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Journal of Maternal and Child Health
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : 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.
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Articles 549 Documents
Biopsychosocial Factors Associated with Postpartum Haemorrhage in Surakarta, Central Java Dewi, Rizqa Kartika; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
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:Rizqa Kartika Dewi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rizqakartika@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 207-215https://doi.org/10.26911/thejmch.2018.03.03.05
Menopause and Biopsychosocial Factors Associated with Quality of Life in Women in Surakarta, Central Java Ermawati, Dwi Hesti; Budihastuti, Uki Retno; Murti, Bhisma
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: Womens quality of life increased with healthy behavior (b= 0.96; 95% CI= 0.35 to 1.56; p=0.002) and decreased by menopause (b= -0.96; 95% CI= -1.56 to -0.35; p= 0.002). Womens quality of life was indirectly affected by self-efficacy and social support.Conclusion: Womens quality of life is affected by menopause, healthy behavior, self-efficacy, and social support.Keywords: quality of life, women, biopsychosocial, menopauseCorrespondence:Dwi Hesti Ermawati, Masters Program in Public Health, UniversitasSebelasMaret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dwihestirose@gmail.comJournal of Maternal and Child Health (2018), 3(2): 119-127https://doi.org/10.26911/thejmch.2018.03.02.04
Effect of Menopause Duration and Biopsychosocial Factors on Quality of life of Women in Kediri District, East Java Sari, Nunik Ike Yunia; Adriani, Rita Benya; Mudigdo, Ambar
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,  menopause causes decrease in quality of life and a positive correlation between menopausal symptoms and  quality of live. This study aimed to determine the effect of menopause duration and biopsychosocial factors on quality of life of  women.Subjects and Method: This study was an analytic study using cross-sectional design. The study was conducted in Bendo Community Health Center, Kediri District, East Java, from 8–31 March 2017. A sample was of 105 menopausal women was selected for this study by proportionate random sampling. The dependent variable was quality of life. Quality  of  life  encompassed several constructs including physical, functional, emotional, social, and cognitive variables. The independent variables were duration of menopause, Body Mass Index (BMI), education, family support, and family income. The data were collected by pre-tested questionnaire, and analyzed by path analysis.Results: Quality of life was affected by menopause duration (b=2.19; SE=0.38; p<0.001), education (b=6.72; SE=1.72; p<0.001), family support (b=0.42; SE=0.17; p=0.011), BMI (b=0.71; SE=0.27; p=0.010), and family income (b= 0.13; SE= 1.60; p= 0.936). BMI was affected by education (b= 1.87; SE= 0.50; p<0.001).Conclusion: Quality of life is directly affected by menopause duration, education, family support, BMI, and family income. Quality of life is indirectly affected by education.Keywords: menopause duration, biopsychosocial factors, quality of life, path analysisCorrespondence: Nunik Ike Yunia Sari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: nunikike@yahoo.com. Mobile: +6282257969278.Journal of Maternal and Child Health (2017), 2(2): 125-136https://doi.org/10.26911/thejmch.2017.02.02.04
Age, Parity, Physical Activity, Birth Weight, and the Risk of Perineum Rupture at PKU Hospital in Delanggu, Klaten, Central Java Hastuti, Tri Ari; Mudigdo, Ambar; Budihastuti, Uki Retno
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 Sari, Lutfiana Puspita; Salimo, Harsono; Budihastuti, Uki Retno
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 hypno­breastfeeding. The dependent variables were anxiety and breast milk production. The independent variables were oxytocin massage and hypnobreastfeeding. The anxiety was measured by STAI scale. The breast milk production process was measured by checklist questionnaire. The breast milk production amount was measured by milking cups. The breast milk production between the two groups was tested by Mann-Whitney.Results: The anxiety scale in the intervention group was better and lower than that of the control group. The differences in terms of anxiety scale between the intervention group (median= 24.00; SD= 4.45) and the control group (median= 34.00; SD= 6.93) were statistically significant (p<0.001). Then, the differences in terms of breast milk production process between the inter­vention group (median= 9.00; SD= 1.66) and the control group (median= 8.00; SD= 1.56) were nearly significant (p<0.145). Furthermore, the differences in terms of breast milk production amount between the intervention group (median= 10.00; SD= 10.36) and the control group (median= 4.50; SD= 4.21) were statistically significant (p<0.001).Conclusion: Combination of oxytocin massage and hypnobreastfeeding can effectively decreasing anxiety and increasing breast milk production for post-partum mothers.Keywords: oxytocin massage, hypnobreastfeeding, breast milk production, post-partumCorrespondence: Lutfiana Puspita Sari. Masters Program in Public Health, Sebelas Maret University, Surakarta. ­­Email: bidanlutfiana@gmail.com. Mobile: +6282221522374.Journal of Maternal and Child Health (2017), 1(1): 20-29https://doi.org/10.26911/thejmch.2017.02.01.03
A Path Analysis on the Factors Associated with Birth Preparedness: Evidence from Wonogiri, Central Java Ummah, Hafari Fajria Nuril; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
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:Hafari Fajria Nuril Ummah. Masters Program on Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java. Email: mbakfari93@gmail.com. Mobile:+6285712211401.Journal of Maternal and Child Health (2019), 4(1): 17-24https://doi.org/10.26911/thejmch.2019.04.01.03
Path Analysis on Factors Associated withthe Incidence of Diarrhea in Infants Aged 6-12 MonthsatKaranganyar Community Health Center,inPurbalingga, Indonesia Narzah, Norma Arista; -, Pawito; Dharmawan, Ruben
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: A diarrheal disease is an endemic disease and has outbreak potential in Indonesia. In Indonesia (2012) the number of pain diarrhea on toddler reached 900 per 1,000 inhabitants. This study aimed to determine the factors associated to the incidence of diarrhea in infant aged 6-12 months.  Subjects and Method: This was an observational analytic study with cross sectional design. This was conducted in Karanganyar Community Health Center, Purbalingga, Indonesia, in April-Mei 2016. A total of 100 subjects was selected Fixed Disease. The data was using the questionnaire. The data analysis used path analysis.Results: There was a direct correlation between breast feeding, nutritional status, personal hygiene of mothers and infants, and the availability of basic sanitation with the incidence of diarrhea, and statistically significant (b= 2.62; 95% CI= 1.00 to 4.24; p= 0.001), (b= 3.37; 95% CI = 0.61 to 6.12; p=0.017), (b=3.70; 95% CI=2.07 to 5.33; p<0.001), (b=3.00; 95% CI=0.69 to 5.32; p=0.011). There is a positive correlation between indirect breast feeding with the incidence of diarrhea through nutritional status, culture with the incidence of diarrhea through breast feeding, culture with the incidence of diarrhea through the facilitys individual mothers and babies, the availability of basic sanitation with diarrhea through individual facilitys mothers and babies, statistically significant (b=0.91;  95%CI =-0.28 to2.11;p=0.135), (b=1.83; 95% CI=0.95 to 2.22; p<0.001), (b=1.40; 95% CI=0.46 to 2.25; p=0.003), (b=1.10; 95% CI= -0.10 to 2.22; p=0.076).Conclusion: There is a direct correlation between breast feeding, nutritional status, personal hygiene of mothers and infants, and the availability of basic sanitation with the incidence of diarrhea. There is indirect correlation between breast milk with the incidence of diar­rhea through nutritional status, culture, personal of mother and infants, the availability of basic sani­tation with diarrhea through individual facilitys mother and the baby.Keywords: nutritional status, culture, human breast milk, sanitation, individual hygiene, diarrheaCorrespondence: Norma Arista Narzah.Community Health Center, Karanganyar, Purbalingga,  Indonesia. Email: normaaristanarzah@yahoo.com. Journal of Maternal and Child Health (2016), 1(1): 13-18https://doi.org/10.26911/thejmch.2016.01.01.03 
Maternal Role in Guiding Social Communication to Autistic Children as a Quality of Life Determinant Utami, Tri; Joebagio, Hermanu; Adriani, Rita Benya
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: Autism spectrum disorder is a type of neural development disorder. It is characterized by deficit in social communication, social interaction, and repetitive behavior pattern. It is assumed that maternal role in child education is more dominant than paternal role, because children are closer to their mothers since birth. It is also assumed that the quality of life of autistic children would improve if there is improvement in their social communication and social interaction. This study aimed to examine the maternal role in guiding social communication to autistic children as a determinant of child quality of life.Subjects and Method: This was a qualitative study conducted in public special school in Tangerang District, West Java, from October to December 2017. Informants for this study included 5 mothers of autistic children and 3 teachers-therapists at the public special school. The constructs under study included maternal role in guiding social communication and social interaction in autistic children. The data were collected by in-depth interview, observation, and document review. The data were analyzed by Miles and Huberman method.Results: Mothers had an important role in observing various child behaviors, seeking advice from expert, determining child development need, exploring child sensory-dietary-medical need at home. Other maternal roles included admitting children to primary school or special school that was suitable for child potential development and involving children in simple daily activities at home. The maternal role in guiding social communication was considerably good including communication therapy at home using audio visual aids, stimulating oral motoric skill, providing social interaction therapy by story telling, teaching socialization to children by familiarizing them to greet and handshake with others, and letting them to play with other children. The maternal role in improving quality of life was sufficiently good, so that each child was able to develop their communication and interaction skills with variying levels of improvement. Conclusion: Maternal role in guiding social communication in autistic children is sufficiently good although there is a need to improve its implementation in order to gain improved quality of life. It is adviseable for mothers to carry on guiding program at home so as to develop child potentials and to reduce their weak aspects.Keywords: maternal role, guiding, communication, quality of life, autistic childrenCorrespondence: Tri Utami. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir Sutami 36 A, Surakarta 57126, Jawa Tengah, Indonesia. Email: utamifatin@gmail.com. Mobile: 089654975813.Journal of Maternal and Child Health (2018), 3(1): 25-32https://doi.org/10.26911/thejmch.2018.03.01.03 
Factors Associated with Use of Intra-Uterine Device in Women of Reproductive Age in Boyolali, Central Java Susilowati, Bekti; Wekadigunawan, CSP.; Murti, Bhisma; Rahardjo, Setyo
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: Family planning is a key strategy for reduction of maternal mortality. Family planning aims to control birth in order to control population growth. Long-acting reversible contraceptives (LARCs), which include intra-uterine device (IUD), are the most effective methods of birth control. Studies into factors affecting the uptake of IUD was lacking in Indonesia. This study aimed to investigate factors associated with use of IUD in women of reproductive age in Boyolali, Central Java, using multilevel analysis model and Theory of Planned Behavior.Subjects and Method: This was a case control study carried out in 25 posyandus (integrated community health posts) in Boyolali, Central Java, from April to June 2018. A sample of 200 women was selected by simple random sampling. The dependent variable was IUD use. The independent variables were education, family income, intention, attitude, subjective norm, perceived behaviour control, and husband support. The data were collected by questionnaire and analyzed by a multilevel logistic regression on Stata 13.Results: IUD use among women reproductive age increased with higher maternal education (b= 4.06; 95% CI= 0.68 to 7.44; p=0.019), higher family income (b= 3.90; 95% CI= 1.67to 7.64; p=0.041), positive attitude (b= 4.54; 95% CI= 0.52 to 8.55; p=0.027), positive subjective norm (b= 3.06; 95% CI= 0.01to 6.10; p= 0.049), strong perceived behaviour control (b= 3.40; 95% CI= -0.04to 6.85; p=0.053), strong intention (b= 3.18; 95% CI= -0.06to 6.41; p= 0.054), and strong husband support (b= 4.28; 95% CI= 0.01to 7.44; p= 0.050). Posyandu had a contextual effect on IUD use with ICC= 32.10%.Conclusion: IUD use among women reproductive age increases with higher maternal education, higher family income, positive attitude, positive subjective norm, strong perceived behaviour control, strong intention, and strong husband support. Posyandu has sizeable contextual effect on IUD use.Keywords: intra-uterine device, utilization, determinants, multilevel analysisCorrespondence:Bekti Susilowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: susila.nawa16@gmail.com. Mobile: +6281226808595.Journal of Maternal and Child Health (2018), 3(4): 252-260https://doi.org/10.26911/thejmch.2018.03.04.02
Health Belief Model and Labelling Theory in the Analysis of Preventive Behaviors to Address Biopsychosocial Impacts of Sexual Violence among Street Children in Yogyakarta Khalifah, Intan Noor; Demartoto, Argyo; Salimo, Harsono
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: Street children are at high risk of sexual violence. Necessary measures should be undertaken to address deleterious biopsychosocial impacts of sexual violence. This study aimed to analyze the preventive behaviors to address biopsychosocial impacts of sexual violence among street children in Yogyakarta using Health Belief Model and Labelling Theory.Subjects and Method: This study was qualitative descriptive with phenomenology approach. The key informants for this study included Head of Rumah Impian Indonesia Foundation (a social non-government organization) and Director of PKBI, Yogyakarta. The main informants were the street children with assistance from Rumah Impian Indonesia Foundation. Supporting informants were health personnels of Jetis community health center and the street children’s brothers.Results: Street children who had experienced sexual violence were taken care by Rumah Impian Indonesia Foundation. The biopsychosocial effects of sexual violence included anxiety, anger, shock, trauma, fear, feelings of revenge, irritation, emotion, stress, unwillingness to eat, bad mood, and staying alone in the room. Preventive behaviour to overcome biopsychosocial impacts of sexual violence included forgetting, letting it go, not mentioning the problem again. Label or negative stigma given by the community to street children included marred children, dirty children, and social garbage.Conclusion: Sexual violence experienced by street children cause various psychologic impacts, which calls for appropiate preventive behaviors to minimize the deleterious impacts of sexual violence. The social impacts of sexual violence in street children include labelling and negative stigma.Keywords: Health Belief Model, Labelling Theory, sexual violence, biopsychosocial, preventive behavior, street children.Correspondence: Intan Noor Khalifah. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: tanlifah@gmail.com Mobile: +6285728000164.Journal of Maternal and Child Health (2017), 2(4): 309-323https://doi.org/10.26911/thejmch.2017.02.04.03

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