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Journal : Journal of Maternal and Child Health

Effect of Prematurity, Birthweight, Maternal Stress, Socio-economic Status, and Mother-Child Intimacy on the Development of Preschool Children in Surakarta Halu, Silfia Angela N; Murti, Bhisma; Tamtomo, Didik
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Monitoring child development is an important step to prepare healthy children from the earliest age, both physically, spiritually, and socially. Monitoring child development can be done in the kindergarten. Some kindergartens in Surakarta, however, have not implemented child development monitoring program. This study aims to determine the effect of prematurity, birthweight, maternal stress, socio-economic status, and mother-child intimacy, on the development of preschool children.Subjects and Method: This was an analytical observational study using case control design. The study was carried out at 7 kindergartens (TK) in Surakarta, Central Java: TK Negeri Pembina, TK Gaya Baru III, TK Kristen Ngasinan, TK Islam Bakti 6, TK Advent, TK Warga and TK Kanisius Imakulata, from May to June 2017. A sample of 120 children aged 5-6 years old attending kindergartens were selected for this study by fixed exposure sampling, i.e. selection based on prematurity status. The dependent variable was child development. The independent variables were prematurity, birthweight, maternal stress, maternal employment status, maternal education, family income, parenting time, and mother-child intimacy. The data were collected by a set of pre-tested questionnaire. Child development was measured by development pre-screening questionnaire (KPSP). Nutritional status was obtained from maternal and child health recording book. Path analysis was employed for data analysis.Results: Child development was directly affected by prematurity (b=0.29; SE=0.07; p<0.001), birthweight (b=0.04; SE= 0.18; p=0.007), maternal employment (b=0.46; SE=0.20; p=0.020), maternal education (b=0.65; SE=0.21; p=0.002), family income (b=0.01; SE=0.01; p=0.015), and mother-child intimacy (b=0.26; SE=0.05; p<0.001). Family income was affected by maternal employment (b=23.37; SE=5.52; p<0.001) and maternal education (b=23.50; SE=5.79; p<0.001). Mother-child intimacy was affected by maternal stress (b=0.01; SE=0.01; p=0.052) and parenting time (b=0.56; SE=0.05; p<0.001).Conclusions: Child development is directly affected by prematurity, birthweight, maternal employment, maternal education, family income, and mother-child intimacy.Keywords: child development, prematurity, birthweight, socio-economic status, maternal stress, mother-child intimacyCorrespondence: Silfia Angela N Halu. s Program in Public Health, Sebelas Maret University, Surakarta. Email: occe.halu@gmail.com. Mobile: +6285338395484.Journal of Maternal and Child Health (2017), 2(3): 187-199https://doi.org/10.26911/thejmch.2017.02.03.01 
Analysis of Abdominal Massage Practice Performed by Traditional Birth Attendants in Mamba Community Health Center, East Nusa Tenggara Banul, Maria Sriana; Halu, Silfia Angela N.
Journal of Maternal and Child Health Vol 5, No 6 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background:  People in East Manggarai have a strong belief in traditional birth attendants in assisting delivery. It affects the selection of birth attendants. The strong belief in the people of East Manggarai to date is the practice of “Abdominal Massage” during pregnancy and birth delivery. This study aimed to get information about the abdo­minal massage practice performed by tra­ditional birth attendants in Mamba Com­mu­nity Health Center, East Nusa Tenggara.Subjects and Method: This study was a quali­ta­tive analytical study using a phenomenological study approach in Mamba Community Health Center. The informants of this study were tra­di­tional healers, pregnant women who were going to give birth to traditional birth attendants and women who gave birth who had been helped by traditional birth attendants, head of community health center, public figures, and village mid­wi­ves. This study used the purposive sampling tech­ni­que. This study used in-depth interviews with non-participant observation to collect the data.Results: "Abdominal massage" technique to date was still performed by the people in East Mang­garai, especially pregnant women and wo­men who would give birth. This "Abdominal Massage" technique aimed to know and adjust the fetus position. Besides, the mother would feel strong, the baby would be healthy, the maternal body could move easily, and made the process of lowering the fetal head faster. The ingredients used for "abdominal massage" were easy to find. The minimum problems when per­­­forming “abdominal massage” with no “abd­ominal massage” costs made the practice still used by mothers.Conclusion: The practice of “abdominal massage” is medically dangerous for the mother and the fetus if it is carried out by non-pro­fessionals, such as traditional birth attendants.Keywords: abdominal massage, traditional birth attendant, birth attendantCorrespondence: Maria Sriana Banul, Diploma of Midwifery, Indo­nesia Catholic University of Saint Paul Ruteng, East Nusa Tenggara. Email: maria­sri­a­na­@­­g­m­ail­.­com. Mobile: 082311378633.Journal of Maternal and Child Health (2020), 05(06): 715-724https://doi.org/10.26911/thejmch.2020.05.06.11.