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Journal of Maternal and Child Health
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : 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
Associations between Prematurity, Low Birth Weight, and Residence on the Risk of Newborn Death: A Meta Analysis Saputri, Chelsy Sumardi; Rizki, Ayun Widya; Flora, Viola Holly; Murti, Bhisma; Wulandari, Ayu Novita
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.2024.09.02.02

Abstract

Background: Newborn mortality is a global issue that requires serious attention from the world of public health. This study aims to analyze the influence of place of residence, premature birth and low birth weight on the incidence of newborn deaths. Subjects and Method: This research is a meta-analysis research using the PRISMA diagram and PICO format. Population: Newborns died. Intervention: Village residence, premature birth, low birth weight. Comparison: City residence, normal birth, normal birth weight. Outcome: Newborn death. Articles were searched using online databases such as PubMed, Google Scholar, Elsevier, Science Direct. Search for articles using the keywords: "Neonates Mortality" AND "Residence" AND "Gestational age" OR "Premature" AND "Low birth weight". Using articles published in 2013-2023. Data analysis using RevMan 5.4. Results: Meta-analysis was carried out using 15 articles with cross-sectional studies from African countries and Ethiopia with a total sample of 17,116 samples. The risk of newborn death increased in newborns living in a village (aOR= 4.17; 95% CI= 2.30 to 7.58; p<0.001), premature birth (aOR= 5.17; 95% CI= 2.87 to 9.33; p< 0.001), and low birth weight (aOR= 2.50; 95% CI= 1.63 to 3.85; p<0.001). Conclusion: Rural residence, premature birth, and low birth weight increase the risk of newborn death.
The Relationship between Chronic Energy Deficiency and the Incidence of Anemia in Female Adolescent in Stunting Locus Areas Malonda, Nancy S.H; Sanggelorang, Yulianty; Engkeng, Sulaemana; Daslety, Vindhy; Wowiling, Majesty; Ondang , Tesalonika
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.2024.09.02.03

Abstract

Background: Adolescent girls are a group that is prone to anemia, so they are at risk of giving birth to stunted children. This study aims to analyze the factors most associated with the incidence of anemia in adolescent girls in the stunting locus area. Subjects and Method: This was a cross sectional study conducted in Patokaan Village, North Minahasa Regency, North Sulawesi. A total of 50 adolescent girls were selected in this study. The dependent variable was anemia. The independent variables were nutritional status, Chronic Energy Deficiency (CED), nutrient intake (Fe, protein, vitamin C), body perception (Body Image), nutritional knowledge, and menstrual patterns based. The variables studied were anemia based on laboratory examination, nutritional status according to BMI/A and CED using anthropometric methods, nutrient intake (Fe, protein, vitamin C) using 24-hour recall, body perception (Body Image), nutritional knowledge, and menstrual patterns based on questionnaire interviews. Fisher's Exact Test was used for bivariate analysis and logistic regression for multivariate analysis. Results: Adolescent girls with CED have a 5.21 times risk of experiencing anemia compared to those without CED, and this result was statistically significant (aOR= 5.21; 95% CI= 1.01 to 26.83; p = 0.048). Conclusion: CED is associate with anemia in adolescent girls in the stunting locus area. This study is expected to be useful for the North Minahasa District Health Office as input for policy makers, planning, and implementing public health nutrition programs.
Effects of Social Economy, Exclusive Breastfeeding, Complementary Feeding, and Physical Environment on the Stunted Children’s Development Astari, Rahmi Windhy; 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.2024.09.02.07

Abstract

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subject and Methods: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Result: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income ( aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
Impact of the Introduction of Complementary Feeding Prior to the Sixth Month on Hemoglobin Levels and Weight Status Noaman, Aqeel
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.2024.09.02.12

Abstract

Background: An infant’s requirement for daily energy and nutrients appears to exceed what breast-feeding gives; consequently, incorporating complementary foods into the diet becomes vital for the growth and development of the infant. The study aims to explore the correlation between the age of complementary feeding introduction before the sixth month and its impact on hemoglobin levels and weight status. Subjects and Method: We conducted a case-series study at the Primary Health Care Center/Al-Tahrir, Baquba City, from April 18 to August 30, 2018. The study included a sample of three hundred fully developed infants, aged between 6 and 12 months, consisting of 180 males and 120 females. The dependent variable was complementary feeding. The independent variables were weight status, haemoglobin levels, and weught for age z-score. We obtained the data through face-to-face interviews with the child's mother using a structured questionnaire. Results: Among the women who took part in the study, 43% initiated the practice of providing additional food to their infants between the ages of 4 and 6 months. It was observed that the average hemoglobin level was higher in infants who consumed complementary feeding during the period of 4–6 months. A significant percentage of infants (52.6%) who initiated food intake by nursing or bottle feeding between the ages of 4-6 months exhibited weight levels within the normal range. In contrast, infants who had not yet commenced supplemental feeding showed a lower prevalence of normal weight levels. Furthermore, a majority of infants (83.3%) who engaged in supplemental feeding experienced an increase in hemoglobin levels and an improvement in weight. The research findings indicate that the introduction of supplemental nutrition throughout the period of 4 to 6 months of age has a significant impact on enhancing hemoglobin levels and weight among infants. Conclusion: The study's findings show that mothers frequently reported offering rice water, biscuits, and tea-soaked bread as their primary food sources.
Maternal Behavior Regarding Nutrition and Eating Culture of Children Under Five in the Stunting Locus Area, Nusa Tenggara Timur Picauly, Intje
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.2024.09.03.07

Abstract

Background: Stunting has become a major nutritional problem for children under five in Indo­nesia. Since 2007 until now, the problem of stunting has been detected in Flobamora, including Rote Ndao Regency. The results of the weighing operation in 2023 reported that the prevalence of stunting in NTT province was 21.7%. Measurement data shows that in 2023 there will be 414 babies born, with 38 children experiencing stunting as measured using the baby's birth length. Mother's behavior regarding nutrition and culture of child eating patterns from the time the child is in the womb until the age of under five years plays an important role in shaping the quality of human resources, including preventing the problem of malnutrition, especially stunting. This study aimed to determine the relationship between maternal behavioral factors regarding nutrition and the eating culture of children under five in the stunting locus area, East Nusa Tenggara Province. Subjects and Method: This was a cross sectional study carried out in Mokdale Village, Lobalain District, Rote Ndao Regency, East Nusa Tenggara, Indonesia, from June to August 2023. A sample of 44 children aged 12 to 36 months, consisted of 22 stunted children and 22 normal height children was selected for this study. The dependent variable was stunting. The independent variables were maternal behavior, knowledge, attitude, and feeding practice, child’s eating behavior. The data were analyzed using Chi-square. Results: The incidence of stunting in children increased with maternal behavior regarding poor nutrition (OR = 2.72; 95% CI= 1.25 to 4.19; p= 0.001); maternal knowledge about poor nutrition (OR= 1.13; 95% CI= -1.06 to 2.37; p = 0.060); attitude = mother regarding poor nutrition (OR = 1.74; 95% CI=0.44 to 3.03; p =0.001); maternal actions regarding malnutrition (OR = 3.07; 95% CI = 1.50 to 4.64; p=0.001); and poor eating culture of children under five (OR= 3.03; 95% CI= 0.12 to 3.57; p= 0.001), and these result were statistically significant Conclusion: Maternal behavioral factors regarding good nutrition and good eating culture are closely related and can reduce the chances of problems with the nutritional status of toddlers in the stunting locus area, Lobalain District, Rote Ndao Regency, East Nusa Tenggara Province.
Meta-Analysis the Effect of Postpartum Exercise on Uterine Fundal Height Istiqomah, Anisa Ikhlasani Nur; Murti, Bhisma; Adriani, Rita Benya
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.2024.09.03.01

Abstract

Background: Postpartum is a period that is at risk of causing complications and often contributes to maternal mortality rates in Indonesia. One of the causes of maternal death is an irregularity in the involution process, resulting in the risk of postpartum hemorrhage. This study aims to analyze and estimate the influence of postpartum exercise on reducing TFU in postpartum mothers. Subjects and Method: This study is a systematic review and meta-analysis. Search for articles through journal databases including: Google Scholar, PubMed, and Springer Link by selecting articles published from 2013 to February 2023. The population in the study was postpartum mothers with intervention in the form of postpartum exercise, comparison in the form of no intervention or no postpartum exercise, and the outcome is a decrease in TFU. The keywords used were (effect OR Influence) AND (“Parturition Gymnastics” OR “Postpartum Gymnastics” AND “fundal height” OR “decline of fundal height” OR “high uterine fundus” OR “Symphysial fundal height” OR “SFH” OR TFU”) AND (postpartum). The inclusion criteria were full paper articles using the Randomized Controlled Trial (RCT) research method, the analysis results used the Mean SD value, the intervention provided was postpartum exercise, the research subjects were postpartum mothers, with an outcome of decreasing TFU. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application. Results: Meta-analysis of 6 articles showed that postpartum exercise has an effect on reducing TFU in postpartum mothers by 0.46 units, which was higher than other interventions or no intervention, but this was not statistically significant. (SMD -0.46; 95% CI= -1.99 to 1.07; p=0.550). Conclusion: Postpartum exercise has an effect on reducing TFU in postpartum mothers.
Meta Analysis of Factors Determining Postnatal Care Utilization Astari, Rahmi Windhy; Wardani, Aulia Ayu Kusuma; Maryana, Dyan; Kurniati, Era; Murti, Bhisma; Tursina, Elsa
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.2024.09.03.02

Abstract

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
The Associations between Parity, Family Income, Residence, and Abortion Incidence: A Meta-Analysis Putri, Annessa Marknalia Sasqia; Soraya, Mira Mashita; Aisy, Jihan Rohadatul; Murti, Bhisma; Munawaroh, Siti Mar'atul
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.2024.09.03.03

Abstract

Background: Abortion is a complex and controversial issue found across the country. The decision to terminate a pregnancy involves many aspects in terms of medical, ethical, moral, religious, social, economic, and legal. Understanding the factors that influence the incidence of abortion is critical to developing strategies to effectively address this issue. This study aims to analyze and estimate the magnitude of the effects of parity, family income, and residence with the incidence of abortion. Subjects and Method: Systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: women of childbearing age. Intervention: multipara, high income, and urban residence. Comparison: primapara, low income, and rural residence. Outcome: The incidence of abortion. The basic data used involved Google Scholar, PubMed, BMC, Elsivier, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with observational study design using multivariate analysis that attaches aOR values and is published from 2014-2023. Data analysis using Review Manager 5.3 application. Results: Ten case control studies and nine cross-sectional studies from the Americas, Africa, and Asia were selected for the meta-analysis. Multiparous (aOR= 1.12; CI 95%= 0.54 to 2.34; p= 0.750), high family income (aOR= 0.55; CI 95%= 0.22 to 1.34; p= 0.190), and urban dwellings (aOR= 1.17; CI 95%= 0.88 to 1.55; p = 0.270) increases the risk of abortion in women of childbearing age, but is not statistically significant. Conclusion: Multipara, high family incomes, and urban residences increase the risk of the likelihood of having an abortion in women of childbearing age, but are not statistically significant.
Meta Analysis: Correlations between Age at Menarche, Parity, and Hormonal Contraceptive Use with Breast Cancer in Women of Reproductive Age Hidayati, Khairani Nur; Purnama, Hanif Wildan; Nugrahani, Anna; Murti, Bhisma; Veibiani, Nindita Arum
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.2024.09.03.05

Abstract

Background: Breast cancer is the most common cancer and the leading cause of cancer death in women worldwide. The implementation of the program in reducing the incidence of breast cancer is focused on prevention based on evidence of risk factors. This study aims to estimate factors that influence the incidence of breast cancer in women of productive age. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: Women of productive age. Interventions: menstruation at ≥13years, parity (multipara) and using hormonal contraceptives. Comparison: menstruation at <13years, parity (nullipara) and not using hormonal contraceptives. Result: breast cancer. The articles used in this study came from 2 databases, namely Google Scholar and BMC. The keywords of the article were "menarche" AND "parity" AND "risk factor" AND "breast cancer". The articles included in this study were full paper articles, used case control study designs, publication year ranged from 2014-2023, and measure of association was in Adjusted Odds Ratio. Articles were analyzed using the Review Manager 5.4 application. Results: Thirteen case-control studies indicated that women who menstruated at ≥13 years old lowered the likelihood of breast cancer by 0.69 times (aOR=0.69; CI 95%= 0.57 to 0.84; p= 0.001). Eleven case-control studies indicated that multiparous parity lowered the likelihood of breast cancer by 0.49 times (aOR=0.49; CI 95%= 0.34 to 0.72; p= 0.001). Eleven case-control studies indicated that using contraception increased the likelihood of breast cancer by 1.47 times (aOR=1.47; CI 95%= 1.12 to 1.93; p= 0.006). Conclusion: Menstruation age <13 years old, parity (nullipara) and use of hormonal contraceptives are predictors in breast cancer cases in women of productive age.
Effects of Pregnancy Planning, Complication, and Social Support on Depression in Pregnant Women Rosid, Sultonnur; Umar, Alwan Dhafi; Putra, Gilang Pamungkas Ardi; Murti, Bhisma; Handayani, Anggun Fitri
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.2024.09.03.09

Abstract

Background: Depression is a mental symptom that arises with symptoms of loss of spirit, mood swings, and disruption of daily activities. Symptoms of depression are commonly experienced by pregnant women, but symptoms of depression can be treated and prevented. Recognizing the causes or determinants of depression in pregnant women is important to prevent the onset of depressive symptoms. This study aimed to estimate the effect of planning, complications, and social support on depression in pregnant women. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used are between 2017 and 2023. Population = pregnant women. Intervention = Poor planning, complications, low social support. Comparison= Good planning, no complications, high social support. Outcome = Depression. Articles are compiled from databases such as Google Scholar, PubMed, and Science Direct. Literature search using the keywords "Planned" OR "Unplanned" AND "Complication" AND "Social Support" AND "Depression" AND "Cross Sectional". A total of 19 articles met the inclusion criteria for the meta-analysis, and were further assessed using RevMan 5.3. Results: Meta-analysis using a cross-sectional study design of 16 primary study articles from Ethiopia, Greece, Portugal, Germany, Iceland, Sri Lanka, China, Nigeria, Tanzania, and Kenya with a total sample of 7234 subjects showed that poor planning (aOR= 1.89; CI 95%= 1.56 to 2.30; p< 0.001); pregnancy complications (aOR=2.00; CI 95%= 1.72 to 2.32; p< 0.001); Symptoms of depression improved in pregnant women and these results were statistically significant. Low social support (aOR= 1.24; CI 95%= 0.75 to 2.05; p< 0.400) increased depressive symptoms in pregnant women but was not statistically significant. Conclusion: Poor planning, pregnancy complications, and low social support increase depressive symptoms in pregnant women.