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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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Effectiveness of Auricular Acupuncture on Interleukin-6 Levels and the Duration of Birth Delivery in Primigravida Mothers during Active Phase of Labor Setiawandari, Setiawandari; Andarwulan, Setiana; Hubaedah, Annah
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.2023.08.06.08

Abstract

Background: Auricular acupuncture (AKAR) is a diagnostic and treatment system based on normalizing bodily dysfunctions through stimulation of specific points on the ear. Ear stimulation involves neurological reflexes, neurotransmitters, cytokines, the immune system, and inflammation. Subjects and Method: This study is a true experimental design with a pretest-posttest control group. The study population was all 43 primigravida mothers who were expected to give birth between May and July 2023. The research sample was part of the first stage of labor during the primigravida active phase. The selection of research subjects was carried out by consecutive sampling. Subjects who met the inclusion criteria were divided into two groups, namely the AKAR intervention group and the deep breathing relaxation control group. The dependent variable was auricular acupuncture, and the independent variable was a duration of labor and interleukin-6. The instrument uses laboratory tests that are carried out, the research site only has a simple laboratory room and does not have a deep freezer - 800C, so the biomarker test is carried out in the laboratory. Assessment of the length of labor using a partograph. Data analysis used the Mann-Whitney test,  the Wilcoxon Signed Rank test and the Independent  Sample test Results: The results of post-treatment serum IL-6 levels in the AKAR group were higher (Mean= 187.24; SD= 41.65) pg/mL before the pre-treatment (Mean= 157.67; SD= 51.85) pg/mL, and this difference was significant (p <0.001). Post-treatment serum IL-6 levels in the RND group were higher (Mean= 181.30; SD= 56.86) pg/mL before the pre-treatment (155.65; SD= 50.07) pg/mL. The results of the pre-treatment serum IL-6 levels in the AKAR group were slightly higher (Mean= 157.67; SD= 51.85) pg/mL compared to the RND group (Mean= 155.65; SD= 50.07) pg/mL. Post-treatment, the IL-6 serum level in the AKAR group were higher (Mean= 187.24; SD= 41.65) pg/mL compared the RND group (Mean= 181.30; SD=56.86) pg/mL. The AKAR group had 12 (57%) active phase I stages of labor that lasted less than 360 minutes and 9 (33%) more than 360 minutes. In the RND group, 9 (45%) delivered less than 360 minutes, and 11 (55%) more than 360 minutes. The mean length of labor for the AKAR group was shorther (Mean= 365.40; SD= 65.60) minutes than the RND group (Mean= 407.55; SD = 77.27). Conclusion: There was a difference between IL-6 levels before and after treatment, so it was concluded that AKAR and RND affected serum IL-6 levels in the first stage of labor in the active primigravida phase. There was no significant difference in the length of labor in the active phase of the first stage of labor in primigravidas between AKAR and RND. Keywords: acupuncture, auricular, interleukin-6, length of labor. Correspondence: Setiana Andarwulan. Program Study Midwife Professional Education, Faculty of Science and Health, PGRI Adi Buana University, Surabaya Jl Dukuh Menanggal XII No. 4, East Java, Indonesia. Email: setianaandarwulan@unipasby.ac.id. Mobile: 085806227033.
Factors Affecting Nutritional Status (Height for Age) of Children Under Five in Rote Ndao District, Kupang, Nusa Tenggara Timur, Indonesia Picauly, Intje; Boeky, Daniela; Oematan, Grouse
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.04

Abstract

Background: Nusa Tenggara Timur (NTT) Province has many problems related to nutritional intake and public health. Pregnant women and children under five are groups of people who are very vulnerable to this problem. Many government programs have been implemented but to date there are still high maternal and infant mortality rates as well as high problems of malnutrition and stunting. This study aimed to determine what factors influence the nutritional status of toddlers in Rote Ndao Regency. Subjects and Method: This was a cross-sectional study conducted in Rote Ndao Regency, Kupang, NTT, Indonesia, from August to November 2023. A total of 43 mothers who had children aged 12-59 months were selected for this study. The dependent variable was nutritional status (height for age/ HAZ). The independent variables were maternal knowledge on nutrition and stunting, history of infectious diseases, and local-food-based supplementary feeding. Supplementary feeding was measured using food frequency questionnaire (FFQ). Nutritional status was measured by height for age. The data were analyzed using a multiple linear regression. Results: Maternal nutritional knowledge (b= 0.37; 95% CI = 0.23 to 0.50; p = 0.001), no history of infection (b= 0.98; 95% CI= 0.72 to 1.24; p= 0.001), and local-food-based supplementary feeding (b= 1.33; 95% CI= 0.71 to 1.96; p= 0.001) positively and significantly increased nutritional status (height for age) in children under five. Conclusion: Maternal nutritional knowledge, no history of infection, and local-food-based suplementary feeding positively and significantly increase nutritional status (height for age) in children under five.
Correlation between Preeclampsia and Infant Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Zuvarcan, Diaz Alifarizki; Putra, David Anggara; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.03

Abstract

Background: Preeclampsia is a pregnancy complication with a triad of symptoms including high blood pressure, proteinuria, and tissue swelling as well as convulsions and coma. Preeclampsia in pregnant women can cause disruption in the supply of nutrients and oxygen to the fetus which can inhibit fetal growth and development (intrauterine growth restriction). In several similar previous studies, there were different variations in results which could be caused by multifactorial factors. This research was conducted to determine the relationship between preeclampsia in pregnant women and low birth weight babies by including confounding factors into the research. Subjects and Method: This was a retrospective case control study at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. A total of 120 live birth infants was selected using purposive sampling. The dependent variable was low birth weight (LBW). The independent variables were pre­eclampsia, maternal age, gestational age, parity, gemelli, anemia, and asthma. Data were collected from medical records of Dr. Moewardi Hospital from January to December 2022. The data were analyzed using a multiple logistic regression. Results: Preeclampsia increased LBW by 7.75 times compared to without preeclampsia, and this was a statistically significant (OR= 7.75; 95% CI= 2.77 to 21.71; p<0.001). In addition, there was a confounding variable of gestational age (OR= 18.47; 95% CI= 6.46 to 52.79; p<0.001). Conclusion: Preeclampsia increases LBW, and this is a statistically significant.
Meta Analysis: Effect of Exclusive Breastfeeding on Child’s Development Dwiantini, Feby; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.05

Abstract

Background: Breast milk contains enough nutritional content for infants aged 0 to 6 months even without additional food. Exclusive breastfeeding has a positive impact on growth and development disorders experienced by babies. This study aimed to analyze and estimate the effect size of exclusive breastfeeding on 5 areas of child development, namely gross motor, fine motor, communication, problem solving and personal social. Subjects and Method: It was a meta-analysis study conducted in accordance to PRISMA flow chart and PICO. Population= children aged 6 months to 5 years. Intervention= exclusive breast­feed­ing. Comparison= non-exclusive breastfeeding. Outcome= child development (gross motor, fine motor, communication, problem solving, and personal social). Articles were obtained from Google Schoolar, Science Direct, and PubMed. Inclusion criterias were cohort study, full text article, and child development measurement using the ages & stages questionnaire. Data analysis was conducted using Revman 5.3. Results: 8 cohort studies from the America, Australia, Europe, Africa, and Asia were selected for meta-analysis. Total sample was 22,048. Exclusive breastfeeding increased child’s development (aOR= 1.07; 95% CI= 1.04 to 1.10; p < 0.001). Exclusive breastfeeding had a positive effect on all five areas of gross motor development (aOR= 1.05; 95% CI= 1.00 to 1.10; p= 0.030), fine motor (aOR= 1.10; 95% CI= 1.02 to 1.18; p= 0.009), communication (aOR= 1.06; 95% CI = 1.01 to 1.11; p= 0.020), problem solving (aOR= 1.12; 95% CI= 1.02 to 1.21; p= 0.010) and personal social (aOR= 1.10; 95% CI= 1.03 to 1.17; p= 0.005). Conclusion: Exclusive breastfeeding significantly increases child’s development.
Effects of Husband Support, Family Income, Employed Mothers, and Antenatal Care Visit on Exclusive Breastfeeding Widiantoro, Reza; Khairunnisa1, Khairunnisa; Furqon, Mashaf Fahrur Murdo; Murti, Bhisma; Handayani, Anggun Fitri
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.06

Abstract

Background: Breastfeeding is advantageous to the infants health. Employed mothers experienced various challenges in providing exclusive breastfeeding. Studies suggest that husband support contribute to lactating mothers efficacy, improves breastfed duration, and reduces risk factors for bottle feeding. This study aimed to estimate the influence of husband's support, income, working mother, and ANC visits on exclusive breastfeeding. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA and PICO model. Population= lactating mothers. Intervention= low husband's support, high income, employed mother, irregular ANC visit. Comparison= high husband's support, low income, unemployed mother, regular ANC visits. Outcome= exclusive breastfeeding. Articles published from 2013 to 2023 were collected from Google Scholar, PubMed, and Science Direct. Literature search using the keywords "family support or husband support" AND "Income" AND "Employment" AND "Antenatal Care Visit" or "ANC Visit" AND "Exclusive Breastfeeding" AND "Cross Sectional". Selected articles were assessed using RevMan 5.3. Results: 18 cross sectional studies from Indonesia, Ethiopia, Somalia, Brazil, Thailand, Taiwan, Jordan, and India were selected for meta-analysis. Total sample was 7,234. High husband's support (aOR= 3.41; 95% CI= 2.36 to 4.91; p= 0.010), regular ANC visits (aOR=1.87; 95% CI= 1.11 to 3.17; p= 0.020) significantly increased exclusive breastfeeding. High income (aOR= 1.11; 95% CI= 0.51 to 2.44; p=0.790) and unemployment mothers (aOR= 1.11; 95% CI= 0.46 to 2.68; p=0.820) increased exclusive breastfeeding, but it was statistically non-significant. Conclusion: High husband support, regular ANC visits, high income, and unemployed mothers increase exclusive breastfeeding.
Assessment of risk factors for Neonatal Abstinence Syndrome (NAS) using a Standardized Surveillance Case Definition in Clark County, NV Bryant, Rachel; Delise, Brandon; Zhang, Ying; Beckford, Niema; Lockett, Cassius
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.07

Abstract

Background: Neonatal Abstinence Syndrome (NAS) is a withdrawal syndrome in neonates that can occur due to drug exposure during pregnancy. This study had two objectives: (1) Assess the implementation of the Council of State and Territorial Epidemiologists (CSTE) Tier 2 case definition for NAS surveillance in Clark County, Nevada and (2) Identify risk factors for NAS. Subjects and Method: This study utilized hospital discharge data. Claim-based records from non-federal acute care hospitals located in Clark County during 2016-2022 were analyzed.  All newborn inpatient discharge records from January 1, 2016 to September 30, 2022 in Clark County, Nevada were selected.  ICD-10-CM codes were utilized based on the CSTE Tier 2 case definition. Any neonate record that met the case definition, including any record with the diagnosis code P96.1, was considered a NAS confirmed case. Codes for suspect cases, maternal history of substance use, unspecified maternal medication, and transmitted noxious-substances were also assessed. A multiple logistic regression model using backward stepwise selection was developed to find risk factors related to NAS-confirmed births. Results: In Clark County, Nevada, the NAS incidence rate from January 2016 to September 2022 was 7.4 per 1,000 births. In 2022 alone, the rate of NAS was 8.9 per 1,000 births. Estimated rates of NAS were highest among neonates who were White at 13 per 1,000 births. Hospital J, the largest academic medical center in Southern Nevada, had the highest NAS confirmed case rate at 11.3 per 1000 newborn hospitalizations. Results from the multiple logistic regression model showed the odds of being born with NAS among neonates who identified as White were 5.0 (OR=5.17; 95% CI= 4.29 to 6.24; p <0.001) times more likely to have NAS compared to the Hispanic group. Conclusion: Given that 2022 had the highest rate of confirmed NAS cases there is a need to collect substance and diagnosis-specific data about prenatal substance use to identify unmet service care and disparities.
A Systematic Review of NT-proBNP as Prognostic Biomarker for Preeclampsia Complications Bachnas, Muhammad Adrianes; Asaduddin, Aiman Hilmi; Ali, Agni Shalha; Indarta, Ardhia Fefrine; Anshari, Shafira Yasmine; Febrinasari, Ratih Puspita; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.06

Abstract

Background: Preeclampsia can lead to maternal and fetal complications due to its ability to cause multiple organ disorders. Interestingly, N-terminal pro-brain-type natriuretic peptide (NT-proBNP) levels were higher in preeclampsia than in non-preeclampsia, representing cardiovascular mal¬function as the potential cause. Moreover, NT-proBNP also has a potential role in predicting complications that will arise in preeclampsia. This systematic review was performed to determine the role of NT-proBNP plasma levels in predicting maternal and fetal complications in preeclampsia.Subjects and Method: This systematic review was conducted based on PRISMA-P by previous observational study from scientific databases, namely Hinari, Cochrane Library, ScienceDirect, Scopus, and grey literature in OCLC’s OAISTER between 2006 and 2021. The search keyword used were ((NTproBNP) OR (NT-proBNP) OR (N-terminal pro-BNP) OR (N-terminal pro-Brain Natriuretic Peptide)) AND ((preeclampsia) OR (pre-eclampsia)) AND (pregnancy complications). Newcastle - Ottawa Quality Assessment Scale (NOS) was used to assess quality of included studies.Results: After study selection, five studies from 156 studies were considered eligible and selected in this systematic review. The results showed that pre-eclampsia complications occurred with NT-proBNP levels above 500 mg/dL, which cardiovascular complications may occurred above 700 mg/dL. NT-proBNP levels were higher in women with maternal complications such as placental abruption, HELLP (Hemolysis, elevated liver enzyme levels, and low platelet levels) syndrome, eclampsia, pulmonary oedema, congestive heart failure, cerebrovascular accident, renal dysfunction, and hypertensive retinopathy. Furthermore, increased NT-proBNP levels were associated with fetal growth restriction, resulting in low birth weight. NT-proBNP was significantly higher in pregnant women due to a combination of pre-existing volume overload and NT-proBNP clearance dysfunction in kidney. Conclusion: NT-proBNP levels were associated with adverse outcomes in preeclampsia. NT-proBNP serum levels could be used to predict maternal-fetal complications in preeclampsia.
The Effectiveness of Online Learning to Improve Knowledge About Metabolic Syndrome in Pregnancy Sri Sulistyowati; Muhammad Adrianes Bachnas; Eric Edwin Yuliantara; Anggraini, Nutria Widya Purna; Wisnu Prabowo; Supriyadi Hari Respati; Hafi Nurinasari; Robert Ridwan; Lini Astetri; Arib Farras Wahdan; Yonathan Siswo Pratomo; Vidya Ismiaulia
Journal of Maternal and Child Health Vol. 9 No. 2 (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.2024.09.02.04

Abstract

Background: Metabolic syndrome is a persistent global health problem and a risk factor for diabetes and heart disease. A metabolic syndrome that occurs during pregnancy will pose a threat to maternal and fetal health. The incidence of metabolic syndrome during pregnancy, especially in developing countries, will become a serious public health problem in the future. This study aims to assess the effectiveness of online learning in improving the knowledge of online learning participants on metabolic syndrome cases in pregnancy. Subjects and Method: This was a cross-sectional study conducted in July through Zoom online learning on Metabolic Syndrome in Pregnancy attended by 125 participants. The dependent variable was knowledge about metabolic syndrome in pregnancy. The independent variable was online learning. The data obtained from this study were in the form of pretest and post-test scores. The data were analyzed by t-test. Results: The mean score of knowledge about metabolic syndrome in pregnancy after online learning was higher (Mean= 90.8; SD= 14.05) than before (Mean= 60.08; SD= 6.94), and this was statistically significant (p= <0.001). Conclusion: Online learning is effective to improve knowledge about metabolic syndrome in pregnancy among Indonesian Obstetrics and Gynecology Association (POGI) members and young POGI members.
Effectiveness of Rose and Jasmine Aromatherapy on The Phase 1 Labor Duration in Intrapartum Mothers at Aisyiyah General Hospital, Kudus, Central Java Asmawati, Lilik; Fatmasari, Diyah; Suwondo, Ari; Widyawati, Melyana Nurul
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.10

Abstract

Background: Unhandled prolonged labor can cause death for the mother and baby. Prolonged labor is caused by inadequate contraction. Uterotonics and aromatherapy can improve the contraction. Rose and jasmine aromatherapy increase oxytocin level and aid the birth process. This study aims to compare the effectiveness of rose and jasmine aromatherapy on duration of labor in women in the first stage of labor at Aisyiyah Hospital Kudus. Subject and Methods: This research was a true experimental study with posttest-only control group design. The number of samples was determined using simple random sampling. The number of samples was 45 respondents (15 rose aromatherapy, 15 jasmine aromatherapy, 15 control). Aromatherapy (1-3%) was given through diffuser for 30 minutes. Each respondent who had prolonged labor was given aromatherapy during first stage of labor, then the duration of labor was measured. The data was analyzed using Kruskal-Wallis test. Results: In the normality test by Shapiro-Wilk test, the value of p=0.006 (p<0.05), which means that the data is not normally distributed. Homogeneity test with the Lavene test yields p=0.044 (p<0.05) which indicates that the variance of data is not homogeneous. Then continued with the Kruskal-Walls test, it was found that there was no significant difference in the effectiveness of giving rose aromatherapy, jasmine aromatherapy and standard treatment on the duration of labor in women with prolonged labor (p=0.104). Conclusion: There was no significant difference in the labor duration in rose, jasmine and control groups.
Newborn Calf Circumference to Identify Low Birth Weight Neonates Atriadewi, Hambrah Sri; Hafidh, Yulidar; Andarini, Ismiranti
Journal of Maternal and Child Health Vol. 9 No. 1 (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.2024.09.01.09

Abstract

Background: The absence of birth weight records for infants remains a prevalent issue in developing countries, including Indonesia. The timely identification of low birth weight (LBW) and premature neonates, particularly those born outside well-equipped healthcare facilities is vital within the critical first 48 hours of life. This study aimed to ssess the potential utility of calf circumference in identifying low birth weight infants. Subjects and Method: A cross-sectional study was conducted on 100 neonates aged between 0 – 48 hours old who were treated at Dr. Moewardi General Hospital, Surakarta from May 2022 to August 2022. The dependent variable was neonates birth weight. The independent variables was calf circumference. Calf circumference was measured using non elastic but flexible measuring tape, with measure­ment precision up to the nearest 0.1 cm. The cut-off point of calf circumference was determined with the ROC curve. Results: Calf circumference significantly correlates with birth weight (p<0.001), with r=0.969. The calf circumference cut-off value of 10.35 cm in LBW had an AUC of 0.99, a sensitivity of 98.0%, a specificity of 98.0%, and a positive predictive value of 98.0%, a negative predictive value of 98.0%. The calf circumference cut-off value was 8.85 cm for LBW neonates, which had an AUC of 0.93, with a sensitivity of 83.9%. specificity 85.7%, positive predictive value 98.7%, negative predictive value 28.6%. Conclusion: Calf circumference in newborns can be used to identify neonates with low birth weight.

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