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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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Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital, Ponorogo, East Java Yustina Purwaningsih; Yulia Lanti Retno Dewi; Dono Indarto; 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: Asphyxia, or perinatal asphyxia, refers to oxygen deprivation during labor or delivery long enough to cause physical harm, and particularly brain damage. When birth asphyxia is severe, it can injure brain cells and cause potentially fatal conditions, including Hypoxic-Ischemic En
Empowerment of Occupational Therapists in Aquatic Program for Improving the Development of Children with Neurodevelopment Disorder Erayanti Saloko; Bhisma Murti; Rita Benya Adriani
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: Aquatic program is an occupational therapy for children with neurodevelopment disorder that has been recognized as one of the technological innovations in medical rehabilitation. This study aimed to analyze the effectiveness of occupational therapist empowerment training in aquatic program on the knowledge, attitude, and competence of occupational therapists, and the effectiveness aquatic therapy on improving the development of children with neurodevelopment disorder.Subjects and Method: This was a quasi experiment study with pre and post test design with no comparison design. A sample of 88 occupational therapist were selected for this experiment. Knowledge, attitude, and competence of the therapists before and after empowerment training were measured and compared. Likewise, 78 children with neurodevelopmental disorder in Central Java who were under treatment by the occupational therapists were measured and compared before and after the occupational therapist empowerment training, in terms of motoric and sensoric development. The effects of empowerment training on knowledge, attitude, and competence of the occupational therapists as well as motoric and sensoric development of children with neurodevelopment disorder were analyzed by linear regression analysis model.Results: Empowerment training significantly increased knowledge (b=3.95; 95% CI=
Effectiveness of the Expanded Maternal and Neonatal Survival Program in the Reduction of Maternal Mortality in Tegal, Central Java Adeyle Datna Karina Cibro; Argyo Demartoto; Endang Sutisna Sulaeman
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: Maternal mortality rate is one of the sensitive indicators of population health in a country. Various measures have been implemented to reduce maternal mortality rate, including the Expanding Maternal And Neonatal Survival (EMAS) program. This study aimed to evaluate the effectiveness of the Expanded Maternal and Neonatal Survival program in the reduction of maternal mortality in Tegal, Central Java.Subjects and Method: This was a qualitative evaluative study using context, input, process, product (CIPP) framework. This study was conducted in Tegal, Central Java. The data were collected by in-depth interview, observation, and document review. The primary key informants of this study consisted of 10 subjects, including EMAS team, Head of the District Health Office Tegal, Head of Pagerbarang Health Center, Head of Dukuhwaru Health Center, their coordinating midwife, and community as the program beneficiary.Results: EMAS program was implemented in Tegal because of high maternal mortality rate and lack of community awareness on the importance of visiting health care facility. During the program implementation the district government synergized various stakeholders to realize good governance. Stakeholders work together according to each other task and function. EMAS program has resulted in improved skill of the doctors, midwives, and nurses in tackling emergency cases, so that the emergency cases can be tackled faster, and community awareness use health facilities. The barrier factor was the insufficient number of mentoring health personel.Conclusion: The EMAS program in Tegal district, which aims to reduce maternal mortality rate has been implemented effectively. The emergency referral system is well implemented. Working groups had performed tasks and functions well with adequate responsibility.Keywords: evaluation, EMAS program, maternal mortality rateCorrespondence:
Employment Status, Family Income, Contraceptive Availability, and their Effects on the Use of Long Term Contraceptives in Sukoharjo, Central Java Sri Setiyo Ningrum; Dono Indarto; Mahendra Wijaya
Journal of Maternal and Child Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Rapid population growth cause population burden on earth and imbalance population distribution. This situation in turn make cause public health and social problems. One of the methods that can be used to control population growth is long term contraceptive use. The Indonesian Demographic and Health Survey (SDKI) showed that employed mothers were more likely to use long term contraceptive than unemployed mothers. Contraceptives are available for free at Family Planning Clinic (KKB). This study aimed to analyze the effect of employment status, family income, and contraceptive availability, on the use of long term contraceptive among women and men of reproductive age in Sukoharjo, Central Java.Subjects and Method: This was a qualitative analytic and descriptive study with phenomenology approach. This study was conducted in Weru, Kartasura, Polokarto, and Tawangsari subdistricts, Sukoharjo, Central Java. The key informants included acceptors of implant, Intra Uterine Device (IUD), Female Surgical Method (MOW), and Male Surgical Method (MOP). The data were collected by in-depth interview, Focus Group Discussion (FGD), observation, document review. The data were alayze by interactive analysis. The data were verified by triangulation of data sources.Results: Two informants reported they chose IUD because they had to work outside the house, undesirable side effects of using oral contraceptive, injection contraceptive, and contraceptive use by their mothers and grandmothers. Some other informants have used implant because of undesirable side effect of using injection contraceptive, such as irregular menstruation and increased body weight. Two other informants have used female surgical method (MOW) because they already have three children and do not want to be pregnant again. One male informant reported that he has used male surgical method (MOP) because already has four children, and he followed the methods his father has used. Most of the long term contaceptive users work outside the house and their incomes were lower than the minimum regional standard wage. Most of the long term contraceptive users receive free contraceptive and additional reward (e.g. free rice). The remaining long term contraceptive users buy contraceptives at the health center and hospital. The contraceptives were supplied by the National Coordinating Board of Population and Family Planning (Badan Kependudukan dan Keluarga Berencana Nasional, BKKBN) at province level. Village midwives did not receive free contraceptive because their practices have not been classified as Family Planning Clinics (KKB).Conclusion: Availability of contraceptive is a necessary condition for long term contraceptive use. Working outside the house is an additional factor for most women to realize long term contraceptive use.Keywords: Employment status, family income, availability, long term contraceptive
Biopsychosocial Factors Associated with Postpartum Haemorrhage in Surakarta, Central Java Rizqa Kartika Dewi; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum haemorrhage is the primary cause of maternal mortality worldwide. However, studies in Indonesia examining factors associated with postpartum haemorrhage are sparse. The purpose of this study was to examine factors associated with postpartum haemorrhage.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from May 2017 to May 2018. A total sample of 200 postpartum mothers was selected by fixed disease sampling. The dependent variable was postpartum haemorrhage. The independent variables were age, parity, birth space, anaemia, antenatal care, obstetrics history, education, and self-efficacy. The data were collected by questionnaire and analyzed by path analysis on Stata 13.Results:Postpartum haemorrhagewas positively and diretlyassociated with poor obstetric history(b=0.87; 95%CI=-0.03 to 1.79; p=0.059), older age (b=1.86; 95%CI=0.81 to 2.92; p= 0.001), multiparity(b= 1.62; 95%CI=0.08 to 3.15; p=0.038), anemia (b=1.74; 95%CI= 0.83 to 2.66; p<0.001), and narrow birth space (b=-2.51; 95%CI=-3.56 to -1.47; p<0.001). Postpartum haemorrhage was indirectly associated with antenatal care, education, and self-efficacy.Conclusion: Postpartum haemorrhageis positively associated with poor obstetric history, older age, multiparity, anemia, and narrow birth space. Postpartum haemorrhage is indirectly associated with antenatal care, education, and self-efficacyKeywords: postpartum haemorrhage, determinant, path analysisCorrespondence:
Menopause and Biopsychosocial Factors Associated with Quality of Life in Women in Surakarta, Central Java Dwi Hesti Ermawati; Uki Retno Budihastuti; 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: Women spend a third of life during menopause. The number of women entering menopause worldwide is estimated at 25 million annually. Women of menopausal age have decreased estrogen hormone which can decrease the quality of life. This study aimed to analyze the biopsychosocial factors and menopause affecting the women's quality of life.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in Surakarta, from January to February 2018. A sample of 200 women was selected by cluster sampling. The dependent variable was quality of life. The independent variables were self-efficacy, healthy behavior, menopause, and social support. The data were collected by questionnaire and analyzed by path analysis.Results: Women
Effect of Menopause Duration and Biopsychosocial Factors on Quality of life of Women in Kediri District, East Java Nunik Ike Yunia Sari; Rita Benya Adriani; Ambar Mudigdo
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: Menopause is defined as the point in time when menstrual cycles permanently cease due to the natural depletion of ovarian oocytes from aging. Studies have shown,
Age, Parity, Physical Activity, Birth Weight, and the Risk of Perineum Rupture at PKU Hospital in Delanggu, Klaten, Central Java Tri Ari Hastuti; Ambar Mudigdo; Uki Retno Budihastuti
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: Physiologic vaginal delivery of offspring may cause spontaneous unintended perineum tear (rupture) with varying degrees. Perineum rupture is the second leading cause of post-partum bleeding after uterine atony. The purpose of this study is to analyze the relationship between age, parity, physical activity, birth weight, and the risk of perineum rupture.Subject and Methods: This was an analytic observational study with cross sectional design. This study was carried out at PKU Hospital, Delanggu, Klaten, Central Java. A total of 78 mothers giving birth at the maternity ward were selected for this study stratified random sampling. The independent variables were age, parity, physical activity, and birth weight. The dependent variable was perineum rupture. The data were collected by interview and observation, and then analyzed using path analysis model.Results: Maternal age ? 35 years old (b = 3.36; 95%CI = 0.91 to 5.80; p = 0.007) increased the risk of perineum rupture, and it was statistically significant. Sufficient physical activity (b =-3.16; 95% CI =-5.05-1.27 ; p = 0.001) and multiparity (b =-4.05; 95% CI =-6.62 to -1.50; p = 0.002) decreased the risk of perineum rupture, and it was statistically significant. Birth weight did not show significant effect on the risk of perineum rupture (b = 1.13; 95%CI = 0.97 to 3.24; p = 0.291). Maternal employment status did not show its effect on physical activity level.Conclusion: Maternal age ? 35 years old increased the risk of perineum rupture. Sufficient physical activity and multiparity decreased the risk of perineum rupture. Special care should be taken on these two risk factors when assisting birth delivery in order to prevent perineum rupture.Key words: age, parity, physical activity, birth weight, perineum rupture.Correspondence: Tri Ari Hastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: Triari1987@gmail.comJournal of Maternal and Child Health (2016), 1(2): 93-100https://doi.org/10.26911/thejmch.2016.01.02.04
Optimizing the Combination of Oxytocin Massage and Hypnobreastfeeding for Breast Milk Production among Post-Partum Mothers Lutfiana Puspita Sari; Harsono Salimo; Uki Retno Budihastuti
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 incidence of post-partum blues both in Indonesia and abroad has been quite high; the stress that post-partum mothers experience will inhibit breast milk production and, as a result, breastfeeding process should be stopped earlier. Hypnobreastfeeding relaxation and oxytocin massage have been a combination of therapy that might decrease the rate of Adenocorticotropic Hormon (ACTH) and that might assist hormone and prolactin secrection in order that breast milk production becomes fluent. This study then aimed at analyzing the optimization of the combination of oxytocin massage and hypnobreastfeeding in order to decrease anxiety and to improve breast milk production among post-partum mothers.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. This study was conducted at Dr. Suradji Tirtonegoro Central General Hospital, Klaten, from January 25th, 2017 until March 9th, 2017. The population in this study was 200 post-partum mothers. A sample of 60 post-partum mothers was selected for this study and allocated into the intervention group (n1= 30) and the control group (n2= 30). The intervention group would be treated by the combination of oxytocin massage and hypno
A Path Analysis on the Factors Associated with Birth Preparedness: Evidence from Wonogiri, Central Java Hafari Fajria Nuril Ummah; Eti Poncorini Pamungkasari; Rita Benya Adriani
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: Birth preparedness and complication readiness is a strategy that encourages pregnant women, their families, and communities to effectively plan for births and deal with emergencies, if they occur. It is a key component of globally accepted safe motherhood programs. This study aimed to determine factors associated with birth preparedness in Wonogiri, Central Java.Subjects and Method: This was a cross-sectional study carried out in Wonogiri, Central Java, from April to May 2018. A sample of 200 pregnant women was selected by cluster sampling. The dependent variable was birth preparedness. The independent variables were gestational age, parity, maternal education, maternal knowledge on birth sign, husband support, and health personnel role. The data were collected by questionnaire and analyzed by path analysis, run on Stata 13.Results: Birth preparedness was positively affected by good maternal knowledge on birth sign (b=2.97; 95% CI=0.10 to 5.84; p=0.043), husband support (b=5.06; 95% CI=2.62 to 7.51; p<0.001), and health personnel role (b=5.53; 95% CI=2.95 to 8.11; p<0.001). Birth preparedness was indirectly affected by gestational age, maternal education, and parity.Conclusion: Birth preparedness is positively affected by good maternal knowledge on birth sign, husband support, and health personnel role. Birth preparedness is indirectly affected by gestational age, maternal education, and parity.Keywords: birth preparedness, gestational age, education, knowledge, husband support, health personnel roleCorrespondence:

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