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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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Sambang Bayi Behavior among the Osing Tribe in Banyuwangi Regency and Its Impact on Maternal and Infant Health Nur, Zilvi Fuadiyah; Widati, Sri; Nurmala, Ira; Iken Nafikadini, Iken; Rokhmah, Dewi
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.06

Abstract

Background: Banyuwangi Regency is home to several cultures, and when babies are born, their families quickly prepare all the necessary equipment, showing their joy by rushing to complete the task. This creates a dense sambang bayi behavior in the area, however such activities may pose risks to the health of both the mother and the baby. This study aimed to analyze the sambang bayi behavior among the Osing tribe in Banyuwangi Regency and its impact on the health of both the mother and the baby.Subjects and Method: To investigate this phenomenon, a qualitative method using an ethno-graphic research approach was employed. Postpartum were researched at the Singojuruh and Gladag Health Centers. 12 main informants and 6 additional informants were selected using purposive sampling. Data was collected through in-depth interviews, participatory observation, and documentation, and analyzed thematically using content analysis.Results: The research revealed that postpartum perceived vulnerability, seriousness, advantages, and obstacles related to cultural activities. Additionally, they made efforts to reduce health risks to their infants (cues to action).Conclusion: Several health risks were identified for mothers and babies, including allergies, irritation, respiratory problems, infectious diseases such as coughs and colds, and diseases caused by a lack of rest. To mitigate these risks, the community can implement promotive and preventive efforts. Keywords: postpartum, culture, perception. Correspondence: Zilvi Fuadiyah Nur. Masters Program in Public Health, Airlangga University. Jl. Dr. Ir. H. Soekarno, Mulyorejo, Kec. Mulyorejo, Kota SBY, Jawa Timur 60115. Email: zilvi.fuadiyah.nur-2022@fkm.unair.ac.id. Mobile: 082330870755.
Advanced Maternal Age and Low Birth Weight in Primigravid Births Junus, Kezia Adelize Aurelia; Ekowati, Ana Lucia; Soegiarto, Bertha; Setiawan, Andy
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.08

Abstract

Background: The number of women who delay pregnancy is increasing. Advanced Maternal Age/ AMA (pregnancies in women aged 35 years or older) have increased risks of complications, such as low birth weight/LBW (up to 1.59 times). The aim of this study is to know the association between AMA with LBW in primigravid births.Subjects and Method: This descriptive and analytical, cross sectional research consists of 169 primigravid births in Atma Jaya Hospital Jakarta, collected with a total sampling method for births between February 2016 to September 2021 meeting inclusion criteria. Independent variable included primigravid maternal age and dependent variable included birth weight. Prematurity was used as a dependent variable and an independent variable in two separate analyses. Characteristics of data are described, and analyses were done with the Fisher’s exact test for the associations between primigravid AMA and LBW, , between primigravid AMA and prematurity, and between primigravid prematurity and LBW Spearman’s correlation test was done for the correlation between primigravid maternal age and birth weight. Results: The proportions of women with higher education and maternal diseases are more elevated in AMA. LBW prevalence is 14.79%. The proportion of LBW is higher in AMA (OR=2.045; CI 95% 0.513 to 8.147), with statistically insignificant association (p=0.253). The correlation between maternal age and birth weight is insignificant (p=0.113). AMA has insignificantly higher odds for prematurity (OR=1.139; CI 95% 0.234 to 5.538; p=0.567). The association between prematurity and LBW is highly significant (OR 49.224; CI 95% 15.470 to 156.621; p<0.001).).Conclusion: Primigravid women aged ≥35 years have higher proportions of maternal diseases. Despite being statistically insignificant, AMA has higher odds for LBW. Prematurity is highly asso¬ciated with LBW. Further research concerning high-risk maternal age needs to be done to improve women’s and children’s health. Keywords: advanced maternal age, primigravida, low birth weight. Correspondence:Ana Lucia Ekowati. Department Of Medical Biology, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. Jl. Pluit Selatan Raya No.19, Jakarta, 14440. Email: ana.lucia@atmajaya.ac.id.
Meta Analysis: Effects of Polycystic Ovarian Syndrome and Maternal Diabetes on the Risk of Autism in Children Sukmakarti, Laksmy Dewi; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.07

Abstract

Background: Autism is a condition of developmental abnormalities in social, communication and behavior aspects. Polycystic ovary syndrome and maternal diabetes during pregnancy contribute more than 50% to the risk of ASD offspring. This study aims to analyze and estimate the influence of polycystic ovarian syndrome and maternal diabetes on autism in children.Subjects and Method: The meta-analysis was carried out according to the PRISMA flow chart and the PICO model. Q: Child, I: Mother with PCOS and maternal diabetes, C: T Mother without PCOS and maternal diabetes, O: Autism. Search for articles in this study through databases that include Google Scholar, Pubmed, ScienceDirect and Sage Journal. With keywords including: Polycystic Ovarian Syndrome” AND “Maternal Diabetes” OR “Gestational Diabetes Mellitus” AND “Autism” OR “Autism Spectrum Disorder” AND “Cohort”. A full paper article with an observational cohort study, the research subject was a child, the size of the relationship used was the adjusted odds ratio, the research outcome was autism. Analysis was performed with Revman 5.3.Results: There were 13 articles with cohort designs originating from America, Denmark, England, Sweden, Israel, China with a total of 4,641,483 research samples. A meta-analysis of 13 cohort studies concluded that children of pregnant women with PCOS had a 1.36 times greater risk of developing autism than those without PCOS, and the effect was statistically significant (aOR= 1.36; 95% CI= 1.24 to 1.49; p<0.001). In addition, pregnant women with maternal diabetes have a 1.24 times higher risk of having a child with autism than those without maternal diabetes, and this effect is statistically significant (aOR= 1.24; 95% CI= 1.08 to 1.43; p=0.002).Conclusion: Pregnant women who have PCOS and maternal diabetes increase the risk of autism in children. Keywords: polycystic ovarian syndrome, maternal diabetes, autism. Correspondence: Laksmy Dewi Sukmakarti. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: laksmysukma@gmail.com. Mobile: +628773-8298156.
The Effect of Maternal Obesity on Fetal Macrosomia: Meta-Analysis Kumalasari, Vilia Ayu; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.05

Abstract

Background: Obesity is a condition that shows an imbalance between height and weight. Obesity in women poses a risk to future pregnancies and their pregnancy outcomes. One of the risks of pregnancy in obese women is the birth of babies with excess weight or macrosomia. Excess birth weight can increase the risk of death for both mother and baby. This study aims to examine the effect of obesity in pregnant women on child birth using macrosomia. Subjects and Method: Meta-analysis was performed with the PRISMA flowchart using PubMed, Science Direct, and Google Schoolar databases. Keywords used ((maternal obesity OR obesity in pregnancy) AND (macrosomia OR large for gestational)). There were 11 studies with a cohort design published in 2012-2022 that met the inclusion criteria. Analysis was performed using Revman 5.3.Results: There were 11 articles originating from three continents, namely Asia (2 studies from China, 2 from Saudi Arabia, 1 from Taiwan), the Americas (3 from the United States, 1 from Brazil), and the European continent (1 from Poland and 1 from Spanish). The heterogeneity of effect estimates between primary studies showed I² = 95% (p<0.001), so the analysis used the Random Effect Model (REM). Obese pregnant women had a 2.03 times risk of having a baby with macrosomia compared to pregnant women without obesity (aOR=2.03, 95% CI=1.88 to 2.18; p<0.001).Conclusion: Obesity in pregnant women increases the risk of having a baby with macrosomia. Keywords: maternal obesity, macrosomia. Correspondence: Vilia Ayu Kumalasari. Master's Program in Public Health, Universitas Sebelas Maret. Graduate School Building Universitas Sebelas Maret, Jalan Ir. Sutami 36 A, Surakarta, Jawa Tengah, 57126. Email: villia.kumalasari@gmail.com Mobile: 082140814930.
Case Study of Internal and External Dimensions Causes of Stunting in Children Under Five in Jombang, East Java Putra, Firdy Rama Permana; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.09

Abstract

Background: Stunting is the result of chronic and recurrent malnutrition in both mother and child. Globally in 2020, 149.2 million (144.4 to 154.2 million) children under the age of 5, or 22.0% (21.3 to 22.7) of all children under five, are estimated to be stunted (too short for their age). The cause of children experiencing stunting is a multidimensional factor, namely malnutrition experienced by pregnant women and toddlers. This study aims to describe the causes of stunting in toddlers. Subjects and Method: This was a qualitative study with a case study approach. This study was conducted at the Health Office of Jombang Regency, East Java, and Mayangan Health Center. A total of 5 key informants, 9 mothers of toddlers as main informants, 1 supporting informant were selected purposively and snowball. Data collection was carried out using interviews, observation, and documentation. Data were analyzed using the Miles and Huberman. Results: Parents' education level, toddler's age, toddler's weight, toddler's height, role of health personals in terms of services, exclusive breastfeeding, provision of complementary foods, level of food diversity, sanitation, infectious diseases are factors causing stunting cases in Jombang Regency, East Java. Things that are less related to the incidence of stunting are the sex of the toddler, the type of parent's job, asset ownership, social protection card, health insurance, health institutions, mother class for toddlers, early childhood education, family planning participation, food insecurity, clean water, ownership of MCH books, complete basic immunization, treatment of sick toddlers, growth monitoring, deliveries at health facilities, and deliveries at health personnel. The visible impact of stunting is that they physically look small when compared to children of their age. Conclusion: There are several internal dimensions and external dimensions that are factors causing the incidence of stunting in Jombang Regency, East Java, including parents' education level, toddler's age, toddler's weight, toddler's height, the role of health personal in terms of services, exclu­sive breastfeeding, provision of complementary foods, diversity in food, sanitation, and infectious diseases. Keywords: stunting, internal dimention, external dimention, toddler. Correspondence: Firdy Rama Permana Putra. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: framapp99@gmail.com. Mobile: +6289666988490.
Effect of the Combination of Acupressure and Moringa oleifera Extract Consumption on Elevating Breast Milk Production and Adequacy in Lactating Mothers Wahidah, Nurul; Eko Ningtyas, Endah Aryati; Latifah, Leny
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.11

Abstract

Background: Exclusive breastfeeding is highly recommended because the nutrition is suitable for babies. However, there are still many babies who do not get exclusive breastfeeding. For this reason, there is a need for innovation that can be used as an effort to increase the production and adequacy of breast milk for breastfeeding mothers with a combination of Accupresure and Moringa oleifera extract. This study aimed to prove the potential of a combination of acupressure and Moringa oleifera extract as an intervention in increasing the production and adequacy of breast milk for breastfeeding mothers.Subjects and Method: This study used quasi experiment and pretest-posttest design with control group conducted at the Kelingi IV/C Health Center, Musi Rawas Regency, from December 2022-January 2023. It consisted of an intervention group consisting of a combination of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract and a control group of counseling for breastfeeding mothers, namely 40 breastfeeding mothers with babies 0-6 months. The dependent variables were the hormone prolactin and baby's weight. The independent variable was the combination of acupressure and extra Moringa oleifera. The data were analyzed by Wilcoxon.Results: The indicator affected by the combination of acupressure and Moringa oleifera extract was an increase in milk production using the prolactin hormone indicator after intervention (Mean= 304.60; SD=131.22) than before intervention (Mean= 162.85; SD= 140.44), and this was statistically significant (p<0.001). There was an increase in the adequacy of breastfeeding using the infant's weight indicator after intervention (Mean= 5550.00; SD=1240.75) than before intervention (Mean= 5015.00; SD= 1444.87), and this was statistically significant (p=0.030).Conclusion: The combination intervention of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract for 10 days effectively increases the production and adequacy of breast milk for nursing mothers. Keywords: acupressure, Moringa oleifera, prolactin hormone, baby's weight. Correspondence: Nurul Wahidah. Applied Masters Program, Postgraduate School, Health Polytechnic, Ministry of Health, Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Kota Semarang, 50239, Central Java, Indonesia. Email: wahidahnurul246@gmail.com.
Determinant Factors of Anemia in Pregnant Women at Kebomas Health Center Eka Puspitasari, Dyan; Katmini, Katmini
Journal of Maternal and Child Health Vol. 8 No. 5 (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.2023.08.05.12

Abstract

Background: The period of pregnancy is when the body really needs maximum food intake, both physically and spiritually. This study aimed to examine the effect of nutritional intake, trust, and iron consumption compliance on anemia in pregnant women at the Kebomas Health Center. Subjects and Method: This was cross-sectional study in the Kebomas Health Center Work Area. A sample of 168 pregnant women was selected by simple random sampling. The dependent variable was anemia. The independent variables were nutritional intake, trust, and iron consumpt­ion compliance. The data were collected by the questionnaire and analyzed by multiple logistic regression. Results: Anemia in pregnant women increased with poor nutritional intake (aOR= 19.52; 95% CI= 14.87 to 38.37; p= 0.001), less trust (aOR= 18.37; 95% CI= 13.34 to 36.09; p= 0.001), and inadherent to iron con­sumption (aOR= 14.82; 95% CI= 10.28 to 27.34; p <0.001). Conclusion: Anemia in pregnant women increases with poor nutritional intake, less trust, and inadherent to iron con­sumption. Keywords: nutrition intake, compliance, anemia. Correspondence: Dyan Eka Puspitasari. Master’s Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila No. 37, Kediri 64133, East Java, Indonesia. Email: dyanekapuspitasari­@gmail.com. Mobile: +628123129993.
Factorial Validity and Reliability of a Food Behavior Checklist for Japanese Pregnant and Postpartum Women Fujita, Megumi; Yamaguchi, Sanae; Banna, Jinan; Suzuki, Asuka
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.06

Abstract

Background: Dietary education programs for pregnant and postpartum Japanese women are conducted during health check-ups and in childbirth education classes, but there is no tool to evaluate their food behavior. Therefore, this study examined the factorial validity, test–retest reliability, and internal consistency of the food behavior checklist (FBC) for pregnant and postpartum Japanese women. Subjects and Method: This was a longitudinal study. We screened 4,000 women aged 18–45 years who were either pregnant or nursing an infant aged <1 years and enrolled in Freeasy, a platform with 4.5 million panels. Data were collected from 97 pregnant women and 203 postpartum women through an online survey. They completed the 21-item FBC on a web survey twice at an interval of 3 weeks. After performing principal component analyses, internal consistency was calculated using Cronbach’s α. The intraclass correlation coefficient (ICC) and kappa (κ) coefficient were calculated to assess the test–retest reliability. Results: There were 21 items loaded on six factors (fruit and vegetable quantity, vegetable variety, balanced fish and meat intake, sweetened beverages, eating habits, and food consciousness). Cronbach’s α for the total scale was 0.77. ICC for the test–retest reliability of individual items ranged from 0.35 to 0.62, and ICC for the total scale was 0.62. The κ coefficient values ranged from 0.26 to 0.52, indicating fair-to-moderate strength of agreement between the test and retest. Conclusion: The FBC demonstrated factorial validity, test–retest reliability, and internal consistency, indicating its potential application in evaluating the effects of the dietary education programs on pregnant and postpartum women, which include taking a staple meal, folic acid, and avoiding raw food consumption. This compact tool can be conveniently used by midwives and provide practical guidance during maternal health check-ups. Keywords: pregnant, postpartum, dietary, checklist, reproducibility. Correspondence: Megumi Fujita. Yamagata University, 2-2-2 Iida Nishi Yamagata, 990-9585, Japan. Email: f.megumi@med.id.yamagata-u.ac.jp Mobile: + 81 23-628-5443.
Towards Optimizing Caesarean Section: Robson Ten Group Analysis of Caesarean Section and It’s Determinants in a Tertiary Hospital in South-South, Nigeria Makinde, Olakunle Ifeoluwa; Osegi, Nkencho
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.02

Abstract

Background: To optimize caesarean section (CS), Robson classification is useful for audit of CS rates within and across hospitals and regions. Valid conclusions are also possible by analyzing other characteristics of parturients that determine CS rates based on Robson groups. This study aimed to analyzed CS rate and determine the impact of parturients’ age and booking status on delivery by CS based on Robson classification.  Subjects and Method: A cross-sectional descriptive study that classified parturients into Robson 10-groups using data from hospital records at the Federal Medical Centre Yenagoa (FMCY) in Bayelsa State, south-south, Nigeria. The dependent variable was mode of delivery. The independent variables were parturients’ age and booking status by Robson group. The study instrument was a predesigned spreadsheet used to collect real-time relevant data on all deliveries from patients’ hospital records. Descriptive statistics were presented using frequencies, percentages, mean and standard deviation. Chi-square, Exact test and logistic regression were used to determine association of parturients’ age and booking status with mode of delivery. Level of significance was p <0.05. Results: There were 556 deliveries during the study period and 269 CSs, giving a CS rate of 48.4%. Robson group 3 made the highest (27.9%) contribution to CS rate, followed by group 10 (22.3%), 5 (13.8%) and 1 (11.2%). The commonest indication for CS was cephalopelvic disproportion, followed by severe preeclampsia. Booked parturients in Robson groups 1 and 3 had 61.0% reduced odd (OR= 0.39; 95% CI = 0.15 to 0.99; p = 0.050) and 74.8% reduced odd (OR= 0.25; 95% CI= 0.14 to 0.45; p < 0.001) of delivery by CS, respectively.   Conclusion: The CS rate at the FMCY was contributed largely by group 3, 10, 5 and 1 parturients. Using Robson classification, CS rate can be focused to targeted intervention to optimize CS.  Keywords: caesarean section rate, hospital, Robson classification, Robson 10-group. Correspondence: Olakunle Ifeoluwa Makinde. Department of Obstetrics and Gynaecology, Federal Medical Centre Yenagoa, Bayelsa State, Nigeria. Email: olakunleife@gmail.com. Mobile: +2348032136315.
Mindfulness Based Cognitive Therapy on the Anxiety Reduction in 3rd Trimester of Pregnant Women Sundari; Runjati, Runjati; Mardiyono, Mardiyono
Journal of Maternal and Child Health Vol. 8 No. 6 (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.2023.08.06.09

Abstract

Background: Untreated pregnancy anxiety can have a significant impact on the pregnancy and postpartum outcomes. Causing mental disorders during pregnancy has an increased risk and adverse effects on the mother and fetus. Mindfulness Based Cognitive Therapy (MBCT) can increase awareness about the function of thought patterns in daily activities and is able to control awareness of thoughts, feelings and body gestures that can affect anxiety levels and cortisol hormones in the body. This study aimed to examine the effect MBCT to reduce anxiety in 3rd trimester of pregnant women. Subjects and Method: This was a randomized controlled trial. A sample of 20 pregnant women divided into two groups. Intervention group was MBCT with 8 sessions for 30 minutes each session within a period of 2 weeks. The control group was health education and usual care. The dependent variable was anxiety. The independent variable was MBCT. Anxiet was measured using HARS questionnaires. Difference of anxiety between groups were tested using independent t-test. Results: Mean of anxiety score in the MBCT group (Mean= 16.40; SD= 4.01) was lower than in the control group (Mean= 23.60; SD= 7.37), and it was statistically significant (p = 0.015). Conclusion: MBCT is effective to reduce anxiety in 3rd trimester of pregnant women. Keywords: Mindfulness Based Cognitive Therapy, pregnancy, anxiety. Correspondence: Sundari. Master’s Program of Applied Midwifery, Health Polytechnics, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Central Java 50268. Email: sundarisst3@­gmail.com. Mobile: 0821-7591-9584.

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