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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 537 Documents
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Delta Neutrophil Index and C-Reactive Protein as Predictors of Mortality in Early Onset Neonatal Sepsis at Dr. Moewardi Hospital Deaneva, Almira Muthia; Siregar, Rustam; Martuti, Sri
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.2024.09.02.08

Abstract

Background: Neonatal sepsis is an infection disease in newborns that still be a major problem in developing countries such as Indonesia. Early onset sepsis has higher mortality and morbidity. A simple and applicable biomarkers are needed to predict mortality in early onset neonatal sepsis. This study aimed to investigate whether Delta Neutrophil Index (DNI) and C-Reactive Protein (CRP) can be used as predictors of mortality in early onset neonatal sepsis. Subjects and Method: A cohort study that was conducted at neonatal HCU and NICU at Dr. Moewardi Hospital from March to June 2023. Total of 30 neonates aged 0-72 hours which met the inclusion criteria and became research subjects. The dependent variable was the mortality of neonatal sepsis. The independent variable were levels of DNI and CRP values.  The instruments were flowcytometry to measure levels of DNI and Enzyme Linked Immunoassay (ELISA) for determining CRP values. Data were analyzed using SPSS 25.0. Bivariate analysis was using Chi square and Fisher exact followed by multivariate analysis using logistic regression with p<0.05. Results: Thirty early onset septic neonates were included in study, of whom 17 children died and 13 children survived. Both DNI and CRP had significant correlation with mortality of neonatal sepsis (p<0.001). The DNI cut-off value of ≥ 5.4% (OR = 10.83; 95% CI 1.96 to 59.63; p = 0.004) can predict mortality in early onset neonatal sepsis. The CRP cut-off values of ≥5.75 mg/L (OR = 15.56;  95%CI 2.59 to 93.57; p = 0.001) could predict early onset neonatal sepsis mortality. Other factors such as gender, gestational age, birth weight and blood culture couldn’t be used as predictors of mortality in neonatal sepsis, with p value >0.05. Conclusion: DNI and CRP could be used as predictors of mortality in early onset neonatal sepsis.
The The Role of Lactate Level as Predictor of Mortality Critically Ill Children at Moewardi Hospital Zilmi, Reza Ervanda; Pudjiastuti, Pudjiastuti; Siregar, Rustam
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.2024.09.01.08

Abstract

Background: The prevalence of mortality among critically ill children worldwide, particularly in Indonesia, remains alarmingly high. Numerous studies have indicated that elevated lactate levels serve as a significant predictor of mortality in this vulnerable population. The primary objective of this study is to elucidate the predictive value of lactate levels in determining mortality risk among critically ill children. Subjects and Method: A cohort prospective study was conducted in children aged between 1 month and 18 years old who met the criteria for critically ill children treated in the Pediatric High care unit (PHCU) of Dr. Moewardi General Hospital, Surakarta from January to June 2023. The dependent variable was the mortality. The independent variable was lactate level serum. The data were collected using questionnaire and observation sheet. The cut off point of lactate level was determined with  ROC curve. Results: Among thirty critically ill pediatric patients, 43.3% died, while 56.7% survived. The deceased predominantly comprised females, with a mean age of 5.62 years (SD= 4.14). The mean lactate levels of those who died in the first hour, 6 hours, and 24 hours (Mean= 2.94; SD= 0.90) with a cut-off value of ≥2.35 mmol/L, (Mean= 3.20; SD= 0.50) with a cut-off value of ≥ 2.35 mmol/L and (Mean= 3.65; SD= 0.53) with a cut-off value of ≥2.95 mmol/L, respectively. The 24th hours lactate levels (persistence hyperlactatemia) had the highest sensitivity (92.3%) and specificity (100%) for predicting mortality (p<0.001). Conclusion: In critically ill children, lactate level of ≥2.95 mmol/L is a good predictor of mortality.
The Relationship between Clean and Healthy Living Behavior and Risk of Diarrhea in Toddler Febriawan, Naufal Rafi'; Khasanah, Uswatun; Yusuf, Ade
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.2024.09.02.09

Abstract

Background: Diarrhea is a process of defecation in which the stool is more liquid which can be accompanied by blood or mucus with the intensity of defecation increasing more than 3 times a day. The occurrence of diarrhea in children is often attributed to inadequate environmental hygiene. This study aimed to examined the relationship between clean and healthy behavior (PHBS) and diarrhea among toddlers in the working area of ​​the Kalijaga Permai Cirebon Community Health Center. Subjects and Method: This was a cross-sectional study conducted at ​​the Kalijaga Permai Cirebon Community Health Center from May to June 2023. A total of 119 mothers with toddlers (aged 0-59 months) was selected for this study. The dependent variable was diarrhea. The independent variable was clean and healthy behavior (PHBS). The data were collected using a questionnaire and analyzed using chi square. Results: Mothers with poor PHBS increased the risk of diarrhea in children by 4.69 times compared to good PHBS (OR= 4.69; 95% CI = 3.04 to 7.24; p<0.001). Conclusion: Implementation of household clean and healthy behavior lower the risk of diarrhea.
Exploring the Drivers of Home Births: Perspectives, Risks, Benefits, and Policy Implications in Zamboanga Sibugay, Philippines Modillas, Marichu B.; Oliva, Dave L.; Opada, Lynne Leah M.; Gallego, Randy Ian
Journal of Maternal and Child Health Vol. 9 No. 3 (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.2024.09.03.04

Abstract

Background: The persistence of home births in the Philippines remains conspicuous, despite the enforcement of policies discouraging this practice and the prevailing concerns about its safety. This research aims to delve into the various perspectives of women concerning home births to describe the underlying motivations behind their choices, their perceptions of the associated risks and benefits, and their stance on the “no home-birthing policy” of the state. Subjects and Method: This was a descriptive, cross-sectional study involving 80 mothers drawn from Malangas, Zamboanga Sibugay, Philippines through a referral-based sampling method. The study examined sociodemographic characteristics as independent variables, while dependent variables included perceived reasons for home birth preference, associated risks and benefits, and respondents' views on the "no home-birthing" policy. Data were described in descriptive statistics. Results: The findings showed that the inclination of women toward giving birth at home without the presence of professional birth attendants emanates from a multitude of factors. These include economic considerations, the sense of a familiar and comfortable environment, deeply rooted cultural beliefs, challenges related to accessibility to health facilities, and geographical impediments. Notwithstanding the inherent health risks, women opt for home births due to cost considerations, improved accessibility, and as a means of expressing their cultural and personal convictions. Consequently, the "no home-birthing policy" implemented in the Philippines is seen to reflect an effort to safeguard maternal and neonatal health by promoting facility-based deliveries. Conclusion: The study underscores the importance of developing a holistic healthcare strategy that harmonizes women's autonomy and cultural practices with the crucial goal of ensuring safe childbirth, especially in marginalized areas.
Is Low Dose Aspirin Reduced the Risk of Preeklampsia? Kurrniati, Era; Murti, Bhisma; Pamungkasari, Eti Poncorini
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.2024.09.02.01

Abstract

Background: The maternal mortality rate is the number of maternal deaths resulting from pregnancy, childbirth and postpartum processes, which is an indicator of women's health status. Efforts that can be made to accelerate the reduction in maternal mortality are by ensuring that every mother is able to access quality health services. Low-dose aspirin has been proven to be a safe and effective primary prevention of preeclampsia. This study aims to determine the effect of low dose aspirin on the incidence of preeclampsia. Subjects and Method: Cross sectional research was conducted at the Community Health Center, Blora, Central Java, Indonesia. A sample of 200 pregnant women was selected using random sampling. The dependent variable is preeclampsia. The independent variables are age, income, aspirin consumption, primigravida, multigravida and hypertension. Data were collected by questionnaire and analyzed by multiple logistic regression. Results: The results of logistic regression analysis in this study concluded that the risk of preeclampsia increased at age <20 years or ≥35 years (OR= 4.62; 95% CI= 1.89 to 11.28; p= 0.001), gravida 2-3 (OR= 3.03; CI 95 %= 1.01 to 9.05; p= 0.047), gravida ≥3 (OR= 4.41; 95% CI= 1.07 to 18.18; p= 0.040) and history of hypertension (OR= 2.41; 95% CI= 1.02 to 5.69; p= 0.005 ). The risk of preeclampsia decreased with income > IDR 2,000,000 (OR= 0.44; 95% CI= 0.22 to 0.87; p= 0.019) and administration of low-dose aspirin (OR= 0.13; 95% CI= 0.05 to 0.35; p <0.001). Conclusion: The risk of preeclampsia increases with age, gravida 2-3, gravida ≥3 and history of hypertension. The risk of preeclampsia decreases with high income and administration of low-dose aspirin.
Effect of Gadget Use on the Development of Language and Speech Ability in Children Under Five Purnama, Hanif Wildan; Pamungkasari, Eti Poncorini; Murti, Bhisma
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.2024.09.02.10

Abstract

Background: Language development is a hierarchical change that begins with hearing and learning through hearing through the sounds of words. This research aims to analyze the effect of gadget use on language and speaking abilities. Subjects and Method: An observational analytical research design using a cross sectional approach was carried out at Bayu Asih Hospital, Purwakarta and Rama Hadi Hospital, Purwakarta in November 2023. A total of 200 children under five were used using a random sampling technique. The dependent variable is language and speech delays. The independent variables are gadget use, mother's employment, mother's education, family income, and child's education. The instruments used were Early Detection of Communication Ability Disorders (DDGKB) and questionnaires. Data analysis uses path analysis. Results: The results of path analysis explain that there is an influence of gadget use (b=1.85; 95% CI=1.02 to 3.40; p=0.044), gender (b=1.85; 95% CI=1.02 to 3.40; p=0.044) and parental income (b =1.85; 95% CI=1.02 to 3.40; p=0.044), mother's employment (b=0.56; 95% CI=0.31 to 1.02; p=0.058), mother's employment (b=0.56; 95% CI=0.31 to 1.02 ; p=0.058) and mother's education (b=0.91; CI 95%=0.48 to 1.73; p=0.783) and child's education (b=0.74; CI 95%=0.42 to 1.34; p=0.325) on speech delays in children. Conclusion: Gadget use, gender, parental income, maternal employment, maternal education, and child education increase the risk of speech delays in children.
Physical Intimate Partner Violence in Pregnant Women and its Risk on Low Birth Weight: A Meta-Analysis Nawangwulan, Diyah; Murti, Bhisma; Pamungkasari, Eti Poncorini
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.2024.09.02.11

Abstract

Background: Intimate Partner Violence (IPV) is a significant public health problem that affects women, including pregnant women. During pregnancy, pregnant women experiencing IPV will have an impact on the health of the mother and fetus, including an increased risk of premature birth and low birth weight babies. This study aims to analyze and estimate the influence of physical intimate partner violence in pregnant women on low birth weight infants. Subjects and Method: Meta-analysis was carried out according to the PRISMA flow diagram and PICO Model. Population: pregnant women, Intervention: Intimate partner violence, Comparison: No intimate partner violence, Outcome: low birth weight babies. Search for articles in this research through databases including PubMed, Google Scholar, ScienceDirect by selecting articles published in 2015-2023. With the keywords "Intimate Partner Violence" OR "Domestic Violence" AND "Low Birth Weight" AND "Pregnancy" AND "Adjusted Odds Ratio". Inclusion criteria are full paper articles with an observational study design, articles are in English. Results: Nine studies of cohort and cross-sectionals were included for meta-analysis. Meta-analysis of 5 cohort studies showed that physical intimate partner violence in pregnant women increased the risk of infants low birth weight (aOR= 3.66; 95% CI= 2.31 to 5.79; p<0.001). Meta-analysis of 4 cross-sectional studies showed that physical intimate partner violence in pregnant women increased the risk of infants low birth weight (aOR= 3.60; 95% CI= 2.05 to 6.32; p< 0.001). Conclusion: Physical intimate partner violence in pregnant women increases the risk of infants with low birth weight.
Associations between Unplanned Pregnancy, Low Social Support, Domestic Violence, and Intrapartum Complication, with Postpartum Depression: Meta Analysis Aranti, Wulan Adis; Indrawati, Devi; Mulyani, Sri; Murti, Bhisma; Marsim, Etanaulia
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.2024.09.02.05

Abstract

Background: The postpartum period is a period where the risk of depression and other mental disorders generally increases due to the physiological and psychosocial changes that occur. The aim of this study was to measure the relationship using the meta-analysis method of unplanned pregnancy, poor social support, domestic violence, complications during childbirth with the incidence of postpartum depression.. Subjects and Method: This research is a systematic review and meta-analysis. Article searches were carried out using PICO. Population: Postpartum women. Interventions: unplanned pregnancy, poor social support, domestic violence, and complications during childbirth. Comparison: planned pregnancy, good social support, no domestic violence, and no complications during childbirth. Outcome: Postpartum depression. The keywords used in the article search were "postpartum depression" AND "unplanned pregnancy" AND "poor social support" AND "intimate partner violence" AND “delivery complications”. Articles were obtained from several databases including Google Scholar, Pubmed, Science Direct from 2015-2023. Data is processed using the Review Manager Application (RevMan 5.3) Results:  Meta-analysis of 11 cross-sectional studies showed that unplanned pregnancy increased the risk of postpartum depression (aOR= 2.69; 95% CI= 2.30 to 3.16; p= 0.001). Meta-analysis of 11 cross-sectional studies showed that low social support increased the risk of postpartum depression (aOR= 2.35; 95% CI= 1.46 - 3.79; p= 0.004). Meta-analysis of 7 cross-sectional studies showed that partner violence increased the risk of postpartum depression (aOR= 2.82; 95% CI= 1.81 - 4.40; p= 0.001). Meta-analysis of 6 cross-sectional studies showed that complications during delivery increased the risk of postpartum depression (aOR= 2.20; 95% CI= 1.75 to 2.77; p= 0.001). Conclusion: Unplanned pregnancies, poor social support, partner violence, and complications during childbirth increase the risk of postnatal depression.
Effect of Closed Kinetic Chain Exercise to Reduce Pain and Increase Functional Ability in Patient with Osteoarthritis Genu Fadhilah, Siti; Widodo, Agus
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.2024.09.01.12

Abstract

Background: Osteoarthritis genu is a degenerative disease with symptoms of chronic inflammation of the joint cartilage which causes pain, limited movement and function. Closed kinetic chain exercise is an active movement that involves many joints and muscle groups simultaneously. This study aims to analyze the effect of closed kinetic chain exercise on reducing pain and increasing functional ability in osteoarthritis genu. Subjects and Method: Quasi experimental research with a research approach in the form of pretest and posttest with control group design. This study was conducted at RST dr. Soedjono Magelang in May-June 2023. A total of 20 osteoarthritis genu patients were divided into two groups: (1) The intervention group was given closed kinetic chain exercise and (2) The control group was given conventional physiotherapy. Pain level was measured using the Visual Analog Scale (VAS). Functional ability was measured by the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Mean differences between the closed kinetic chain exercise group and the conventional physiotherapy group were analyzed using the independent t-test. Results: Providing closed kinetic chain exercise is effective in reducing the level of silent pain (Effect Size = 1.20; p= 0.014), movement pain (Effect Size= 0.99; p= 0.004), movement pain (Effect Size= 1.37; p= 0.023), and increasing functional ability in osteoarthritis genu patients (Effect Size = 0.10; p= 0.023). Conclusion: Providing closed kinetic chain exercise can reduce pain and increase functional ability in osteoarthritis genu.
The Relationship between Early Pregnancy and Postpartum Anxiety: A Systematic Review Mumtazah, Nabilah Zhafirah Al; Husen, Shifa Nabila; Fitriana, Farida
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.2024.09.01.11

Abstract

Background: Anxiety in pregnancy has many adverse effects, both on maternal mental health and birth outcomes, as well as being a risk factor for maternal depression. The period of pregnancy and childbirth is said to be a period of life that has the potential for pregnant women to experience stress. Early pregnancy occurs in young women aged <20 years. This study aims to analyze and examine the relationship between early pregnancy and postpartum anxiety using a systematic review method. Method: This research is a systematic review with PICO including: (1) Population: pregnant women; (2) Intervention: Early pregnancy; (3) Normal age pregnancy; (4) Postpartum blues. The databases used are Google Scholar, PubMed, and GARUDA. Inclusion criteria include full text in Indonesian and English with research subjects being pregnant women with anxiety. The exclusion criteria in this study were articles published under the last five years. Results: A total of 9 articles stated that there was a relationship between early pregnancy and postpartum anxiety. The average level of anxiety during pregnancy is quite high, and approaches a severe anxiety score. Anxiety levels decreased immediately after delivery, but there was no further decrease until the late postpartum period.

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