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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.
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Articles 12 Documents
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Search results for , issue "Vol 6, No 2 (2021)" : 12 Documents clear
Physical Activities and Sleeping Habits in Children and Adolescent During Pandemic Covid-19: A Systematic Review Sarwoko, Sarwoko; Anggraeni, Titik; Bahri, Ahmad Syamsul
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background:Lockdown during the COVID-19 pandemic can affect the behavior of daily habits among children and adolescents. This study aims to determine the effect of the COVID-19 pandemic lockdown on the physical activity and sleeping habits of children and adolescents.Subjects and Method:This study is a syste­matic review by searching for articles using the online database PubMed and BASE. The depe­n­dent variable is the COVID-19 lock­do­­wn. The independent variables are physical activity and sleep habits.Results:: A total of 8 articles were included in the qualitative analysis. 6 articles explained that the lockdown during the COVID-19 virus pandemic reduced the frequency of physical activity in children and adolescents. 6 articles explained that the lockdown during the COVID-19 pandemic caused disturbances in sleep qua­lity and an imbalance of sleep time in children and adolescents.Conclusion:The lockdown policy or activity restriction during the COVID-19 pandemic signi­­ficantly reduces physical activity and causes sleep quality disturbances and imba­lance sleep time in children and adolescents.Keywords: COVID-19, children, sleep, physi­cal activities, confinementCorrespondence: Sarwoko. Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali. Email: sanuria­21@­gmail­.­com.­ Mobile: 087835594214Journal of Maternal and Child Health (2021), 06(02): 154-164https://doi.org/10.26911/thejmch.2021.06.02.03
The Effectiveness of Letrozole Adjuvant Therapy - Electro Acupuncture in Reducing the Number of Follicles and Body Weight and Increasing Endometrial Thickness in Women with Polycystic Ovary Syndrome Wesliaprilius, Todung Antony; Budihastuti, Uki Retno; Melinawati, Eriana; Sulistyowati, Sri; Nurwati, Ida; Hadi, Cahyono
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. Acupuncture can improve menstrual cycle recovery and decrease body mass index (BMI) in women with PCOS. The effect of acupuncture can be enhanced by giving letrozol. Researchers are interested in knowing the comparison between letrozol therapy with letrozol + electroacupuncture on body weight, follicle count, and endometrial thickness in women with polycystic ovary syn­drome. This study aims to determine the diffe­rences in weight loss, follicle number, and endometrial thickness in PCOS patients receiving letrozol treatment compared to letrozol + electroacupuncture.Subjects and Method: An observational ana­lytic study using a case-control approach and fixed disease sampling technique was carried out at the Gynecology Polyclinic and Sekar Clinic at Dr Moewardi Hospital, Sura­karta. Group 1 consisted of 15 infertile SOPK women who received letrozol and group 2 consisted of 15 infertile SOPK women who received electro­acupuncture + letrozol. Body weight, follicle count, and endometrial thick­ness were measured in both groups. Data were analyzed univariate, bivariate and multivariate using the IBM-SPSS version 22 and STATA version 13 statistical applications.Results: There was a significant difference in the thickness of the endometrium (p= 0.008), the number of follicles on day 6 (p= 0.039), the number of follicles on day 8 (p= 0.033), the number of follicles on day 10 (p= 0.041), the number of follicles on day 12 (p= 0.041) ) with letrozol therapy with letrozol + electroacupunc­ture. There was no significant difference in body weight between groupsConclusion: There were significant diffe­ren­ces between the letrozol group compared to the letrozol + electroacupuncture group in endo­metrial thickness and on the number of follicles on days 6, 8, 10, 12 in infertile PCOS women. However, there was no significant difference in body weight between groups.Keywords: number of follicles, endometrial thickness, PCOS, letrozol, electroacupunctureCorrespondence: Todung Antony Wesliaprilius. Department of Obstetrics and Gynecology, Faculty of Medi­cine, Universitas Sebelas Maret/ Dr. Moewardi hospital, Surakarta. Mobile: 08222181626 Email: todungtobing@gmail.com.Journal of Maternal and Child Health (2021), 06(02): 219-228https://doi.org/10.26911/thejmch.2021.06.02.09
Lung Ultrasonography for the Diagnosis of Pleural Effusion in Children Ayuningtyas, Dewi Sitoresmi; Martuti, Sri; Riza, Muhammad
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background:Chest radiograph was currently the standard imaging for diagnosing pleural effusion. However, there were many limitations, namely radiation, varying interpretation, and long time to get results. Lung ultrasonography is an alternative procedure that is easy to learn and offers many benefits, including noninvasive, ra­diation free, fast, valid, and reliable. The objec­tive of this study was to determine sensiti­vity, specificity, and positive likelihood ratio (LR+)of lung ultrasonography performed by pediatric resident for diagnosing pleural effusionSubjects and Method: This was a cross sectio­nal study at pediatric intensive care unit (PICU) Dr. Moewardi Hospital, Surakarta, Indonesia. We included pediatric patients aged 1 month-18 years from November 2018 to December 2019. A sam­ple of 44 patients with suspected pleural effusion was selected by consecutive sampling. The independents variable was lung ulrasono­graphy. The dependent va­riable were pleural effusion. All subjects under­went lung ultrasono­graphy and chest radiograph. Sensitivity, speci­ficity, and positive likelihood ratio were calculated.Results:There were 44 samples with 59.1% under 1 year old and 54.5% were female. All patients came to the emergency room with complaints of shortness of breath, accom­pa­nied by fever (77.3%) or cough (63.6%). Eleven (25.0%) patients had pleural effusion based on the results of lung ultrasonography. Based on chest radiograph, seven (15.9%) patients had pleural effusion. Lung ultrasonography has sensitivity of 14.3%, specificity of 73%, and LR+ of 0.5 for diagnosing pleural effusion.Conclusion:Lung ultrasonography can be used as a tool to diagnose pleural effusion with good specificity.Keywords: lung ultrasonography; pleural effu­si­onCorrespondence: Dewi Sitoresmi Ayuningtyas. Department of Child Health, Faculty of Medicine, Sebelas Maret University/ Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. Jalan Kolonel Sutarto No. 132, Surakarta, Indonesia. Email: rr.dewi­si­to­resmi@gmail.com.Journal of Maternal and Child Health (2021), 06(02): 176-182https://doi.org/10.26911/thejmch.2021.06.02.05
Health Impact Assessment of Covid-19 Towards Maternal Health Care in West Jakarta Fitrianingrum, Nisaatul Maharanita; Sabarinah, Sabarinah; Pratomo, Hadi
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: The Large-Scale Social Restrict­ion Policy (PSBB) was implemented in DKI Jakarta to reduce the spread of COVID-19 due to its highest ranked case in Indonesia. A moni­toring program for Maternal and Child Health (MCH) as well as Family Planning (FP) at Suku Dinas Kesehatan (Sudinkes) of West Jakarta was conducted during the pandemic. This study was done to describe the impact of the COVID-19 pandemic towards MCH and FP services, as a basis for policy analysis and recommenda­tions for recovery or risk mitigation program on COVID-19.Subjects and Method: This is a mixed-method study with deductive sequential design. Four indicators of the quantitative data was obtained from routine data on the Pulih Covid dashboard and analysed using SPSS version 26 become a control chart which was visualised into graphs, while the qualitative data was obtained to investigate the reasons of changing trends from quantitative data as the impact of COVID-19 on maternal health services using indepth interviews with responsible officers in Sudinkes of West Jakarta.Results: In the indicators of visiting pregnant women (K1 and K4), delivery process assisted by health personnel, and MCH services carried out at health facilities in West Jakarta were beyond the control showed by there were no direct points above or below the median line. As with the trend, the four data showed no trend and zigzag pattern starting from the third data (March 2018) to the 26th data (January 2020) on the entire control chart.Conclusion: COVID-19 impacted the decrease number of pregnant women’s visits, which coincided with the emergence of the first confirmed positive case of COVID-19 in West Jakarta. A digital monitoring system to guide the problematic patients had ever imple­mented, therefore, recommendation proposed in this study was the reactivation of the digita­lisation on maternal health monitoring system in West Jakarta.Keywords: COVID-19, Maternal Healthcare, Health ImpactCorrespondence: Sabarinah. Biostatistics Department, Faculty of Public Health, Universitas Indonesia. Depok 16424, Indonesia. Email: sabarinahprasetyo@­gmail.com. Mobile: +62816953885.Journal of Maternal and Child Health (2021), 06(02): 229-237https://doi.org/10.26911/thejmch.2021.06.02.10 
Maternal Mortality in Klaten Regency (Determinant Factors Analysis) Sesunan, Arfan Syahfani; Respati, Supriyadi Hari; Sulistyowati, Sri
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Failure in reducing maternal mor­­­­­­tality has become one of the world's health prob­­­lems. Indonesia ranks third on the list of the highest MMR in ASEAN countries. The incidence of maternal mortality is caused by several factors, including reproductive status, obstetric compli­ca­tions, health services, and socioeconomic con­di­tions.Subjects and Method: This study was an ana­ly­tic observational study using a case-controlled study design. The study subjects were selected by using fixed random sampling with a total sample of 129 people consisting of 43 cases of maternal mor­tality in Klaten Regency and 86 controls. Ma­ter­nal mortality data were taken in Klaten Re­gen­cy from 2017 to 2019. The independent variables were pregnancy complications, delivery comp­li­ca­tions, postpartum complications, age of preg­nant women, pregnancy spacing, parity, delay in mak­ing decisions, referral delay due to in­ade­quate transportations, delay in handling by heal­th workers, the quantity of ANC, maternal edu­ca­tion, maternal occupation, and family income. The dependent variable was maternal mortality in Klaten Regency. The data collection of this stu­dy used a questionnaire. Data analysis was car­ri­ed out by univariate, bivariate, and multivariate met­­h­ods using the chi-square test. Path analysis and descriptive analysis were performed and pre­sent­ed in narrative form.Results: The delay in making decisions in­creas­es with family income below the city mini­mum wa­ge (OR = 1.69; p = 0.09). Referral delay in­c­rea­s­­es with family income below the minimum wage (OR = 1.73; p = 0.08). Maternal mortality increas­ed with delay in decision making (OR = 5.­28; p = 0.00), quantity of ANC (OR: 2.37; p: 0.­02), income (OR: 3.92; p: 0.00), delivery com­p­li­ca­tions (OR: 2.71; p: 0.01) ), postpartum com­pli­ca­tions (OR: 6.33; p: 0.00). Maternal mortality was indirectly affected by income.Conclusion: Pregnancy complications, delivery com­­plications, postpartum complications, ANC exa­­minations, delay in making decisions, delay in reaching the referral place, maternal education and income are associated with an increased risk of maternal mortality. While, maternal age, pa­ri­ty, pregnancy spacing, delay in handling by heal­th workers, and maternal occupation have no sig­ni­­ficant association with maternal mortality.Keywords: Determinant Factors, Maternal Mor­tality, Klaten RegencyCorrespondence: Arfan Syahfani Sesunan. Department Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Sura­karta, Central Java. Mobile: 08127949433. Email: arfansyahfani.s@gmail.com.Journal of Maternal and Child Health (2021), 06(02): 183-196https://doi.org/10.26911/thejmch.2021.06.02.06 
Meta-Analysis the Effect of Combination Oral Contraceptive on the Risk of Venous Thromboembolism and Stroke in Family Planning Acceptors Sari, Putri Yunita; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: The global percentage of con­traceptive users in women of reproductive age range (15-49 years) or women who are married is 62.7%. Combined oral contraceptives repre­sent 8.8% of the prevalence (more than 100 million women). COCs are very effective in preventing pregnancy, but like most medi­ca­tions, combined oral contraceptives can be asso­ciated with a variety of side effects and risks, including venous thromboembolism (VTE) and stroke. This study aims to determine the estimated effect of combined oral contra­ceptives on venous thromboembolism and stroke on family planning acceptors by meta-analysis.Subjects and Method: Meta-analyzes were performed by searching for articles from the Google Scholar, PubMed, Research Gate, Sco­pus, Springer Link, and Science direct data­bases. The keywords used in the search for the article included “oral contraceptive” OR “com­bined oral contraceptives” OR “risk factor” AND “venous thrombolism” OR “VTE” AND “stroke” AND “family planning”. The inclusion criteria in this study were full text articles, from 2000-2020, with a case-control study design. The article analysis was carried out using RevMan 5.3.Results: There are 15 articles analyzed. The results showed that combined oral contra­ceptives increased the incidence of venous thromboembolism and stroke in family plan­ning acceptors (aOR 2.95; 95% CI = 1.80-4.84; p <0.001); (aOR 1.50; 95% CI = 1.30-1.74; p <0.001). The results of the meta-analysis showed a publication bias between the use of combined oral contraceptives and the incidence of stroke among family planning acceptors.Conclusion: Combined oral contraceptives affect venous thromboembolism and stroke in family planning acceptors.Keywords: COCs, venous thromboembolism, stroke, family planning acceptorsCorrespondence: Putri Yunita Sari, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: puyunita16@gmail.com. Mobile: 08818­794685.Journal of Maternal and Child Health (2021), 06(02): 131-145https://doi.org/10.26911/thejmch.2021.06.02.01
Multilevel Analysis of Dengue Hemorrhagic Fever in Bantul Regency Nurkhairani, Nurkhairani; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Maternal and Child Health Vol 6, No 2 (2021)
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Background: Dengue Hemorrhagic Fever (DHF) is one of the main vector-borne diseases infecting humans. It remains a major public health problem in tropical and sub-tropical regions around the world. The poor physical and social environment are the leading cause of the increasing incidence of DHF. This study aimed to determine the effect of the physical and social environment on dengue incidence using multilevel analysis.Subjects and Method: This was an analytic a case-control study conducted in Bantul, Yogya­karta, Indonesia, from November to December 2018. A total of 250 study subjects were selected using the fix disease sampling method. The dependent variable was the incidence of DHF. The independent variables were Maya Index (MI), Density Figure (DF), household crowding, knowledge, mosquito nests eradica­tion, and use of mosquito repellent. The data were collected using a questionnaire. The data were analyzed by using multilevel multiple logistic regression with Stata 13.Results: The incidence of dengue fever was increased with high Maya index (OR= 5.04; 95% CI= 2.38 to 10.67; p <0.001), high density figure (OR= 4.01; 95% CI= 1.90 to 8.44; p <0.001), high household crowding (OR= 1.90; 95% CI= 0.91 to 3.95; p= 0.870), low know­ledge (OR= 2.94; 95% CI= 1.41 to 6.12; p= 0.004), poor mosquito nests eradication beha­vior (OR= 3.09; 95% CI= 1.47 to 6.49; p= 0.003), did not use insect repellent (OR= 3.06; 95% CI= 0.01 to 0.10; p <0.001). Village strata had contextual effect toward the incidence of DHF with Intra-Class Correlation (ICC) by 17.34%.Conclusion: Maya Index, density figure, household crowding, knowledge, mosquito nests eradication behavior, and the use of mos­quito repellents affect the incidence of DHF. Village strata have a contextual effect on DHF incidence.Keywords: DHF, Maya Index, density figure, occupancy density, knowledge, mosquito nests eradication Correspondence: Nurkhairani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36 A, Surakarta, Indonesia. Email: ana­christi19@gmail.com. Mobile: +62852­29185­896.Journal of Maternal and Child Health (2021), 06(02): 197-205https://doi.org/10.26911/thejmch.2021.06.02.07
Meta-Analysis the Effect of Intrauterine Device Uptake on the Risk of Ectopic Pregnancy in Women of Reproductive Age Mayaningrum, Yulita Endah; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol 6, No 2 (2021)
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Background: Indonesia has a high Maternal Mortality Rate (MMR) and has not met the Millennium Development Goals (MDGs) target. Maternal mortality in Indonesia is caused by bleeding, hypertension, infection with abortion, and prolonged labor. One of the causes of bleeding in the first trimester is ectopic preg­nancy. Several studies have shown an increased risk of ectopic pregnancy in women using intra­uterine contraceptives.Subjects and Method: A literature review was carried out in this study with a case control study design. The exposure was intrauterine contraception, and the outcome of the study was an ectopic pregnancy. The initial screening limits studies by time, language and appro­priate themes. Furthermore, the selection of research articles was carried out based on the content according to the topic, namely ectopic pregnancy and intrauterine contraceptives, the literature obtained was not duplicated, and each literature was reviewed. Statistical analy­sis was performed using Rev.Man 5.3 software with a random effects model. Value: the I² statistic was used to calculate hetero­geneity.Results: Pooled OR estimates from all studies are (RR= 1.53; 95% CI= 0.48 to 4.80; p= 0.47) with a heterogeneity of 85%.Conclusion: Based on a review of the litera­ture, it can be concluded that intrauterine contraceptives can cause ectopic pregnancy, but the results of the study still show quite varied OR.Keywords: intrauterine contraceptives, ectopic pregnancy, meta analysisCorrespondence: Yulita Endah Mayaningrum. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, 57126, Surakarta, Central Java 57126. Email: yulita.maya95@gmail.com. Mobile: +6285817887585.Journal of Maternal and Child Health (2021), 06(02): 165-175https://doi.org/10.26911/thejmch.2021.06.02.04
Multilevel Analysis on the Contextual Effect of Village and Sociodemographic Factors on Neonatal Death in Karanganyar, Central Java Sukoco, Amin; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 6, No 2 (2021)
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Background: Globally, the number of neo­natal death in 2018 was 7,000 cases per day. Three-quarters of deaths occurred in the first week of life and 40% of them died in the first 24 hours after birth. Neonatal death is affected by various factors such as direct factors from the baby and indirect factors from the mother. It is also affected by external factors such as socioeconomic conditions. This study aimed to examine the biological and socio-demographic factors affecting neonatal death in Karanganyar Regency, Central Java.Subjects and Method: This was a case control study conducted in Karanganyar, Central Java. The population was all infants at neonatal age in Karanganyar Regency. The sample was 200 respondents with 50 cases of neonatal death and 150 infants who were alive during the neonatal period. This study used fixed disease sampling. The dependent variable was neonatal death. The independent variables were Mid-Upper Arm Circumference (MUAC) of the mother, maternal age, maternal educa­tion, maternal occupation, total family income, number of maternal deliveries, and the Alert Village level. The data were analyzed using logistic regression analysis with STATA 14.Results: The risk of neonatal death decreased with maternal MUAC ≥ 23.5 cm (b=-1.19; 95% CI=-2.02 to -0.36; p=0.005); maternal age between 20–35 years (b=-0.98; 95%CI=-1.76 to -0.20; p=0.014); maternal education ≥Senior High School (b=-0.67; 95%CI=-1.46 to 0.12; p= 0.097); unemployed mothers (b= -1.07; 95% CI= -1.95 to -0.19; p= 0.017); total family income ≥Rp 1,833,000 (b= -1.17; 95%CI=-2.04 to -0.30; p=0.008); and the number of birth deliveries of 2-4 (b=-0.79; 95%CI=-1.53 to -0.05; p= 0.036). The level of Alert Village had a very low effect on the risk of neonatal death (ICC was <0.01%).Conclusion: Neonatal mortality is affected by maternal MUAC, maternal age, maternal education, maternal occupation, total family income, and number of maternal deliveries. The level of Alert Village has a very low effect on neonatal death.Keywords: Neonatal death, sociodemo­graphic, motherCorrespondence: Amin Sukoco. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Su­tami 36A, Surakarta 57126, Indonesia. Email: soekotjo78@gmail.com. Mobile: +628132938­7610.Journal of Maternal and Child Health (2021), 06(02): 207-219https://doi.org/10.26911/thejmch.2021.06.02.08
The Effects of Age, Endometriosis, Polycystic Ovarium Syndrome, and Obesity on the Success of Embryo Transfer on In Vitro Fertilization Hafiizha, Atthahira Amalia; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 6, No 2 (2021)
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Background: One of the important stages in in vitro fertilization (IVF) success is the embryo transfer (ET). Many studies are examining the effect of maternal factors on in vitro fertiliza­tion outcomes. However, studies that are only up to the ET stage are still rare. This study aimed to prove whether maternal factors, espe­cially age, endometriosis, PCOS, and obesity, affect ET success in IVF.Subjects and Method: This was an analytic observational study with a case-control design. A sample of 111 patients who undergo IVF at Sekar Fertility Clinic, Dr. Moewardi Surakarta, was selected by total sampling. The dependent variable was the ET success. The independent variables were maternal age, history of endo­metriosis, PCOS, and obesity. The data were analyzed by a multiple logistic regression.Results: The prevalence of ET success in IVF from January 2014 to  November 2019 at Sekar Fertility Clinic, Dr. Moewardi, was 65.77% (73 of 111 cycles). Only a history of endometriosis could affect the ET success which was statis­tically significant (aOR= 0.25; 95% CI= 0.08 to 0.78; p= 0.017). ET success was affected by age, PCOS, and obesity, but it was not statistically significant.Conclusion: Endometriosis affects the ET success in IVF, and it is statistically significant. While age, PCOS, and obesity affect the ET success in IVF, but they are not statistically significant.Keywords: embryo transfer, in vitro fertilization, endometriosis, polycystic ovarium syndromeCorrespondence: Atthahira Amalia Hafiizha. Faculty of Medicine, Universitas Sebelas Maret.  Jl.  Ir.  Sutami  36A,  Surakarta  57126,  Central Java.  Email: attha­hira1410@gmail.com.Journal of Maternal and Child Health (2020), 05(05): 482-489https://doi.org/10.26911/thejmch.2020.05.05.03. 

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