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Journal of Maternal and Child Health
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Maternal and Child Health (JMCH) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on maternal and child health. The journal began its publication on July 11, 2015, and is published four times yearly. JMCH aims to improve the policy, program, service, and practice, as they impact infant, children, mother, women, adolescent, and family health.
Arjuna Subject : -
Articles 549 Documents
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Meta-Analysis of the Effect of Protected Well and Measles Vaccination on Stunting in Children Under Five Pramono, Edi; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.03

Abstract

Background: Stunting is a condition where children's growth fails (body and brain growth) due to malnutrition for a long time. The incidence of stunting in toddlers needs special attention because it can hinder children's physical and mental development. This study aims to analyze and estimate the effect of protected wells and the measles vaccine on the incidence of stunting in children under five, with a meta-analysis based on primary studies conducted previously. Subjects and Method: Meta-analysis was carried out in PICO format. Population: Children under five. Intervention: Protected Wells and Measles vaccine status. Comparison: Unprotected Well and Status not vaccinated against measles. Outcome: Stunting incidence. Article searches were carried out using several databases such as Google Scholar, PubMed, Science Direct, and Springerlink. The keywords used are "Protected well" AND Measles vaccine" AND "Stunting in toddlers". Inclusion criteria for the included articles were full-text articles with a cross-sectional design from 2015 to 2023. This study was conducted following PRISMA flow diagram guidelines. Data was analyzed using the Review Manager 5.3 application. Results: 12 cross-sectional studies from Asia and Africa were selected for meta-analysis. the total sample was 48,128 toddlers. Protected well (aOR= 0.86; 95% CI= 0.75 to 1.00; p= 0.040) and measles vaccine (aOR= 0.59; 95% CI= 0.27 to 1.29; p= 0.190) reduce the risk of stunting in children under five. Conclusion: Protected wells and administering the measles vaccine reduce the incidence of stunting in toddlers.
Relationship Between of Protein Level Intake and Perineal Wound Healing Indrianingrattu, Nindi; Fatmaningrum, Widati; Setyowati, Dewi
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.2025.10.05.05

Abstract

Background: The perineum is at risk of injury either spontaneously or by episiotomy during labor. Perineal wounds usually heal within 6-7 days postpartum. Healing of perineal wounds can be influenced by protein consumption in postpartum mothers. This purpose of this study was to determine the relationship between the levels of protein consumption with the perineal wound healing in postpartum mothers.Subjects and Method:  This cross sectional study conducted at Ciawi Public Health Center, West Java, in September-November 2022. The sample in this study were postpartum mothers who gave birth normally with perineal wounds at Ciawi Public Health Center. Sample selection used a purposive sampling method and the sample size was 67 respondents. The dependent variable was perineal wound healing. The independent variable was the level of protein consumption. The research instrument used a REEDA Scale observation sheet and Food Recall 24 hours questionaire. Data were analyzed using Chi-square test.Results: Healing of perineal wounds in postpartum mothers was good for 65 respondents (97%), postpartum mothers who had sufficient levels protein consumption levels were 33 respondents (49,3%). The results show that there is no relationship between perineal wound healing and the level of protein consumption (p= 0.197).Conclusion: There is no relationship between the level of protein consumption with the perineal wound healing
The Influence of Physical Activity on the Quality of Life of Cervical Cancer Patients Undergoing Chemotherapy Treatment Kurniasih, Dwi; Savitri, Elisabeth Wahyu; Angelina, Yusta
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.05.06

Abstract

Background: Cervical cancer is one of the most common types of cancer experienced by women worldwide. During treatment procedures such as chemotherapy and radiotherapy, patients often face challenges in the recovery process, both physically and emotionally, which may lead to a decline in their quality of life. One of the ways to support reproductive health recovery is through physical activity, as it can improve blood circulation and help regulate hormonal balance. This study aims to analyze the effect of physical activity on the quality of life of cervical cancer patients undergoing chemotherapy.Subjects and Method:  This is a cross-sectional study conducted at Dr. Soedarso Hospital, Pontianak, West Kalimantan. A total of 30 cervical cancer patients undergoing chemotherapy were selected in this study. The dependent variable was quality of life. The independent variable was physical activity. Data were collected by questionnaire and analyzed using Spearman rho test.Results: Spearman's rho correlation analysis showed a strong and statistically significant relationship between physical activity and quality of life in cancer patients (r = 0.66; p < 0.001). These results indicate that higher levels of physical activity improve the quality of life in cervical cancer patients.Conclusion: The findings demonstrate a strong and significant relationship between physical activity and the quality of life of cervical cancer patients. This indicates that the better the physical activity performed, the better the quality of life of cervical cancer patients.
Analysis of Factors Influencing the Selection of Contraceptive Methods in Women of Reproductive Age Purwanti, Anik; Latifah, Ade Ifah
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.06.03

Abstract

Background: Only 19% of women of reproductive age in Indonesia use long-term contraceptive methods, with injectable birth control being the most frequently used method at 43.5%. A comprehensive understanding of the factors that influence contraceptive selection is essential for designing effective family planning programs and improving the reproductive health of women of reproductive age. This study aims to identify the factors that affect the selection of contraceptive methods among women of reproductive age in Cikunir Village, Tasikmalaya.Subjects and Method: This study uses an observational analytical design with a cross-sectional study. This research was conducted in Cikunir Village, Tasikmalaya. Samples were taken using purposive sampling techniques, consisting of 153 women of reproductive age (15-44 years) who had more than two children and had no contraindications to birth control. The dependent variable was use of contraceptives. The independent variables were demographic, socio-economic, knowledge, attitudes, accessibility of health services, and the role of health workers. Data collection using a primary questionnaire that had been validated and tested for reliability. Data analysis using chi-square tests  and multivariate logistic regressionResults: Knowledge (OR=15.08; 95% CI=5.11 to 44.48; p<0.001), husband's support (OR=7.94; 95% CI=2.95 to 21.35; p<0.001), high income (OR=5.50; 95% CI=1.80 to 16.74; p=0.003), and parity (OR= 3.33; 95% CI=1.20 to 9.20; p=0.020) increased the likelihood of contraceptive use. Conclusion: The factors that affect the choice of contraceptive use in women of reproductive age in Cikunir Village are knowledge, husband's support, high income, and parity.
Stress and Maladaptive Psychological Responses as Predictors of Postpartum Depression Faujiah, Irfa Nur; Ambari, Alvin Alvani Tresna; Saefudin, Muhamad Arif
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.06.02

Abstract

Background: Unmanaged stress and maladaptive psychological responses during the postpartum period increase the risk of postpartum depression, highlighting the need for evidence-based interventions in primary health care. This study aimed to analyze the influence of stress levels and psychological adjustment difficulties as risk factors for postpartum depression among mothers in the Singaparna Primary Health Care area.Subjects and Method: A cross-sectional study was conducted in five villages within the Singaparna Primary Health Care. A total of 150 postpartum mothers were recruited purposively. The independent variables were stress levels and psychological adjustment. The was dependent variable was postpartum depression. Data on stress were collected usng the Perceived Stress Scale (PSS-10). Psychological adjustment was measured using the Postpartum Adjustment Questionnaire (PAQ-15).  Postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Reliability and construct validity were confirmed, and Structural Equation Modeling (SEM) was applied to assess predictive relationships.Results: Maladaptive stress responses significantly reduced postpartum depression (β = 0.54, p= 0.002), Positive stress perception (β = 0.133, p= 0.302) and postpartum adjustment (β= 0.124, p= 0.159) were insignificantly associated. The SEM model showed acceptable fit (RMSEA= 0.06; CFI= 0.89; TLI = 0.88; SRMR= 0.07).Conclusion: Maladaptive stress responses are a key psychosocial risk factor for postpartum depression, whereas postpartum adjustment and positive stress perception show limited influence. Early screening and psychosocial interventions in primary care are essential to reduce postpartum depression and improve maternal mental health outcomes.
Gadget, Parenting Style, Work Stress, and Toddler Speech Delay:A Retrospective Analysis in Industrial Area of Bekasi Prakoso, Anom Dwi; Marini, Ice
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.06.01

Abstract

Background: Speech delay affects around 20% of toddlers in Indonesia and is prevalent in industrial areas where parents face long working hours. This study aimed to analyze the relationship of screen time, parenting style, and parental work stress with speech delay in toddlers.Subjects and Method: This retrospective case-control study was conducted in Bekasi industrial area, August- September 2025. A total of 60 toddlers (13 with speech delay, 47 controls) were selected purposively. Speech delay was diagnosed using Denver II and MacArthur-Bates CDI. Inde¬pendent variables included screen time, parenting style, and work stress, measured with validated questionnaires. Data were analyzed using Chi-square and logistic regression.    Results: The prevalence of speech delay was 21.7%. Screen time >1 hour/day was significantly associated with a higher risk of speech delay (OR=13.61; 95% CI=3.21 to 28.94; p=0.002). High parental work stress also increased the risk (OR=10.84; 95% CI=2.13 to 21.77; p=0.013). Parenting style showed no significant association (OR=2.73; p=0.233). Qualitative analysis revealed six themes including digital parenting, alternative stimulation, interactions that limit work stress, responsive vs. permissive parenting, awareness and intervention, and socioeconomic influences.Conclusion: Excessive screen time and parental work stress are dominant risk factors for toddler speech delay in industrial families. Prevention efforts should focus on digital literacy for parents, responsive parenting, and stress management programs at community and workplace levels.
Effectiveness of Lemongrass Gel on Pain Intensity and Salivary Cortisol Levels in Adolescent Girls with Primary Dysmenorrhea Hadibrata, Nabila Febriana; Sumarni, Sri; Sunarjo, Lanny
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.2025.10.06.04

Abstract

Background: Primary dysmenorrhea is menstrual pain caused by increased prostaglandins, which cause excessive uterine contractions. This condition is often experienced by adolescent girls and can cause stress and increased cortisol levels. One safe and easy-to-use non-pharmacological treatment is lemongrass gel (Cymbopogon citratus), which contains essential oils such as citral and geraniol, which have analgesic, anti-inflammatory, and antispasmodic properties. The purpose of this study was to determine the effectiveness of lemongrass gel on pain intensity and salivary cortisol levels in adolescent girls with primary dysmenorrhea.Subjects and Method: This was a randomized controlled trial. The study location was State Vocational High School 11 of Semarang. Data collection was conducted from June to July 2025. The intervention group was given 2 grams of 5% lemongrass gel twice daily for 3 days, and the control group was given hot cream. The dependent variables studied were pain intensity and salivary cortisol levels, while the independent variables were lemongrass gel and analgesic cream (Hot Cream). The analysis technique used a paired sample t-test.Results: The mean pain intensity in the intervention group after being given lemongrass gel was lower (Mean= 2.55; SD= 1.15) compared to before the intervention (Mean= 8.30; SD= 1.13) and was statistically significant (p <0.001). The average salivary cortisol level in the intervention group after being given lemongrass gel was lower (Mean= 12.15; SD= 3.30) compared to before the intervention (Mean= 21.91; SD= 8.05) and was statistically significant (p=0.008).Conclusion: The application of 5% lemongrass gel was proven to be effective in reducing pain intensity and salivary cortisol levels in adolescent girls with primary dysmenorrhea, making it a safe and practical non-pharmacological therapy alternative.
A Scoping Review of Maternal Birth Experience in Low- and Middle-Income Countries from 2014-2024 Madhurima Pal; Qu, Sarah; Alizadeh, Anita; Lu, Andy; Ali Sindhu, Hussain; Nwankwo, Chizitere
Journal of Maternal and Child Health Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.01.02

Abstract

Background: Childbirth experiences differ widely, shaped by cultural beliefs, socioeconomic status, healthcare infrastructure, and delivery location. In low- and middle-income countries (LMICs), limited access to quality care and higher maternal mortality rates deeply affect women’s experiences and outcomes. While prior studies have typically examined economic, social, or structural influences independently, a comprehensive approach that integrates these domains is needed. This study aims to examine the economic, social, and structural factors influencing maternal experiences in LMICs and assess how these factors shape both the choice of delivery location and maternal care experience.Subjects and Method: A literature search of studies from 2014 to 2024 was conducted using MEDLINE and Google Scholar. Controlled vocabulary (e.g., MeSH terms) and Boolean operators combined terms such as “midwives,” “birth assistants,” “LMICs,” “hospital birth,” and “maternal mortality rates.” Only peer-reviewed quantitative and qualitative English-language studies examining maternal birth experience in  LMICs were included. Grey literature, reviews, and opinion pieces were excluded. Findings were organized using a global framework on maternal health determinants.Results: Of 114 articles identified, 8 met the inclusion criteria, covering studies from Bangladesh, Ethiopia, rural Sierra Leone, Kenya, rural Zambia, Chiapas (Mexico), and Eritrea. These studies revealed that maternal experience and delivery location are shaped by economic, social and structural factors. Hospital fees and informal costs discouraged facility-based births, while limited education, cultural norms and male-dominated decision-making reduced women’s autonomy in choosing their delivery location. Structural challenges, including staff shortages, lack of privacy, and poor rural access, further limited hospital deliveries.Conclusion: Maternal birth experiences in LMICs are influenced by hospital delivery costs, cultural beliefs, limited education and awareness, and inadequate healthcare facilities, which reduce access to quality care and undermine women’s autonomy. Targeted interventions, such as affordable, culturally sensitive, and accessible healthcare and education-focused initiatives, are essential to enhancing maternal birth experiences and outcomes.
Psychological Well-Being Among Women with Polycystic Ovary Syndrome: Insights from Buug, Zamboanga Sibugay, Philippine Calanda, Ailyn; Labrador, Hadassah Sulamith; Paracale, Shawie Lou; Tilid, Jhana Marie; Gallego, Randy Ian; Laranjo, Tashmera; Merasol, Hope Lovely
Journal of Maternal and Child Health Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.01.04

Abstract

Background: Traditionally, Polycystic Ovary Syndrome (PCOS) has been classified primarily as an endocrine disorder. Contemporary research, however, has elucidated its multifaceted nature, encompassing metabolic, hormonal, and psychosocial dimensions that substantially influence patients' quality of life. Women with PCOS are often subjected to significant emotional distress due to the syndrome's physical manifestations, fertility issues, and body image challenges, which are frequently accompanied by elevated levels of anxiety, depression, and stress. This study aims to highlight the psychological ramifications of PCOS diagnosis and underscore the imperative of integrating psychological considerations into holistic patient care.Subjects and Method: Utilizing a descriptive-correlational research design, this study assessed the perceived psychological impact of PCOS diagnosis among women in Buug, Zamboanga Sibugay. A sample of 81 randomly selected respondents completed a validated and reliability-tested questionnaire. The dependent variables comprised the perceived impact of PCOS diagnosis on the respondents’ psychological health. The independent variables of the study were the respondents’ perceptions of their PCOS diagnosis in terms of the duration, challenges, and lifestyle changes associated with the condition. Data were analyzed using Spearman’s rho and Pearson correlation coefficients.Results: The findings indicate that the duration of PCOS diagnosis, the associated challenges, and subsequent lifestyle modifications significantly affect participants' psychological well-being. Statistical analysis indicated significant correlations between psychological health and the duration of diagnosis (p < 0.001), diagnostic challenges (p < 0.001), and lifestyle changes (p < 0.001), highlighting their critical impact on psychological outcomes.Conclusion: The study emphasizes the critical need to incorporate psychological aspects into the management of PCOS. Effective intervention that addresses both the physical and psychological dimensions of PCOS can substantially enhance patient care and improve overall quality of life for women affected by this syndrome.
Social relationships and empowerment as risk factors for anemia among anxious pregnant women in Pakistan Suleman, Nadia; Liaqat, Rakhshanda; Park, Soim; Ahmad, Ikhlaq; Zaidi, Ahmed; Atif, Najia; Kamran, Haris; Rahman, Atif; Surkan, Pamela J.; Malik, Abid
Journal of Maternal and Child Health Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.01.05

Abstract

Background: Empowered women with social support are more likely to seek healthcare services, leading to better health outcomes. This study investigated spousal relationships, social support, and women's empowerment in relation to anemia in pregnant women living in urban areas of Rawalpindi, Pakistan.Subjects and Method: A cross-sectional study enrolled 1,200 pregnant women at ≤ 22 weeks of gestation from Holy Family Hospital, Pakistan. The anxiety component of the Hospital Anxiety and Depression Scale (HADS) was used to assess eligibility, with a cutoff score of > 8. The quality of marital relationships, social support, and women's empowerment were evaluated using the MacArthur Relationship Questionnaire (MRQ), the Multidimensional Scale of Perceived Social Support (MSPSS), and an empowerment scale, respectively. Blood samples were collected to assess anemia in the participants. Descriptive statistics, risk ratios and bivariate analysis were conducted to explore the association.Results: At enrollment, 29.7% of pregnant women exhibited mild anemia, 14.6% exhibited moderate anemia, and 0.3% exhibited severe anemia. Having a strong spousal relationship was significantly associated with decreased risk of anemia (RR=0.87; 95% CI= 0.82 to 0.93, p<0.001). However, social support from family members (excluding spouses) or friends did not show a significant association with the risk of anemia. Interestingly, financially empowered pregnant women had a higher risk of anemia compared to women who were not financially empowered (RR=1.14; 95% CI= 1.01 to 1.30; p= 0.040).Conclusion: Support from a husband was associated with reduced risk of anemia in pregnant women in Pakistan. Enhancing spousal relationships and incorporating health literacy into empowerment programs could improve maternal health by lowering the risks of anemia.

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