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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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The Effect of Low Birth Weight on Stunting in Children Under Five: A Meta Analysis Putri, Tyas Aisyah; Salsabilla, Dinda Anindita; Saputra, Rizki Kurniawan
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The main nutritional problem in children under five, which is still found in many countries in the world, is stunting. The relationship between risk factors for low birth weight (LBW) in children has been investigated in several primary studies with a number of contradictions in the results. The purpose of this study was to determine the effect of low birth weight (LBW) on the incidence of stunting in children under 60 months in various countries using the meta-analysis method. Subjects and Method: The articles were selected from the Google Scholar, PubMed, Web of Science, Microsoft Academic, and Science Direct databases published from 2000-2021. Article collection for 2 months with search keywords (“Low Birth Weight” OR “LBW”) AND “Stunting” AND (“adjusted odds ratio” OR “multivariable”). The meta-analysis step used is a PRISMA flowchart. Data analysis was carried out using the Review Manager 5.3 . program. Results: Based on 11 primary studies conducted in Brazil, Ethiopia, and Indonesia, it was shown that in a cross-sectional study LBW could increase the incidence of stunting in children aged 0-60 months by 3.64 times compared to non-LBW (aOR = 3.64; 95% CI = 2.70). up to 4.90; p<0.001). While the case-control study showed that LBW can increase the incidence of stunting in children aged 0-60 months as much as 6.95 times compared to non-LBW (aOR = 6.95; 95% CI = 4.02 to 12.04; p<0.001). Conclusion: Low birth weight increases the risk of stunting in the population of children under 60 months of age.

The Difference of Effectiveness of Ginger Warm Compress and Consumption of Acidic Turmeric on Decreasing Primary Menstrual Pain Scale Ria, Matilda Bupu; Ola, Clara Yunita Ina; Palalangan, Damita
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: Dysmenorrhoea is pain during menstruation that is felt by teenage women, usually they experience cramps and are concentrated in the lower abdomen. Complaints of menstrual pain can vary, ranging from mild to severe. The purpose of this study was to analyze the difference in the effectiveness of ginger warm compresses and the consumption of tamarind turmeric on reducing the primary menstrual pain scale.Subjects and Method: This study was conducted using a quasi-experimental type two group pre post test design, with a population of all female students who experienced primary menstrual pain and a sample of 30 respondents with warm ginger compresses and 30 respondents who consumed tamarind and turmeric drinks. The sample was collected by purposive sampling. The data were collected by questionnaire. The independent variable was warm compresses of ginger and consumption of tamarind turmeric, the dependent variable was primary menstrual pain. The analysis used was the Wilcoxon and Mann Whitney tests.Results:Based on the results of the Wilcoxon test, there was an effect of giving a warm ginger compress (p= 0.004). Likewise, giving tamarind turmeric drink showed an effect with the result p<0.001. Based on the results of the Mann Whitney test, there was a significant difference in the effectiveness of ginger warm compresses and the consumption of tamarind turmeric on reducing the primary menstrual pain scale, with p = <0.001 results.Conclusion: It is hoped that respondents, readers, further researchers, and especially young women who experience menstrual pain, consume tamarind regularly in dealing with primary menstrual pain complaints as a non-pharmacological therapy.Keywords: primary menstrual pain, warm compresses of ginger, consumption of tamarind turmeric.Correspondence:

Correlations between Obesity, Polycystic Ovary Syndrome, and Sleep Apnea: A Meta-Analysis Jayanti, Saktryana Endang Ragil; Widyaningsih, Vitri; 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: Obesity is one of the biggest public health problems in the world. Obesity is associated with various health problems, decreased quality of life and death. Obesity is known to have an impact on women's lives, namely Polycystic Ovary Syndrome (PCOS) which if not treated immediately can cause sleep apnea. This study aims to analyze the relationship between obesity and PCOS and sleep apnea. Subjects and Method: This research is a systematic review and meta-analysis. Population = women, Intervention = obesity, Comparison = not obese, Outcomes = PCOS and sleep apnea. Article searches through journal databases include: PubMed, Science Direct, Google Scholar, and Springerlink. The keywords used are obesity OR obese AND PCOS OR “Polycystic Ovary Syn- drome” AND “sleep apnea” OR “Poor Sleep” OR “obstructive sleep apnea”. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria include full-text articles with obser- vational studies, multivariate analysis results in the form of aOR values and published from 2012- 2021. Eligible articles were analyzed using the Revman 5.3 application. Results: Eighteen articles from the United States, Brazil, China, Turkey, Iraq, Pakistan, Sri Lanka, Korea, West Africa, East Africa, Nigeria and the United Kingdom were included in the meta- analysis. A meta-analysis of the results of the case-control study design subgroup (4 articles) and the cross-sectional study (4 articles) showed that obese women had a 1.14-fold increased risk of developing PCOS compared to non-obese women (aOR = 1.14; 95% CI = 1.03 to 1.26; p= 0.010). A meta-analysis of 10 cross-sectional studies showed that obese women increased the risk of developing sleep apnea 4.66 times than non-obese women (aOR = 4.66; 95% CI = 3.23 to 6.71; p = <0.001). Conclusion: Obesity is a risk factor for PCOS (Polycystic Ovary Syndrome) and sleep apnea in women. Keywords: obesity, PCOS, sleep apnea, meta-analysis. Correspondence: Saktryana Endang Ragil Jayanti. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Saktryana.agil@gmail.com. Mobile: 082242154117.

Meta-Analysis the Effect of Obesity on Polycystic Ovary Syndrome and Anemia in Women of Reproductive Age Tsaqifah, Nabila Aulia; Adriani, Rita Benya; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Obesity in women of reproductive age is a nutritional problem that needs attention because obesity affects other health problems, especially problems of nutrient absorption and reproductive health. This needs special attention considering that the health of women of reproductive age has a major influence on the quality of future generations. The purpose of this study was to estimate the magnitude of the effect of obesity on the possibility of polycystic ovary syndrome (PCOS) and anemia in women of reproductive age. Subjects and Method: Systematic review and meta-analysis. The data of this study used a research research design obtained from the databases of Google Scholar, PubMed, BMJ, ScienceDirect, SpingerLink, and Sage. The inclusion criteria used were full paper, cross-sectional and cohort study designs with reported results adjusted odds ratio (aOR). Article searches were performed using the PICO model. Population= women of reproductive age, Intervention= Obesity, Comparison= not obese, Outcome= anemia and PCOS. Articles were collected using PRISMA diagrams and analyzed using the Review Manager application (RevMan5.3). Results: A total of 10 articles on the relationship of obesity with anemia and 4 articles on the relationship of obesity with PCOS. Studies show that obesity reduced the risk of anemia compared to normal weight in women of reproductive age (aOR= 0.73; 95% CI= 0.63 to 0.84; p<0.001). Obesity increased the risk of PCOS 1.21 times compared to women with normal weight (aOR= 1.21; 95% CI= 1.00 to 1.48; p= 0.050). Conclusion: Obesity reduces the risk of anemia. Obesity increases the risk of PCOS in women of reproductive age.

Expression of Bax Protein as A Prognosis Factor of Radiotherapy Response to Decreased Tumor Size in Stage IIB-IIIB Cervical Cancer Fitriawan, Ahmad; Udiyanto, Hermawan; Respati, Supriyadi Hari; Ratnasari, Affi Angelia; Prabowo, Wisnu
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Cervical cancer plays a role as the leading cause of cancer death for women in developing countries. Radiation therapy kills cancer cells through double strand breaks and the apoptotic process. Bax protein is one of the regulators of apoptosis. This study analyzed the role of Bax expression as a prognostic factor in radiation therapy response in reducing tumor size in patients with advanced cervical cancer (IIB-IIIB). Subjects and Method: This research is a retrospective cohort observational analytic study from January 2021 to April 2021 in the Department of Obstetrics and Gynecology in collaboration with the Department of Anatomical Pathology, Dr. Moewardi Hospital, Surakarta, Indonesia. This study involved 30 cervical cancer stage IIB-IIIB patients. The level of Bax expression was determined by immunohistochemical examination. ROC curve analysis was used to find cut-off points and evaluate the sensitivity and specificity of Bax in the prognosis of radiotherapy in patients with advanced cervical cancer (IIB-IIIB). Chi square test was used to determine the relationship between Bax expression and changes in tumor size in cervical cancer patients. Results: The ROC curve analysis showed that the AUC Bax score in prognosis of radiation therapy was 0.575 (CI 95%= 0.32 to 0.83) and the cutoff point was 62.5%. Based on the analysis of the ROC curve, the Bax expression of 62.5% shows a sensitivity of 56.5% and a specificity of 71.4%. Analysis of the relationship between Bax protein expression on changes in tumor size using the Chi Square test showed a P value of 0.390 (p> 0.05). Conclusion: The expression of Bax protein cannot play a role as a prognostic factor in the response of radiation therapy to the reduction in tumor size in stage IIB-IIIB uterine cervical cancer.

Analysis of Caesarean Section Rates and Source of Payment Using the Robson Classification System Nurhayati, Fitasari Nidia; Prasetyo, Budi; Miftahussurur, Muhammad
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Sectio caesarea delivery is the last alternative to save the mother and fetus when normal delivery is not possible. The increase in caesarean section worldwide has become a major public health problem, so it is necessary to supervise to reduce the number of caesarean sections that are considered unnecessary, one of which is through the Robson Classification. The existence of health insurance for the people of Indonesia, including BPJS which covers the costs of sectio caesarea, makes it possible to increase the incidence of sectio caesarea. The aim of the study was to analyze the incidence of sectio caesarea and financing status based on Robson's classification at Muhammadiyah Babat Hospital. Subjects and Method: This study used a retrospective observational analytic method with a cross sectional design. The research sample was mothers giving birth at Muhammadiyah Babat Hospital who were included in the inclusion criteria and were taken through a total sampling technique of 127 mothers giving birth. The dependent variable is sectio caesarea. The independent variable is financing status. The instrument used was medical record data collected in collection sheets and analyzed using the Chi Square test. Results: A total of 87 (68.5%) subjects gave birth by sectio caesarea with the prevalence of the Robson group 2, 4, and 5 as the main contributor. A total of 64 (63.4%) subjects gave birth by sectio caesarea with BPJS financing status. The results of the chi-square analysis showed that mothers with BPJS financing status reduced the incidence of sectio caesarea, and it was statistically significant (OR= 0.23; 95% CI= 0.06 to 0.80; p= 0.026). Conclusion: The data shows that the incidence of sectio caesarea is still very high and most are in the Robson group 1-5 with BPJS financing status. Based on Robson's grouping results, there is a relationship between financing status and the incidence of sectio caesarea, BPJS financing status reduces the incidence of caesarean section. Keywords: sectio caesarea, robson classification, financing status. Correspondence: Budi Prasetyo. Department of Obstetrics and Gynecology, Facullty of Medicine, Universitas Airlangga, Indonesia, Jl. Mayjen Pro. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java, Indonesia. Email: budi-p@fk.unair.ac.id. Mobile: +6281553019486

Factors of Primary Postpartum Hemorrhage among Women Delivered at Yirgalem General Hospital Southern, Ethiopia: A case control study Gebretsadik, Achamyelesh; Melaku, Nebiyu
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Primary postpartum hemorrhage continues to be the top leading cause of maternal mortality and morbidity all over the world, contributing about one third of all maternal mortality. Despite its public health importance of this problem, little is known about factors that contribute to primary postpartum hemorrhage especially in Ethiopia. The aim of this study was to assess the risk factors of primary postpartum hemorrhage. Subjects and Method: Hospital based unmatched case control study design was used. The study was conducted in July 2019, among delivered women at Yirgalem general hospital from January 1, 2014 to December 30, 2018; to all cases of primary postpartum hemorrhage (n= 218) and 436 controls selected by using simple random sampling techniques. Women with primary postpartum hemorrhage were cases and women who had not diagnosed for primary postpartum hemorrhage were controls. Descriptive statistics and logistic regression analysis were made. Statistical association was measured by AOR and its 95% CI. Results: Incidence of primary postpartum hemorrhage was 221 in 8,506 live births (2.6%) in the study period. Primiparas (AOR= 0.37 ;95% CI= 0.23 to 0.6; p= 0.001), grand multiparas (AOR= 5.80; 95% CI= 2.90 to 11.6; p <0.000) and rural maternal address (AOR= 1.90; 95% CI= 1.20 to 3.00; p= 0.008) were factors that have a statistically significant association with primary postpartum hemorrhage. Conclusion: Parity and rural residence were associated factors. Therefore, the government and other responsible stakeholders should give attention to women with grand multiparas and those women residing in rural area. Immediate identification of risk factors and management might reduce largely the occurrence of primary PPH and related maternal deaths.

The Effect of Endorphin Massage on Reducing The Intensity of Back Pain in Third Trimester Pregnant Women: A Systematic Review Astuti, Kh Endah Widhi; Murwati, Murwati; Fitriani, Nur
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: During the period of pregnancy, the mother will experience physical and psychological changes that will cause discomfort, one of them is back pain. Persistent pain not resolved immediately can result in chronic pain. Endorphin massage is a non-pharmacological method with touch or light massage techniques that can provide a feeling of calm and comfort to pregnant women who are entering late pregnancy until before labor. This study aimed to determine the effect of endorphin massage on decreasing back pain intensity in third trimester pregnant women. Subjects and Method: This systematic review uses three databased article searches, namely Pubmed, Research Gate and Schoolar with a publication time of the last 5 years. The criteria inclusion were pregnant women who experienced back pain and given endorphin massage. There was no comparison, quasi-experimental research design, randomized control and trial, qualitative research, cross-sectional. Articles published in 2015 – 2020 both of Indonesian and English Article. The exclusion criteria were the article with systematic review method. Results: Nine articles that met the inclusion criteria were used in this study. The article mostly discusses the effect of endorphin massage on reducing back pain intensity in third trimester pregnant women (7 articles) and compares the effect of endorphin massage with other non-pharmacological therapies (2 articles) with 5 articles using a pre-experimental research design and 4 articles using a research design. Quasy-experiments and the average number of samples in the articles reviewed were more than 250 subjects. Conclusion: Endorphin massage is effective in reducing the intensity of back pain in the third trimester of pregnant women.

Maternal Employment and Nutritional Status of Preschool Children Yasmeen, Wahida; Rahman, Md. Motiur; Asaduzzaman, H. M; Sultana, Hafiza; Saha, Tanmoy; Jinia, Syeda Tahmina Ferdous; Alom, Foisal Mahammad Mosiul; Ahmed, Syed
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The early childhood development is most crucial and the mother’s care and attention is essential. The purpose of the study was to compare the nutritional status of preschool children between employed and unemployed mothers. Subjects and Method: The comparative cross-sectional study was conducted among 400 children aged fewer than five years with their respondents. The study was conducted in the urban community of Rajshahi city from January, 2018 to December, 2018. The dependent variables were nutritional status of preschool children. The independent variables were socio-demographic characteristics and maternal employment. Respondents were selected by a purposive sampling method and data were collected by semi-structured questionnaire by face-to-face interview. Nutritional status was determined by anthropometric measurements. The statistical analysis was conducted using SPSS version 21. The findings of the study were presented by frequency, percentage, Mean, SD and Chi square test. Results: The mean ages of the employed and unemployed mothers were Mean= 30.79; SD=2.99 and Mean= 30.58; SD= 2.89 years respectively. Most of the employed mothers (91.0%) practiced exclusive breast-feeding for 6 months. Among the unemployed mothers, 64.0% practiced, which was a high statistical difference (p <0.001). There was highly significant statistical difference among mothers of two groups regarding starting complementary feeding as p=0.004. There was no significant statistical difference regarding children’s mid upper arm circumference (MUAC) classification. Weight for age (WAZ) - score, height for age (HAZ)-score and weight for height (WHZ)-score of employed and unemployed mother’s children showed a significant difference (p<0.05). Conclusion: Maternal employed status plays an essential role in determining child health care practice, which may influence a child’s health and development in later life. Keywords: childhood nutrition, maternal employment, stunting, underweight, wasting. Correspondence: Md. Motiur Rahman, Out Patient Department (OPD), Upazila Health Complex, Muksudpur, Gopalganj, Banhladesh. Email: motiuramc21@gmail.com. Mobile: 01937121255.

Meta-Analysis: The Effect of Early Breastfeeding Initiation on Hypothermia and Diarrhea in Infants Hidayah, Fristyaningrum; Retno, Yulia Lanti; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Early initiation of breastfeeding is the process of letting the baby instinctively breastfeed within the first hour after birth, along with skin-to-skin contact between the baby and the mother's skin which can prevent hypothermia in the baby. This study aims to analyze the relationship between early initiation of breastfeeding and the incidence of hypothermia in infants. Subjects and Method: This is a systematic review and meta-analysis study. Population= Infants aged 0-59 months, Intervention= early initiation of breastfeeding, Comparison= no early initiation of breastfeeding, Outcomes= incidence of hypothermia and diarrhea. Article searched through journal databases include: PubMed, Science Direct, Google Scholar, research gate, and Springerlink. The keywords used are breastfeeding" OR "early initiation of breastfeeding" OR "initiation breastfeeding" AND newborn OR neonatal OR neonate OR infant OR children OR child AND hypothermia OR “low body temperature” OR “low temperature” OR thermoregulation OR “body temperature regulation "AND diarrhea OR diarrhea. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria included full-text articles with cross-sectional studies, multivariate analysis results in the form of AOR values and published in English from 2011-2021. Eligible articles were analyzed using Revman 5.3 application. Results: Sixteen articles from Ethiopia, Vietnam, Bangladesh, Pakistan, Tanzania, and India were included in the meta-analysis. Meta-analysis in 7 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of hypothermia in infants (aOR= 0.32; 95% CI= 0.21 to 0.48; p<0.001). Meta-analysis in 9 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of diarrhea in infants (aOR = 0.81; 95% CI = 0.76 to 0.86; p<0.001). Conclusion: Early initiation of breastfeeding reduced the risk of hypothermia and diarrhea in infants. Researchers recommend implementing early initiation of breastfeeding in the first hour of birth to prevent the risk of hypothermia and diarrhea in infants.

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