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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 549 Documents
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A Study on The Disease Pattern and Outcome in Neonatal Intensive Care Unit, Tertiary Care Hospital of Andhra Pradesh Krishnaiah, Murali; Basha, Md Sajid; Khaleef, Abdul; Rahman, Zia Ur
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.06

Abstract

Background: There was very scanty data available regarding the neonatal morbidity and mortality patterns in NICU. Hence, the current study aimed to document and analyze the disease pattern, and outcome in neonates admitted in NICU of tertiary care center. Subjects and Method: A prospective observational study was conducted at neonatal intensive care unit (NICU) of SVRRGGH, Tirupati from September 2014 to August 2015. A total of 2287 newborns were admitted who met selection criteria. All neonate’s demographics, clinical profile, and outcome were analyzed. Results: From a total of 2287 newborns, 71.7% were delivered vaginally, 56.05% were male, 38.0% were <2500 g, and 48.02% were preterm babies. The neonatal deaths consisted of 448 (19.58%) newborns; 71.98% of whom pre-term babies, 80.8% of whom birth weight >2.5kg, 23.2% of whom out born, and majority died before 7 days of age. Neonatal sepsis (30.65%) is the most common cause of death followed by birth asphyxia hypoxic ischemic encephalopathy in 29.04%, hyaline membrane disease (11.03%), neonatal jaundice (9.68%), meconium aspiration syndrome (7.69%), hemorrhagic disease of newborn (1.68%), and congenital malformations (2.79%). There was a statistical association observed between neonatal death and gender (p= 0.023); neonatal death and mode of admission; neonatal death and gestational age (p <0.001); neonatal death and birth Weight (p< 0.001). Conclusion: current study identified preterm, low birth weight, neonatal sepsis, birth asphyxia, Hyaline membrane disease as major causes of morbidity and Neonatal sepsis, Hyaline Membrane Disease, and HIE as the major contributors to the neonatal mortality. Improving antenatal care, maternal health checkup and timely referral of high risk cases to tertiary care centers may help to improve neonatal outcome. Keywords: neonatal sepsis, antenatal care, low birth weight, neonatal mortality. Correspondence: Department of Pediatrics, Government general hospital, Rajiv Gandhi Institute of Medical Sciences, Kadapa, Andhra Pradesh-516002, India
Meta-Analysis the Effect of Cord Clamping Time on Hemoglobin Elevation in Newborn Infants Dilafa, Rynda Arum; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.09

Abstract

Background: Fulfillment of iron needs is very important in the first 1000 days of human life, with sufficient amounts of iron can determine the quality of life in the future, to produce a healthy and quality generation. Delaying clamping and cutting the umbilical cord for about 1-2 minutes can increase the amount of blood flowing to the newborn so as to prevent low hemoglobin in the neonatal period. This study aims to analyze the effect of delayed cord cutting on hemoglobin levels in newborns. Subjects and Method: This study was a systematic study and meta-analysis, with the following PICO Population= term newborn at 48 hours after birth. Intervention= Time delay of clamping the umbilical cord (≤60 seconds). Comparison= Immediate cord clamping time (≤15 seconds). Outcome= Hemoglobin Level. The articles used in this study were obtained from several databases including PubMed, Science Direct and Google Scholar. The keywords used were: “umbilical cord and infant”, “Delayed Cord Clamping”, “Delayed Cord Clamping and Immediate Cord Clamping” “DCC and Hemoglobin “DCC and Anaemia”. Inclusion criteria were full-text articles of randomized controlled experimental study design. trial (RCT) Articles were collected using PRISMA flow diagrams Articles were analyzed using the Review Manager 5.3 application. Results: Based on the results of a meta-analysis of 9 primary studies on the effect of cord clamping time on increasing newborn hemoglobin levels originating from Pakistan, China, Thailand, India, Bangladesh, the United States, and Nigeria, it can be concluded that delayed cord clamping in newborns birth increased the hemoglobin level by 0.81 units compared to clamping the cord immediately after birth, and this result was statistically significant (SMD= 0.81; 95% CI= 0.30 to 1.32; p=0.002). Conclusion: Delay in cutting the umbilical cord can increase hemoglobin in full-term newborns without indications. Keywords: delayed cord clamping, hemoglobin. Correspondence: Rynda Arum Dilafa. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ryndaarumd@gmail.com. Mobile: +6285­852358033  
The Effectiveness of "Segi Busui" Booklet Media toward Knowledge and Attitude concerning Balanced Nutrition in Breastfeeding Mothers of 0-6 Months Darmayanti, Mey Linda; Yuniastuti, Ari; Budiono, Irwan
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.04

Abstract

Background: Balanced nutrition for mothers during breastfeeding is closely related to breast milk production, puerperal recovery, and other influences on the sustainability of the puerperal or breastfeeding mother. The thing that needs to concern is that if the nutrition for breastfeeding mothers is not met, the nutritional needs for breast milk production will be taken from the mothers’ body reserves. This condition will cause the mother to experience the risk of disease and chronic malnutrition. This study aims to develop the "Segi Busui" Booklet media and to determine the effectiveness of the "Segi Busui" booklet media toward knowledge and attitude concerning balanced nutrition in breastfeeding mothers of 0-6 months babies. Subjects and Method: The method used in the study was Research and Development (RnD) using the Borg and Gall model. The type of study used to determine the effectiveness was pre-experimental with one group pretest-posttest design. The sample in this study was 48 breastfeeding mothers of 0-6 months babies. The dependent variables were knowledge and attitudes. The independent variable was the booklet “Segi Busui". The data were collected using questionnaires. The analysis technique used was the Wilcoxon test. Results: The average score of maternal knowledge increased after (Mean= 19.65; SD= 0.93) the "Segi Busui" booklet intervention compared to before the intervention (Mean= 13.06; SD= 1.74), and the result was statistically significant (p<0.001). Meanwhile, the maternal attitude score increased after (Mean= 66.71; SD= 3.48) the "Segi Busui" booklet intervention compared to before the intervention (Mean= 53.60; SD= 5.93), and the result was statistically significant (p<0.001) Conclusion: The “Segi Busui" booklet media is effective in increasing knowledge and attitudes concerning balanced nutrition in breastfeeding mothers of 0-6 months babies. Keywords: booklet media, knowledge, attitude, balanced nutrition of breastfeeding mothers. Correspondence: Mey Linda Darmayanti. Master’s Program in Public Health, Universitas Negeri Semarang. Jl. Kelud Utara III No.15, Semarang, Central Java 50237. Email: meylindadarmayanti­1605­@gmail.com. Mobile 085641131716.  
Assessment of Barriers and Facilitators to Institutional Delivery in an Urban Area of Delhi: A Community Based Cross- Sectional Study Sharma, Aarti; Raj, Vipin; Tiwari, Nitin; Kumar, Devendra; Bachani, Damodar
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.01

Abstract

Background: Since motherhood is one of the most important roles in the life of any women and needs utmost priority in dealing with the delivery time, so the study was conducted with the aim to explore data related to antenatal check-ups and associated barriers for not availing the services and the reasons for the health facility preferred (Govt. or Private). for which a semi structured, pretested interview schedule was administered to all the study subjects for obtaining the relevant details. Subjects and Method: The community based cross sectional study was carried out in Palam area of west Delhi from January to December 2016 with a sample size was of 250 and analysis was done using Statistical Package for Social Sciences (SPSS version 20). The independent variables under study were social demographic characteristics, while dependent variables were the different reasons cited for preferring home delivery by the study subjects. Results: Among the women interviewed, 60.8% women preferred a Govt. health care facility for antenatal services, 14.4% visited only private health care facility for complete antenatal services whereas 22.4% were those who availed antenatal service from both Government as well as Private health care. Nearly two-third (65.2%) of the deliveries took place in Government facility, whereas around 25% preferred private facility for the delivery and remaining 10% were home deliveries. Conclusion: The reasons need to be explored by systematic continuous monitoring and supervision of services including periodic beneficiaries view point on services being provided, re-orientation of service providers and counselling of pregnant women in order to achieve hundred percent institutional deliveries or by skilled birth attendant. Keywords: barriers, facilitators, institutional delivery. Correspondence: Devendra Kumar. Department of Community Medicine, Autonomous State Medical College, Firozabad, Uttar Pradesh, India. Email: deven­­dra­ku­mar­224224@gmail.com. Mobile: +919818102046.
Effect of Environmental Factors on the Acute Respiratory Infection Incidence Among Toddlers Shafira, Widya; Khasanah, Uswatun; basyir, Pahmi budiman saputra
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.07

Abstract

Background: Acute Respiratory Infection (ARI) is one of main public health problems found in Cirebon. Defining the factors governing this problem is crucial to reduce the burden of the disease. This study aims to analyze the effect of environmental factors on the incidence of ARI in toddlers in the territory of Gempol Community Health Center of Cirebon district. Subjects and Method: This was a cross sectional study conducted at Gempol Community Health Center, Cirebon district, West Java, Indonesia. A total of 97 subjects were surveyed using question­naire and direct measurement based on the Lemeshow formula. Independent variables taken into account were air pollution, exposure to cigarette smoke, air ventilation at subjects’ house, humidity inside the house, and occupant density. Data were analyzed by Chi-Square test and Logistic Regression test. Results: Multivariate results showed that air population (OR= 4.72; 95% CI= 1.65 to 13.46; p = 0.004); humidity in the house (OR= 8.95; 95% CI= 3.06 to 26.13; p = 0.001); humidity in the house (OR= 3.38; 95% CI= 1.15 to 9.87; p = 0.026) increased with the the acute respiratory infection incidence among toddlers, and there were statistically significant. Conclusion: House humidity is the most significant factor governing the incidence of ARI in the territory of Gempol Community Health Center of Cirebon District. Keywords: acute respiratory infection, toddler, environmental factors. Correspondence: Uswatun Khasanah. Faculty of Medicine, Universitas Swadaya Gunung Jati. Taman pemuda 1A, Sunya­ragi, Kesambi Sub District, Cirebon 45132, West Java, Indonesia. Email: uswatun­hasa­nah7@­gmail.com. Mobile +6281320001650.
Knowledge and Perception of COVID-19 and Its Psychosocial Impact on Pre- and Post-Natal Women in Tema Metropolis, Ghana, West Africa Adu Mensah, Derrick; Bortie, Patience Naa Adaku; Bonney, Richard Abeiku; Ashong, Sam-Kingsley; Ayamba, Emmanuel Ayimbissa; Odonkor, Stephen Tawiah
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.02

Abstract

Background: The emergence of the coronavirus disease 2019 (COVID-19) pandemic incited series of societal changes. Adopted practices to mitigate the virus’ spread included; limiting human contact, closure of workplaces, lockdown of cities, and thus limiting health care delivery to emergency services with interruption to routine visits— such as antenatal and postnatal care. During the onset of the pandemic there was a myriad of information on the virus, with several misconceptions involving the viral infection. This study was aimed at assessing the knowledge and perceptions of COVID-19, as well as its psychosocial impact among pregnant and postnatal women in the Tema Metropolis. Subjects and Method: This cross-sectional survey was conducted among a total of 349 pregnant and postnatal women at the Tema General Hospital, Ghana. The dependent variable was outcome of a number of correct/incorrect responses given and the test scores. The independent variables were level of knowledge on COVID-19, prevention practices of COVID-19, and the psychosocial impact of COVID-19. Structured questionnaires were administered to participants to retrieve demographic information, knowledge, perception, and psychosocial impact of COVID-19 on participants. The data collected were imported into Microsoft Excel and analyzed with SPSS version 20. Data was presented as frequencies, percentages, and chi-square values. Results: The study comprised of 295 (84.5%) pregnant and 54 (15.5%) postnatal women. Generally, 80.5% of the participants had good knowledge about COVID-19, whereas 2.6% exhibited poor knowledge. Most postnatal women had the right perceptions about COVID-19, with statistical significance (p<0.050) observed among all variables. With the preventive measures, significant associations amongst both pregnant and postnatal women were observed in monitoring body temperature (OR= 0.08; 95% CI= 0.01 to 0.02; p=0.002) and seeking medical advice when ill (OR= 0.83; 95% CI= 0.01 to 0.02; p= 0.004). Based on depression anxiety score, each variable recorded a postnatal woman experiencing extremely severe psychological impact because of COVID-19, whereas only one pregnant woman experienced same. Conclusion: There were adequate knowledge about COVID-19 among both pre- and post-natal women in the study area, and very few were impacted psychologically as a result of COVID-19. Keywords: COVID-19, prenatal, postnatal, psychological, pregnant women. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com
Meta Analysis: Effect of Inadequate Gestational Weight Gain on Low Birth Weight and Small for Gestational Age Amrika Putranti, Maurizka Pitria; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.03

Abstract

Background: Weight gain during pregnancy is related to optimizing health for both mother and baby. In addition, the increase in pregnancy weight is also an important indicator of maternal nutri­tion fulfillment during pregnancy and is a good measure to monitor fetal growth. This study aims to estimate the average effect of inadequate gestational weight gain on the risk of low birth weight and small for gestational age. Subjects and Method: This was a systematic review and meta-analysis with PRISMA guideline and PICO model. Population: pregnant women. Intervention: inadequate gestational weight gain. Comparison: normal gestational weight gain. Outcome: low birth weight and small for gestational age.  Online databases used are PubMed, SpringerLink, Scopus, and ProQuest with the keywords "Gestational Weight Gain" OR “Inadequate Weight Gain" AND "Low Birth Weight" OR "Birth Weight Infant” OR “Pregnancy Outcomes" AND "Small Gestational Age" AND "Multivariate" AND "Cohort". There were 19 cohort studies published in 2013-2022 that met the inclusion criteria. The analysis was conducted using the Review Manager 5.3 application. Results: Meta-analysis using 19 cohort studies showed that pregnant women with inadequate weight gain had a risk of giving birth to infants with low birth weight 1.94 times compared to those with normal gestational weight (aOR= 1.94; CI 95%=1.74 to 2.16; p<0.001) and pregnant women with inadequate gestational weight gain had 1.69 times higher risk of giving birth to infants with small for gestational age than those with normal gestational weight (aOR= 1.69; 95% CI= 1.55 to 1.85; p<0.001). Conclusion: Inadequate gestational weight gain increases the risk of low birth weight and small for gestational age. Keywords: Pregnant women, gestational weight gain, low birth weight, small for gestational age Correspondence: Maurizka Pitria Amrika Putranti. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: maurizka27@gmail.com. Mobile: +6285290846373
Factors Associated with Stunting in Adolescents in Integrated Health Post in Pariaman, Padang, West Sumatera, Indonesia Putri, Azzahra Nadya; Retno Dewi, Yulia Lanti; Priyatama, Aditya Nanda
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.04

Abstract

Background: Stunting refers to irreversible physical growth retardation accompanied by cognitive decline that can last a lifetime and affect the next generation. This research was conducted to determine the factors that influence the incidence of stunting in adolescents at the Youth Posyandu Kota Pariaman. Subjects and Method: This was a cross sectional study. The population is all adolescents aged 10-18 years who are registered at the Kp. Jawa I with 52 people and Andestura Tungkal Selatan integrated health posts with 34 people. The sampling technique uses total sampling. Statistical test used chi square bivariate analysis. The dependent variable was stunting. The independent variables were gender, age, physical activity, and socioeconomic. Results: The results showed that gender (p=0.899), age (p=0.082), and physical activity (p=0.829) had no effect on the incidence of stunting in adolescents. Socioeconomic effect on the incidence of stunting in adolescents (p <0.001). Conclusion: There is no influence between gender, age, physical activity on the incidence of stunting because the nutritional status of stunting illustrates a disturbance in height growth that lasts for a long period of time so that it cannot be described by gender, age or physical activity. Socio-economic status that can affect the growth process includes income. Family income affects a person's ability to access certain foods which will affect the nutritional status of children. Someone with a low socioeconomic status has limited ability to access certain foods, so they are at risk of consuming less food. Keywords: gender age, physical activity, socioeconomic, stunting. Correspondence: Azzahra Nadya Putri. Masters Program of Human Nutrition, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Mobile: 082210112490. E-mail: azzahra­nadya09@student.uns.ac.id.
Meta-Analysis: Effects of Exclusive Breastfeeding, Antenatal Care Visit, and Maternal Education on Stunting in Toddlers Tari, Putri Inrian; Rahardjo, Setyo Sri; Setiyadi, Noor Alis
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.10

Abstract

Background: Stunting is a condition in which toddlers have less height according to their age. WHO reports that there are around 149.2 million toddlers experiencing stunting worldwide. This study aims to analyze and estimate the magnitude of the effect of exclusive breastfeeding, antenatal care visits, and maternal education level on the incidence of stunting among toddlers based on the results of similar previous studies. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: toddlers. Intervention: exclusive breastfeeding, the mother often visits antenatal care, and high maternal education. Comparison: not exclusive breastfeeding, mothers rarely visit antenatal care, and low maternal education. Outcome: stunting. The databases used were Google Scholar, PubMed, ScienceDirect, Elsevier, Scopus, SpringerLink, BioMed Central, PLOS ONE, and Emerald with the keywords (“Exclusive Breastfeeding” OR “Antenatal Care” OR “Mother's Education”) AND “Stunting” AND “Children” AND “aOR”. There were 15 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis data were RevMan 5.3. Results: A meta-analysis of 15 articles with a cross-sectional study design was carried out from Ethiopia, India, Tanzania, Rwanda, Pakistan and Indonesia in under-fives with a sample size of 285,221. The results of the meta-analysis showed that toddlers who were exclusively breastfed experienced stunting by 0.54 times compared to toddlers who were not exclusively breastfed (aOR= 0.54; 95% CI= 0.35 to 0.85; p<0.001), toddlers born to mothers who had frequent antenatal visits care experienced stunting by 0.81 times compared to toddlers born to mothers who rarely visited antenatal care (aOR= 0.81; 95% CI= 0.72 to 0.90; p= 0.001), and toddlers born to mothers with higher education experienced stunting by 0.72 times compared to toddlers born to mothers with low education (aOR= 0.72; 95% CI=0.61 to 0.86; p=0.003). Conclusion: Toddlers who get exclusive breastfeeding, mothers who often visit antenatal care, and a high level of maternal education can reduce the risk of stunting in toddlers. Keywords: Exclusive breastfeeding, antenatal care, maternal education, stunting. Correspondence:Putri Inrian Tari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: putriindriantari@gmail.com. Mobile: +62822­824­32594
Effect of Home Visit by Community Health Cadre on Postpartum Depression: Meta-Analysis Hernanda R, Annisa Istighfari; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.08

Abstract

Background: Postpartum depression is one of the most common mental disorders and com­pli­cations of childbirth. Postpartum depression is associated with lower rates of initiation of breast­feeding, poorer mother-infant bonding, and an increase in infants exhibiting developmental delays. Efforts to prevent and treat postpartum depression can be done through home visits by community health cadres. This study aims to estimate and analyze the effect of home visits by community health cadres in reducing postpartum depression. Subjects and Method: This study was a systematic review and meta-analysis of the results of pre­vious relevant research conducted using the PRISMA guidelines. The population included pregnant women and postpartum women, the intervention was given in the form of home visits by community health cadres with comparisons without home visits, and findings related to postpartum depression. Search for articles in this study through the PubMed, ScienceDirect, Scopus, and Google Scholar databases which were published between 2013-2023. The keywords used in the article search process were “home visit” AND (“community health worker” OR “lay health worker” OR “para­pro­fessional”) AND (“postpartum depression” OR “maternal depression”). The inclusion criteria for the articles included were full text articles and full papers with an RCT research design and including the Mean SD value. Findings from primary research articles were analyzed using the Review Manager 5.3 application. Results: The primary research included consisted of 9 articles from Tanzania, the United Kingdom, India, South Africa, the United States and Pakistan. The results of this meta-analysis showed that pregnant women and postpartum women who received home visits by community health cadres had an average postpartum depression rate of 0.27 units lower than mothers who did not receive home visits by community health cadres (SMD = -0.27; CI 95% = -0.52 to -0.03; p = 0.030). Conclusion: Home visits by community health cadres can reduce postpartum depression. Keywords: Home visits by community health cadres can reduce postpartum depression. Correspondence: Annisa Istighfari Hernanda. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: nnisa6173@gmail.com. Mobile: +6281335057080.

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