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Journal of Maternal and Child Health
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.
Arjuna Subject : -
Articles 374 Documents
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The Influence of Maternal Factors on Caesarean Section at North Borneo Regional Hospital, Kalimantan, Indonesia Padlillah, Rahmi; Yulianti, Ika; Linda, Nur
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.06

Abstract

Background: In this modern era, caesarean section (C-section) is sometimes an alternative choice for the desired childbirth. However, it should be understood that Caesarean section is a surgical procedure that must be performed based on medical indications and has risks. Knowing what factors can influence the selection of C-section procedures is important so that the SC is properly carried out on an emergency indication. This study aimed to analyze the factors that affect the delivery of caesarean section at the Tarakan General Hospital, Kalimantan, Indonesia. Subjects and Method:  A cross-sectional study was conducted at Tarakan General Hospital, North Kalimantan, Indonesia, in April 2024. The sample size was 748 post natal women. The dependent variable was type of birth delivery. The independent variables were cephalopelvic disproportion, preeclampsia, prolonged labor, premature rupture of membranes, maternal age, and parity. Data were obtained from medical records and analyzed using a multiple logistic regression. Results: Premature rupture of membranes (aOR= 7.7; 95% CI= 6.99 to 8.02; p= 0.001) and prolonged labor (aOR= 1.9; 95% CI= 1.21 to 3.6; p= 0.029) increased the likelihood of cesarean section. Conclusion: Premature rupture of membranes and prolonged labor increase the likelihood of cesarean section.
Socioeconomic Factor Association to Knowledge and Attitude of Indonesian Young Adults Regarding Family Planning: A Cross-Sectional Multicenter Study Setiawan, Fajar; Megantari, Ginaung Sasti; Setia Santoso, Laurentia Fidella Averina; Nurdiansyah, Farhan; Salsabiil, Ronaa; Mallapasi, Hajar Azizah Armarani; Latifi, Sophie Romzia
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.01

Abstract

Background: Young adults are prone to unwanted pregnancy due to their nature of self-discovery, identity construction, poor knowledge, and low birth self-efficacy. This study aims to identify which socioeconomic factors are associated with knowledge and attitude toward family planning in Indonesian young adults. Subjects and Method:  This cross-sectional, observational, multicenter research was conducted in 27 universities across Java and Sumatra using convenience sampling. Indonesian citizens aged 16–25 were recruited to complete an online questionnaire, with minimum sample size of 349 participants. The dependent variable were knowledge and attitude levels were measured using translated and validated questionnaire. The independent variable were socioeconomic factors were assessed using self-administered questionnaire. Chi-square and odds ratio were used to identify significant associations, followed by logistic regression for independent analysis. Results: From total of 581 participants, knowledge of family planning was significantly higher in females (OR= 1.50; p= 0.036), married respondents (OR= 0.20; p <0.001), those with children (OR= 2.12; p= 0.040), contraceptive users (OR= 0.49; p = 0.043), respondents from health-related backgrounds (OR= 2.82; p <0.001), and those with higher media exposure (OR= 4.29; p <0.001).Among these, respondents using contraception (OR= 0.48; p= 0.033) and with higher media exposure (OR= 1.63; p=0.017) demonstrated more favorable attitudes toward family planning. Conclusion: This study identified media exposure and access to education as key factors influencing knowledge and attitudes toward family planning. In the globalization era, media exposure has the potential to dismantle entrenched socioeconomic barriers, narrowing gaps between privileged and disadvantaged groups. These findings highlight the role of social media as an important educational tool that can bridge demographic and socioeconomic divides.
Effect of Iron and Folic Acid Supplementation on the Infants Birth Weight: A Meta-Analysis Khoirunnisa' Maftuch, Atiqoh; Murti, Bhisma; Rahardjo, Setyo Sri; Sukamto, Ika Sumiyarsi; Novika, Revi Gama Hatta
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.02

Abstract

Background: Low birth weight (LBW), defined as a birth weight of less than 2,500 grams, is associated with an increased risk of neonatal mortality and developmental disorders. Efforts to prevent and manage LBW can be made through the administration of iron and folic acid supplements during pregnancy. This study aims to estimate and analyze the effect of iron and folic acid supplementation on the birth of infants with low birth weight. Subjects and Method: This study is a systematic review and meta-analysis of relevant previous studies conducted using the PRISMA guidelines. The population included pregnant women, interventions involving iron and folic acid supplementation compared to no supplementation, and outcomes related to low birth weight. Article searches were conducted in the PubMed, ScienceDirect, Scopus, and Google Scholar databases, published between 2013 and 2025. The search terms were ("Pregnant woman" OR "Expectant mother") AND ("Iron and folic acid supplements" OR "IFA supplements") AND ("Low Birth Weight" OR "Low-weight newborns"). Inclusion criteria included full-text articles with a cross-sectional study design and reporting adjusted odds ratio (aOR) values. Findings from the primary research articles were analyzed using Review Manager 5.3. Results: The included primary studies comprised 21 articles from China, India, Nepal, Pakistan, Malawi, and Ethiopia. The results of this meta-analysis indicate that pregnant women who consumed iron and folic acid supplements had an average 0.87 unit lower risk of giving birth to LBW infants compared to pregnant women who did not consume iron and folic acid supplements (aOR= 0.87; 95% CI = 0.75 to 1.00; p= 0.040). Conclusion: The administration of iron and folic acid supplements can reduce the incidence of low birth weight.
A Meta-Analysis of Gender, Marital Status, and Residence on Condom Use Among Adults Hariyadi, Agustin Mahardika; Putry, Mentary Febryant; Sanusi, Sita Rahayu; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.02.01

Abstract

Background: The use of condoms is the only method of contraception that can protect a person from sexually transmitted diseases (STDs). This study aims to analyze and estimate the effect of gender, marital status and residence on condom use among adults. Subject and Method: The systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: Adults in general. Intervention: Gender (Female), Place of Residence (Rural) and Marital Status (Unmarried) in using condoms. Comparison: gender (male), place of residence (urban), and marital status (married). Outcome: condom use. The basic data used involves Google Scholar, PubMed, BMC, Scient Direct, and Springer Link with the keywords (“Use condom”) AND (“Gender”) AND (“Marital status”) AND (“Adult”) AND (“Cross -sectional”). Inclusion criteria were cross-sectional study articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Result: This meta-analysis included 14 cross-sectional studies from Ethiopia, Iran, Africa, and America. The sample size in this meta-analysis was 18,322. Meta-analysis showed that condom use was less in women (aOR= 0.66; 95% CI= 1.20 to 0.36; p 0.170), and more in rural areas (aOR= 0.80; 95% CI= 0.66 to 0.98; p= 0.620), with unmarried status (aOR = 0.92 CI 95%= 1.97 to 0.43; p 0.830). However, these three results were not statistically significant. Conclusion: Condom use is less among women and more in rural areas with unmarried status.
Cancer in Pregnancy in Indonesia: A Global Review and 2022–2025 Cohort Analysis of Maternal and Neonatal Outcomes Elita Rahmi; Bachnas, Muhammad Adrianes; Sri Sulistyowati
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.03

Abstract

Background: Cancer during pregnancy is rare but presents serious challenges, especially in low- and middle-income countries like Indonesia. Limited national data, delayed diagnosis, and lack of standardized care make management difficult. Global awareness is growing, but regional differences in outcomes remain poorly understood. This study aims to provide a comprehensive overview of cancer during pregnancy, including its clinical characteristics and maternal-fetal outcomes both in Indonesian and global data. Subjects and Method: This systematic review was conducted following PRISMA guidelines from databases of PubMed, EMBASE, Scopus, and additional search, published between 2022 and April 2025. The included studies reported the global depiction of pregnancy-associated cancer. Newcastle-Ottawa Quality Assessment Scale (NOS) was used to assess the quality of observational included studies, while the Joanna Briggs Institute checklists for assessment of case reports. Results: A total of 14 studies were included based on the criteria, with a total population of 29,403 pregnant women associated with cancer. From this systematic review, the most found cancers during pregnancy were breast cancer, cervical cancer, and ovarian cancer, both from Indonesian data and global studies. Compared to global studies, obstetric complications were more prevalent in Indonesia, including preterm birth (64% vs 52%, respectively); very preterm birth (22% vs 15%, respectively); caesarean delivery (76% vs 65%, respectively); preeclampsia (18% vs 12%, respecti­vely); and postpartum haemorrhage (15% vs 10%, respectively). Conclusion: The global literature shows wide variation in cancer types, gestational timing, and outcomes. Indonesian cohort data show higher rates of preterm birth, low birth weight, and maternal complications compared to global averages. Delays in diagnosis and limited access to integrated cancer-obstetric care may explain these differences. The findings support the urgent need for national guidelines, early detection programs, and multidisciplinary care models for managing cancer in pregnancy in resource-limited settings.
The Effect of Soybean Milk (Glycine Max L.) on Reducing Blood Pressure and Cholesterol Levels in Women of Reproductive Age Simbolon, Agustina; Sumarni , Sri; Anwar, Choiroel
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.04

Abstract

Background: Women of reproductive age often experience problems with blood pressure and cholesterol levels. Therefore, researchers innovated in an effort to stabilize blood pressure and cholesterol levels in women of reproductive age by providing an intervention of soy milk. The purpose of this study was to determine the effect of soy milk administration on reducing blood pressure and cholesterol levels in women of reproductive age. Subjects and Methods: This study used a Quasi-Experimental design with Pretest-Posttest Control. The research location was the Pangaribuan Community Health Center, Pangaribuan District, North Tapanuli Regency. Data collection was conducted in June 2025. The two groups consisted of an intervention group receiving 40 grams of soy milk and a control group receiving education on blood pressure and cholesterol levels. The dependent variables studied were blood pressure and cholesterol levels, and the independent variable was soy milk. The analysis techniques used were Repeated Measures ANOVA and Paired Sample T-Test. Results: The average systolic blood pressure in the intervention group after being given soy milk was lower (Mean= 133.92; SD= 10.20) compared to before the intervention (Mean= 143.82; SD= 5.48) and was statistically significant (p <0.001), the average diastolic blood pressure in the intervention group after being given soy milk was lower (Mean= 86.88; SD= 5.08) compared to before the intervention (Mean= 92.88; SD= 5.44) and was statistically significant (p <0.001), the average cholesterol level in the intervention group after being given soy milk was lower (Mean= 232.94; SD= 7.56) compared to before the intervention (Mean= 261.24; SD= 13.27) and was statistically significant (p <0.001). Conclusion: Soy milk is effective in lowering systolic and diastolic blood pressure and cholesterol levels in women of childbearing age.
Improving Students' Oral Hygiene Through School Dental Health Program: A Meta-Analysis Wijaya Hermawan, Gandha; Shaluhiyah, Zahroh; Arso, Septo Pawelas
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.01

Abstract

Background: Oral health is a vital component of overall well-being. The School Dental Health Program (UKGS) is designed to enhance students' oral hygiene through education and health promotion initiatives. This study conducted a systematic review of the literature to evaluate the effectiveness of the UKGS program in improving oral hygiene among students. Subjects and Method: The literature search was conducted in November 2024 using the PubMed, Scopus, and Google Scholar databases. The search employed keywords such as “School Dental Health Program,” “UKGS,” “oral hygiene,” “dental health,” “students,” “school,” “intervention,” “health education,” and “effectiveness.” Studies were included if they evaluated the effectiveness of the UKGS program in improving students' oral hygiene, were published in either Indonesian or English, and utilized quantitative or qualitative research designs. Studies were excluded if they did not address the UKGS program, were not relevant to the research question, used non-empirical methods, or were published before 2010. Due to time constraints, a total of 14 articles were selected for analysis. These studies explored various factors affecting the effectiveness of the program, including the frequency and duration of implementation, educational methods used, support from parents and teachers, and students’ socioeconomic backgrounds. Results: The UKGS program has the potential to enhance students' knowledge, attitudes, and practices related to oral hygiene. However, its effectiveness is influenced by several key factors, including the involvement of parents and teachers, the use of engaging and interactive educational methods, and access to dental health services. Based on these findings, the study offers several recommendations to improve the future effectiveness of the UKGS program. These include increasing the frequency and duration of program implementation, incorporating more interactive and engaging educational approaches, and addressing existing gaps in access to dental health services. Conclusion: The UKGS Program has great potential in improving students' oral hygiene. However, to achieve optimal results, the program needs to be well-designed and consistently implemented by considering various factors that influence its effectiveness. By implementing the recommendations mentioned, it is hoped that the UKGS program can be more successful in improving oral health among students.
Comparison of the Incidence of Preterm Labor Between Pregnant Woman with Systemic Lupus Erythematosus Mild and Moderate-Savere Pradani, Yulistiya Kusuma; Bachnas, Muhammad Adianes; Aryoseto, Lukman; Laqif, Abdurahman
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.05

Abstract

Background: Systemic Lupus Erythematosus (SLE) is an autoimmune disease that can affect pregnancy, particularly by increasing the risk of preterm birth. This condition can be influenced by various factors, including the level of SLE activity. Therefore, this study aims to analyze the relationship between preterm birth and the activity level of SLE categorized as mild and moderate-to-severe. Subjects and Method: This study used an analytical observational technique with a cross-sectional research design based on medical record data of pregnant women with SLE at Dr. Moewardi Hospital in the 2021-2023 period, selected through consecutive sampling This study involved 77 pregnant patients with SLE. The dependent variable is preterm labor. The independent variable in this study is pregnant women with SLE. The data were collected by medical record. The data were analyzed by Fisher’s exact test. Results: There was no significant association between the degree of systemic lupus erythematosus activity and preterm labor (p= 0.759). Conclusion: This study shows that there is no significant relationship between the incidence of preterm labor and the degree of systemic lupus erythematosus activity (mild and moderate-to-severe).
Developing Electronic-Based Maternal and Child Health Monitoring Riska Rosita; Tominanto, Tominanto; Farida, Siti; Yulianto, Andi; Husin, Husna Sarirah
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.02

Abstract

Background: The first 1,000 days of life, encompassing fetal development during pregnancy (approximately 270 days) through the child's second year (approximately 730 days), represent a critical window for the development of vital organs, as well as cognitive and motor functions. Optimal monitoring during this period is essential for ensuring healthy growth and development. This study aimed to develop an electronic-based monitoring tool for maternal and child health, designed to deliver comprehensive, accurate, and timely information to facilitate early detection of health risks and support evidence-based interventions. Subjects and Method: The study was conducted using the Rapid Application Development (RAD) approach, which includes the stages of planning, design workshops, and implementation. The tool is intended to be used by health cadres at integrated health posts (posyandu) to support maternal and child health monitoring. Results: A simple and user-friendly electronic-based program has been developed to record and monitor maternal and child health status over time. Users can input the results of maternal and child health assessments, which are then presented in graphical form and can be printed as needed. The application received a feasibility score of 89.8% based on the PIECES framework, indicating strong potential for practical implementation. Conclusion: Graphical representations in maternal and child health applications allow for easier monitoring of examination results. These visual tools enable early identification of potential malnutrition-related risks, such as stunted growth in children, thereby supporting timely intervention and prevention efforts.
The Relationship Between Maternal Nutritional Status and the Incidence of Stunting: A Meta-Analysis Putri, Tyas Aisyah; Salsabilla, Dinda Anindita; Muthi’ah, Tis’a Salma; Vergawita, Tania; Komisah, Komisah
Journal of Maternal and Child Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.02.02

Abstract

Background: Stunting remains a major global health concern, contributing to child mortality and long-term developmental consequences. Maternal nutritional status during pregnancy plays a crucial role in determining child growth outcomes. Understanding this relationship is essential for developing effective nutritional interventions to prevent stunting. Subjects and Method: This study is a systematic review and meta-analysis examining the association between maternal nutritional status and stunting in children under five. Relevant studies published between January 2019 and July 2024 were retrieved from PubMed, Science Direct, Google Scholar, and BMJ. Data from nine studies across Asia and Africa were analyzed using Review Manager (RevMan) 5.3. Results: The analysis revealed that underweight mothers had a 1.22 times higher risk of having stunted children, while overweight mothers had a 1.02 times higher risk. Both findings were statistically significant (p<0.001). These results highlight the critical influence of maternal nutritional status on child growth and the increased risk of stunting in both underweight and overweight mothers. Conclusion: Maternal nutrition during pregnancy plays a vital role in preventing stunting among children under five. Targeted nutritional interventions for underweight and overweight mothers are essential to improve maternal and child health outcomes. Strengthening maternal nutrition programs can significantly contribute to reducing global stunting rates.

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