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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 531 Documents
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Provision of Anti-Tuberculosis Treatment on Nutritional Status in Children with Pulmonary Tuberculosis at Dr. Moewardi Hospital, Surakarta, Central Java Ni Nyoman Ratna Sri Dewi; Pitra Sekarhandini; Aisya Fikritama Aditya
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.03

Abstract

Background: Tuberculosis caused by Mycobacterium tuberculosis, remains a significant global health issue. In Indonesia, the number of childhood TB cases has risen substantially from 33,366 in 2020 to 56,622 in 2022. TB can contribute to nutritional disorders, while treatment with anti-tuberculosis drugs (OAT) may help improve nutritional status. This study aims to evaluate the differences in nutritional status among toddlers with pulmonary TB before and after receiving OAT treatment at Dr. Moewardi Regional General Hospital, Indonesia.        Subjects and Method: This study utilized a comparative analytical design with a cross-sectional approach and employed a retrospective purposive sampling technique. It was conducted at Dr. Moewardi Regional General Hospital from 2017 to 2024 using a total sampling method, identifying the nutritional status of toddlers before and after OAT administration. The dependent variable was anti-tuberculosis drugs (OAT) treatment The independent variables was nutritional status Resulting in 42 samples that met the inclusion and exclusion criteria for toddlers aged 1–5 years. Data were processed using SPSS and analyzed with the Wilcoxon signed-rank test. Results: The male gender was higher by 25 people (59.52%) and female by 17 people (40.47%). The highest age sample of toddlers before treatment was 2 years (33.33%) and after treatment 3 years (33.33%). The highest nutritional status before OAT treatment was malnutrition (59.52%) while after treatment it was good nutrition (66.66%). The nutritional status of toddlers was higher (Mean = 2.90; SD = 0.57) than before (Mean = 2.12; SD = 0.63), and this result was statistically significant (p<0.001). Conclusion: There is a significant differences between the nutritional status of toddlers suffering from pulmonary tuberculosis before and after OAT treatment at Dr. Moewardi Regional General Hospital.
Correlation between Blood Sodium and CD4 Level in Pediatrics with Human Immunodeficiency Virus Infection Maulana, Shahdan Taufik; Umma, Husnia Auliyatul; Nugroho , Hari Wahyu
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.04

Abstract

Background: Electrolyte disorders such as hyponatremia are often found in human immuno­deficiency virus (HIV) patients. It is closely correlated with HIV morbidity and mortality. Sodium levels have also been reported to correlate with cluster of differentiation 4 (CD4) in adult subjects, but it is not yet known how in children with HIV infection.This study conducted to analyze the correlation between electrolyte levels, especially sodium, and CD4 levels in children with HIV infection. Subjects and Method: Descriptive analytical study with a cross-sectional design. The subjects were 42 pediatric HIV patients aged 0-18 years who were willing to undergo sodium and CD4 level examinations. Subjects with liver cancer, liver cirrhosis and cardiovascular disease and opportu­nistic infections in HIV were excluded. Subjects were selected by consecutive sampling. The dependent variables was blood sodium levels, while the independent variables was CD4 counts, and the confounding variables were age, and ARV duration use. Sodium levels were measured using the Cbs400, Jokoh ex-d and smarlyte devices while CD4 levels were measured using the BD FACSCount device by flow cytometry. The correlation between sodium and ARV duration use on CD4 levels analyzed by Pearson test, while correlation between patient’s age and CD4 levels analyzed by Spearman rank test. The multiple linear regression used to control the confounding variables. Results: The average sodium level in pediatric HIV patients at Dr. Moewardi Surakarta Regional General Hospital (Mean= 131.19; SD= 5.68 mEq/L), while the average CD4 level (Mean= 940.40; SD= 464.81 cells/μL). Pearson test showed a positive and weak correlation between sodium levels and CD4 counts (r= 0.32; p = 0.040), meaning that the higher the sodium level, the higher the CD4 count. There was a negative and very weak correlation with the duration of ARV use (r= -0.18; p= 0.254), meaning that the higher the sodium level, the lower the CD4 count. Spearman Rank test showed a correlation between age and CD4 count (r= -0.52; p<0.001), meaning that the older the person, the lower the CD4 count. The results of linear regression showed that there was a significant influence between sodium levels on CD4 count (b= 24.99; p= 0.029) and patient age (b= -55.21; p=0.003). Conclusion: Sodium levels have a moderate positive correlation with CD4 levels in pediatric patients with HIV infection. Examination of sodium levels can be an additional parameter in routine monitoring of the immunodeficiency status of pediatric HIV patients.
Effects of Pilates Exercises and Lavender Aromatherapy on Postpartum Women's Fatigue Agustina Hidayatul Khasanah; Rufidah Maulina; Revi Gama Hatta Novika; Iffah Indri Kusmawati; Noviyati Rahardjo Putri
Journal of Maternal and Child Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.02.05

Abstract

Background: Physical and psychological changes during the postpartum period can cause stress and fatigue in mothers that can affect the care of individuals, families, and their babies. The long-term impact of postpartum fatigue is the cessation of lactation, the development of stress, and post­partum depression. Nonpharmacological efforts in the form of pilates exercises and lavender aroma­therapy are one of the efforts to reduce fatigue levels in postpartum mothers. This study aimed to determine the effect of pilates exercises and lavender aromatherapy on fatigue in postpartum mothers in the Andong Health Center work area. Subjects and Method: This study was a quasi-experimental, control group pretest-posttest design. The sampling technique used was purposive sampling, and as many as 32 postpartum mothers who experienced fatigue were involved in this study. This study was divided into 2 groups, namely the experimental group with the provision of pilates exercises and lavender aromatherapy, and the control group without treatment as a comparison. The independent variables of this study were pilates exercises and lavender aromatherapy. The dependent variable was postpartum maternal fatigue. The data analysis used is the Wilcoxon test and the Mann-Whitney test. Results: Analysis using the Mann-Whitney statistical test showed significant results with test results (p-value <0.05). From these results, it was found that there was a significant difference in the respon­dents of the experimental posttest group and the control posttest group.   Conclusion: Pilates exercise and lavender aromatherapy have an effect on the level of fatigue reduc­tion in postpartum mothers in the experimental pretest-posttest group in the Andong Health Center work area. This study is expected to remind all postpartum women to take better care of their physical and mental health, to be able to independently perform Pilates exercises according to the given proce­dures, and to independently apply the use of lavender aromatherapy.
Family Role on the Pregnant Women’s Knowledge Toward Obstetric Danger Signs Handayani, Rr. Novita Wahyu; Nasution, Ali Napiah; Lister, Clarissa
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.05

Abstract

Background: Obstetric danger signs are an important indicator that pregnant women need to recognize to prevent complications and reduce maternal mortality. This study aims to analyze the determinants of knowledge about obstetric danger signs in pregnant women, with a special focus on the role of family function as measured by the family APGAR instrument. Subjects and Method: A cross-sectional study was conducted on 48 pregnant women who visited the Padang Bulan Community Health Center, Medan, during August-September 2024. The dependent variable is the level of knowledge about obstetric danger signs. Independent variables were age, education level, employment status, number of pregnancies (parity), income, and family function (APGAR score). Data collection was conducted using questionnaires on obstetric danger signs and family APGAR instruments. Data analysis included univariate, bivariate (Chi-Square), and multivariate (logistic regression) analysis. Results: The majority of subjects (72.9%) had good knowledge of obstetric danger signs. Bivariate analysis showed that education level (p=0.008) and family function (p=0.005) had a significant relationship with knowledge level, while age, employment status, parity, and income showed no significant relationship. Multivariate analysis confirmed that highly functional family function (OR= 10.47; 95% CI= 1.56 to 70.40; p =0.016) and higher education levels (OR= 6.83; 95% CI= 1.31 to 35.61; p = 0.023) were significant independent predictors for good knowledge of obstetric danger signs. Conclusion: Family function and education level are the main determinants of pregnant women's knowledge about obstetric danger signs. Maternal health education programs need to consider family involvement and pay special attention to pregnant women with low levels of education to improve understanding of obstetric danger signs, which can ultimately contribute to a decrease in maternal morbidity and mortality rates.
Unlocking Maternal Potential: A Pathway Analysis of Information, Motivation, and Skills Application on Child Development in Sleman, Yogyakarta, Indonesia Firdaus, Anisah; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.02.06

Abstract

Background: Toddlers (ages 0-5 years) are a golden period in human development. In this period, there is rapid development in various aspects, such as physical, cognitive, language, social, and emotional. Mother's behavior in providing stimulation and care can affect the development of toddlers. This study focuses on the analysis of the influence of the Information Motivation Behavior Skill Model application on maternal behavior for the development of toddlers. Subjects and Method: This study is a cross-sectional study conducted at 25 integrated health posts in Sleman Regency, Yogyakarta from April to May 2024. The sample consisted of 200 mothers of toddlers aged 24-60 months who were selected using the simple random sampling method. The dependent variable in this study was maternal behavior in nurturing the development of toddlers. The independent variables were maternal information/knowledge, maternal motivation, maternal behavior skills, and maternal income. Data collection was carried out by interviews and questionnaires. The data analysis was using path analysis. Results: The results of path analysis show that maternal behavior in nurturing the development of toddlers is positively related to good behavioral skills. (OR= 1.22; CI 95%= 0.70-0.80; p< 0.001). Maternal behavioral skills are influenced by information (OR= 1.35; CI 95%= 0.899-1.90; p<0.001) and motivation (OR= 1.36; CI 95%= 0.82-1.89; p<0.001).  The path analysis model showed good fit (p= 0.134 (>0.05); RSMEA= 0.06 (<0.08); CFI= 0.98 (>0.90); TLI= 0.97).    Conclusion: Maternal behavior in nurturing toddler development is directly influenced by maternal behavioral skills, maternal information/knowledge, maternal income. Mother's behavior in nurturing toddler development is indirectly influenced by information on maternal behavior through maternal behavior skills and maternal motivation towards maternal behavior through maternal behavior skills. Thus, the Information Motivation Behavior Skill Model can be used to improve maternal behavior in nurturing toddler development.
The Influence of Maternal Factors on Caesarean Section at North Borneo Regional Hospital, Kalimantan, Indonesia Padlillah, Rahmi; Yulianti, Ika; Linda, Nur
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.06

Abstract

Background: In this modern era, caesarean section (C-section) is sometimes an alternative choice for the desired childbirth. However, it should be understood that Caesarean section is a surgical procedure that must be performed based on medical indications and has risks. Knowing what factors can influence the selection of C-section procedures is important so that the SC is properly carried out on an emergency indication. This study aimed to analyze the factors that affect the delivery of caesarean section at the Tarakan General Hospital, Kalimantan, Indonesia. Subjects and Method:  A cross-sectional study was conducted at Tarakan General Hospital, North Kalimantan, Indonesia, in April 2024. The sample size was 748 post natal women. The dependent variable was type of birth delivery. The independent variables were cephalopelvic disproportion, preeclampsia, prolonged labor, premature rupture of membranes, maternal age, and parity. Data were obtained from medical records and analyzed using a multiple logistic regression. Results: Premature rupture of membranes (aOR= 7.7; 95% CI= 6.99 to 8.02; p= 0.001) and prolonged labor (aOR= 1.9; 95% CI= 1.21 to 3.6; p= 0.029) increased the likelihood of cesarean section. Conclusion: Premature rupture of membranes and prolonged labor increase the likelihood of cesarean section.
Socioeconomic Factor Association to Knowledge and Attitude of Indonesian Young Adults Regarding Family Planning: A Cross-Sectional Multicenter Study Setiawan, Fajar; Megantari, Ginaung Sasti; Setia Santoso, Laurentia Fidella Averina; Nurdiansyah, Farhan; Salsabiil, Ronaa; Mallapasi, Hajar Azizah Armarani; Latifi, Sophie Romzia
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.01

Abstract

Background: Young adults are prone to unwanted pregnancy due to their nature of self-discovery, identity construction, poor knowledge, and low birth self-efficacy. This study aims to identify which socioeconomic factors are associated with knowledge and attitude toward family planning in Indonesian young adults. Subjects and Method:  This cross-sectional, observational, multicenter research was conducted in 27 universities across Java and Sumatra using convenience sampling. Indonesian citizens aged 16–25 were recruited to complete an online questionnaire, with minimum sample size of 349 participants. The dependent variable were knowledge and attitude levels were measured using translated and validated questionnaire. The independent variable were socioeconomic factors were assessed using self-administered questionnaire. Chi-square and odds ratio were used to identify significant associations, followed by logistic regression for independent analysis. Results: From total of 581 participants, knowledge of family planning was significantly higher in females (OR= 1.50; p= 0.036), married respondents (OR= 0.20; p <0.001), those with children (OR= 2.12; p= 0.040), contraceptive users (OR= 0.49; p = 0.043), respondents from health-related backgrounds (OR= 2.82; p <0.001), and those with higher media exposure (OR= 4.29; p <0.001).Among these, respondents using contraception (OR= 0.48; p= 0.033) and with higher media exposure (OR= 1.63; p=0.017) demonstrated more favorable attitudes toward family planning. Conclusion: This study identified media exposure and access to education as key factors influencing knowledge and attitudes toward family planning. In the globalization era, media exposure has the potential to dismantle entrenched socioeconomic barriers, narrowing gaps between privileged and disadvantaged groups. These findings highlight the role of social media as an important educational tool that can bridge demographic and socioeconomic divides.
Effect of Iron and Folic Acid Supplementation on the Infants Birth Weight: A Meta-Analysis Khoirunnisa' Maftuch, Atiqoh; Murti, Bhisma; Rahardjo, Setyo Sri
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.02

Abstract

Background: Low birth weight (LBW), defined as a birth weight of less than 2,500 grams, is associated with an increased risk of neonatal mortality and developmental disorders. Efforts to prevent and manage LBW can be made through the administration of iron and folic acid supplements during pregnancy. This study aims to estimate and analyze the effect of iron and folic acid supplementation on the birth of infants with low birth weight. Subjects and Method: This study is a systematic review and meta-analysis of relevant previous studies conducted using the PRISMA guidelines. The population included pregnant women, interventions involving iron and folic acid supplementation compared to no supplementation, and outcomes related to low birth weight. Article searches were conducted in the PubMed, ScienceDirect, Scopus, and Google Scholar databases, published between 2013 and 2025. The search terms were ("Pregnant woman" OR "Expectant mother") AND ("Iron and folic acid supplements" OR "IFA supplements") AND ("Low Birth Weight" OR "Low-weight newborns"). Inclusion criteria included full-text articles with a cross-sectional study design and reporting adjusted odds ratio (aOR) values. Findings from the primary research articles were analyzed using Review Manager 5.3. Results: The included primary studies comprised 21 articles from China, India, Nepal, Pakistan, Malawi, and Ethiopia. The results of this meta-analysis indicate that pregnant women who consumed iron and folic acid supplements had an average 0.87 unit lower risk of giving birth to LBW infants compared to pregnant women who did not consume iron and folic acid supplements (aOR= 0.87; 95% CI = 0.75 to 1.00; p= 0.040). Conclusion: The administration of iron and folic acid supplements can reduce the incidence of low birth weight.
A Meta-Analysis of Gender, Marital Status, and Residence on Condom Use Among Adults Hariyadi, Agustin Mahardika; Putry, Mentary Febryant; Sanusi, Sita Rahayu; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.02.01

Abstract

Background: The use of condoms is the only method of contraception that can protect a person from sexually transmitted diseases (STDs). This study aims to analyze and estimate the effect of gender, marital status and residence on condom use among adults. Subject and Method: The systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: Adults in general. Intervention: Gender (Female), Place of Residence (Rural) and Marital Status (Unmarried) in using condoms. Comparison: gender (male), place of residence (urban), and marital status (married). Outcome: condom use. The basic data used involves Google Scholar, PubMed, BMC, Scient Direct, and Springer Link with the keywords (“Use condom”) AND (“Gender”) AND (“Marital status”) AND (“Adult”) AND (“Cross -sectional”). Inclusion criteria were cross-sectional study articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Result: This meta-analysis included 14 cross-sectional studies from Ethiopia, Iran, Africa, and America. The sample size in this meta-analysis was 18,322. Meta-analysis showed that condom use was less in women (aOR= 0.66; 95% CI= 1.20 to 0.36; p 0.170), and more in rural areas (aOR= 0.80; 95% CI= 0.66 to 0.98; p= 0.620), with unmarried status (aOR = 0.92 CI 95%= 1.97 to 0.43; p 0.830). However, these three results were not statistically significant. Conclusion: Condom use is less among women and more in rural areas with unmarried status.
Cancer in Pregnancy in Indonesia: A Global Review and 2022–2025 Cohort Analysis of Maternal and Neonatal Outcomes Elita Rahmi; Bachnas, Muhammad Adrianes; Sri Sulistyowati
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.03

Abstract

Background: Cancer during pregnancy is rare but presents serious challenges, especially in low- and middle-income countries like Indonesia. Limited national data, delayed diagnosis, and lack of standardized care make management difficult. Global awareness is growing, but regional differences in outcomes remain poorly understood. This study aims to provide a comprehensive overview of cancer during pregnancy, including its clinical characteristics and maternal-fetal outcomes both in Indonesian and global data. Subjects and Method: This systematic review was conducted following PRISMA guidelines from databases of PubMed, EMBASE, Scopus, and additional search, published between 2022 and April 2025. The included studies reported the global depiction of pregnancy-associated cancer. Newcastle-Ottawa Quality Assessment Scale (NOS) was used to assess the quality of observational included studies, while the Joanna Briggs Institute checklists for assessment of case reports. Results: A total of 14 studies were included based on the criteria, with a total population of 29,403 pregnant women associated with cancer. From this systematic review, the most found cancers during pregnancy were breast cancer, cervical cancer, and ovarian cancer, both from Indonesian data and global studies. Compared to global studies, obstetric complications were more prevalent in Indonesia, including preterm birth (64% vs 52%, respectively); very preterm birth (22% vs 15%, respectively); caesarean delivery (76% vs 65%, respectively); preeclampsia (18% vs 12%, respecti­vely); and postpartum haemorrhage (15% vs 10%, respectively). Conclusion: The global literature shows wide variation in cancer types, gestational timing, and outcomes. Indonesian cohort data show higher rates of preterm birth, low birth weight, and maternal complications compared to global averages. Delays in diagnosis and limited access to integrated cancer-obstetric care may explain these differences. The findings support the urgent need for national guidelines, early detection programs, and multidisciplinary care models for managing cancer in pregnancy in resource-limited settings.

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