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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. 8 No. 1 (2023)" : 12 Documents clear

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.

Increased Plasma Caspase-3 in Children with Down Syndrome is Associated with an Increasing Risk of Pulmonary Hypertension Prasanti, Damayanti Ika; Widjaja, Sri Lilijanti; Rokhayati, Evi
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Pulmonary hypertension (PH) is the one of the comorbidities in children with Down syndrome. The pathogenesis of this pulmonary hypertension remains to be investigated, although endothelial dysfunction and apoptotic activity are among the proposed mechanisms. Caspase-3 is a key regulator of apoptosis and appears to be an attractive predictor of pulmonary hypertension in children with Down syndrome. Subjects and Method: A cross-sectional observational clinical study was performed in Dr. Moewardi General Hospital in Surakarta-Indonesia between January and March 2021 involving clinically diagnosed children with Down syndrome. Sampling method was using a consecutive sampling. The independent variable was plasma caspase-3 level and the dependent variable were the presence of pulmonary hypertension and congenital heart defects (CHD). Clinical data documentation, blood collection and echocardiography were performed on enrollment day. We first determined the plasma level of caspase-3 in 36 children with Down syndrome and CHD (n=18) or without CHD (n=18) and further determined the risk of having pulmonary hypertension using the plasma caspase-3 level. We also determined the biomarker performance of caspase-3 using a receiver-operating characteristic (ROC) analysis Results: Children with Down syndrome with PH had a higher plasma caspase-3 compared to those without PH (p<0.001). In those with both CHD and PH, the plasma caspase-3 level was also high although not statistically significant (p=0.145). The highest plasma caspase-3 level was observed in subjects with PH without CHD (p<0.01). Relative risk and ROC analysis demonstrated that increased plasma caspase-3 level increased the risk to have PH 5 times (RR=5.00, 95% CI 1.74 to 14.34; p<0.001) and predicted the incidence of PH in children with Down syndrome (AUC 0.88, CI 0.76 to 0.99). Conclusion: An elevation in plasma caspase-3 level of Down syndrome children is associated with the increasing risk of having PH regardless the presence of CHD. Keywords: pulmonary hypertension; down syndrome; caspase-3; pathogenesis; apoptosis. Correspondence: Damayanti Ika Prasanti. Department of Pediatrics, Faculty of Medicine, Universitas Sebelas Maret / Dr. Moewardi General Hospital. Jl. Kolonel Sutarto 132, Surakarta 57126, Indonesia. Email: damayanti_ip@yahoo.com. Mobile: 081215683462.

The Differences of Women’s Sexual Drive Condition between Triclofem and Cyclofem Users Syabani, Sekar Arum Aisyah; Santoso, Budi; Annas, Jimmy Yanuar
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Various factors contribute to changes in the condition of a woman's sexual drive, one of which is the use of hormonal contraception. The majority of women of childbearing age use the injectable hormonal contraceptive method to prevent pregnancy. The injection method of contraception consists of two types, namely triclofem and cyclofem. However, until now it is not known with certainty the difference in sexual drive between triclofem and cyclofem contraception users. The purpose of this study was to compare the value of total sexual drive in users of triclofem and cyclofem contraception. Subjects and Method: A cross-sectional study was conducted in October 2022 at PMB Maria, Tambaksari District, Surabaya City. A total of 152 subjects were selected in this study. The dependent variable is sexual drive, the independent variable is the use of triclofem and cyclofem contraception. Data were analyzed using the Mann-Whitney test. Results: There was a significant difference between the mean sexual drive for users of triclofem contraception and the mean sexual drive for users of cyclofem contraception, namely users who were ?35 years old (p= 0.001), worked (p= 0.020), and had used contraception >2 years (p = 0.004). Contraceptive users aged <35 years (p=0.415), not working (0.082), and duration of contraceptive use ?2 years (p=0.578) showed no significant difference between the mean sexual drive of Triclofem contraceptive users and the mean sexual drive in users of cyclofem contraception. Conclusion: There was a significant difference between the condition of sexual drive in contraception users of triclofem and cyclofem only in users with characteristics of age ?35 years, working, and having used contraception for >2 years. Also, users of triclofem contraception show lower sexual drive than users of cyclofem contraception. Keywords: sexual drive, contraceptive users, triclofem, and cyclofem. Correspondence: Sekar Arum Aisyah Syabani. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java. Email: sekar.arum.aisyah-2019@fk.unair.ac.id. Mobile: +6281385876519.

Effect of Stunting Education Counseling with Booklet Media on Parental Knowledge and Attitude As an Effort to Overcome Stunting Triatmaja, Dendy; Lestari, Keri; Setiabudiawan, Budi
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is developmental disorders experienced by children due to poor nutrition, repeated infections, and inadequate psychosocial stimulation. The problem of stunting in children under five shows an average rate of 35.3% in West Java. Stunting is a problem because it is associated with an increased risk of disease and death, suboptimal brain development, which results in delayed motor development and stunted mental growth. Jamika sub-district has a high prevalence of stunting under five in West Java, which is 23.7%. Pharmacists as Agents of Change can also optimize their role by providing information and education on stunting prevention. Subjects and Method: This study uses a design Pretest-posttest control group design at the Posyandu, Jamika Village, from February to April 2022. The total sample in this study was 30 people who were taken from mothers who had toddler 0-24 months of age. Samples were obtained by simple random sampling. The dependent attitudes of parents. The independent variable was knowledge. The data that has been collected is then analyzed using chi square test and odds ratio (OR). Results: Good knowledge increased the attitude of parents in efforts to overcome stunting at Posyandu, Jamaika village. Parents with good knowledge increased attitude by 1.40 times to have a positive attitude in efforts to overcome stunting, and this result is statistically significant (OR= 1.40; 95% CI= 0.87 to 2.23; p= 0.008). Conclusion: There was a relationship between good knowledge with attitude of parents as an effort to overcome stunting in the Posyandu, Jamika village with booklet media. Keywords: stunting, booklet, knowledge, attitudes, parents. Correspondence:Dendy Triatmaja. Master of Clinical Pharmacy Study Program. Universitas Padjadjaran. Jl. Raya Bandung Sumedang KM 21, Jatinangor 45363. Email: dendy20001@unpad.ac.id. Mobile: 082250888878.

The Effect of Vitamin D Deficiency on Anemia in Children and Adolescents: Meta-Analysis Dianika, Bani; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Anemia in children and adolescents has an impact on central nervous system damage that can continue into adulthood. Some evidence states that one of the causes of anemia is vitamin D deficiency. This study aims to estimate the magnitude of the effect of vitamin D deficiency on the incidence of anemia in children and adolescents, through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: children and adolescents, intervention: vitamin D deficiency, comparison: no vitamin D deficiency, outcome: anemia. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the search key "Vitamin D" OR "25-Hydroxy Vitamin D" OR "25(OH)D" AND "Anemia" OR " Anemia". The included article is a full-text cross-sectional study design from 2010 to 2022 and reports the adjusted odds ratio (aOR) in multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.4 application. Results: A total of 9 cross-sectional studies involving 18,608 children and adolescents from the Americas and Asia were selected for meta-analysis. Children and adolescents with vitamin D deficiency had a risk of anemia 2.87 times compared to those without vitamin D deficiency (aOR= 2.87; 95% CI= 2.36 to 3.48; p<0.001). Conclusion: Vitamin D deficiency increases the risk of anemia in children and adolescents. Keywords: vitamin D deficiency, anemia, children, adolescents Correspondence:Bani Dianika. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: banidian27@gmail.com. Mobile: +62852227339349.

Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa Serge, Toudonou; Barikissou Georgia, Damien; Badirou, Aguemon
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Most of the new-born deaths occur in developing countries where care access is poor. This study aimed to investigate the epidemiological aspects and factors associated with early neonatal death in maternity. Subjects and Method: A case-control study was conducted from 2018 to 2020 in the Savè-Ouessè (SaO) health zone in the Collines department in Benin. Two groups of new-borns aged 0-7 days were recruited, 176 cases and 176 controls. The dependent variable was early neonatal death. The main independent variables studied were related socio-demographic characteristics, medical and gynaeco-obstetric history, pregnancy-related illnesses, service use and quality of health care, and neonatal parameters. Data collection was carried out from October to December 2021 from delivery records at the maternity unit level. An additional questionnaire was addressed to corresponding mothers. Logistic regression model was used to identify factors that explain early neonatal death occurrence. Results: No Fertility desire (OR= 3.22; CI95%= 1.13 to 9.16; p =0.029); No Observance of ANC rhythms (OR= 5.14; CI95%= 1.63 to 16.15; p= 0.005); Supervised intake of SP (OR= 6.33; CI95%= 1.33 to 29.99; p<0.001); No Existence of active fetal movements (OR= 7.01; CI95%= 2.67 to 18.41; p<0.001); and Amniotic fluid colour/ Haematic (OR= 4.09; CI95%= 2.07 to 9.63; p<0.001) increased early neonatal death in SaO health zone from 2018 to 2020 in SaO health zone, BeninConclusion: Even if early neonatal mortality appears to be low in the SaO health zone, its reduction requires to strengthen family planning, to improve the observance of intermittent preventive treatment and to monitor obstetric labour. Keywords: perinatal death, early neonatal, death, associated factors, Benin. Correspondence:Damien Barikissou Georgia. Population Training and Research, University of Abomey-Calavi, Benin. Email: barikiss2000@yahoo.fr.

Do Massage and Relaxation Music Therapy Increase Breast Milk Volume? A Meta-Analysis Sakinah, Sakinah; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Breast milk contains various nutrients that meet the needs of infants’ growth and development. Furthermore, breast milk also contains various antibodies that will protect infants from viruses and bacteria to avoid infections and various diseases. Various conditions encountered by postpartum mothers often lead to stress and anxiety that generate a low milk supply, thus the infants do not get breast milk optimally. This study aims to discover the effect of massage and relaxation music therapy on breast milk volume. Subjects and Method: The study used systematic review and meta-analysis using the PICO model. Population= postpartum mother, Intervention= massage and relaxation music therapy, Comparison= no massage and relaxation music therapy, and Outcome= breast milk volume. Article search was conducted in various databases, namely PubMed, BMC, ScienceDirect, ResearchGate, SpringerLink, and NCBI. The articles were collected in 1 month. The articles were published from 2012-2022. The keywords in this article search were "Massage AND Lactation" OR "Massage AND Milk Production" AND "Music AND Milk Production" OR "Relaxation AND Breastfeeding" AND "Randomized Controlled Trial". The inclusion criteria were full-text articles with an RCT study design, the correlation size used was mean and SD, and the articles were in English. The articles were analyzed using the RevMan 5.3 application. Results: This study used 14 articles with sample populations from China, India, Indonesia, the United Kingdom, Iran, Malaysia, Thailand, and Turkey. The administration of massage had a positive effect 1.42 times more effective on the increase of breast milk volume compared to without massage (SMD= 1.42; CI 95%= 0.98 to 1.86; p<0.001). Relaxation music therapy can increase breast milk volume by 0.46 times compared to without relaxation music therapy (SMD= 0.46; 95% CI= 0.31 to 0.60; p<0.001). Conclusion: Massage and relaxation music therapy have a positive effect on the increase of breast milk volume. Keywords: massage, relaxation music therapy, breast milk volume, postpartum. Correspondence: Sakinah. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: sakinah13579@gmail.com. Mobile: +6282386391993.

Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five Picauly, Intje
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Exclusive breastfeeding can affect a child's immune system against infectious diseases and malnutrition. Children under five who experience repeated infectious diseases and malnutrition will have the opportunity to experience stunting problems. Riskesdas (2018) shows that the prevalence of stunting under five in the Province of East Nusa Tenggara (NTT) is higher (42.6%) than the average prevalence of stunting in Indonesia (30.8%). The results of the initial survey found that the coverage of exclusive breastfeeding was very low and the morbidity rate for children under five was still high in the Working Area of the Kokar Health Center, Alor Barat Laut District, Alor Regency, NTT. Subjects and Method: A case control study conducted in Adang Village, the work area of the Kokar Health Center, Alor Barat Laut District, Alor Regency in October-November 2021. The size of the study sample was 132 toddlers with 66 case samples and 66 control samples taken by simple random sampling. The dependent variable was the incidence of stunting. The independent variables were the history of exclusive breastfeeding and the history of illness. The analysis used is simple logistic regression analysis and followed by Odd Ratio (OR) analysis. Results: The history of exclusive breastfeeding (OR=4.57; CI95%= 1.58 to 13.21; p= 0.003) and the history of illness (OR=5.33; CI95%= 2.53 to 11.24; p <0.001) were associated with the incidence of stunting. Further test results showed that every child under five who had a history of bad exclusive breastfeeding had a 4.5 times greater risk of experiencing stunting and a child under five who had a history of illness more often had a 5.3 times greater risk of experiencing stunting. Conclusion: The incidence of stunting in the Northwest Alor District, Alor Regency, NTT Province is influenced by a history of exclusive breastfeeding and a history of infectious diseases or illness. Keywords: history of exclusive breastfeeding, history of illness, incidence of stunting, infectious diseases, nutritional intake Correspondence: Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang City, East Nusa Tenggara, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur.

Meta-Analysis: The Effect of Anemia in Pregnant Women on the Risk of Postpartum Bleeding and Low Birth Weight Adhimukti, Fahmi; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Anemia in pregnancy usually occurs in the 1st and 3rd trimesters with Hb levels below 11g% and in the 2nd trimester with Hb levels less than 10.5g%. The prevalence of anemia in pregnant women around the world ranges from 41.8% to 43.8%, which means that around 56-59 million pregnant women suffer from anemia. Factors that cause anemia that often appear in pregnant women are malnutrition and iron deficiency, so that iron anemia in pregnancy can result in increased maternal mortality rates (MMR). Anemia during pregnancy can result in fetal death, abortion, birth defects, low birth weight and can cause bleeding during labour.Subjects and Method: Meta-analysis was carried out using the PRISMA flowchart and the PICO model (Population: pregnant women, Intervention: anemia, Comparison: no anemia, Outcome: LBW and postpartum hemorrhage). The databases used are PubMed, Research Gate, Science Direct, and Google Scholar with the keywords

Comparative Study of Feto-Maternal Outcome of Antenatal Cases as per the Standard WHO Guidelines vs Revised Antenatal Visit Schedule during COVID 19 Pandemic Bhardwaj, Bikram; Menon, Aruna; Prajapati, Vipin Kumar; Kathi, Apphia Saphir; Singh, Randeep
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Good antenatal care helps a woman face labour in good health and optimum conditions. The National Institute for Health and Care Excellence (NICE) and WHO guidelines suggest 15 visits in the whole pregnancy. Keeping in view the COVID-19 pandemic to reduce the exposure of pregnant ladies the number of antenatal visits was reduced to 7 milestone visits and outcome was noted. This study aimed to do a comparative study of feto-maternal outcome in antenatal cases at our centre using standard WHO protocol vs. revised antenatal protocol during COVID-19 pandemic. Subjects and Method: This was an observational study done at a tertiary care center of an Armed forces hospital with target population as pregnant ladies attending antenatal care Out patient department of the hospital during COVID19 pandemic Vs Antenatal cases in previous 1 year. A comparative analysis of pregnancy outcome, maternal variables during pregnancy and delivery along with neonatal variables was done. Results: There were lesser deliveries by 41.7% as compared to non-COVID times. There was an increase in the caesarean delivery rate and instrumental delivery rate during COVID times by 11% and 53% respectively. There was increase in Vaginal birth after caesarean (VBAC) by 26.6%. The incidence of fetal growth restriction, placental abruption, maternal anaemia and gestational diabetes mellitus, oligohydramnios and polyhydramnios was low. The incidence of spontaneous abortions was also low in our study. In contrast, the incidence of pre-term deliveries doubled from 7.4% to 13.4%. Neonatal morbidity and mortality indicators like Neonatal Intensive care unit (NICU) admissions showed a rising trend of 1.7% during the COVID (14.6% to 16.3%) with a minimal rise in early neonatal deaths by 0.2%. Conclusion: Our model doesn't show an increase in maternal, neonatal morbidity, and mortality. This model can be used as a standard of care for Antenatal patients during Pandemics. It reduces the risk exposure of the gravid mother without any significant increase in maternal and neonatal morbidity and mortality. Keywords: antenatal care, COVID-19 pandemic, revised antenatal schedule. Correspondence: Vipin Kumar Prajapati. Graded Specialist Department of Obstetrics Gynecology, AFMC, Pune. Email: vipinafmc@gmail.com. Contact No: 8811015130

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