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INDONESIA
JOURNAL OF Mother and Child Health Concerns
Published by Indonesian Public Health-Observer Information Forum
ISSN : 27984095     EISSN : 27984192     DOI : 10.56922
Core Subject : Health,
Health Professions Nursing Public Health
Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, khususnya di bidang kesehatan ibu dan anak yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek pokok, yakni: promotif, preventif, kuratif, dan rehabilitatif. Terbit 2 kali dalam satu tahun bulan Juni dan Desember
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 267 Documents
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The relationship between mobilization and husband's support with the healing of post sectio secarea surgical wounds Supriadi Supriadi; Erni Eka Sari Sari; Lindriani Lindriani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2388

Abstract

Background: Labor is a physiological process characterized by coordinated and effective involuntary uterine contractions that progressively cause cervical dilatation and effacement, followed by fetal descent, delivery of the baby, and expulsion of the placenta. Quality postpartum care for mothers after caesarean section (CS) plays an important role in efforts to reduce maternal morbidity and mortality. Aspects of care for post-CS mothers that need attention, in addition to monitoring vital signs, dressing changes, wound care, and administration of analgesics, include early mobilization and psychological support from the family, particularly from the husband as the partner. Purpose: To determine the relationship between mobilization and husband’s support and wound healing after caesarean section surgery. Method: This study used an analytical survey design with a cross-sectional approach. The population consisted of all postpartum mothers who visited Mapilli Public Health Center for post-CS wound care from April to July 2024, totaling 45 mothers. The sampling technique used was total sampling. Data were collected using questionnaires and a wound assessment observation sheet. The collected data were processed using SPSS version 23 and analyzed with the Chi-Square test. Results: The Chi-Square test showed a relationship between mobilization and post-CS wound healing with a p-value of 0.02 (< α = 0.05), indicating that Ha was accepted and Ho was rejected. Furthermore, the Chi-Square test for husband’s support yielded a p-value of 0.03 (< α = 0.05), which also indicates that Ha was accepted and Ho was rejected. Thus, there is a significant relationship between husband’s support and wound healing after caesarean section. Conclusion: The study demonstrates that both mobilization and husband’s support are associated with wound healing in mothers after caesarean section. The findings are expected to provide information and enrich references for delivering optimal care to postpartum mothers during their physical and psychological recovery period.
The relationship between the accuracy of nurse triage and initial stabilization time in pediatric emergency patients in the emergency department Yosafat Barus; Dedy Sambahtrah
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2393

Abstract

Background: Pediatric emergency care in the Emergency Department (ER) requires rapid and appropriate treatment because children are highly susceptible to delays in treatment. Accurate nurse triage is a crucial factor in determining treatment priority and the speed of initial patient stabilization. Purpose: To determine the relationship between the accuracy of nurse triage and the initial stabilization time of pediatric emergency patients in the Emergency Room. Method: This study used an observational analytical design with a cross-sectional approach. The study was conducted in the Emergency Room of Bina Kasih Hospital in October–November 2025 with 25 pediatric emergency patients as respondents. The sampling technique used total sampling. Data were collected through observations of nurse triage accuracy and recording of initial stabilization times based on the ABC principle. Data analysis was performed using univariate and bivariate methods with a significance level of p < 0.05. Results: The results showed that most nurses performed triage correctly and that most pediatric emergency patients achieved rapid initial stabilization times. Bivariate analysis revealed a significant association between nurse triage accuracy and initial stabilization times in pediatric emergency patients in the emergency department. Conclusion: There is a significant relationship between nurse triage accuracy and initial stabilization time in pediatric emergency patients. Accurate triage plays a crucial role in accelerating initial treatment and improving the quality of pediatric emergency services.
Risk of breast cancer among women with a breastfeeding history of less than two years Marleni Marleni; Dyah Retnoningrum
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2403

Abstract

Background: Breast cancer remains a major public health problem among women, with its incidence continuing to increase each year. Breastfeeding is known to have a protective effect against breast cancer; however, a shorter duration of breastfeeding may reduce this protective benefit and increase the risk of disease development. Purpose:  To determine the risk of breast cancer among women with a history of breastfeeding for less than two years. Method: An analytical survey with a cross-sectional design was conducted involving 95 respondents selected using probability sampling. Breastfeeding duration was assessed as the independent variable, while breast cancer incidence was the dependent variable. Data were analyzed using the Chi-square test and Prevalence Odds Ratio (POR). Results: The results demonstrated a statistically significant association between breastfeeding duration and breast cancer incidence (p-value = 0.000). Women who breastfed for less than two years were found to have a 9.20-fold higher risk of developing breast cancer compared to those who breastfed for two years or longer (POR = 9.20; 95% CI = 3.55–23.89). Conclusion: A breastfeeding duration of less than two years is a significant risk factor for breast cancer. Strengthening breastfeeding promotion and support for longer duration may serve as an important preventive strategy against breast cancer among women.
Determinants of maternal success in long-term breastfeeding practice: A two-year duration Cut Oktaviyana; Syarifah Masthura; Riska Marliza; Erlia Rosita
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2428

Abstract

Background: The World Health Organization (WHO) advises breastfeeding for up to two years to maximize a child’s growth and development, bolster their immune system, enhance nutritional intake, and protect against both acute illnesses and long-term health problems. Nevertheless, a study in the Tangeh Public Health Center of East Woyla District revealed that only around 21% of 474 mothers who initially practiced exclusive breastfeeding continued doing so until their child reached two years. Several factors a mother’s confidence in her ability to breastfeed (breastfeeding self-efficacy), encouragement from family members and healthcare professionals, and prevailing socio-cultural norms significantly impact continued breastfeeding up to two years. Purpose: To research investigated the impact of these factors on successful breastfeeding duration. Method: Data was collected via a quantitative cross-sectional study involving 79 participants and analyzed using the chi-square test and logistic regression. Results: The findings demonstrated that support from family, maternal breastfeeding self-efficacy, healthcare worker assistance, and socio-cultural influences all influence whether mothers breastfeed for the full two years. Conclusion: Ultimately, the study concluded that family support is the most critical factor in enabling mothers to breastfeed their babies for up to two years. Suggestion: It is critical for those in the healthcare field to consistently offer facts and support to the families of mothers who are breastfeeding. This guarantees that they receive constant help as they continue to breastfeed their babies.
The effect of intervention using audio-visual media and demonstration on changes in feeding behavior and nutritional status of children under five Eny Retna Ambarwati; Reni Tri Lestari; Ivanna Beru Brahmana; Widyastuti Andriyani; Murgi Handari; Istichomah Istichomah; Agnes Erida Wijayanti; Riadinata Riadinata; Fika Pratiwi
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2700

Abstract

Background: Childhood malnutrition remains a significant public health concern in Indonesia, with maternal knowledge and feeding practices playing a crucial role in determining children's nutritional outcomes.Purpose: to evaluate the effectiveness of a health promotion intervention combining audio-visual media and practical demonstrations in improving maternal feeding practices and the nutritional status of children under five. Method: A quasi-experimental one-group pretest–posttest design was conducted among 42 mothers and their under-five children at Tapak Dara Integrated Health Post, Bantul, Yogyakarta. Maternal knowledge and feeding practices were assessed using structured questionnaires, while children's nutritional status was measured through weight-for-age Z-scores. The intervention included educational video sessions followed by hands-on demonstrations. Data were analyzed using paired t-tests or Wilcoxon signed-rank tests and chi-square tests.Results: Most participants were of reproductive age (54.8%), had secondary education (59.5%), and were employed (76.2%). Post-intervention findings showed significant increases in knowledge scores (17.2 to 18.9; p<0.001) and practice scores (18.3 to 19.4; p<0.001). The proportion of children with good nutritional status improved from 61.9% to 73.8%. Significant associations were found between knowledge and feeding practices (p=0.012) and between feeding practices and nutritional status (p=0.008). Conclusion: Audio-visual and demonstration-based interventions effectively enhance maternal feeding practices and child nutritional status.
The relationship between feeding patterns and the nutritional status of preschool children Mirna Fauziati; Elvi Maisara; Yusri; Laina Noviana; Desna Maulinda
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2729

Abstract

Background: Feeding patterns are a critical factor influencing a child's growth, development, and nutritional status. Inappropriate feeding practices can contribute to nutritional problems such as wasting, stunting, overweight, and micronutrient deficiencies. UNICEF data (2022) shows that two in five children under five do not receive the recommended dietary diversity, and only around 40% receive an optimal diet. Purpose: to determine the relationship between feeding patterns and the nutritional status of pre-school children aged 3-5 years. Method: The study employed a quantitative design with an analytical study and a cross-sectional approach. The population was 4.041 toddlers in the Banda Sakti Community Health Center working area, with a sample of 107 respondents selected using accidental sampling. Data collection was conducted using primary and secondary data, then analyzed using the Chi-Square test. The study was conducted from July to August 2025. Results: The results of the analysis showed a p-value of 0.000 (<0.05), so there is a significant relationship between feeding patterns and the nutritional status of preschool children aged 3–5 years. Conclusion: Good feeding patterns are associated with optimal nutritional status in preschool children. Therefore, it is necessary to increase parental awareness, especially mothers, regarding the importance of implementing appropriate feeding patterns to prevent nutritional problems in children.
Exclusive breastfeeding as a protective factor against overweight and obesity in children: A community-based study Ahmad Iqbal Romdloni; Millennia Zulfa Salsabila; Julia Rosana
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2867

Abstract

Background: Childhood obesity is a prevalent global health problem. Overweight/obesity is abnormal and excessive accumulation of body fat caused by prolonged positive energy balance. Exclusive breastfeeding has shown its effectivity in reducing mortality in children and preventing diseases, including overweight/obesity. Purpose: To investigate the role of EBF as a protective factor against childhood overweight/obesity. Method: This study used retrospective case-control observational analytical approach. The target population included 126 children aged 12-59 months attending “Mother-Toddler Class” in March 2026. Breastfeeding history was evaluated using questionnaire adapted from 2017 IDHS while nutritional status was determined using WHO Child Growth Standards. Results: Analysis showed association between EBF and overweight/obesity in children was not statistically significant (p = 0.068). Nevertheless, EBF showed high clinical impact with 3.167-fold increased risk of overweight/obesity in non-exclusively breastfed infants (OR = 3.167). Conclusion: Despite the marginally significant association in this study, EBF remained beneficial in preventing overweight/obesity in children. Childhood obesity is a serious public health concern that requires national-level policies, with focus on promoting EBF and supporting healthy weight gain. Suggestion: National policies should focus on integrating supportive environments within workplace to ensure EBF. Standardized program like Mother-Toddler Class should be scaled nationally along with digitalization.
Factors Associated with Early Introduction of Complementary Feeding (CF) Marlina Marlina; Nadia Dwi Putri; Indah Trianingsih; Yusari Asih; Yeyen Putriana
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2656

Abstract

Background: Early introduction of complementary feeding (MP-ASI) is the practice of providing additional food to infants before the age of six months, which contradicts the recommendations of the World Health Organization (WHO) and the Indonesian Ministry of Health (WHO, 2020). This practice may increase the risk of digestive disorders, infections, and nutritional problems in infants. WHO reports that only about 40% of infants worldwide receive exclusive breastfeeding, while the rest are introduced to complementary foods prematurely (WHO, 2021). The low rate of exclusive breastfeeding indicates that the practice of early MP-ASI is still prevalent. This phenomenon may be influenced by several factors, such as maternal knowledge, education, and employment status. Purpose: To identify the factors associated with early complementary feeding. Method: This research was a quantitative study with a cross-sectional design. The population included all mothers with infants aged 6–12 months in Marga Kaya Village. The sample consisted of 43 respondents selected using total sampling technique. Data were collected using questionnaires and analyzed using univariate descriptive analysis and bivariate analysis with the Chi-Square statistical test. Results: The results showed that most mothers introduced CF before six months of age (68.1%), with the majority having low knowledge (62.8%), low education (55.8%), and not working (67.4%). The Chi-Square test revealed a significant relationship between maternal knowledge (p = 0.001), education (p = 0.006), and employment (p = 0.022) and the practice of early CF. Conclusion: It can be concluded that there is a significant association between maternal knowledge, education, and employment and the practice of early complementary feeding. Suggestion: It is recommended that health workers enhance maternal education to ensure CF is provided at the appropriate recommended age.
The effectiveness of childbirth education in reducing pre-labor anxiety among primigravida mothers Suci Qardhawijayanti; Asmah Sukarta; Selviana Rahayu
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2908

Abstract

Background: Childbirth is defined as the process of the expulsion of a full-term fetus, initiated by regular uterine contractions and ending with the delivery of the baby, followed by the expulsion of the placenta and fetal membranes. Childbirth is one of the events most likely to provoke fear and anxiety in pregnant women, particularly among primigravida mothers. Purpose: to determine and analyze the effectiveness of childbirth education in reducing pre-labor anxiety among primigravida mothers. Method: This study employed a pre-experimental design using a quantitative approach. The sampling technique applied was total sampling. The sample consisted of 35 primigravida mothers, and data were collected using the Pregnancy-Related Anxiety Questionnaire–Revised 2 (PRAQ-R2). Results: The results of this study, based on the Wilcoxon signed-rank test, showed that the significance value before and after childbirth education was 0.001, which is less than 0.05. This indicates a statistically significant difference in anxiety levels before and after the provision of childbirth education. Conclusion: In conclusion, there was a significant difference in the anxiety levels of primigravida mothers before and after receiving childbirth education. Therefore, childbirth education can help reduce anxiety prior to labor.
Shifting the paradigm to letrozole as first-line ovulation induction in pcos: a review of efficacy and safety Juwana Janu; Reny Haryani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3084

Abstract

Background: Polycystic ovary syndrome (PCOS) is a primary cause of anovulatory infertility. While clomiphene citrate (CC) has been the traditional treatment, letrozole (LE) has emerged as a superior alternative with better clinical outcomes. Purpose: to evaluate the clinical efficacy, safety, and biological mechanisms of LE compared with CC in ovulation induction for PCOS patients. Method: A comprehensive literature search was conducted on PubMed and Google Scholar for studies published between 2021 and 2026. Seven high-quality articles, including randomized controlled trials (RCTs) and meta-analyses, were selected for synthesis. Results: The synthesis of the literature indicates that LE significantly increases the live birth rate by 54% (RR 1.54) and improves ongoing pregnancy rates compared with CC. LE is more efficient, showing a shorter time to ovulation (17.2 vs 24.1 days) and higher success in obese patients (BMI > 30). Mechanistically, LE superiorly enhances endometrial receptivity by significantly increasing Integrin αvβ3 and VEGF expression, as well as the Endometrial Flow Index (FI). Furthermore, LE demonstrates a superior safety profile with a 58% lower risk of multiple pregnancies and minimal incidence of ovarian hyperstimulation syndrome (OHSS). Conclusion: Letrozole is more effective and safer than CC, primarily due to its beneficial impact on the endometrial microenvironment. LE could be implemented as the universal first-line treatment for infertility in women with PCOS. Suggestion: For clinicians, LE can be considered as the universal first-line therapy for ovulation induction in patients with PCOS, replacing CC. From a health service policy perspective, standard protocols in fertility clinics need to be updated to integrate LE use in order to improve pregnancy success and reduce long-term costs due to complications of multiple pregnancy

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