compared to women of reproductive age who did not smoke (aOR= 2.20; 95% CI= 1.45 to 3.34; p= 0.002). A meta-analysis of 9 articles showed that women of reproductive age with a history of using intrauterine devices had a 2.28 times risk of ectopic pregnancy compared to women of reproductive age who did not use intrauterine devices (aOR= 2.28; 95% CI= 1.74 to 2.98; p<0.001). Conclusion: Smoking and a history of using intrauterine devices increase the risk of ectopic pregnancy.

Meta Analysis the Effect of Gestational Diabetes Mellitus on Macrosomia and Sectio Caesarea Ratna, Tantri Yunita; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Gestational Diabetes Mellitus (GDM) is the degree of glucose intolerance that occurs during pregnancy. DMG is caused by damage to cells and insulin resistance, resulting in hyperglycemia and an increase in abnormal growth/macrosomia which causes cesarean delivery. This study aims to analyze the magnitude of the effect of DMG on the incidence of macrosomia and caesarean section with a meta-analysis study. Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagram. Article searches were conducted through journal databases including: PubMed, Science Direct, and Google Scholar by selecting articles published in 2000-2020. The keywords used were: "gestational diabetes mellitus" OR "diabetes in pregnancy" AND macrosomiaAND "sectio caesarean" OR "perinatal outcomes" OR "pregnancy outcome". The inclusion criteria in this study were full text articles with an observational study design, articles using English, analysis using multivariate with adjusted odds ratio. Eligible articles were analyzed using Revman 5.3 app. Results: A total of 22 articles were reviewed in this study with a cohort study design. Meta-analysis of 12 articles showed that pregnant women with gestational diabetes mellitus had a 1.36 times risk of giving birth to a macrosomic baby compared to those without gestational diabetes mellitus (aOR=1.36; 95% CI=1.15 to 1.60; p<0.003), while 10 articles showed pregnant women with gestational diabetes mellitus had a 1.35 times risk for cesarean delivery than those without gestational diabetes mellitus (aOR=1.35; 95% CI=1.17 to 1.55; p<0.001). Conclusion: Gestational Diabetes Mellitus has a weak effect on macrosomia births and caesarean section.

The Effect of Low Dose of Aspirin on the Preeclampsia in Pregnant Women: A Meta-Analysis Arianty, Meike; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: In 2020 there were 4,627 maternal deaths in Indonesia. Preeclampsia is a complication in pregnancy that occurs 2-8% of all pregnancies and is a major cause of maternal morbidity. Low-dose aspirin has been shown to be a safe and effective primary prevention for the incidence of preeclampsia. With preventive measures can reduce both moral and material losses for patients at high risk for the incidence of preeclampsia. The purpose of this study was to estimate the magnitude of the effect of low-dose aspirin on the incidence of preeclampsia in pregnant women based on previous research. Subjects and Method: This study is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Cochrane, Science Direct. The articles used are published articles from 2012-2022. The keywords used to search the article were “Aspirin OR Acetylsalicylic Acid AND Prevention AND Pre-Eclampsia OR Toxemia AND Randomized Controlled Trials”. The inclusion criteria used are articles with randomized control trial studies, full text articles are available, the results of the analysis used are Risk Ratio. The population of the study was high-risk pregnant women, the research intervention was the administration of low-dose aspirin, the study comparison was a placebo, and the outcome of the study was preeclampsia, the articles were in English or Indonesian. The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: A total of 7 articles from China, America, India, Congo, Guatemala, Pakistan, and Finland showed that aspirin had an effect of 0.87 times in reducing the incidence of preeclampsia when compared with placebo or no administration (RR = 0.87; 95% CI 0.72 to 1.05). although not statistically significant (p=0.160). Conclusion: Low-dose aspirin affects the incidence of preeclampsia in pregnant women.

Factors Influencing the Role of Religious Leaders in the Process Accelerate Stunting Response in East Nusa Tenggara Province Picauly, Intje; Adi, Anak Agung Ayu Mirah; Meiyetriani, Eflita; Mading, Majematang; Weraman, Pius; Nashriyah, Siti Fadhilatun; Hidayat, Ahmad Thohir; Boeky, Daniela L. Adeline; Lobo, Varry; Saleh, Asmulyati S.; Peni, Jane A.
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting was the impact of chronic malnutrition in the long term and has an impact on children's growth and development disorders. Stunting has become a priority for the Indonesian government, including in the Province of East Nusa Tenggara with a stunting reduction target of 14% in 2024. The Indonesian governments have made many efforts to overcome stunting. Religious leaders are parties suspected of being able to play a role in the process. This study was aimed to determine the factors that influence the role of religious leaders in supporting the process of accelerating stunting reduction in the dry land area in East Nusa Tenggara. Subjects and Method: This was a mixed-method study. This study was conducted in May 2022 using the focus group discussion (FGD) method and involved 13 religious leaders who were taken purposively. The data collected were analyzed qualitatively (making interview transcripts) and quantitatively. The independent variables were level of understanding about stunting, support for policies/programs related to stunting, stunting program budget support, national program support: CATIN facilitation, and cross-sectoral cooperation support. The statistical analysis used is multiple logistic regression analysis. Results: Factors that significantly influence the role of religious leaders are the level of understanding of religious leaders about stunting (aOR= 3.50; 95% CI= 0.12 to 12.3; p= 0.010) and support factors for cross-sectoral cooperation (aOR= 2.00; 95% CI= 1.22 to 21.10; p= 0.007). Budget support for stunting related policies/ program (aOR= 2.40; 95% CI= 1.76 to 12.32; p= 0.621), support policy/ program related to stunting (aOR= 1.70; 95% CI= 1.27 to 7.32; p= 0.387), and national program, support “CATIN Mentoring” (aOR= 1.10; 95% CI= 0.37 to 21.02; p= 0.621) were statistically non-significant. Conclusion: Factors that influence the role of religious leaders were the level of understanding of religious leaders about stunting, support factors for cross-sectoral cooperation, budget support for stunting related policies, support policy related to stunting national program, and support “CATIN Mentoring”. Keywords: the role of religious leaders, acceleration of stunting prevention, chronic malnutrition. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants Suparno, Amalia Ulfah; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Pregnancy can be defined as the process of meeting spermatozoa with the ovum which is followed by attachment of the embryo to the uterine wall, in the process of pregnancy according to some or almost all women it becomes a happy process or causes anxiety due to the occurrence of many physiological and psychological changes, so that if it is not treated seriously then will have an impact on the baby such as premature birth and low birth weight. This study aims to estimate the magnitude of the effect of anxiety during pregnancy on premature birth and low birth weight with a meta-analysis study. Subjects and Method: This was a meta-analysis and systematic review conducted with PRISMA flow diagrams. Population= pregnant women, Intervention= anxiety, Comparison= not anxious, Outcomes= premature birth and low birth weight. Search articles through journal databases include: Google Scholar, PubMed, Science Direct. The articles used in this study are articles that have been published from 2000-2021. The keywords to search for articles were as follows: “antenatal anxiety” OR “pregnancy anxiety” OR “anxiety during pregnancy” OR “anxiety disorder” OR anxiety OR pregnancy AND “Perinatal outcomes” OR “adverse birth outcome” OR “neonatal outcome” OR “low birth weight” OR “Low Birth Weight” AND “preterm birth” OR “preterm infant”. The inclusion criteria were full text with a cohort study design, articles in English, analysis used multivariate with adjusted odds ratio. Eligible articles were analyzed using the Revman5 application. Results: 10 observational studies showed that anxiety during pregnancy increased the risk of preterm delivery by 1.49 times compared with no anxiety (aOR=1.49; 95% CI 1.33 to 1.66; p<0.001). A meta-analysis of 7 observational studies showed that anxiety during pregnancy increased the risk of low birth weight by 1.55 times compared with no anxiety (aOR=1.55; 95% CI 1.26 to 1.91; p<0.001). Conclusion: Anxiety during pregnancy increases the risk of premature birth and low birth weight.

Correlation between Low Birth Weigth and Stunting in Children Under Five: Meta Analysis Ode, Diana; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting in children is a risk factor for increasing child mortality. The purpose of this study was to determine the relationship between LBW and the incidence of stunting based on previous primary studies. Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P = toddler, I = low birth weight, C = normal birth weight, O = stunting. Search articles in this study using 3 databases, namely Pubmed, Google Scholar and Springerlink. Search articles using the following keywords: Low birth weight AND Stunted OR Birth weight AND Stunted, articles were analyzed using the Review Manager 5.3 application. Results: There are 11 articles from Rwanda, Nepal, Ethiopia, Eastern Kenya, Pakistan, China, Indonesia, and Tanzania from 2017-2022 which were analyzed using PRISMA flow diagrams. The results of this study indicate that toddlers who have a history of being born with low birth weight have a risk of experiencing stunting as much as 2.19 times compared to toddlers who have a history of birth with normal birth weight (aOR= 2.19; 95% CI= 1.77 to 2.69; p<0.001). Conclusion: Toddlers with a history of LBW births are at risk for stunting. Keywords: LBW, stunting, toddlers, meta-analysis. Correspondence: Diana Ode. Master’s Program in Public Health, Universitas Sebelas Maret. Jl.Lawu raya Seturan Caturtunggal Depok Sleman Yogyakarta 55281 Indonesia. Email: dianaodef161@gmail.com. Mobile: +6285395912173.

National Health Insurance Membership and Economic Status as Determinants of Accessibility of Antenatal Care Service Rosidah, Lely Khulafa'ur; Asdary, Rahma Novita
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: According to WHO statistics, the maternal mortality rate (MMR) in developed countries is estimated at 12/100,000 live births, while in developing and low-income countries it is 239/100,000 live births. 99% of all maternal deaths are estimated to occur in developing countries, even though the causes of death can be prevented with the right policies considering that one of the goals of the Sustainable Development Goals is to reduce MMR. Antenatal Care (ANC) is the main technique to reduce maternal morbidity and mortality. This study evaluates JKN membership and economic status affecting ANC service coverage. Subjects and Method: This study is a cross-sectional study using data from the 2017 Indonesian Demographic and Health Survey (IDHS). This data is used to assess the proportion of economic status and national health insurance (JKN) membership and to measure the relationship between the two with ANC coverage. Analysis using Logistic Regression with R software version 3.6.3. and perform Propensity Score Matching (PSM) to reduce self-selection bias by balancing the observed variables between groups of respondents based on economic status with and without JKN. Results: Of the 5429 respondents, 20.2% were very poor, 20.9% poor, 19.9% middle class, 20.8% rich, and 18.2% very rich. Among these residents, 61.4% have JKN membership and 38.3% do not. The substantial gap in the utilization of maternal health services, especially in ANC4x services, is 30.7 points between the very poor (48.2%) and the very rich (86.9). Respondents who worked as employees were more likely to have JKN membership than those who did not have a job (AOR=2.34; 95% CI = 1.74 to 3.16). Respondents who were exposed to the internet at least once a week were more likely to have JKN membership than those who were not exposed to the internet (AOR=1.46; 95% CI= 1.09 to 1.97). Conclusion: JKN membership and economic status affect ANC 4x service coverage.

Correlation between Passive Cigarette Smoke Exposure on Low Birth Weight: Meta-Analysis Handriani, Winei; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight (LBW) is defined as a newborn baby weighing less than 2500 grams. Low birth weight is a serious condition in developing countries. The impact of cigarette smoke on pregnant women who are exposed to cigarette smoke is at a higher risk of complications, such as miscarriage, premature birth, or babies born with low weight. This study aims to analyze the relationship between exposure to secondhand smoke and low birth weight. Subjects and Method: This research is a systematic review and meta-analysis by systematically reviewing primary articles from Pubmed, Google Scholar, Scient Direct and Springerlink by selecting articles published in 2012-2022. The articles searched using PICO were P: Pregnant women, I: exposed to cigarette smoke, C: not exposed to cigarette smoke, O: low birth weight. Keywords "Exposure to smoking pregnant women" OR "Expectant mother" OR "Pregnancy women" OR "Exposed to cigarettes" OR "Secondhand smoke exposure" OR "Cigarette smoke expo- sure" AND "Low birth weight" OR "Low weight babies" AND “Case control” AND “Adjusted odds ratio”. Articles used PRISMA flow diagrams and analyzed using Review Manager 5.3. Results: There were nine articles analyzed consisting of Nepal, Morocco, Ethiopia, Sierra Leone, India, Indonesia and China. Meta-analysis showed that cigarette smoke exposure increased the risk of low birth weight and was statistically significant (aOR = 2.19; 95% CI = 1.58 to 3.03; p < 0.001). Conclusion: Exposure to cigarette smoke increases the risk of weight gain in LBW infants by 2.19 times compared to not exposed to cigarette smoke. Keywords: exposure to cigarette smoke, low birth weight, meta-analysis. Correspondence: Winei Handriani. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: wineihandriani02@gmail.com. Mobile: 083150000253.

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