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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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Analysis of Factors Affecting Childbirth with Caesarean in Kediri, Indonesia Rahmawati, Dian; Tamtomo, Didik; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cesarean section has a maternal mortality risk 4 times higher than those with normal birth. In Kediri, the incidence of cesarean section increased, i.e. 8.5% in 2012 to 15.3% in 2015. Therefore, this study aimed to analyze the factors affecting cesarean section deliveries in Kediri.Subjects and Method: This was an observational analytical study with case control design. A total sample of 50 women giving birth with cesarean section and 50 normal birth. The population was all women giving birth by cesarean section in Kediri. A sampling technique was using a Fixed Sampling Disease. Data analysis used multiple logistic regression.Results: Maternal age <20 or ≥35 years was lower the chances of having cesarean 0.83 times compared to mothers aged 20-35 years and was not statistically significant (OR = 0.83; 95% CI = 0:26 to 2.78, p = 0.757), Parity 1 and ≥4 increase of 1.64 times more likely to undergo cesarean section than parity 2-3 and was not statistically significant (OR = 1.64; 95% CI = 0.60 to 4:58, p=0341). Less physical activity during pregnancy increases the likelihood of cesarean section 1:10 of times and was not statistically significant (OR = 1:10; CI 95% = 0:38 to 2.90, p = 0932). Mothers who experienced complications during labor increases the risk 12 times through cesarean section and was statistically significant (OR = 12; 95% CI = 3.56 to 41.81, p <0.001). Mothers who do their own request for delivery by cesarean section increases the likelihood 21 times through cesarean section and was statistically significant (OR = 21:24; 95% CI = 5.22 to 86.33, p <0.001).Conclusion: There is a positive correlation, very strong and statistically significant between the complications of labor and delivery at hisown request by cesarean section.Keywords: cesarean section, affecting factorsCorrespondence: Dian Rahmawati. School of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: lintangkayana31@gmail.com.Journal of Maternal and Child Health (2016), 1(1): 34-40https://doi.org/10.26911/thejmch.2016.01.01.06
Path Analysis on the Effects of Psychosocial Development, Nutritional Status, and Family Acceptance on Learning Achievement in Autistic Children, in Jember, East Java Diana, Tutut Okta; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevalence of autism has been increasing worldwide annually. Autistic children are at higher risk of physical, mental, and intellectual disorders. However, autistic children may have above average academic achievement. With support from family, teacher, and society, autistic children can gain maximum academic achievement. This study aimed to determine the effects of psychosocial development, nutritional status, and family acceptance, on learning achievement in autistic children, in Jember, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at Special Elementary School in Jember, East Java. A total sample of 50 autistic students were collected for this study by exhaustive sampling. The dependent variable was learning achievement. The independent variables were nutritional status, psychosocial development, and family acceptance. The data were collected by questionnaire and analyzed by path analysis.Results: Learning achievement was directly affected by psychosocial development (b= 0.36; SE= 0.13;p= 0.005) and nutritional status (b= 1.42; SE= 0.65; p= 0.029). Nutritional status was positively affected by strong family acceptance (b= 0.07; SE= 0.01; p<0.001).Conclusion: Learning achievement of autistic children is affected by psychosocial development and nutritional status.Keywords: learning achievement, psychosocial development, nutritional status, family acceptance, path analysisCorrespondence: Tutut Okta Diana. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Indonesia. Email : tutut_od@yahoo.co.id. Mobile: +6281335466569.Journal of Maternal and Child Health (2018), 3(1): 59-67https://doi.org/10.26911/thejmch.201803.01.06
Factors Associated with the Risk of Autism in Children Under Five Years of Age: A Path Analysis Evidence from Banten Astuti, Fitriyani Dwi; Salimo, Harsono; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Autism, now increasingly referred to as autism spectrum disorder (ASD) is a set of clinical phenotypes mirroring an early-onset neurodevelopmental disorder affecting social communication, imagination, and behavior. Children with ASD develop differently from other children. They also have challenges in interacting and communicating with others. These challenges can affect their development and learning. This study aimed to determine factors associated with the risk of autism in children under five.Subjects and Method: This was a case control study carried out at two special schools for children with development problem in Tangerang, Banten, from February to March 2018. A sample of 200 children aged 1-5 years was selected by fixed disease sampling, consisting of 50 children with autism and 150 normal children. The dependent variable was autism. The independent variables were family income, maternal education, maternal age, gestational stress, chemical exposure, nutritional intake, fever at pregnancy, growth and development impairment, and mumps-measles-rubella (MMR) vaccine. Data on immunization status, growth and development were taken from medical record. Data on the other variables were collected by questionnaire.The data were analyzed by path analysis.Results: The risk of autism increased with chemical exposure (b= 2.86; 95%CI= 0.77 to 4.96; p= 0.007), gestational stress (b= 2.45; 95% CI= 0.60 to 4.30; p= 0.010), growth and development impairment (b= 1.69; 95% CI= -0.24 to 3.61; p= 0.086), and maternal age ?35 years (b= 2.82; 95% CI= 0.73 to 4.92; p= 0.008). Autism decreased with good nutritional intake (b= -2.08; 95%CI= -3.88 to -0.28; p= 0.023). The risk of autism was indirectly affected by fever at pregnancy, chemical exposure, family income, and maternal education. MMR vaccine did not affect the incidence of autism (b= 1.12; 95% CI= -2.11 to 4.36; p= 0.500).Conclusion: The risk of autism increases with chemical exposure, gestational stress, growth and development impairment, maternal age ?35 years, and decreases with good nutritional intake. MMR vaccine does not affect the incidence of autism in children.Keywords: autism, chemical exposure, growth and development impairment, MMR vaccine, children under fiveCorrespondence:Fitriyani Dwi Astuti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: fitriyani.dwi.astuti@gmail.com. Mobile: +6281316730755.Journal of Maternal and Child Health (2018), 3(4): 278-286https://doi.org/10.26911/thejmch.2018.03.04.05
Relationship between Sociodemographic Factors and Mother’s Participation in Breast Feeding Support Group with Exclusive Breastfeeding Success in Banyuwangi Wardani, Endah Kusuma; Hastuti, Uki Retno Budi; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding for 6 months is every baby’s right as it can save the babys life and have a good impact on mothers health. The coverage of exclusive breastfeeding in Banyuwangi in 2015 was 78.7%. This study aims to explain the relationship between age, parity, education, occupation, household assistant (ART), mother participation in maternal breast support group (KP-ASI) and exclusive breastfeeding success.Subjects and Methods: This was an analytic observational study with cross sectional design. The study was conducted in 3 Puskesmas (community health center) in Banyuwangi. The study time was August to September 2017. The sample size was 120 subjects, selected by simple random sampling technique with the total of case group 40 and control group 80. The dependent variable was the exclusive breastfeeding (ASI) success. Independent variables were age, parity, education, occupation, ART, mother participation in KP-ASI. The data was analyzed using multiple logistic regressions.Result: Mother’s age (OR = 3.99; 95% CI = 1.08 to 14.64; p = 0.037), parity (OR = 7.15; 95% CI = 2.19 to 23.33; p = 0.001), education (OR = 1.30; CI95% = (OR = 0.99; 95% CI = 0.16 to 2.35; p = 0.488), household assistant (OR = 8.99; 95% CI = 2.32 to 34.88; p = 0.001); mother’s participation in breastfeeding (OR = 5.32; 95% CI = 1.79 to 15.76; p = 0.003) was related to exclusive breastfeeding success.Conclusions: The exclusive breastfeeding success is related to mother’s age, parity, household assistant, and mother’s participation in breastfeeding, but not significantly related to mother’s education and employment.Keywords: Exclusive breast feeding, Sociodemographic factors, KP-ASICorrespondence: EndahKusumaWardani. Masters Program in Public Health, SebelasMaret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: qsuma89@yahoo.com. Mobile: +6282257193736.Journal of Maternal and Child Health (2017), 2(4): 335-344https://doi.org/10.26911/thejmch.2017.02.04.05 
Phenomenology Study: Factors Associated with the Choice of Unskilled Traditional Birth Attendants in Brebes, Central Java Prastiwi, Ratih Sakti; Budihastuti, Uki Retno; Wijaya, Mahendra
Journal of Maternal and Child Health Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The number of birth delivery attended by unskilled traditional birth attendant in Brebes District, Central Java, was still high. From January to April 2016, 67 birth deliveries were attended by unskilled traditional birth attendant. This study aimed to delve information in how social and cultural factors influence the decision to choose traditional birth attendants in Brebes, Central Java.Subjects and Method: This was a qualitative study with phenomenology approach. This study was carried out in Brebes, Central Java. The key informants of this study were midwives, who by snowball sampling technique suggested on the traditional birth attendants and their clients (i.e. laboring mothers) to be interviewed. The data were collected by in-depth interview, focus group discussion, observation, and document review. The researcher did data reduction, data display, and made decision. The data were verified by triangulation of sources technique.Results: Some skilled traditional birth attendants actively collaborated with midwives. Today rarely traditional birth attendants attend birth delivery, although there was a considerable number of community members who sought their help for birth attendant. Community members regard these traditional birth attendants as to have charisma and some supernatural power. Usually traditional birth attendants get involved in cultural ceremonies. Sometimes community members seek traditional birth attendants as a source of advice. In an extended family the decision to choose birth attendant was made by the mother or grandmother of the laboring woman. In a smaller family the decision to choose birth attendant was made by the laboring woman.Conclusion: The decision to choose unskilled birth attendants is made by the family members of the laboring woman, and this choice was influenced by traditional birth attendant’s charisma.Keywords: birth delivery, traditional birth attendant, social and cultural factorsCorrespondence: Ratih Sakti Prastiwi. Diploma III Program of Midwifery, Health Polytechnics Harapan Bersama, Tegal. Email: ratih.sakti@ymail.com.Journal of Maternal and Child Health (2016), 1(4): 242-249https://doi.org/10.26911/thejmch.2016.01.04.05 
Sibling Role, Parenting Pattern, Maternal Education and Knowledge, and Their Associations with Speech-Language Ability of Children Aged 3-5 Years Old in Karanganyar, Central Java Siswanto, Arif; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Speech-language ability is one of several developmental abilities that must be masters by children under-five. Data from the Central Biro of Statistics showed that in 2014 there were 131 children under-five with speech-language ability problem. This study aims to determine the associations between sibling role, parenting pattern, maternal education and knowledge, and speech-language ability of children 3-5 years old.Subjects and Method: This was an analytic observational study using cross sectional design. The study was carried out in Gondangrejo Sub-District, Karanganyar District, Central Java. A sample of 80 children aged 3-5 years old were selected for this study by random sampling. The dependent variable was speech–language ability. The independent variables were sibling role, parenting pattern, maternal education, and knowledge. The data were collected by a set of pre-tested questionnaire. Logistic regression was employed for data analysis.Results: Sibling role (OR= 13.23; 95% CI= 2.42 to 72.45; p=0.003), parenting pattern (OR= 7.58; 95% CI= 1.47 to 38.96; p= 0.015), maternal knowledge (OR= 9.64; 95% CI= 2.10 to 44.17; p= 0.004), and maternal education (OR=7.84; 95% CI =1.47 to 41.96; p=0.016) were associated with speech-language ability.Conclusion: Sibling role, parenting pattern, maternal knowledge, and maternal education are associated with speech-language abilityKeywords: sibling, parenting pattern, education, speech-languageCorrespondence: Arif Siswanto. Diploma Program in Speech Therapy, School of Health Polytechnics, Surakarta. Email: arif.protocol@yahoo.com. Mobile: +628121529694.Journal of Maternal and Child Health (2017), 2(3): 223-232https://doi.org/10.26911/thejmch.2017.02.03.04
Path Analysis on the Effect of Breastfeeding Complementary Food Pattern, Maternal Schooling, Family Income, and Birthweight, on Nutritional Status in Children Underfive Nurjanah, Ahmitta Laila; Tamtomo, Didik; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one among the 17 countries with the highest prevalence of stunting, wasting, and overweight in children under five. In 2013, the prevalence of moderate undernutrition and severe undernutrition was 13.9% and 5.7%, respectively, in children under five. The prevalence of stunting was 19.2%. The period from birth to 2 years is so called as a sensitive period when the deleterious exposure and inadequate food intake can result in negative impact on the quality of the future generation. This study aimed to analyze the effect of breastfeeding complementary food pattern, maternal schooling, family income, and birthweight, on nutritional status in children underfive.Subjects and Method: This was an analytic observational with cross sectional design. This study was carried out in Klaten, Central Java from December 2016 to January 2017. A total sample of 120 out of 1236 mothers who had children aged 6-24 months were selected for this study by multi-stage sampling. The dependent variable was nutritional status measured in weight for age. The independent variables were breastfeeding complementary food pattern, maternal schooling, family income, and birthweight.  The data were collected by a set of questionnaire and analyzed with path analysis model on IBM SPSS AMOS 22.Results: The path model showed goodness of fit with CMIN= 1.18; p=0.002; GFI=0.99; NFI=0.98; CFI=1.00; RMSEA=<0.01. Breastfeeding complementary food pattern (b=0.27; p=0.002) and birthweight (b=0.25; p=0.004) showed direct positive and statistically significant effect on weight fo age score. Family income < Rp 1.400.000 (b=0.06; p=0.481) showed direct positive but statistically non significant effect on weight for age score. Maternal education showed positive and statistically significant effect on family income (b=0.28; p=0.001).Conclusion: Breastfeeding complementary food pattern and birthweight are important determinant of nutritional status as measured in weight for age in children under five. Maternal education has a positive effect on family income. Family income does not show its effect on nutritional status in this study.Keywords: breastfeeding complementary food pattern, nutritional status, children under fiveCorrespondence: Ahmitta Laila Nurjanah. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: lailaarmella@gmail.com.Journal of Maternal and Child Health (2016), 1(3): 170-178https://doi.org/10.26911/thejmch.2016.01.03.04
Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java Saptowati, Dewi; Mudigdo, Ambar; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis.Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier (b=-5.98; 95% CI= -8.83 to -3.13; p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness.Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.Keywords: visual inspection acetic-acid test, determinants, biopsychosocial, health belief modelCorrespondence: Dewi Saptowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: dewi.saptowati@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 197-206https://doi.org/10.26911/thejmch.2018.03.03.04
The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months Rahayu, Ria Muji; Pamungkasari, Eti Poncorini; Wekadigunawan, CSP
Journal of Maternal and Child Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting and wasting are a growth disorder in children under five years of age caused by malnutrition. Stunting is generally caused by recurrent acute malnutrition, whereas wasting occurs due to short-term malnutrition. If untreated properly, stunting and wasting may cause low intelligence in adult life. This study aimed to analyze the biopsychosocial determinants of stunting and wasting in children aged 12-48 months.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Mulya Asri, Panaragan, and Da­ya­mur­ni community health centers, from January to February 2018. A sample of 150 children under-five was selected for this study by fixed disease sampling. The dependent variables were stunting and wasting. The independent variables were birthweight, maternal knowledge, maternal education, maternal nutritional status (mid-upper arm circumference/ MUAC), exclusive breastfeeding, upper respiratory tract infection, diarrhea, lack of clean water, poor sanitation. The data were collected by questionnaire and maternal and child health monitoring book. The data were analyzed by a logistic regression.Results: The risk of stunting increased with poor maternal knowledge (OR= 5.29; 95% CI= 1.30 to 21.54; p=0.002), low maternal education (OR=10.25; 95%CI= 2.26 to 46.79; p=0.003), poor maternal nutritional status (OR= 8.87; 95% CI= 2.14 to 36.74; p=0.003), low birthweight rendah (OR= 9.86; 95% CI= 2.60 to 37.47; p=0.001), infants receiveing no exclusive breastfeeding (OR= 5.70; 95% CI= 1.59 to 20.46; p=0.008). The risk of wasting increased with poor knowledge (OR= 10.95; 95% CI= 2.14 to 56.91; p= 0.004), low family income (OR= 7.04; 95% CI= 5.51 to 32.78; p=0.013), low birthweight (OR= 14.71; 95% CI= 2.74 to 79.06; p=0.002), URTI history (OR= 4.87; 95% CI= 1.23 to 19.38; p=0.024), diarrhea (OR= 6.09; 95% CI= 1.42 to 26.20; p=0.015), a lack of clean water (OR= 9.78; 95% CI= 2.26 to 42.36; p=0.002), and poor sanitation (OR= 7.67; 95% CI= 1.85 to 31.75; p=0.004).Conclusion: Stunting and wasting are affected by birthweight, URTI history, diarrhea, maternal nutritional status, maternal knowledge, maternal education, family income, lack of clean water, and poor sanitation.Keywords: stunting, wasting, biopsychosocial, determinantsCorrespondence: Ria Muji R, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: riamujirahayu@gmail.com. Mobile: +6285878731600Journal of Maternal and Child Health (2018), 3(2): 105-118https://doi.org/10.26911/thejmch.2018.03.02.03
Effect of Contraceptive Use, Parity, and Social Economic Factors on Age at Menopause at Bendo Community Health Center, Kediri, East Java Maringga, Estin Gita; Adriani, Rita Benya; Mudigdo, Ambar
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Menopause is the natural cessation of menstruation that usually occurs between the ages of 45 and 55. Menopause women may experience some undesirable effects, such as sleep disturbance, prone to pain, increased susceptibility to sexually transmitted disease (STD), and thinner hair. It is hypothesized that age at menopause is affected by genetic factor, as well as psychosocial factors. This study aimed to the effect of contraceptive use, parity, and social economic factors on age at menopause.Subjects and Method: This study was an analytic observatioanal study using case control design. The study was conducted in Bendo Village, Bendo Village, Sumberbendo Village, Pelem Village, Darungan Village, and Sambirejo Village in Community Health Center Bendo, Kediri, East Java, from 8-31 March 2017. A sample of 120 menopausal women was selected for this study by fixed disease sampling. The dependent variable was age at menopause. The independent variables were hormonal contraceptive use, duration of contraceptive use, parity, education level, and family income. The data were collected by questionnaire, and analyzed by path analysis.Results: Menopausal age was affected by duration of hormonal contraceptive use (b= 0.29; SE= 0.12; p= 0.014), parity (b= 1.98; SE= 0.49; p= 0.001), and family income (b= 2.29; SE= 0.88; p= 0.009). Duration of hormonal contraceptive use was affected by hormonal contraceptive use (b= 5.23; SE= 0.57; p= 0.001) and parity (b= 1.22; SE= 0.27; p= 0.001). Family income was affected by parity (b= 0.14; SE= 0.05; p= 0.002) and education level (b= 0.10; SE= 0.11; p= 0.361).Conclusion: Menopausal age is directly affected by duration of hormonal contraceptive use, parity, and family income. Menopausal age is indirectly affected by hormonal contraceptive use, parity, and education level.Keywords: menopausal age, hormonal contraceptive, parity, social economic factors, path analysisCorrespondence: Estin Gita Maringga. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: estin.gita@gmail.com. Mobile: +6281357673430.Journal of Maternal and Child Health (2017), 2(2): 113-124https://doi.org/10.26911/thejmch.2017.02.02.03

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