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Journal of Maternal and Child Health

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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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Search results for , issue "Vol. 7 No. 5 (2022)" : 12 Documents clear

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

Meta-Analysis the Effect of Oral Combination Contraceptive on Hypertension and Stroke Zuhaira, Ulul Azmi; Pamungkasari, Eti Poncorini; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Combined oral contraceptives are a form of contraception that are considered safe and effective for some women, but this does not rule out the possibility that combined oral contraceptives contribute to adverse health effects. Several epidemiological studies have shown that oral contraceptives have adverse effects on women's health. The use of contraceptive pills containing the hormones estrogen and progesterone can cause an increase in blood pressure and also stroke if used continuously. The purpose of this study was to estimate the magnitude of the risk of using combined oral contraceptives on the incidence of hypertension and stroke with a meta-analysis study. Subjects and Method: This was a systematic review and meta-analysis using PRISMA flowchart diagram guidelines. The article search process was carried out between 2007-2022 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search were “oral contraceptive” OR “contraceptive pills” OR “combined oral contraceptive” AND “hypertension” OR “blood pressure” AND “stroke” AND “women of reproductive age”. The inclusion criteria for full text articles using case control observational methods, articles using English, and articles using multivariate analysis with adjusted Odds Ratio results. Articles that have met the requirements are analyzed using the RevMan 5.3 application. Results: A total of 14 articles with case-control study designs originating from China, Ethiopia, the United States, Italy, and the Netherlands were carried out in a meta-analysis in this study. Meta-analysis of 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of hypertension 1.44 times compared to those who did not use combined oral contraceptives (aOR= 1.44; 95% CI= 1.12 to 1.84; p= 0.004). Meanwhile, 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of stroke by 2.08 times compared to those who did not use combined oral contraceptives (aOR= 2.08; 95% CI= 1.48 to 2.92; p < 0.001). Conclusion: Combined oral contraceptives increase the risk of hypertension and stroke. Keywords: combined oral contraceptives, hypertension, stroke, meta-analysis Correspondence:Ulul Azmi Zuhaira. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ululazmizuhaira@gmail.com. Mobile: +6282245012258.

Teenage Pregnancy in Malang: The Analysis on Stunting Incidence in Toddler Aged 24-59 Months Setyarini, Didien Ika; Triningsih, Reny Wahyu; Aryani, Hening Ryan
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is a chronic malnutrition problem characterized by short stature. Stunting toddlers are generally susceptible to disease, have a below normal level of intelligence and low productivity. The high prevalence of stunting in the long term will have an impact on economic losses for Indonesia, which one of the causes of it is early pregnancy. The aim of this study was to described teenage pregnancy with the incidence of stunting in 24-59 months toddlers. Subjects and Method: This research was a cross-sectional study. Sampling was carried out by a two-stage cluster sampling method using purposive sampling. 96 stunted toddlers were obtained. The dependent variable was mother's age at first pregnancy. The independent variable was stunting incidence. Data was collected using questionnaire data, body length, and weight measurements. Data were analyzed with descriptive analysis using SPSS Statististic 20. Results: 51.6% stunted toddlers were born by <20 years old mother at the time of first pregnancy. Almost all stunted toddlers were in the moderate stunting category (92.5%). 65.6% stunted toddlers didn’t get exclusive breastfeeding. 5.4% of 7.5% severe stunted toddlers were born by < 20 years old- mother at the time of first pregnancy. Conclusion: Pregnancy in teenager, when the mother herself is still growing, increases the risk of stunting. Stunting can also occur due to the lack of breastfeeding. It is necessary to make efforts to mature early marriage because it has an impact on unfavorable outcomes. Keywords: 24-59 months, pregnancy, stunting, teenage, and toddlers. Correspondence:Didien Ika Setyarini. Department of Midwifery, Poltekkes Kemenkes Malang. Jl. Besar Ijen No. 77C Malang 65119, East Java, Indonesia. Email:didien_ika@poltekkes-malang.ac.id. Mobile:08164- 296003

Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital Rathod, Pallavi Anil; Jadhao, Avinash Namdeo; Barapatre, Amit Ramesh
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Blood transfusion is a life-saving procedure, but inappropriate use of blood and its components in obstetric emergencies, especially in cases of massive bleeding, increases the risk of morbidity and mortality. The aim of this study was to describe the determinants of blood and blood components in obstetrics in a tertiary care hospital with indications for transfusion for different components during the study. Subjects and Method: A Prospective Observational study was carried from May 2018 to December 2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. The independent variables are sociodemographic characteristics, parity, mode of delivery, education, hospital level, while dependent variables are frequency of obstetric transfusion. Frequency of transfusion of blood and its components obtained from case file of patient. The other data were collected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eighteen months period was done. Qualitative data were presented as frequency and percentages and analysed using the chi-square test. Results: During the whole study 366 of obstetric admission required transfusion of blood and its components. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most common indications for blood product transfusions followed by Accidental Haemorrhage (30%), Caesarean section (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemorrhage’s (13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retained placenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the most common type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%). Conclusion: : In obstetric emergencies, correct diagnosis and management of emergencies, A pre- planned, multidisciplinary protocol yields excellent effects in the management. Keywords: blood transfusion, pregnancy, anaemia, obstetric emergencies Correspondence: Avinash N. Jadhao. Associate Professor, Department of Biochemistry Seth GSMC & KEMH Parel Mumbai 400012, India. Email: avinashjadhao@kem.edu. Phone no.91 7718971066.

Rising Trends of Cesarean Section in Bangladesh: Associated Factors and Long-Term Complications on Health of Mother and Children Hossain, Md. Altaf; Jahan, Ishrat; Haque, Mohammad Mozibul; Sarwar, Nazmul; Yeasmin, Nilufa; Islam, Dilshad
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: With taking into consideration of the high cesarean section (CS) rate, the objectives of this study were to ascertain factors associated with and point out metamorphose complications with high CS rates in Bangladesh. Subjects and Method: A cross-sectional study accounted for data collection from rural (196) and urban (241) women who gave birth to babies between 2005 and 2018 in Chattogram, Bangladesh. The study subjects were selected by using a systematic random sampling technique and the sample size was determined by using web-based Raosoft software. The delivery modes were dependent variables whereas influential factors and complications related to delivery were independent variables. The data were collected through face-to-face interviews using a pre-structured questionnaire. The height and weight of the participants were measured by using a stadiometer and weighing machine respectively. Data analysis was done by using regression analysis. Results: The results divulged that mingling of relative influence and doctor’s profit-making tendency, obstetric factors, and demand from a family with higher socioeconomic status contributed to the recent increased cesarean rate in urban areas (41.5%). The distended abdomen in mothers (OR= 5.11, 95% CI= 2.98 to 8.76) was strongly associated with CS (p< 0.05), and back pain, and urinary incontinence were about one and half times higher in CS mothers. However, miscarriage and pelvic organ prolapse were associated with decreased risks of CS. Postnatal complications include cold fever (OR= 11.95, 95% CI= 7.02 to 20.35), and pneumonia (OR= 5.79; 95% CI= 2.71 to 12.36) were highly prevalent in children with cesarean delivery. Conclusion: Cesarean section has become alarmingly increased in urban rather than rural areas of Bangladesh in recent decays. Awareness-raising, doctor commitment, government policy, and strict monitoring of private health facilities are needed to control high rates of cesarean delivery. Keywords: cesarean delivery; vaginal delivery; demographic factors; obstetric factors; postpartum complications. Correspondence: Md. Altaf Hossain, Department of Animal Resources Science, Sunchon National University, Suncheon, Jeollanam-do, South Korea. Telephone: +8201098532108; Email: altaf@cvasu.ac.bd

Predictors of Mortality of Pediatric Patients with COVID-19 in Dr Moewardi General Hospital Surakarta Aprilizia, Dwi Suryaning Ayu; Andarini, Ismiranti; Hafidh, Yulidar
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: COVID-19 has spread all over the world and became a global pandemic. In Indonesia, COVID-19 has officially defined the non-natural disaster of COVID-19 spread as national disaster in April 13th 2020. COVID-19 cases are predominant in adult population with higher severity particularly if accompanied with comorbidities resulting in a relatively high mortality rate. However, some recent studies showed that children are at a similar or higher risk to COVID-19 compared to adults. This study aims to evaluate the predictors of mortality in pediatric COVID-19 cases.Subjects and Method: This study used a cross-sectional design using data from medical records of pediatric patients with confirmed COVID-19 who were hospitalized in the isolation ward of Dr Moewardi General Hospital from March 2020 to August 2021. All variables with significant result in the bivariate analysis were analyzed using multivariate logistic regression. Data were analyzed using SPSS (IBM SPSS Statistics version 25) with significance of p value of < 0.05.Results: Results of this study showed that age 10-17 years (OR= 16.26; 95% CI= 1.47 to 179.56; p= 0.023), the use of oxygen mask (OR= 45.89; 95% CI = 5.39 to 390.58; p <0.001), and the use of continued oxygen therapy (OR= 181.48; 95% CI=11.25 to 2927.80; p <0.001) are predictors of mortality in pediatric patients with confirmed COVID-19.Conclusion: Age 10-17 years, use of oxygen mask and advanced oxygen therapy are predictors of mortality in pediatric patients with COVID-19 hospitalized in Dr Moewardi General Hospital Surakarta.Keywords: mortality, COVID-19, pediatric.Correspondence:

Enhancing Nutrients Knowledge during Pregnancy through Webinars to Prevent Stunting Bachnas, Muhammad Adrianes; Sulistyowati, Sri; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Prabowo, Wisnu; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Yuliani, Saffana Oka; Carissa, Dinda; Alamsyah, Meuthia
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Indonesia still has a high stunting rate, 1.2 million out of 5 million births each year result in stunted baby growth. linear growth in utero, the process can be caused by maternal malnutrition, which can result in intrauterine growth inhibition and low birth weight, and result in stunting. This study aims to analyze the effectiveness of the webinar in improving nutrition knowledge during pregnancy to prevent stunting growth. Subjects and Method: This is a cross sectional study conducted in July, 15th 2022 using the Zoom Meeting webinar platform. Target population are all young POGI and POGI Members who took part in webinars and online conversations using the Zoom Meeting program. This study used random sampling, and sample size are 161. The independent variables of this study was learning via webinars while the dependent variable was nutrient knowledge. Data were analyzed by paired t-test statistical test. Results: There was a significant difference score of knowledge in pregnant women after (Mean= 8.60) compared to before webinars (Mean= 6.52). Conclusion: The result of this study indicates that learning method via webinars increased maternal understanding about optimal nutrient during pregnancy. Keywords: stunting, nutrients, webinar, pregnant women Correspondence: Nutria Widya Purna Anggraini. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Jl. Kolonel Sutarto No. 132 Jebres, Surakarta. Email: nutria_dr@staff.uns.ac.id. Mobile: 08122651819.

Correlation between Low Birth Weigth and Stunting in Children Under Five: Meta Analysis Ode, Diana; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting in children is a risk factor for increasing child mortality. The purpose of this study was to determine the relationship between LBW and the incidence of stunting based on previous primary studies. Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P = toddler, I = low birth weight, C = normal birth weight, O = stunting. Search articles in this study using 3 databases, namely Pubmed, Google Scholar and Springerlink. Search articles using the following keywords: Low birth weight AND Stunted OR Birth weight AND Stunted, articles were analyzed using the Review Manager 5.3 application. Results: There are 11 articles from Rwanda, Nepal, Ethiopia, Eastern Kenya, Pakistan, China, Indonesia, and Tanzania from 2017-2022 which were analyzed using PRISMA flow diagrams. The results of this study indicate that toddlers who have a history of being born with low birth weight have a risk of experiencing stunting as much as 2.19 times compared to toddlers who have a history of birth with normal birth weight (aOR= 2.19; 95% CI= 1.77 to 2.69; p<0.001). Conclusion: Toddlers with a history of LBW births are at risk for stunting. Keywords: LBW, stunting, toddlers, meta-analysis. Correspondence: Diana Ode. Master’s Program in Public Health, Universitas Sebelas Maret. Jl.Lawu raya Seturan Caturtunggal Depok Sleman Yogyakarta 55281 Indonesia. Email: dianaodef161@gmail.com. Mobile: +6285395912173.

Effect of Zinc Supplementation on Changes in Anthropometric Index of Toddler: A Meta-Analysis Usmaningrum, Desif Upix; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting occurs as a result of a long chain of malnutrition burden at every phase of life. Insufficient intake of protein energy in pregnancy and toddler growth has an impact on the risk of stunting under five. In addition, stunting is also considered to be closely related to deficiency of essential micronutrients, especially iron and zinc. Subjects and Method: This research is a systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on the eligibility criteria using the PICO Model. Population: Infants aged 0-59 months, Intervention: Zinc supplementation, Comparison: Placebo, Outcome: Anthropometric index of height for age (HAZ). The articles used were from PubMed, Google Scholar, Science Direct, and Scopus published from 2016 – 2022. The keywords used in the search were “zinc” AND “height” AND “infant” OR “toddler”. The inclusion criteria in this study were full paper articles with Randomized Control Trial, the intervention given was zinc with placebo comparison, research subjects were infants aged 0 – 59 months, and articles were published in English. The final results are presented in Standardized Mean Difference (SMD) in the analysis using the Revman 5.3 application. Results: Meta-analysis was carried out on 10 articles originating from the continents of Asia, Africa, and America. The results of the analysis showed that zinc supplementation increased the anthropometric index (HAZ) with SMD=0.51 units higher than placebo and statistically significant (SMD=0.51, 95% CI=0.17 to 0.85; p=0.003). Conclusion: The results of the meta-analysis showed that the administration of zinc supplementation increased the anthropometric index (HAZ) in children under five. Keywords: zinc, anthropometry, height for age, toddler. Correspondence: Desif Upix Usmaningrum. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: desifupix@student.uns.ac.id. Mobile: +6287838887228.

Prenatal Exposure to Mercury and Adverse Birth Outcomes in Rio de Janeiro, Brazil: Rio Birth Cohort Study (PIPA Project) Vianna, Angelica dos Santos; Camara, Volney de Magalhaes; de Figueiredo, Nataly Damasceno; Rodrigues Froes Asmus, Carmen Ildes
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Mercury (Hg) is a highly toxic environmental pollutant, with studies of its prenatal exposure indicating adverse birth outcomes such as low birth weight, preterm delivery, and micro- cephaly. Therefore, we analyzed prenatal Hg exposure levels and their relationship with birth outcomes in pregnant women living in an urban area in the city of Rio de Janeiro. Subjects and Method: A cross-sectional study nested in the prospective birth cohort (PIPA Project) was conducted at the Federal University of Rio de Janeiro Maternity School from October to November 2017. A total of 117 mother-infant pairs were evaluated. The sampling technique used convenience sampling. The independent variables encompassed maternal and cord blood Hg levels, while the dependent variables were birth weight, birth length, head circumference (neonatal anthropometrics), and Apgar score at 1 and 5 minutes. The Hg levels were analyzed using induc- tively coupled plasma-mass spectrometry, and dependent variable data were obtained through medical records. Multiple regression models were applied using the SPSS. Results: The detection rate of maternal and cord blood was 100%, with medians of 0.76 and 0.91 µg/L, respectively. A strong correlation between maternal and cord blood Hg levels was observed (r= 0.70; p<0.010), as well as an inverse association between cord blood Hg and Apgar score at 1 and 5 minutes (b=−0.47; p<0.010; b=−0.34; p<0.010) after adjusting for covariates. Conclusion: Our study provided preliminary evidence that Hg exposure was associated with a worse Apgar score at 1 and 5 minutes. However, the relevance of this finding requires further evaluations due to its potential clinical implications concerning newborn health. Keywords: Mercury, Maternal exposure, Apgar Score, Anthropometry Correspondence: Angelica dos Santos Vianna. Federal University of Rio de Janeiro (UFRJ). Avenida Horacio Macedo sem numero – Proximo a Prefeitura Universitária da UFRJ. Ilha do Fundao – Cidade Universitária. ZIP Code: 21941-598, Rio de Janeiro, RJ, Brazil. Email address: angelica- @iesc.ufrj.br

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