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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 506 Documents
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Life Course Epidemiology on the Determinants of Stunting in Children Under Five in East Lombok, West Nusa Tenggara Husniyati Sajalia; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting remains a challenging global health issue. It is estimated by Global Nutrition Report that 155 million children were stunted in 2017. Stunting is associated with an underdeveloped brain, with long-lasting harmful consequences, including diminished mental ability and learning capacity, poor school performance in childhood, reduced earnings and increased risks of nutrition-related chronic diseases, such as diabetes, hypertension, and obesity in future. This study aimed to examine the determinants of stunting in children under five in East Lombok, West Nusa Tenggara.Subjects and Method: This was an analytic observational study with a case control design. The study was carried out in 31 posyandus (integrated family health posts) in East Lombok, West Nusa Tenggara, from April to May 2018.A sample of 186 children was selected by fixed disease sampling. The dependent variable was stunting. The independent variables were low birthweight (LBW), birth length, exclusive breastfeeding, history of infection disease, maternal age at pregnancy, maternal middle upper arm circumference (MUAC), and family income. The data were collected by questionnaire and analyzed by a multilevel logistic regression run in Stata 13.Results: The risk of stunting increased with LBW (b= 3.51; 95% CI= -0.28 to 7.31; p= 0.069), maternal age at pregnancy <20 or ?35 years (b= 2.73; 95% CI= 0.38 to 5.42; p=0.047), andhistory of infectious disease (b= 3.70; 95% CI= 0.84 to 6.56; p=0.011). The risk of stunting reduced with high family income (b= -2.15; 95% CI= -4.37 to 0.61; p=0.057), birth length (b= -4.17; 95% CI= -7.42 to -0.91; p=0.012), exclusive breastfeeding (b= -3.24; 95% CI= -5.63to -0.85; p=0.008), and maternal MUAC ?23.5cm (b= -4.53; 95% CI= -8.09to -0.97; p=0.013). Posyandu had a contextual effect on the incidence of child stunting with ICC= 15.00%.Conclusion: The risk of stunting increases with LBW, maternal age at pregnancy <20 or ?35 years, and history of infectious disease. The risk of stunting reduces with high family income, birth length, exclusive breastfeeding, and maternal MUAC. Posyandu has a contextual effect on the incidence of child stunting.Keywords: Stunting, low birthweight, birth length, exclusive breastfeedingCorrespondence:
Effects of Maternal Nutrition Status, Maternal Education, Maternal Stress, and Family Income on Birthweight and Body Length at Birth in Klaten, Central Java Rika Nurmayanti; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 2 No. 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Birthweight and body length at birth are predictors of morbidity and mortality in children under five years old and adult age. Low birthweight increases the risk of morbidity and mortality in children under five. This study aimed to examine the effects of maternal nutrition status, maternal education, maternal stress, and family income, on birthweight and body length at birth in Klaten, Central Java.Subjects and Method: This was an observational analytic study with case control design. The study was conducted at Manisrenggo and Bayat community health centers, Klaten District, Central Java, in April 2017. A total sample of 120 children aged 0 to 6 months and their mothers were selected for this study using fixed disease sampling. The dependent variables were birthweight and body length and birth. The independent variables were maternal nutrition status, maternal education, maternal stress, and family income. The data were collected by a set of questionnaire. Maternal nutrition status at pregnancy was measured by mid-upper arm circumference (MUAC). Data on birthweight and body length at birth were taken from mother and child health monitoring book. The data was analyzed using path analysis.Results: Birthweight was directly and positively affected by maternal MUAC at pregnancy (b=0.50; SE=0.13; p<0.001), family income (b=0.11; SE=0.04; p=0.004), and maternal education (b=2.14; SE=0.88; p=0.016). Birthweight was directly and negatively affected by maternal stress (b=-1.81; SE=0.81; p=0.025). Body length at birth was directly and positively affected by maternal MUAC at pregnancy (b=0.16; SE=0.64; p=0.011) and family income (b=0.05; SE=0.18; p=0.005). Maternal MUAC at pregnancy was affected by maternal education (b=1.41; SE=0.58; p=0.014). Likewise, family income was affected by maternal education (b=5.28; SE=2.11; p=0.012).Conclussion: Maternal MUAC at pregnancy, family income, and maternal education positively and directly affect birthweight. Maternal stress directly and negatively affects birthweight. Body length at birth is directly and positively affected by maternal MUAC at pregnancy and family income.Keywords: birthweight, body length at birth, MUAC, maternal stressCorrespondence:
Multilevel Analysis on the Risk Factors of Post Partum Hemorrhage in Bondowoso, Central Java Miftahus Saadah; Supriyadi Hari Respati; Okid Parama Aristin
Journal of Maternal and Child Health Vol. 1 No. 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The primary causes of maternal mortality in Indonesia are hemorrhage (32%), pre-eclampsia/ eclampsia (25%), infection (5%), prolonged labor (5%), abortus (1%), and other causal factors not related to pregnancy and birth delivery (32%). This study aimed to investigate risk factors of post partum hemorrhage in Bondowoso, East Java.Subjects and Method: This was an analytic observational study with case control design. This study was conducted in Bondowoso, East Java, from
What are the Factors that Affect the Risk of Parenting Stress in Mothers with Disability Children? A New Evidence from Sukoharjo, Central Java Syarifatul Fikriyyah; Rita Benya Adriani; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Mothers play an important role in the care of children with physical and psychological disabilities. However, the role of caring children with disabilities can cause stress for the mother. Parenting stress can lead to anxiety, emotional instability, and avoidance of the environment in mother. This, in turn, may deteriorate the quality of family life. As a result, children with disabilities may experience development and growth disorders. This study aimed to determine the factors that affect the parenting stress in the caring of children with disability in Sukoharjo District, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Sanggar Inklusi, Sukoharjo, Central Java, from February to March 2018. A sample of 163 mothers with disabled children was selected for this study by exhaustive sampling. The dependent variable was parenting stress. The independent variables were adversity intelligence, disability level, maternal education, maternal employment status, family income, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: The risk of maternal parenting stress increased with children disability (b= 4.64, SE= 1.72, p= 0.07) and mothers working outside the house (b= 1.68, SE= 0.93, p= 0.069). The risk of maternal parenting stress decreased with high adversity intelligence (b= -0.28, SE= 0.12, p= 0.016), high maternal education (b= -8.50, SE= 0.86, p< 0.001), high family income (b= -0.28, SE= 0.16, p= 0.078), and strong family support (b= -0.22, SE= 0.08, p= 0.007).Conclusion: The risk of maternal parenting stress increases with high children disability and maternal employment status, but decreases with high adversity intelligence, high maternal education, high family income, and strong family support.Keywords: parenting stress, children, disabilityCorrespondence:
Risk Factors of Postpartum Hemorrhage in Bondowoso District, East Java Ratna Puspitasari; Uki Retno Budi Hastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum hemorrhage is the leading cause of the maternal death worldwide. Postpartum hemorrhage accounted 20% of all causes of maternal death in Bondowoso, East Java. This study aimed to examine the risk factors of postpartum hemorrhage.Subjects and Method: This was an analytic observational study using case control design. The study was carried out at 5 community health centers, Bondowoso District, East Java, from March to May 2017. A sample of 120 study subjects were selected for this study by fixed disease sampling, consisting of 40 postpartum women with hemorrhage and 80 postpartum women without hemorrhage. The dependent variable was postpartum hemorrhage. The independent variables were family income, birth space, type of delivery, mother's middle upper arm circumference (MUAC), antenatal visit, and high-risk score card. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis.Results: Post partum bleeding was directly affected by birth space <2 years or > 10 years (b=3.03; 95% CI = 1.52 to 4.55; p< 0.001), antenatal visit ? 4 times (b=3.35; 95% CI= 1.82 to 4.87; p< 0.001), High risk score <2 (b=2.18; 95% CI= 0.92 to 3.44; p= 0.001), type of delivery (b=1.63; 95% CI= 0.39 to 2.87; p= 0.010). High-risk score card was affected by birth space <2 years or > 10 years (b=0.80; 95% CI= 0.32 to 1.57; p= 0.041), family income < Rp 1,417,000 (b=0.72; 95% CI= -0.57 to 1.49; p= 0.070), and antenatal visit ? 4 (b=0.70; 95% CI= -0.07 to 1.48; p= 0.076). MUAC was affected by family income ? Rp 1,417,000 (b=0.67; 95% CI= -0.08 to 1.44; p= 0.083). Type of delivery (assisted) was affected by high-risk score card <2 (b=1.00; 95% CI = 0.22 to 1.77; p= 0.011) and mother
Analysis of Factors Associated with Anemia in Pregnant Women at Prambanan Community Health Center, Sleman, Yogyakarta Ratna Prahesti; Dono Indarto; Muhammad Akhyar
Journal of Maternal and Child Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maternal anemia has serious impact on maternal and fetal health outcome. Pregnant women are at high risk of anemia. This study aimed to investigate the factors associated with the incidence of anemia among pregnant women.Subjects and Method: This was an analytic and observational study with cross-sectional design. This study was conducted at Prambanan Community Health Center, Sleman, Yogyakarta. A total of 120 trimester II and III pregnant mothers, was selected for this study. The dependent variable was incidence of anemia. The independent variables were gestational age and maternal education. The data were collected by a questionnaire and analyzed by multiple logistic regression.Result: Trimester II pregnant women had lower risk of anemia than trimester III (OR = 0.35; 95% CI = 0.15 to 0.80; p = 0.013). Pregnant women completed high school had lower risk of anemia than lower education (OR = 0.33; 95% CI 1.29 to = 6.81; p = 0.010).Conclusion: Gestational age and maternal education are associated with the risk of anemia in pregnant women.Keywords: anemia, pregnant women, trimester II and III, maternal educationCorrespondence:
Path Analysis on the Effect of Birthweight, Maternal Education, Stimulation, Exclusive Breastfeeding, and Nutritional Status on Motoric Development in Children Aged 6-24 Months in Banyumas District, Central Java Inggar Ratna Kusuma; Harsono Salimo; Endang Sutisna Sulaeman
Journal of Maternal and Child Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The first two years of a child life is a critical period for his growth and development. Motor skill is one of the elements of children development. Having good control of motor skill helps children in exploring their surrounding also helps in improving development. The study aimed to explain the effect of birth weight, maternal education, provision of stimulation, and nutritional status toward the development of children under two years old.Subjects and Method: The method of the study was analytic observational, with retrospective cohort approach. The study was conducted in 4 sub-districts of Banyumas Regency included: Kembaran, Somagede, Cilongok and Sumpiuh. Cluster sampling was used as subject selection techniques and were classified based on low birth weight and non low birth weight (fixed exposure sampling). There were a total of 120 children whom 40 of them were born with Low Birth Weight and 80 of them with normal birth weight. Exogenous variables among others were birth weight, exclusive breastfeeding, maternal education, stimulation provision. Endogeneous variables were nutritional status, and motor development. Data collection was conducted by using Early Detection Intervention Stimulation for Growth and Development (SDIDTK). Path analysis was used as the analysis technique.Result: Motor development was affected by nutritional status (b=0.12; SE= 0.04; p=0.006), frequency of stimulation (b=0.04; SE= 0.01; p=0.005), birth weight (b=0.33; SE=0.06; p<0.001), and maternal education (b=0.02; SE=0.07; p=0.719). Nutritional status was affected by exclusive breastfeeding (b =0.10, SE=0.15; p=0.507), maternal education (b=0.23; SE=0.13; p=0.078) and birth weight (b=0.38; SE=0.12; p=0.002).Conclusion: Motor development was affected by nutritional status, frequency of stimulation, birth weight, and maternal education. Nutritional status was affected by exclusive breastfeeding, maternal education and birth weight.Key words: birth weight, exclusive breastfeeding, stimulation, maternal education, nutritional status, motor development.Correspondence:
Low Birth, Prematurity, and Pre-Eclampsia as Risk Factors of Neonatal Asphyxia Remita Yuli Kusumaningrum; Bhisma Murti; Hanung Prasetya
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Asphyxia neonatorum is the condition of an infant who does not breathe spontaneously and regularly immediately after birth. This condition is accompanied by hypoxia, hypercapnia, and ends with acidosis. Long-standing asphyxia can cause brain damage and death. This study aimed to investigate risk factors of asphyxia in Nganjuk Hospital, East Java.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Nganjuk Hospital, East Java, in July 2018. A total sample of 150 neonates was selected by fixed disease sampling, consisting of 50 neonates with asphyxia and 1oo neonates without asphyxia. The dependent variable was asphyxia. The independent variables were low birth weight, preterm birth, and pre eclampsia. The data were obtained from medical record and analyzed by a multiple logistic regression.Results: The risk of asphyxia increased with low birth weight (OR= 2.58; 95% CI = 3.80 to 46.15; p<0.001), premature birth (OR= 1.27; 95% CI= 1.23 to 10.25; p= 0.019), and pre-eclampsia (OR= 3.74; 95% CI= 12.54 to 141.05; p <0.001).Conclusions: The risk of asphyxia increases with low birth weight, premature birth, and pre-eclampsia.Keywords: asphyxia, neonates, low birth weight, premature, preeclampsiaCorrespondence:
Use of Vaginal Hygiene Product, Physical Activity, Age at Marriage, Body Mass Index, and Female Infertility Ayu Kusuma Puspasari Arifin; Bhisma Murti; Uki Retno Budihastuti
Journal of Maternal and Child Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Various products are common in the market for vaginal hygiene purpose, such as povidone iodine vaginal douche, extract of betel leaf, and other herbal internal vaginal hygiene products. However, it is hypothesized that these hygiene products may hamper female fertility. This study aimed to examine the effect of vaginal hygiene product use on female fertility, while controlling for the level of physical activity, age at marriage, and body mass index.Subjects and Method: This study was analytical-observational with case control design, conducted at Dr. Moewardi Hospital, Surakarta, Indonesia. The study population were women aged 15-49 years old. A total of 55 infertile women and 55 pregnant or post-partum women were selected as cases and controls, respectively, by using fixed diseases sampling. The dependent variable was infertility. The independent variables were external and internal use of vaginal hygiene product, level of physical activity, age at marriage, and body mass index (BMI). The data were analyzed using multiple logistic regression.Results: External use of vaginal hygiene product decreased the risk of infertility, but it was statistically non-significant (OR=0.62; 95%CI= 0.22 to 1.74; p=0.366). Internal use of vaginal hygiene product (OR=14.97; 95%CI= 1.66 to 135.16; p=0.016), heavy physical activity (OR=7.95; 95%CI= 1.54 to 41.08; p=0.013), age at marriage>29 years (OR=3.66; 95%CI= 0.68 to 19.76; p=0.131), BMI<18,5kg/m2(OR=1.62; 95%CI= 0.31 to 8.56; p=0.572), and BMI ? 25kg/m2(OR=23.17; 95%CI= 4.05 to 132.40; p<0.001) increased the risk of infertility.Conclusion: Internal use of vaginal hygiene product, heavy physical activity, age at marriage>29 years, underweight, and overweight, are risk factors of infertility in women. Women who use vaginal hygiene product internally should be aware that this practice significantly increased the risk of infertility.Keywords:Female infertility, vaginal hygiene product, physical activities, age at marriage, body mass indexCorrespondence: Ayu Kusuma Puspasari Arifin. Masters Program in Public Health, Sebelas Maret University. Email: puspasari.arifin@yahoo.comJournal of Maternal and Child Health (2016), 1(1): 41-52https://doi.org/10.26911/thejmch.2016.01.01.07
Determinants of Stunting and Child Development in Jombang District Vivin Eka Rahmawati; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting is a very short body state in children that goes beyond the 2 SD deficit below the child population height. Worldwide stunting affects about 162 million children under five. Indonesia is included in 17 countries that have three nutritional problems in children under five: stunting, wasting, and overweight. This study aimed to investigate the determinants of stunting and child development in children under five.Subjects and Method: This was a retrospective cohort study conducted at Mayangan and Jarak Kulon Community Health Centers, Jombang, East Java, in Januari 2018. A total sample of 58 children were selected for this study by fixed exposure sampling. The dependent variables were stunting and child development. The independent variables were birth-length, maternal age, maternal height, maternal education, and family income. The data were collected by questionnaire. Data on birth length was taken from maternal and child record at community health center. The data were analyzed by path analysis model.Results: The likelihood of good child development increased with maternal education (b= 1.08; 95% CI= 0.41 to 1.75; p= 0.001) and decreased with stunting (b= -0.78; 95% CI= -1.46 to -0.10; p=0.025). The risk of stunting decreased with birth-length (b= -0.90; 95% CI= -1.60 to -0.21; p=0.011) and maternal height (b=-0.92; 95% CI= -1.69 to -0.16; p=0.018). The risk of stunting increased with maternal age <20 y.0. or ?35 y.o. at pregnancy (b= 0.73; 95% CI= -0.03 to 1.46; p=0.051). The likelihood of maternal age <20 y.0. or ?35 y.o. at pregnancy decreased with higher education (b=-0.75; 95% CI= -1.44 to -0.06; p=0.033). Birth-length

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