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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 Effects of Depression and Anxiety on the Quality of Life of People with Disability Nurhayati, Iffah; 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: A person with a disability is a person who has (suffers) a disability/ limitations in the structure and function of the body which can cause problems in their life. Environmental conditions (physical, biological and social) that are not disability-friendly will have an impact on mental problems and the most common are depression and anxiety. Depression and anxiety have an important influence on the health conditions and quality of life of persons with disabilities. The purpose of this study was to analyze the effect of depression on the quality of life of persons with disabilities and to analyze the effect of anxiety on the quality of life of persons with disabilities.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. This is done using the search keywords

Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five Picauly, Intje
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Exclusive breastfeeding can affect a child's immune system against infectious diseases and malnutrition. Children under five who experience repeated infectious diseases and malnutrition will have the opportunity to experience stunting problems. Riskesdas (2018) shows that the prevalence of stunting under five in the Province of East Nusa Tenggara (NTT) is higher (42.6%) than the average prevalence of stunting in Indonesia (30.8%). The results of the initial survey found that the coverage of exclusive breastfeeding was very low and the morbidity rate for children under five was still high in the Working Area of the Kokar Health Center, Alor Barat Laut District, Alor Regency, NTT. Subjects and Method: A case control study conducted in Adang Village, the work area of the Kokar Health Center, Alor Barat Laut District, Alor Regency in October-November 2021. The size of the study sample was 132 toddlers with 66 case samples and 66 control samples taken by simple random sampling. The dependent variable was the incidence of stunting. The independent variables were the history of exclusive breastfeeding and the history of illness. The analysis used is simple logistic regression analysis and followed by Odd Ratio (OR) analysis. Results: The history of exclusive breastfeeding (OR=4.57; CI95%= 1.58 to 13.21; p= 0.003) and the history of illness (OR=5.33; CI95%= 2.53 to 11.24; p <0.001) were associated with the incidence of stunting. Further test results showed that every child under five who had a history of bad exclusive breastfeeding had a 4.5 times greater risk of experiencing stunting and a child under five who had a history of illness more often had a 5.3 times greater risk of experiencing stunting. Conclusion: The incidence of stunting in the Northwest Alor District, Alor Regency, NTT Province is influenced by a history of exclusive breastfeeding and a history of infectious diseases or illness. Keywords: history of exclusive breastfeeding, history of illness, incidence of stunting, infectious diseases, nutritional intake Correspondence: Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang City, East Nusa Tenggara, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur.

Meta-Analysis the Effect of Baby Massage in Increasing Quality of Sleep and Infant Body Weight Fauzia, Raina Lola; Budihastuti, Uki 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: Sleep patterns and weight in infants are identified as one of the most important topics related to infant growth and development. Baby massage is a slow and gentle stroke movement throughout the baby's body starting from the baby's feet, stomach, chest, face, hands and back. Baby massage is a form of touch stimulation. Babies who are massaged experience an increase in vagus nerve tone (10th brain nerve) which will lead to increased levels of gastrin and insulin absorption enzymes. Thus the absorption of food will be better. Therefore, body weight and sleep quality increased more than those who were not massaged. Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The keywords used were (“baby massage” OR “infant massage”) AND (“sleep quality” OR “baby sleep quality”) AND (“weight gain” OR “baby weight gain”) AND “randomized controlled trial”. Inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the relationship measure used was Mean SD, the intervention given was baby massage, research subjects were infants aged 0-3 years. Eligible articles were analyzed using the Revman 5.3 application. Results: A meta-analysis of 16 articles showed that baby massage improved sleep quality (SMD 0.70; 95% CI= -0.05 to 1.46; p=0.07). In addition, baby massage increased body weight (SMD 0.52; 95% CI= 0.08 to 0.96; p=0.02). Conclusion: Baby Massage has an effect on improving the quality of sleep and baby's weight.

Parental Posttraumatic Stress Disorder and Attunement: Meta-Analysis Asanov, Julia; Rehman, Neelofar
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Attunement between a primary carer and their infant plays a crucial role in infant brain development, attachment, sense of self and personality development, with long-term effects on risk of future psychopathology. The present study aimed at 1) identifying a comprehensive definition of attunement and 2) investigating parent-infant attunement in the context of parental posttraumatic stress disorder (PTSD). Subjects and Method: Following PRISMA guidelines, a systematic review of the literature was conducted on parental PTSD and parent-infant attunement. Eligible studies were prospective, quantitative, published in peer-reviewed journals, included normal samples and samples with PTSD along with attunement variables, reporting correlational data, with mothers aged 16 or older and infants aged 0-18 months. 48 articles were examined in full-text and 18 selected for analysis. A National Heart, Lung, and Blood Institute (NHLBI) quality assessment tool was used to assess the quality of selected studies. Pooled effect sizes were calculated separately for positive and negative attunement variables under the random effects model, using comprehensive meta analysis (CMA). Results: Analysis failed to reach statistical significance. The pooled effect size for parental PTSD and negative attunement was positive and small. The pooled effect size for parental PTSD and positive attunement was negative and small. Conclusion: Due to the high heterogeneity among the included articles and statistically non-significant effect sizes, results need to be interpreted with caution. However, the results indicate that the presence of PTSD symptoms is likely to influence parents’ capacity to attune to their infants. Limitations and implications for future research and clinical practice are discussed.

Correlations between Maternal Age, Education, and Knowledge on the Compliance of COVID-19 Vaccine Uptake in Children Aged 6 – 11 Years Supiatun.M, Lilis Sri; Aâ€™yuni, Zera Qurrota; Marhana, Isnin Anang; Husada, Dominicus
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The coverage rate for giving the COVID-19 vaccine to children in several regions of Indonesia is still in the low category, one of which is in Abeli District, Kendari City. One of the factors that can affect the low administration of vaccines to children is due to mothers' concerns about their children so they are hesitant and reluctant to be given the COVID-19 vaccine. This study aims to analyze the relationship between age, education, and knowledge of mothers with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City. Subjects and Method: A cross-sectional study was conducted in Abeli District, Kendari City, from August to October 2022. A total of 90 subjects were selected using a proportionate stratified random sampling technique. The dependent variable is adherence to giving the COVID-19 vaccine to children. The independent variables include age, education, and mother's knowledge. The instrument used is a questionnaire. Data analysis used was the Chi Square test. Results: Adherence to maternal COVID-19 vaccine administration increased with knowledge (OR= 3.57; 95% CI= 1.46 to 8.75; p= 0.007). Meanwhile, age (OR= 0.34; 95% CI= 0.14 to 0.83; p= 0.003) and education (0.31; 95% CI= 0.12 to 0.31; p= 0.020) reduced maternal adherence in administering the COVID-19 vaccine to children. Conclusion: There is a significant relationship between age, education, and mother's knowledge with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City. Keywords: maternal age, maternal education, knowledge, COVID-19 vaccine. Correspondence: Lilis Sri Supiatun Mamesah. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java, Indonesia. Email: lilis.sri.supiatun-2019@fk.unair.ac.id. Mobile: +6285333622541.

Nursing Intervention in Children with Diarrhea: A Case Study Titihalawa, Elly Marce; Kurniasih, Dwi; Panggus, Florida Listavia
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Diarrhea or gastroenteritis is a condition as watery bowel movements more than three times a day for two consecutive days, which may or may not be related to pathological conditions. Diarrhea can occur in all age groups, both toddlers, children and adults with various social groups. Diarrhea is the second leading cause of death in children under five years and almost 1.7 billion cases of diarrhea occur in children with a mortality rate of around 525,000. This study aims to describe the application of knowledge and practice of nursing care in children with diarrhea with the problem of risk of hypovolemia due to active fluid loss. Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at the Pontianak Level II Government Hospital, for 2 weeks. The sample used in this study were 4 key informants from 6 planned respondents and 3 triangulated informants. The key informants are nurses who work in the child care room, while the 3 triangulation informants are the client's family. The study variables were optimizing nursing interventions and diarrhea in children. Data collection was carried out by structured and direct interviews using a tape recorder before it was analyzed. Results: This study identified several themes such as meeting fluid needs, decreasing body temperature, and preventing damage to skin integrity, but in the case of diarrhea in children, meeting fluid needs is the nurse's main intervention that must be done in overcoming hypovolemia without forgetting the involvement of parents. Conclusion: Meeting fluid needs is a nurse's top priority in providing nursing care to diarrhea patients to prevent hypovolemia.

Intention of Women of Reproductive Age Participation on the Visual Inspection with Acetic Acid Uptake Nursanti, Devy Putri; Ellina, Agusta Dian
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The biggest problem in preventing cervical cancer depends on the compliance of women of childbearing age in carrying out a Visual Inspection with Acetic Acid (Via) examination, while obedient behavior will arise if there is a strong and consistent intention. Analyzing the effect of intention as a mediating variable between attitude, subjective norm and behavioral control on the behavior of VIA examination participation in women of reproductive age. Subjects and Method: A cross-sectional study was conducted on 164 women of childbearing age who were married in the working area of the Pesantren I Public Health Center, Kediri City. The independent variables (attitude, subjective norms, behavioral control), and the dependent variable (behavior), and the mediating variable (intentions). The sampling technique used simple random sampling. The questionnaire in this study was divided into two parts, the first part consisted of demographic details of the respondents and the second part related to the research variables. The analysis technique in this study uses path analysis. Results: This study shows that attitudes, subjective norms, and control behavior do not have a direct influence on behavior, but have an indirect influence with intention as a mediating variable. Conclusion: This study shows that attitudes, subjective norms, and control behavior do not have a direct influence on behavior, but have an indirect influence with intention as a mediating variable, this is in accordance with the behavioral constructs of the Theory of Planned Behavior. This means that the influence of Intention as a mediating variable between Attitude, Subjective Norm and Behavioral Control on the Behavior of VIA examination participation in women of childbearing age has been proven true. Keywords: theory of planned behavior, visual inspection of acetic acid, women of childbearing. Correspondence: Devy Putri Nursanti, Institute of Health Sciences Strada Indonesia, Jl. Manila 37, Sumberece Kota Kediri, E-mail: devyputri12@gmail.com, Phone: +62 812-5909-6664.

Excess Weight Gain in Pregnant Women and Prematurity: A Meta-Analysis Damalita, Annisa Fitriana; Dewi, Yulia Lanti Retno; 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: Premature birth as a cause of morbidity and mortality in neonates. Excessive weight gain in pregnant women is considered a risk factor for adverse pregnancy outcomes including preterm birth. This study aims to analyze the effect of excess weight gain in pregnant women on premature birth. Subjects and Method: This research is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Science Direct and Springerlink. The articles used are articles published from 2011-2021. The keywords to search for articles were: “gestational weight gain” AND “pregnancy” AND (“preterm birth” OR “premature birth”) AND “cohort study” AND “adjusted odds ratio”. The inclusion criteria used were full text articles in English with a cohort study design, multivariate analysis with Adjusted Odds Ratios (aOR), research subjects were pregnant women, intervention was excessive weight gain, comparison was normal weight gain (adequate). , the study outcome was preterm delivery (<37 weeks). The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: A total of 10 cohort study articles from China, Indonesia, Canada, Korea, Mexico, Puerto Rico, Saudi Arabia, and Taiwan were selected for systematic review and meta-analysis. The results showed that excess weight gain in pregnant women increased the risk of preterm birth and was statistically significant (aOR= 1.23; 95% CI= 1.01 to 1.48; p= 0.030). Conclusion: Excess weight gain in pregnant women increases the risk of premature birth.

A Study on Role of Antenatal Care in Pregnancy Outcome K, Akhila; Kumar, Prasanth; Bhavani, Kenche
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Antenatal care (ANC) and regular antenatal visits are one of the interventions that have the potential to improve both maternal and child survival. The utilization of antenatal services remains less than 60% in India. The study aimed to find out the association between ANC visits and pregnancy outcome. Subjects and Method: Cross-sectional study was conducted on 200 antenatal women in a tertiary care centre over a period of 3 months. After taking informed consent data was collected by interviewer technique using a pretested semi-structured questionnaire. Questionnaire includes information related to socio-demographic variables, number of ANC visits, delivery outcome (normal/ LSCS) low birth weight, stillbirths, and abortions. Thus, collected data was entered in excel and analyzed using epi info 7.22.6. The bivariate analysis was the chi-square test. Binary logistic regression was used to study the association between delivery outcome and its covariates. Logistic regression was also done to see the association between ANC visits and Low birth weight and stillbirths. Results: Out of 59 women who had less than 4 ANC visits had more number of abortions (18.6%) (OR= 32.08; CI 95%= 4.03 to 255.07; p<0.001), low birth weights (52.5%) (OR= 4.46; CI 95%= 2.31 to 8.62; p= 0.001), still births (8.5%) (OR= -1.00; CI 95%= -1 to -0.001 p=0.001), out of 22 illiterate mothers 16 of them had poor pregnancy outcomes (p= 0.002) and first ANC visit during first trimester had less complications (p <0.001). Binary logistic regression revealed significant association between delivery outcome and Socio-economic status (OR= 2.14; CI 95%= -1.47 to 3.13; p<0.001) as well as frequency of ANC visits (OR= 0.65; CI 95%= 0.55 to 0.77; p<0.001). Significant association was also observed between ANC visits and Low birth weight (OR= 0.52; CI 95%= -0.43 to 0.62; p <0.001). Logistic regression between ANC visits and stillbirths/abortion showed significant association (OR= 0.36 (CI 95%= -0.23 to 0.55; p<0.001). Conclusion: The study shows that less than 4 ANC visits, illiteracy increases the risk of poor pregnancy outcome. Women who had their first ANC visits during first trimester had less complications. Keywords: antenatal care, pregnancy outcomes, socio-demographic factors. Correspondence:Bhavani. Department of Community Medicine, Osmania Medical College, Hyderabad, Telangana. Email: bhavanikenche1969@gmail.com. Mobile: 9502710778.

The Experience of Mothers Caring for Children with Disabilities at the Persatuan Rakyat Indonesia Special School in Pekalongan, Central Java: A Phenomenological Study Maulinda, Amanda Via; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Disabilities are often called physical, mental and sensory disabilities or disorders that limit a person's ability to carry out daily activities. Parenting a child with a disability is not easy because the child cannot perform any activities independently and the child's behavior is not controlled. This results in a negative impact on the mother psychologically, physically and can disrupt family dynamics such as domestic violence and quarrels. This study aimed to explore the experiences of mothers caring for children with disabilities. Subjects and Method: This was a qualitative study with a phenomenological approach, conducted at the Persatuan Rakyat Indonesia Special School (SLB) in Pekalongan, Central Java. The study subjects were selected purposively as many as four participants, namely housewives without caregivers who have children with physical disabilities, deaf-speech, and mentally retarded children. Data were collected using in-depth interview technique. The tools used in this research are camera, recording device and interview guide. Data analysis using Colaizz's method. Results: This qualitative research resulted in seventeen themes that show the experience of mothers in caring for children with disabilities, namely destiny, mother's burden, mother's initial psychological response, emotional changes, behavioral changes, limited funds, obstacles in daily life, social stigma, financial support, social support, assistance efforts. health workers, efforts to seek other assistance, the attitude of the mother when the child conveys a choice, the attitude of the mother when the child acts inappropriately, the expectations and limitations of special health services for disability, the wisdom of spiritual improvement and bathing. Conclusion: Mother's experience in caring for children with disabilities found unstable emotional changes, excessive worry and excessive attention. Support is very influential for mothers in the form of information support, extended family support, nuclear family and the surrounding community. During caring for children with disabilities, mothers gain wisdom, namely increasing patience and gratitude.

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