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Journal of Maternal and Child Health

thejmch
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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.

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Articles 374 Documents

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Meta-Analysis the Effect of Oral and Injection Contraceptives on Breast Cancer Dilmaâ€™aarij, Dilmaâ€™aarij; Rahardjo, Setyo Sri; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Oral contraceptives and injec

Causes and Features of Childhood Trauma in COVID-19 Period Narsat, Mehmet Ali
Journal of Maternal and Child Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.395 KB)

Background: In this study, we aimed to reveal the characteristics and severities of child traumas under the Covid-19 pandemic and lockdown according to trauma mechanisms, locations and age distributions, and to evaluate the results.Subjects and Method: The data of 333 pediatric trauma patients who came to our hospital during the lockdown period were analyzed retrospectively. The frequency and ratio analysis of the data obtained by the purposeful sampling method was performed. Pediatric Trauma Score, Injury Severity Score and Pediatric Glasgow Coma Scale were calculated. Gender, age distribution, trauma locations and trauma mechanisms were recorded, and distribution characteristics of the data according to trauma scores were compared. Continuous variables were analyzed using Student's t-test. Categorical variables were analyzed using the chi-square test. Statistical significance level was accepted as <0.05.Results:193 of the patients (58.0%) were male. The mean age of the patients was 7.73 (Mean= 7.73; SD= 5.33). The most common trauma patients (49.8%) consisted of the school age patients. The number of patients who applied to our hospital from the urban was 244 (73.3%), and it was observed that the trauma occurred at homeside in 189 (56.8%) patients. The most common cause of trauma was falls. The mean Pediatric Trauma Score of the patients was 10.43 (Mean= 10.43; SD= 1.28), the Injury Severity Score was 2.24 (Mean= 2.24; SD= 4.45), the Pediatric Glasgow Coma Scale calculated was 14.95 (Mean= 14.95; SD= 0.66). It was observed that 99.7% of the study patients according to the Injury Severity Score and 93.7% according to the Pediatric Trauma Score were minor trauma.Conclusion: Major childhood traumas and mortality decreased with the Covid 19 pandemic and lockdown.Keywords: Childhood, Covid-19, Pediatric Trauma Score, Injury Severity Score, Pediatric Glascow Coma ScaleCorrespondence:

Maternal characteristics as predictors of immunization status of under-five in Ebonyi State of Nigeria. A community based cross-sectional study Afoke, Eunice N.; Omaka-Amari, Lois N.; Nwafor, Jude N.; Ochiaka, Raphael E.; Aleke, Christian O.; Okereke, Michael O.; Sylvester, Edu Theresa; Edet, Bassey Rita; Ikechukwu, Ilo Cajetan
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: : Childhood immunization with the interacting factors has been a significant public health challenge especially in the sub-Saharan Africa. Nigeria has been presented as one the countries with the worst under-five mortality rates, and factors affecting childhood immunization are poorly understood. This study determined the influence of maternal characteristics as a predictor of immunization status of under-five in Ebonyi State of Nigeria. Subjects and Method: The design in this study is cross-sectional survey. The population of the study was 572,955 under-five children in Ebonyi State from which 2865 was sampled. Data were analyzed using percentages and chi-square. Results: The results revealed that 83.01% of under-5 children were fully immunized, suggesting a high immunization status in Ebonyi State. The chi-square analysis shows a significant influence of mothers’ age (p < 0.05), mothers’ location of residence (p < 0.05), mothers’ educational level (p < 0.05) and immunization status of under-five children. Conclusion: It was concluded that immunization status of under-five children in Ebonyi State was high and maternal characteristics had significant influence on immunization status of under-five children. Thus, it was recommended among others, that government at all levels should provide tangible incentives to mothers who fully immunized their children and promulgate a law to prevent children without immunization cards, also compel mothers, teachers to show full immunization of under-five children by registering in public and private primary schools.

Relationships between Body Mass Index, Psychological Stress, Physical Activity, and Oligomenorrhea in Adolescents at Yasinat Islamic Boarding School, Surabaya Rosida, Silvi Dina; Sa'adi, Ashon; Purwanto, Bambang
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Oligomenorrhea is one of the most common types of menstrual cycle disorders. Cases have increased in recent decades. Women with oligomenorrhea have menstrual intervals of more than 35 days and less than 90 days. Oligomenorrhea is common in adolescents, particularly 75% of women in late adolescence suffer from oligomenorrhea. The study aims to analyze the effect of BMI, psychological stress, and physical activity on the incidence of oligomenorrhea in young women in Yasinat Islamic Boarding School. Subjects and Method: This was an analytical observational study with a cross-sectional design. The study sample was adolescents aged 17-19 years with a total of 82 students at Yasinat Islamic Boarding School. The dependent variable was oligomenorrhea. Independent variables were BMI, stress psychology, and physical activity. The study instrument was a questionnaire. The study data were analyzed using the Chi-Square. Results: BMI <18.5 kg/m2 and BMI >25 kg/m2 or 24.4% experienced oligomenorrhea, 3.7% of subjects with light activity experienced oligomenorrhea, while subjects with physical activity of more than 40% experienced oligomenorrhea, 21.7 % of subjects with the normal category experienced oligomenorrhea, 27.8% mild stress, 47.1% moderate stress experienced oligomenorrhea. BMI had a significant effect on oligomenorrhea (p= 0.006). Psychological stress (p= 0.227) and physical activity (p= 0.224) showed no significant influence on oligomenorrhea. Conclusion: There is a relationship between BMI and oligomenorrhea incidence. However, there is no relationship between psychological stress, physical activity, and oligomenorrhea. Keywords: physical activity, body mass index, oligomenorrhea, psychological stress. Correspondence: Silvi Dina. Study Program of Midwifery, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Pro. Dr. Moestopo No. 47, Surabaya 60132, East Java, Indonesia. Email: silvi.dina.rosida-2019@fk.unair.ac.id. Mobile: +6282140485431.

The Influence of Attitude, Subjective Norm, and Perceived Behavior Control on the Early Detection of Cervical Cancer among Female Students Putri, Santy Irene
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Cervical cancer is the fourth most frequent female malignancy in the globe, affecting an estimated 527,624 women every year and resulting in 265,672 deaths. This study aimed to determine the effect of attitudes, subjective norms, and perceived behavioral control on early detection of cervical cancer in female students. Subjects and Method: This was an analytic observational study with a cross-sectional approach. This study was conducted in Malang, East Java, Indonesia. The sample size of 350 female students was selected by simple random sampling technique. The dependent variable is the early detection of cervical cancer. The independent variables include attitudes, subjective norms, and perceived behavioral control. The data were collected by using a questionnaire and analysis using multiple linear regression. Results: Attitudes (b= 0.33; 95% CI= 0.22 to 0.44; p <0.001), subjective norms (b= 0.12; 95% CI= 0.01 to 0.22; p= 0.029), and perceived behavioral control (b= 0.32; 95% CI = 0.12 to 0.52; p= 0.002) has a relationship with behavior of early detection of cervical cancer in female students and statistically significant. Conclusion: Attitudes, subjective norms, and perceived behavioral control are factors that influence the behavior of early detection of cervical cancer in female students.

A Descriptive Study of Gestational Diabetes Mellitus in Yogyakarta Indriani, Indriani; Hardyanti, Siti
Journal of Maternal and Child Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Gestational Diabetes Mellitus (GDM) is a disorder of carbohydrate tolerance that increases blood sugar levels. It is first known during the second and third trimester of pregnancy. This study aims to determine the description of gestational diabetes mellitus (GDM) incidence in Sleman Yogyakarta in 2018. Subjects and Method: This research was observational descriptive with a retrospective approach. This study used secondary data wich written from medicalrecords blood sugar classifica-tion ≥105 gr/dL and fasting blood sugar ≥126 gr/dL. The population was 1023. The sample was 80 which was taken by using simple random sampling technique from January-December 2018 at Minggir Primary Health Center, Tempel I Primary Health Center and Mlati 1 Primary Health Center, Sleman, Yogyakarta. Results: The results of the study showed that from 80 pregnant women who examined their blood sugar levels, 47 subjects (58.8%) experienced DMG, 39 subjects (48.8%) aged ≥35 years, 50 subjects (62.5%) had preterm gestational age, 34 subjects (42.5%) had primary education (elementary/ junior high), 47 subjects (58.8%) did not work/housewives, 54 subjects (67.5%) were parity ≥2x, 38 subjects (47.5% ) were overweight, 47 subjects (58.8%) had GDM history, 47 subjects (58.8%) had hypertension in pregnancy, and 41 subjects (51.3%) had an incomplete Ante Natal Care (ANC) examination. Conclusion: It can be concluded that the incidence of GDM in Sleman is high, with characteristics of age at risk (≥35 years), history of previous illnesses and obesity.

Differences Levels of Sodium, Potassium, Calcium, and Magnesium Before and After Cisplatin Administration in Child with Osteosarcoma Wardhana, Hendra; Riza, Muhammad; Umma, Husnia Auliyatul
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cisplatin is one of the most commonly used cytostatic chemotherapy agents, especially in patients with solid tumors such as osteosarcoma. The exact mechanism of whether and how cisplatin causes electrolyte disturbances is still unclear. This study aims to determine the differences in levels of sodium, potassium, calcium, and magnesium with the administration of cisplatin in children with osteosarcoma.Subjects and Method: This was an analytical retrospective study using secondary data in the form of medical records. The sample size in this study was calculated by the single proportion for

Is Remakuda Juice Effective to Elevate Haemoglobin Level and Descend Dysmenorrhea in Female Adolescents? Fatmawati, Zeny; Fatmawati, Elis; Rustanti, Elly
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The negative effect of low hemoglobin levels for adolescents can reduce intelligence, learning achievement, mental motor development, inhibition of optimal height growth and reproductive health. Dysmenorrhea is pain or discomfort that occurs in the abdomen during menstruation as a result of prostaglandin secretion which can increase uterine contractions. The purpose of this study was to determine the effect of Remakuda juice on an increase in hemoglobin and a decrease in the intensity of dysmenorrhea in female adolescents. Subjects and Method: An experimental study with no control group was conducted at Junior High School I Tembelang, Jombang, East Java, in September 2021. A total of 60 female adolescents was selected by purposive sampling. The dependent variables were hemoglobin level and dysmenorrhea. The independent variable was Remakuda juice. Dysmenorrhea was measured by the Numeric Rating Scale (NRS) and the Wong Baker Pain Rating Scale. Hemoglobin level was measured by digital haemometer. The data were analyzed using t-test. Results: Hemoglobin levels after intervention (Mean= 2.00; SD= 0.00) were higher than before (Mean= 1.73; SD= 0.45), with p= 0.010. Dysmenorrhea after intervention was lower (Mean= 1.43; SD= 0.59) than before (Mean= 2.70; SD= 0.65), with p<0.001. Canclusion: Remakuda juice can increase hemoglobin levels and reduce dysmenorrhea in female adolescent.

Meta-Analysis: The Effect of Physical Activity in Reducing Excessive Gestational Weight Gain and Gestational Diabetes Mellitus among Overweight and Obese Pregnant Women Cahyaningrum, Hapsari; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The prevalence of overweight and obesity among women continues to increase every year. Overweight and obesity can lead to complications in pregnancy such as Excessive gestational weight gain (EGWG) and Gestational diabetes mellitus (GDM). Physical activity intervention is an option to prevent EGWG and GDM. The study aims to analyze the effects of physical activity interventions in reducing EGWG and GDM. Subjects and Method: The study used a meta-analysis study design by following PRISMA guidelines. The research question was formulated in PICO. The population was pregnant women with a Body Mass Index (BMI) of > 25 kg/m2. The intervention used was measured physical activity. The comparison was without measured physical activity. The outcomes were EGWG and GDM. Article search was carried out through the databases such as PubMed, Cochrane Library, Scopus Database, and PEDro which was published from 2011 to 2020. The article search used the following keywords: "pregnancy" OR "pregnant woman" AND "obese" OR "overweight" AND "excessive gestational weight gain" OR "gestational weight gain" OR "weight gain" AND "gestational diabetes mellitus" OR "gestational diabetes" AND "exercise " OR "antenatal exercise" OR "physical activity". Articles that met the criteria were full-text articles with a Randomized Control Trial (RCT) study design. The assessment of the quality of the study was conducted with Cochrane Collaboration's Tool for Assessing Risk of Bias and the articles were subsequently analyzed using the Review Manager 5.4 application. Results: A total of 10 articles analyzed in this study came from Asian, European, Australian, and American countries with a total sample of 2,086. The results of the meta-analysis showed that overweight and obese pregnant women who performed measured physical activity did not experience weight changes compared to those who did not engage in physical activity (SMD= 0.03; 95% CI= 0.17 to 0.73; p=0.770). However, overweight and obese pregnant women who do measured physical activity experience changes in fasting sugar levels compared to those who did not do measured physical activity (SMD= 0. 20; CI95%= 0.30 to 0.10; p=0.001). Conclusion: The results of this study state that physical activity interventions are effective in reducing GDM but not for EGWG in overweight and obese pregnant women. Keywords: physical activity, excessive gestational weight gain, gestational diabetes mellitus, overweight and obese pregnant women, meta-analysis. Correspondence: Hapsari Cahyaningrum. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: hapsaricahyaningrum27@gmail.com. Mobile: 081328932469.

Feeding Practice with Preventing Stunting on Keluarga Harapan Program Recipients in Pangkajene and Islands Districts Mardhatillah, Mardhatillah; Sulaiman, Zulkarnain; Febrianti, Devy; Adri, Khaeriyah; Said, Sunandar
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Stunting is a condition where toddlers are shorter in length and height than their age. Percentage of stunting children in Pangkajene and Islands Districts with the highest percentage of 29.10% and the number of PKH recipients in 2019 as many as 16,498. The purpose of this study was to determine the relationship between Feeding Practice and the incidence of stunting on Keluarga Harapan Program recipients in Pangkajene and Islands Districts. Subjects and Method: The type of research used is observational with a cross sectional study design. The independent variable in this study is stunting and the dependent variable are feeding practice, Low Birth Weight and Economic status. The research location was carried out in Pangkajene and Islands Districts. The population in this study was all infants or toddlers from PKH recipient parents in Pangkajene and Islands Districts as many as 2,946 people in 2019 - 2021. The research sample was infants or toddlers from PKH parents who had participated in the Family Development Session as many as 71 people with the purposive method sampling. Primary data was collected using a questionnaire while secondary data was obtained from the social service of Pangkajene and Islands Districts. This study using the chi square test. Results: Incidence of stunting was higher in respondents with irregular feeding practice than in regular feeding practice (OR=0.54; CI 95% 0.33 to 0.91; p=0.024). The incidence of stunting was higher at low birth weight compared to toddlers with normal birth weight (OR= 0.41; CI 95% 0.23to 0.73; p = 0.001). The incidence of stunting is higher in economic status below the provincial minimum wage < Rp. 3,103,800 compared to economic status > Rp. 3,103,800 (OR = 2.25; CI 95% 1.16 to 4.38; p=0.01). Conclusion: Low economic status has a risk of 2.252 times experiencing stunting.

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