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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 446 Documents
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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)
Publisher : Journal of Maternal and Child Health

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Abstract

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
Meta-Analysis: Amniotic Meconium and Low Birth Weight as Predictors of Asphyxia in Newborns Widiyaningrum, Alfiati Nanda; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol 5, No 5 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Preterm birth, intrapartum-related complications (birth asphyxia or diffi­culty breathing at birth), infections and birth defects accounted for the majority of neonatal deaths in 2017. Low birth weight and amniotic fluid with meconium are factors associated with perinatal asphyxia. The aim of this study was to conduct a meta-analysis to estimate the influ­ence of meconium in the amniotic fluid and low birth weight on the risk of asphyxia in new­borns based on the results of previous similar studies.Subjects and Method: This was a systematic review and meta-analysis following the PRISMA flow diagram. The formula for PICO is as follows: P= newborn, I= mixed amniotic fluid with low birth weight, C = clear amniotic fluid and normal birth weight (≥2,500 g). Data­base: PubMed, Google Scholar, Clinical Key, Springer Link and Science Direct with key­words ("asphyxia" OR "birth asphy­xia") AND ("meconium stained amniotic" OR "meconium stained liquor" OR "meconium stained amnio­tic liquor") AND "Low birth weight" AND "new­borns" AND "cross sectio­nal". The research inclusion criteria were full text articles and in English. Articles published from 2010 to 2020. The study design was cross-sectional with multivariate analysis using Revman 5.3 and results reported in adjusted odds ratio (aOR).Results: The results of the meta-analysis in 11 primary studies showed that the effect of meconium in the amniotic fluid was statistically significant in increasing the risk of asphyxia in newborns by 5.16 times compared to clear membranes (aOR 5.16; 95% CI = 3.73-7.13; p <0.001). The effect of low birth weight was statistically significant in increasing the risk of asphyxia in newborns by 2.94 times compared to normal birth weight (aOR 2.94; 95% CI = 1.84-4.70; p <0.001).Conclusion: Amniotic meconium and low birth weight increase the incidence of newborn asphxia. Early detection in proper control and monitoring of labor, development of a com­prehensive partograph and adequate prenatal care with the provision of social support reduces the frequency and negative effects of perinatal asphyxia.Keywords: meconium in the amniotic fluid, low birth weight, asphyxia, newbornsCorrespondence: Alfiati Nanda Widiyaningrum. Masters Pro­gram in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: widiyaningruma@gmail.­com. Mobile: 081327524537.Journal of Maternal and Child Health (2020), 05(05): 590-600https://doi.org/10.26911/thejmch.2020.05.05.12. 
Massive Adherent Placenta, Placenta Percreta Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Prisasanti, Dympna Prameilita
Journal of Maternal and Child Health Vol 6, No 1 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Adherent placentas including placenta accreta, increta and percreta are conditions where there is abnormal implanta­tion of all or part of the placenta on the myo­metrial wall. Massive adherent placenta has high morbidity and mortality rates in both mother and fetus. There is a positive corre­la­tion between the incidence of adherent placenta and the increase in cesarean section rates worldwide. Identification of risk factors, ante­natal diagnosis, accurate preoperative prepara­tion, multidisciplinary management, and appro­priate counseling are the main manage­ment of adherent placenta to reduce maternal morbidity.Case Presentation: A woman, G5P3A1, age 36 years pregnant 37 weeks, complained loudly regularly since 6 hours before admission to hospital. There is a history of CS as much as 3x with indications of 2x Premature rupture of the membranes and uterine rupture, as well as a history of curettage (1x). Physical examination showed that the general condition was good, and composting, vital signs were within normal limits. Abdomen palpable single fetus, intra­uterine, elongated, head presentation, left back, moderate his (+), FHR 150 x/minute. The results of prenatal sonography examination showed that neither placenta previa nor massive adherent placenta was found. The preoperative diagnosis was inparticular stage I latent phase with a history of SC 3 times.Results: An emergency Caesarean section was performed. Durante surgery showed severe adhesions of the placenta, uterine wall and bladder. The diagnosis of placenta percreta was confirmed, uterine resection was performed on the perreta section, hysterography as well as adhesiolysis and MOW sterilization. The results of the PA examination support the diagnosis of placenta percreta.Conclusion: Massive adherent placenta, pla­centa percreta was not diagnosed in this case because there were no clinical features or pre­natal sonography that supported the diagnosis of placenta percreta. A history of trauma to the uterus due to uterine rupture, history of CS and curettage were risk factors for placenta percreta in this case. The incidence rate of placenta per­creta with a history of SC 3 times without placenta previa on the previous sonographic examina­tion was 0.1%. Operative management to manage bleeding and post operative care have been carried out according to the procedure so as to avoid mortality.Keywords: massive adherent placenta, placenta percreta, case reportCorrespondence: Eric Edwin Yuliantara. Department Obstetrics and Gynecology, Faculty of Medicine Univer­sitas Sebelas Maret/ dr. Moewardi General Hospital Surakarta. Jl Kolonel Sutarto 132, Surakarta, Central Java. Email: edwinericog­@staff.uns.ac.id. Mobile: 08122618769.Journal of Maternal and Child Health (2021), 06(01): 108-121https://doi.org/10.26911/thejmch.2021.06.01.11
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)
Publisher : Journal of Maternal and Child Health

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Abstract

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. 
The Effect of Ferric Carboxymaltose Versus Iron Sucrose on Hemoglobin Levels in Pregnant Women with Anemia: Meta-Analysis Nirwana, Astika Candra; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 6, No 1 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background:  Anemia in pregnant women is one of the global health problems experienced by deve­­­loped or developing countries affecting 1.62 billion world population, which corresponds to 24.8% of the population in the world. Anemia is a serious problem for mater­nal health because it is one of the five problems that becomes the target of solving the World Health Organization (WHO) in 2025. This study aimed to estimate the mag­nitude of the effect of Ferric Carboxymaltose on hemoglobin levels in pregnant women with anemia compared to Iron Sucrose.Subjects and Method: This study was a meta-analysis study. The study was conducted by look­ing for data from the study results in the period 2010-2019. The data of this study was from Pubmed, DOAJ, Science Direct, Springer Link, Web of Science, Cochrane, Google Scholar, BMJ, BMC, Research Gate, J Stor, Wiley, Clinical Key, J Gate, SAGE, IEEE Xplore, ERIC Institute of Education Science, BASE, SciELO, WorldCat, Microsoft Academic, Index Copernicus, CABI, Cambridge, Nature, Oxford, ProQuest, and BJOG using the keyword "ferric carboxymaltose" AND "iron sucrose" AND "anemia in pregnancy" AND "ran­do­mized control trial" OR RCT, "ferric carboxy­maltose" AND "iron sucrose" AND "hemo­globin in pregnancy" AND "randomized control trial".  The subjects of this study were pregnant women with anemia. The study used a Revman 5.3 application to analyze the article.Results: The eight articles were reviewed using the meta-analysis technique in this study. Preg­nant women who were given ferric carboxy­maltose therapy had a higher mean hemoglobin level than those who were not treated carboxy­maltose therapy and it was  statistically signi­fi­cant (SMD= 1.11; 95% CI= 0.37 to 1.85; p= 0.003). The heterogeneity of the data showed I2= 98% so that the distribution of the data was stated to be heterogeneous (random effect model).Conclusion: Ferric Carboxymaltose is effec­tive in increasing hemoglobin levels in preg­nant women with anemia.Keywords: Ferric Carboxymaltose, Iron Sucrose, Randomized Controlled Trial.Correspondence: Astika Candra Nirwana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: astikacandranirwana2796@­g­mail.com. Mobile: 085640018896.Journal of Maternal and Child Health (2021), 06(01): 15-24https://doi.org/10.26911/thejmch.2021.06.01.02. 
Correlations between Nutritional Status, Iron Intake, and Fine Motor Development in Infants Aged 6-11 Months Lestari, Catur Retno; Salimo, Harsono; Nuhriawangsa, Adi Magna Patriadi
Journal of Maternal and Child Health Vol 5, No 4 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Undernutrition can inhibit growth and development. Specifically, in deve­lopment, it can change the structure and function of the brain. Fine motor development in infants is affected by many factors such as undernutrition and iron intake. Undernutrition status can occur due to unfulfilled nutritional intake. Iron defi­ci­ency can negatively affect fine motor develop­ment in children. This study aimed to determine the correlation of nutritional status, iron intake, and fine motor development in infants aged 6-11 months.Subjects and Method: This was a cross-sec­tional study conducted at eight Community Health Centers in Kulon Progo Regency, Yogya­karta, Indonesia. A total of 201 infants aged 6-11 months were randomly selected as the sample of the study. The dependent variable was fine motor development. The independent variable was status (Weight/Age). The data on fine motor development were measured by a Prescreening Developmental Questionnaire (PDQ). The data were analyzed by Chi-square.Results: Good nutritional status increased fine motor development in infants aged 6-11 months (OR= 7.12; 95% CI= 3.03 to 16.73; p<0.001). There was no difference between iron intake and fine motor development (OR= 0.61; 95% CI= 0.20 to 1.83; p= 0.469).Conclusion: Good nutritional status increases fine motor development in infants age 6-11 months. Keywords: fine motor development, nutritional status, iron intakeCorrespondence: Catur Retno Lestari. Masters Program in Nutrition, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: caturretno.lestari@gmail.com.Journal of Maternal and Child Health (2020), 5(4): 396-401https://doi.org/10.26911/thejmch.2020.05.04.06
Meta-Analysis the Effect of Oral and Injection Contraceptives on Breast Cancer Dilma’aarij, Dilma’aarij; Rahardjo, Setyo Sri; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Oral contraceptives and injec­tions are the main risk factors for breast cancer. The content of the hormones estrogen and progesterone in oral contraceptives and proges­tin in injection contraceptives can affect uncontrolled growth of breast tissue, leading to breast cancer. This study aims to analyze the magnitude of the effect of oral contraceptives and injection on the incidence of breast cancer by means of a meta-analysis study.Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagrams. Search for articles through journal databases includes: PubMed, Science Direct, and Google Scholar by selecting articles published in 2010-2020. The keywords used were "Women Aged 15-80 Years" AND "Contraceptive Pills" OR "Birth control injec­ti­ons" AND "Breast Cancer". The inclusion crite­ria were full text articles with observational study design, articles in English, and multi­variate analysis used with adjusted odds ratios. Articles that meet the requirements are ana­lyzed using the Revman 5.3 application.Results: A meta-analysis of 15 observational studies showed that oral contraceptives had a 1.30 times risk of developing breast cancer compared with women using non-hormonal contraceptives (aOR= 1.30; 95% CI= 1.13 to 1.50; p= 0.0002). A meta-analysis of 6 obser­vational studies showed injectable contracep­tives had a 1.37 times risk of developing breast cancer compared to using non-hormonal contraceptives (aOR= 1.37; 95% CI= 1.09 to 1.71; p= 0.006).Conclusion: Oral hormonal contraceptives and injections have a weak effect on the inci­dence of breast cancer.Keywords: injection contraception, oral contraception, breast cancer, meta-analysisCorrespondence: Dilma’aarij Riski Agustia. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: dilmarij@gmail.com. Mobile: 082230100871.Journal of Maternal and Child Health (2021), 06(02): 238-249https://doi.org/10.26911/thejmch.2021.06.02.11
Causes and Features of Childhood Trauma in COVID-19 Period Narsat, Mehmet Ali
Journal of Maternal and Child Health Vol 6, No 2 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: In this study, we aimed to reveal the characteristics and severities of child traumas under the Covid-19 pandemic and lockdown according to trauma mechanisms, locations and age distributions, and to evaluate the results.Subjects and Method: The data of 333 pediatric trauma patients who came to our hospital during the lockdown period were analyzed retrospectively. The frequency and ratio analysis of the data obtained by the purposeful sampling method was performed. Pediatric Trauma Score, Injury Severity Score and Pediatric Glasgow Coma Scale were calculated. Gender, age distribution, trauma locations and trauma mechanisms were recorded, and distribution characteristics of the data according to trauma scores were compared. Continuous variables were analyzed using Student's t-test. Categorical variables were analyzed using the chi-square test. Statistical significance level was accepted as <0.05.Results:193 of the patients (58.0%) were male. The mean age of the patients was 7.73 (Mean= 7.73; SD= 5.33). The most common trauma patients (49.8%) consisted of the school age patients. The number of patients who applied to our hospital from the urban was 244 (73.3%), and it was observed that the trauma occurred at homeside in 189 (56.8%) patients. The most common cause of trauma was falls. The mean Pediatric Trauma Score of the patients was 10.43 (Mean= 10.43; SD= 1.28), the Injury Severity Score was 2.24 (Mean= 2.24; SD= 4.45), the Pediatric Glasgow Coma Scale calculated was 14.95 (Mean= 14.95; SD= 0.66). It was observed that 99.7% of the study patients according to the Injury Severity Score and 93.7% according to the Pediatric Trauma Score were minor trauma.Conclusion: Major childhood traumas and mortality decreased with the Covid 19 pandemic and lockdown.Keywords: Childhood, Covid-19, Pediatric Trauma Score, Injury Severity Score, Pediatric Glascow Coma ScaleCorrespondence: Mehmet Ali Narsat. Kastamonu Training and Research Hospital Kuzeykent 57. Alay Avenue, Cankat St, No. 4, 37150 Kastamonu Central District/Kastamonu. Email: malinarsat@gmail-.com. 05077166471.Journal of Maternal and Child Health (2021), 06(02): 238-249https://doi.org/10.26911/thejmch.2021.06.02.12
Maternal characteristics as predictors of immunization status of under-five in Ebonyi State of Nigeria. A community based cross-sectional study Afoke, Eunice N.; Omaka-Amari, Lois N.; Nwafor, Jude N.; Ochiaka, Raphael E.; Aleke, Christian O.; Okereke, Michael O.; Sylvester, Edu Theresa; Edet, Bassey Rita; Ikechukwu, Ilo Cajetan
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: : Childhood immunization with the interacting factors has been a significant public health challenge especially in the sub-Saharan Africa. Nigeria has been presented as one the countries with the worst under-five mortality rates, and factors affecting childhood immunization are poorly understood. This study determined the influence of maternal characteristics as a predictor of immunization status of under-five in Ebonyi State of Nigeria.Subjects and Method: The design in this study is cross-sectional survey. The population of the study was 572,955 under-five children in Ebonyi State from which 2865 was sampled. Data were analyzed using percentages and chi-square.Results: The results revealed that 83.01% of under-5 children were fully immunized, suggesting a high immunization status in Ebonyi State. The chi-square analysis shows a significant influence of mothers
Relationships between Body Mass Index, Psychological Stress, Physical Activity, and Oligomenorrhea in Adolescents at Yasinat Islamic Boarding School, Surabaya Rosida, Silvi Dina; Sa'adi, Ashon; Purwanto, Bambang
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Oligomenorrhea is one of the most common types of menstrual cycle disorders. Cases have increased in recent decades. Women with oligomenorrhea have menstrual intervals of more than 35 days and less than 90 days. Oligomenorrhea is common in adolescents, particularly 75% of women in late adolescence suffer from oligomenorrhea. The study aims to analyze the effect of BMI, psychological stress, and physical activity on the incidence of oligomenorrhea in young women in Yasinat Islamic Boarding School. Subjects and Method: This was an analytical observational study with a cross-sectional design. The study sample was adolescents aged 17-19 years with a total of 82 students at Yasinat Islamic Boarding School. The dependent variable was oligomenorrhea. Independent variables were BMI, stress psychology, and physical activity. The study instrument was a questionnaire. The study data were analyzed using the Chi-Square. Results: BMI <18.5 kg/m2 and BMI >25 kg/m2 or 24.4% experienced oligomenor­rhea, 3.7% of subjects with light activity experienced oligomenorrhea, while subjects with physical activity of more than 40% experienced oligomenorrhea, 21.7 % of subjects with the normal category expe­rienced oligomenorrhea, 27.8% mild stress, 47.1% moderate stress experienced oligomenorrhea. BMI had a significant effect on oligomenorrhea (p= 0.006). Psychological stress (p= 0.227) and physical activity (p= 0.224) showed no significant influence on oligomenorrhea. Conclusion: There is a relationship between BMI and oligomenorrhea incidence. However, there is no relationship between psychological stress, physical activity, and oligomenorrhea. Keywords: physical activity, body mass index, oligomenorrhea, psychological stress. Correspondence: Silvi Dina. Study Program of Midwifery, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Pro. Dr. Moestopo No. 47, Surabaya 60132, East Java, Indonesia. Email: silvi.dina.rosida-2019@­fk.unair.ac.id.  Mobile: +6282140485431.

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