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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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Analysis of Prophylactic Antibiotic Administration in BPJS-Covered Patients Undergoing Caesarean Section at Husada Utama Hospital, Surabaya Alfarendra, Muhammad Daffa; Indrayanti, Mufida; Yulia, Rika; Herawati, Fauna
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.11

Abstract

Background: Considering the importance of the rational use of antibiotics to prevent the develop­ment of antibiotic resistance, especially in surgical patients who are at risk of developing Surgical Site Infections (SSI). A study will be conducted to evaluate the use of antibiotics in caesarean section patients at Husada Utama Hospital Surabaya. Subjects and Method: This study uses a descriptive observational research design with a retrospective data collection approach on patients who underwent either emergency or elective caesarean section (CS) on January – may 2024 at Husada Utama Hospital Surabaya. The variables in this study are the antibiotic use patterns of CS patients, which include the type of antibiotics used, the antibiotic dosage, the duration of antibiotic administration, the amount of antibiotic use measured by the DDD/100 bed days method and DU90%, the appropriateness of antibiotic use according to the national formulary and hospital antibiotic guidelines, the response time for CS surgery, and the risk of developing surgical site infection (SSI). The sample for this study consisted of patients who underwent either emergency or elective CS surgery at the Husada Utama Hospital Surabaya from January to May 2024. Results: From January to May 2024, 69 samples were analysed. These included 65 patients undergoing elective caesarean sections and 4 patients undergoing emergency caesarean sections with a response time of <30 minutes. The antibiotics used were cefazolin 2 g and ceftriaxone 1 g, administered intravenously over 30-60 minutes. Antibiotic consumption was measured using the DDD/100 bed days method and DU 90% segment. The amount of cefazolin used was 26.50 DDD/100 bed days and the amount of ceftriaxone used was 0.96 DDD/100 bed days. Cefazolin was the most commonly used antibiotic in all types of surgery, accounting for 95.65% of the DU 90% segment. Antibiotic use 95.65% was in accordance with PPAB guidelines and Ministry of Health regulations in terms of type, dosage and route of administration. There were no surgical site infections during the study period. Conclusion: Ninety five percent of antibiotic use in caesarean section patients in the hospital is in accordance with the type of antibiotic recommended in the antibiotic use guidelines, which is cefazolin. The use of the broad-spectrum antibiotic ceftriaxone is 0.96 DDD/100 bed days. The programme to control antimicrobial resistance in the obstetrics and gynaecology unit, especially regarding the prophylactic use of antibiotics, is effective.
Qualitative Analysis of Pregnant Women with Preeclampsia at Muhammadiyah Ahmad Dahlan Hospital, Kediri Respati, Laras Laxita Winda; Indasah, Indasah; Puspitasari, Yenny
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.05

Abstract

Background: Together with bleeding and infection included in the deadly triad, gestational hyper­tension affects 5-10% of pregnancies worldwide. Pre-eclampsia itself causes more than 70,000 maternal deaths and 500,000 fetal deaths. This study aimed to find significant predisposing factors that cause preeclampsia. Subjects and Method: Qualitative study with a phenomenological approach conducted at Muhammadiyah Ahmad Dahlan Hospital. The informants in this study were 15 pregnant women with preeclampsia. The focus of this research is to explore the predisposing factors for preeclampsia in pregnant women There are 4 research focuses related to pregnant women with preeclampsia, namely: (1) demographic data of pregnant women; (2) obstetric history; (3) nutrition; and (4) family health history. Data collection was carried out using interview techniques. The data collection were collected by interview techniques. Results: Pregnant women with preeclampsia were mostly housewives or low socio-economic, old and too young, obese, had families with a history of hypertension, were pregnant with different husbands. All of this can be detected using the preeclampsia screening sheet. Conclusion: Preeclampsia screening is performed periodically, to identify and diagnose the condition early, to allow for more careful monitoring and effective disease management.
Development of A Detection Tool in Pregnant Women and Its Recommendations in Utilizing Artificial Intelligence Oktaviani, Nur Hilda; Widyawati, Melyana Nurul; Kurnianingsih, Kurnianingsih
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.2024.09.03.11

Abstract

Background: Chronic Energy Deficiency (CED) can be experienced by women of reproductive age (WUS) aged 15–45 years old since adolescence then continues during pregnancy and breastfeeding due to low energy and nutrient reserves. Health technology innovation that utilizes artificial intelligence, i.e. Digital mid-uppr arm circumference (MUAC) which is a digital measurement tool that can make it easier to read anthropometric measurement results, especially in measuring upper arm circumference to detect pregnant women who experience CED. Subjects and Method: This was a Research and Development with a pre-experimental design with an on shot case study. The number of samples is 100 Subjects, which is done 3 times each month for 3 months. The sample was selected by purposive sample. The analysis used artificial intelligence. Results: Digital MUAC level of accuracy in detecting CED in pregnant women and its recommendations that utilize artificial intelligence, an accuracy level of 100%. Conclusion: The CED detection tool Digital MUAC, is a tool capable of detecting CED and providing recommendations based on the results of CED detection in pregnant women who utilize artificial intelligence by having accurate measurement results with an accuracy value of 100%.
Factors Affecting Age of Menarche: A Cross-Sectional Aisy, Jihan Rohadatul; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.07

Abstract

Background: Early menarche or first menstruation has been associated with increased risk of breast cancer and cardiovascular disease. Understanding the factors that influence the age of menarche is very important to provide promotive and preventive actions that can be carried out by schools and families. This study aims to analyze the factors that influence the age of menarche. Subjects and Method: This study used an observational analytical study with a cross-sectional design. The subjects in this study were 125 female students at 5 public elementary schools in Malang City, East Java, Indonesia. The dependent variable was the age of menarche. The independent variables were nutritional status (BMI), stress, parenting patterns, and parenting pattern dominance. Data analysis used univariate, bivariate, and multivariate models with multiple linear regression methods. Results: Age of menarche decreased with stress (b = -0.50; 95% CI = -0.70 to -0.29; p <0.001), BMI ≥25 (b= -9.00; 95% CI = -16.75 to -1.25; p = 0.023), authoritarian parenting style (b = -1.05; 95% CI = -1.53 to -0.58; p<0.001), and the dominance of parenting patterns by single parents or guardians (b= -4.92; 95% CI = -9.42 to -0.42; p = 0.032). The age of menarche was higher in adolescents with a lower BMI than a normal BMI (b = 4.78; 95% CI = 1.20 to 8.36; p = 0.009). This multiple linear regression analysis model showed moderate model suitability with an Adj R-Squared value of 46.81%. Conclusion: Multiple linear regression analysis showed a relationship between stress factors, authoritarian parenting patterns, dominant parenting patterns, and BMI with a decrease in the age of menarche which was statistically significant.
Effects of Family Income and Maternal Education on the Risk of Low Birth Weight Maryana, Dyan; Murti, Bhisma; Pamungkasari, Eti Poncorini
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.2024.09.03.10

Abstract

Background: LBW babies are still a problem, especially in developing countries. Family income and maternal education are factors that influence health service outcomes, including preventing low birth weight babies. The aim of this study was to analyze the influence of family income and maternal education on the risk of low birth weight babies. Subject and Methods: Observational analytical research design with a cross sectional approach. The sampling technique is random sampling. The research was conducted in Blora Regency, Central Java with a sample size of 200 mothers with newborn babies. The dependent variable is low birth weight. The independent variables consist of exposure to cigarette smoke, maternal age, family income, pos pelayanan terpadu strata and maternal education. The study instrument used was a questionnaire. Data were analyzed using path analysis with STATA 13. Result: The results of the path analysis explain that the risk of low birth weight babies is directly influenced by family income and this influence is statistically significant. Pregnant women with high family income have a risk of giving birth to babies with low birth weight 0.5 times compared to low family income (OR= 0.52; 95% CI= 0.27 to 1.00; p= 0.050). There was no significant effect of pos pelayanan terpadu strata or exposure to cigarette smoke on the risk of babies with low birth weight (LBW). Family income is influenced by the mother's education and this influence is statistically significant. The higher the mother's education, the higher the family income (OR= 2.35; 95% CI= 1.32 to 4.21; p = 0.004). There is a relationship between maternal age and maternal education and this relationship is statistically significant. Older mothers on average had lower education (OR= 0.43; 95% CI= 0.24 to 0.77; p = 0.004). Conclusion: There is a direct influence between family income, pos pelayanan terpadu strata and exposure to cigarette smoke on the risk of LBW babies. There is an indirect effect between maternal education on family income, and maternal age on maternal education.
The Impact of Social Support, Intimate Partner Violence, and Pregnancy Plans on Antenatal Depression: A Meta-Analysis Study Putri, Dominika Risnanda Alfinsia; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.08

Abstract

Background: Antenatal depression is a type of depression that occurs during pregnancy and affects about 20% of pregnant women. This study aims to analyse the effects and estimate the magnitude of the effects of social support, intimate partner violence and pregnancy status on the incidence of antenatal depression with a meta-analysis. Subject and Method: The meta-analysis was performed using a PRISMA flowchart and a PICO model. Population: pregnant women. Intervention: strong social support, experiencing violence by intimate partners, and planned pregnancy status. Comparison: weak social support, no violence by intimate partners, and unplanned pregnancy status. Outcome: antenatal depression. The online databases used are Google Scholar, Hindawi, PubMed, Science Direct, Scopus, and ResearchGate. There were 17 cross-sectional studies published in 2018-2023 that met the inclusion criteria. Analysis was done with RevMan 5.3. Results: Meta-analysis was conducted on 17 cross-sectional studies from Australia, Thailand, Nepal, Bangladesh, Nigeria, Ethiopia, Rwanda, Norway, and Jamaica. Sample size = 11,517 study subjects. The risk of antenatal depression increases with intimate partner violence (aOR= 2.13; CI 95%= 1.65 to 2.74; p<0.001). The risk of antenatal depression decreased with strong societal support (aOR= 0.47; CI 95%= 0.38 to 0.58; p<0.001) and planned pregnancy (aOR= 0.45; CI 95%= 0.24 to 0.84; p=0.01). Conclusions: The risk of antenatal depression increases when there is intimate partner violence, decreases if social support is obtained and pregnancy is planned.
A Child Stunting Against Acute Respiratory Infections in Developing Countries: A Scoping Review Fadhila, Akbar Kholish; Rahfiludin, Mohammad Zen; Suyatno, Suyatno
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.04

Abstract

Background: Acute Respiratory Infections (ARIs) are a leading cause of morbidity and mortality among young children, particularly those who experience stunting. This study aims to map the factors associated with ARIs in stunted toddlers using a scoping review methodology. Subjects and Method: This scoping review was conducted using data obtained from PubMed Central. The target population included toddlers with stunting and ARIs. A search was performed using the keywords "stunting AND acute respiratory infections AND toddler," yielding 712 articles, which were narrowed down to 8 relevant articles after applying a 10-year time frame. The factors influencing ARIs in stunted toddlers were categorized into five groups: (1) environmental and sanitation factors, (2) nutritional factors, (3) socio-economic factors, (4) co-infections, and (5) genetic and biological factors.       Results: The factors influencing ARIs in stunted toddlers were categorized into five groups: (1) environmental and sanitation factors, (2) nutritional factors, (3) socio- economic factors, (4) co-infections, and (5) genetic and biological factors. ARIs and stunting are interrelated through various complex factors. Conclusion: A multidisciplinary approach is essential to enhance access to healthcare services, improve nutritional education, and address sanitation conditions, with the goal of reducing the prevalence of ARIs and stunting in toddlers, thereby supporting optimal growth.
Does Social Cognitive Theory Explain Antenatal Care for Pregnant Women in Boyolali, Central Java? A Multilevel Analysis Soraya, Mira Mashita; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.09

Abstract

Background: Healthy mothers play a central role in forming the foundation of future generations' health. The role of Antenatal Care (ANC) is quite crucial in the continuation of optimal pregnancy. The main purpose of pregnancy examination is to monitor fetal well-being and identify early risk factors during pregnancy. Although antenatal examination is considered important, some pregnant women have not made maximum use of pregnancy examination services due to various factors. This study aims to analyze the influence of the Social Cognitive Theory construct and the contextual influence of Posyandu on antenatal examination behavior. Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (Posyandu) in Boyolali Regency, Central Java from August to September 2024. A total of 200 pregnant women were selected using a simple random sampling method. The dependent variable was complete antenatal examination (≥ 6 visits). The independent variables were self-efficacy, outcome expectation, modeling, and reinforcement. Data collection was carried out using interviews, questionnaires, and ANC visit data from village midwives. Data were analyzed using multilevel multiple linear regression. Results: Multilevel analysis in this study showed that antenatal care visiting behavior in pregnant women increases along with high self-efficacy. (b=0.23; CI 95% = 0.09 to 0.36; p<0.001), positive outcome expectation (b=0.32; CI 95% = 0.21 to 0.43; p<0.001), reinforcement (b=0.38; CI 95% = 0.24 to 0.53; p<0.001), high education (b=0.28; CI 95% = -0.43 to 1.01; p=0.433), and high family income (b=0.27; CI 95%= -0.27 to 0.81; p=0.327). The effect of modeling, education and family income on antenatal visit behavior was not statistically significant. This multilevel analysis model also showed that the contextual effect in the integrated health post on antenatal visit behavior was quite large (ICC=24%). Conclusion: The frequency of complete antenatal check-ups will increase with high self-efficacy, positive outcome expectations, and reinforcement. Thus, social cognitive theory can be used to explain and predict routine antenatal check-ups. Variations in the posyandu level have a significant contextual effect on the behavior of complete antenatal check-ups (≥ 6 check-up visits).
The Impact of Sibling Age Gap, Stimulation, Father Involvement, and Parenting Stress on the Development of Children Aged 36-59 Months: A Multilevel Analysis Rachmawati, Rulita Ayu; Adriani, Rita Benya; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (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.2024.09.04.10

Abstract

Background: Early childhood development (36-59 months) is a critical period that significantly influences a child's growth, learning and overall well-being. Providing high-quality early childhood care and education is essential to maximizing children's potential for later success, as it equips them with the skills and competencies necessary for their future development. Subjects and Method: This study used a cross-sectional approach conducted in 28 Early Childhood Education (PAUD) in Wonogiri Regency, Central Java in August - September 2024. A total of 225 children aged 36-59 months were selected in this study with a randomized controlled trial (RCT). The dependent variable of this study was the development of children aged 36-59 months. The independent variables at level 1 were the age gap between children, parenting stimulation, father involvement and parenting stress. The independent variable at level 2 was Early Childhood Education (PAUD). Data were collected through questionnaires and the analysis of this study used multilevel multiple logistic regression and used STATA 13. Results: This multilevel multiple logistic regression analysis concluded that age-appropriate child development at 36–59 months increased with longer age gaps between children (OR=2.06; CI 95%= 0.97 to 4.42; p = 0.061), high parenting stimulation (OR=2.04; CI 95%= 1.30 to 3.20; p = 0.002), father's involvement (OR=2.74; CI 95%= 1.22 to 6.15; p= 0.014). Child development appropriate for the age of 36-59 months old decreased with high parenting stress (OR=0.34; 95% CI= 0.20 to 0.57; p < 0.001). Early Childhood Education (PAUD) was not statistically significant in influencing early childhood development with ICC = 0.36%< 8-10%. Conclusion: The development of children aged 36-59 months increased significantly with the age gap of children, nurturing stimulation, and father involvement in nurturing. Child development decreased with high parenting stress. Early Childhood Education (PAUD) has a low contextual effect on the development of children aged 36-59 months.
Exploring the individual experiences of women facing cervical cancer: a study on sexual life changes, emotional responses, and physical adaptations Kurniasih, Dwi; Goretik, Maria; Siskawati, Siskawati
Journal of Maternal and Child Health Vol. 9 No. 5 (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.2024.09.05.02

Abstract

Background: Cervical cancer is one of the significant cancers in the female reproductive organs, namely the cervix. Diagnosis and treatment of cervical cancer not only affect physical health, but also psychologically and socially, especially in the context of sexual life. Physical and emotional changes that arise from treatments such as chemotherapy and radiotherapy can significantly affect women's sexual function, cause anxiety, and change the dynamics of interpersonal relationships. Subjects and Method: This study uses a qualitative approach with a descriptive phenomenological design. Data collection was conducted through in-depth interviews with five cervical cancer patients undergoing treatment at the Dr. Soedarso General Hospital, Pontianak. Data were analyzed using a thematic analysis approach to identify key themes in the experiences of changes in sexual life, emotional responses, and physical adaptation of the participants. Results: The results of the study showed that cervical cancer patients experienced various changes in their sexual lives after undergoing treatment. The main challenges faced were physical discomfort that leads to difficulty in achieving sexual satisfaction, diversion of sexual activities to meet the needs of partners, and complex emotional responses such as anxiety, depression, and feelings of hopelessness. Physically, adaptation to changes such as persistent fatigue and digestive changes were also significant problems. Conclusion: This study highlights the importance of comprehensive psychosocial support in caring for women with cervical cancer, including a holistic approach that considers physical, emotional, and interpersonal aspects. The findings also highlight the need for better sexual health education for patients and their partners, as well as the important role of families in providing adequate support. By better understanding the experiences of women with cervical cancer, it is hoped that their care and overall quality of life can be improved.

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