Journal of Maternal and Child Health (JMCH)
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Relationship Between Family Social Support with Anxiety of Postpartum
No full textBackground: Anxiety is a psychological disorder that often occurs during the puerperium. The prevalence of anxiety disorders in the world's population is generally 3-8% with most cases in the productive age. Postpartum anxiety can have an impact on the condition of the mother and baby if not handled properly. This study aims to determine the relationship between family support and the degree of postpartum anxiety in postpartum mothers at RSIA Kendangsari Surabaya.Subjects and Method: A cross-sectional study was conducted at Kendangsari Surabaya from July to October 2022. A total of 94 postpartum women patients at RSIA Kendangsari Surabaya were selected for this study. The dependent variable is anxiety. The independent variable is family support. The instrument used in this research is a questionnaire. Research data were analyzed using the Spearman Rho test.Results: There is a negative and moderate relationship between family support and postpartum anxiety in postpartum mothers. Postpartum mothers who received good family support reduced the degree of postpartum anxiety, and this result was statistically significant (r= -0.48; p<0.001).Conclusion: Family social support has a significant relationship with the degree of postpartum anxiety in postpartum mothers at RSIA Kendangsari Surabaya.Keywords: postpartum period; family support; postpartum anxietyCorrespondence: Zakia Jihan Salsa Bila, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Kec. Tambaksari, Kota SBY, Jawa Timur 60132. Email: [email protected]. Mobile: +6281234485146.Journal of Maternal and Child Health (2023), 08(02): 148-153https://doi.org/10.26911/thejmch.2023.08.02.02
Meta Analysis the Effects of Maternal Education, Residence, and Birth Delivery Place, on Exclusive Breastfeeding
No full textBackground: Health and intelligence are the main foundation for creating quality Human Resources (HR). Exclusive breastfeeding is one of the best steps to improve the quality of human resources from an early age, in the first six months of a baby's life. The success of exclusive breastfeeding is due to several factors including age, relatively low level of education, lack of utilization of health facility services, and increased marketing of formula milk in urban areas. This study aims to analyze the effect of mother's education, geographic location of mother's residence, and place of delivery on exclusive breastfeeding.Subjects and Method: The researcher uses a systematic review and meta-analysis research, by formulating the researcher's assessment in the PICO as follows. Population: Breastfeeding mothers. Intervention: basic education, rural areas, health facility services. Comparison: Higher education, urban, without health facility services. Outcome: Exclusive breastfeeding. The articles used were obtained from several databases, namely PubMed, Google Scholar, Science Direct, MDPI and Scopus. The search keywords for the article are “maternal education” AND “residence“ AND ”delivery place “ AND ”exclusive breastfeeding” AND, cross-sectional. The inclusion criteria for the research article were full-text articles using a cross-sectional study design, the research subjects were breastfeeding mothers, with the result of the study being exclusive breastfeeding followed by multivariate analysis with adjusted odds ratio (aOR). Data were analyzed using the Review Manager application (RevMan 5.3).Results: 20 articles with a cross-sectional study involving 107,952 breastfeeding mothers from 3 continents namely Asia, Europe, and Africa for systematic review and meta-analysis. The results of the meta-analysis showed that mothers with high levels of education were 1.27 times more likely to exclusively breastfeed than mothers with low levels of education (aOR= 1.27; 95% CI=1.01 to 1.59; p= 0.040). Mothers who live in rural areas are 2.16 times more likely to give exclusive breastfeeding than mothers who live in urban areas (aOR= 2.16; 95% CI= 1.17 to 4.01; p=0.010). Mothers who give birth in health care facilities are 1.79 times more likely to give exclusive breastfeeding compared to mothers who give birth outside health care facilities (aOR= 1.79; 95% CI= 1.54 to 2.07; p=0.005)Conclusion: Mother's education, geographic location of mother's residence and place of delivery increase the likelihood of exclusive breastfeeding.Keywords: maternal education, residence, delivery place, exclusive breastfeedingCorrespondence: Ade Amallia. Master’s Program in Public Healthd, Universitas Sebelas Maret . Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Hp: 081228466836.Journal of Maternal and Child Health (2023), 08(02): 154-168https://doi.org/10.26911/thejmch.2023.08.02.03
The Effect of Vitamin D Deficiency on Anemia in Children and Adolescents: Meta-Analysis
No full textBackground: 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. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: +62852227339349.Journal of Maternal and Child Health (2023), 08(01): 12-22https://doi.org/10.26911/thejmch.2023.08.01.02
Do Massage and Relaxation Music Therapy Increase Breast Milk Volume? A Meta-Analysis
No full textBackground: 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, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: +6282386391993.Journal of Maternal and Child Health (2023), 08(01): 33-47https://doi.org/10.26911/thejmch.2023.08.01.04
Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five
No full textBackground: 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 intakeCorrespondence: 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. Mobile: +62822-3714-5517. Email: [email protected]. Journal of Maternal and Child Health (2023), 08(01): 116-124https://doi.org/10.26911/thejmch.2023.08.01.11
Analysis of Using Telemedicine Application for Pregnant Women During COVID-19 Pandemic Based on ISO 9241-11
No full textBackground: The COVID-19 pandemic has affected the performance of several sectors, one of which is the quality of maternal and child health services. One of the factors contributing to the decline in the quality of maternal and child health services is limited access during the COVID-19 pandemic. Telemedicine is here as one of the answers to overcome the problem of limited access to health services during the COVID-19 pandemic. This study aims to analyze the use of telemedicine applications by pregnant women during the COVID-19 pandemic using the ISO 9241-11 framework.Subjects and Method: This research method is an observational study with a descriptive approach to analyze usability in three measurement aspects namely effectiveness, efficiency, and satisfaction. The number of samples used was 42 pregnant women who had used telemedicine applications that had been determined during the COVID-19 period with a sampling technique using random sampling. The instrument used is an adaptation of the Standardized Usability Questionnaire (SUQ) which will be analyzed using the Structural Equation Modeling-Partial Least Square (SEM-PLS) technique to determine the usability score of the application.Results: Based on the results of the Structural Equation Model-Partial Least Square (SEM-PLS) analysis, the ISO 9241-11 model has a goodness-of-fit model with an R-square value of 0.760 and a Q-square value of 0.577 with a Goodness of Fit (GoF) of 0.780. The effectiveness variable has a significant effect on the usability variable of the Teman Bumil application at a significance level of 5% with a statistical T value of 1,955. There is not enough evidence for the efficiency and satisfaction variables to say they have a significant effect on the usability of the Teman Bumil application at a 5% significance level with T-statistic values of 0.866 and 1.452. The usability score for the Friends Pregnant application is 44.45.Conclusion: The usability score obtained by the Teman Bumil application is 44.45, which means that Sahabat Bumil application has not been accepted by users as a system product that can help effectively, efficiently and satisfactorily.Keywords: telemedicine, pregnant women, COVID-19, ISO 9241-11, usabilityCorrespondence: Nurani Zulfa Zakiya, Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof.Dr. Moestopo No. 47, Pacar Kembang, Kec.Tambaksari, Kota SBY, Jawa Timur60132. Email: [email protected]. Mobile: +6281217621007Journal of Maternal and Child Health (2023), 08(02): 176-187https://doi.org/10.26911/thejmch.2023.08.02.05
Enhancing Knowledge and Attitude with a Sex Educational Pop-up Book for Adolescents with Intellectual Disabilities
No full textBackground: Adolescents with Intellectual Disabilities (ID) adolescents lack of understanding, access to information, and limited knowledge of the sexual behaviours of their peers in the general population. The need for accurate information about sex education is very important in order to stay safe and healthy. However, there is no appropriate, population-specific, and empirically validated sexual education content for individuals with intellectual disabilities. Education for Adolescents with ID requires media in concrete or real physical form and is designed in an attractive way so that they can understand the topic or theme being taught, All information about educational objects is displayed in the form of three-dimensional embossed images or commonly called pop-up books. This study aimed to analyze the effectiveness of sex education using the Pop-up Book on the knowledge and attitude of an adolescent student with an ID in Special Primary Schools (SPS) Children 1 Padang. Subjects and Method: This is a pre-experimental design with one group pretest-posttest design conducted from April to August 2022. The target population is all students with ID in SPS 1 Padang. This study used purposive sampling, and the sample size is 21. The independent variable of this study was sexual education using the Pop-up Book while the dependent variable was knowledge and attitude were measured using a questionnaire. Data were analyzed by paired t-test.Results: The average knowledge score increased after (Mean= 11.1; SD= 2.47) given the sexual education intervention with Pop-up book media compared to before (Mean= 9.33; SD=2.13), and this result was statistically significant (p = 0.028). The average attitude score increased after (Mean= 5.86; SD= 1.24) given the sexual education intervention with Pop-up book media compared to before (Mean= 3.67; SD= 0.48), and this result was statistically significant (p<o.001).Conclusion: The pop-up book efficacy for students’ understanding of sexual education.Keywords: teenager, perspective, mental retardation, recognition, pop-up book, sexual education.Correspondence: Arif Rohman Mansur. Department of Children and Maternity, Faculty of Nursing, Universitas Andalas, Padang West Sumatera, Indonesia. Email: arifrohmanmansurphd@nrs.unand.ac.id. Mobile: 085228892075.Journal of Maternal and Child Health (2023), 08(03): 363-369Masters Program in Public Health, Universitas Sebelas Marethttps://doi.org/10.26911/thejmch.2023.08.03.11
Meta-Analysis the Effect of Cord Clamping Time on Hemoglobin Elevation in Newborn Infants
No full textBackground: Fulfillment of iron needs is very important in the first 1000 days of human life, with sufficient amounts of iron can determine the quality of life in the future, to produce a healthy and quality generation. Delaying clamping and cutting the umbilical cord for about 1-2 minutes can increase the amount of blood flowing to the newborn so as to prevent low hemoglobin in the neonatal period. This study aims to analyze the effect of delayed cord cutting on hemoglobin levels in newborns.Subjects and Method: This study was a systematic study and meta-analysis, with the following PICO Population = term newborn at 48 hours after birth. Intervention= Time delay of clamping the umbilical cord (≤60 seconds). Comparison = Immediate cord clamping time (≤15 seconds). Outcome = Hemoglobin Level. The articles used in this study were obtained from several databases including PubMed, Science Direct and Google Scholar. The keywords used were: “umbilical cord and infant”, “Delayed Cord Clamping”, “Delayed Cord Clamping and Immediate Cord Clamping” “DCC and Hemoglobin “DCC and Anaemia”. Inclusion criteria were full-text articles of randomized controlled experimental study design. trial (RCT) Articles were collected using PRISMA flow diagrams Articles were analyzed using the Review Manager 5.3 application.Results: Based on the results of a meta-analysis of 9 primary studies on the effect of cord clamping time on increasing newborn hemoglobin levels originating from Pakistan, China, Thailand, India, Bangladesh, the United States, and Nigeria, it can be concluded that delayed cord clamping in newborns birth increased the hemoglobin level by 0.81 units compared to clamping the cord immediately after birth, and this result was statistically significant (SMD= 0.81; 94% CI= 0.30 to 1.32; p=0.002).Conclusion: Delay in cutting the umbilical cord can increase hemoglobin in full-term newborns without indications.Keywords: Delayed Cord Clamping,HemoglobinCorrespondence: Rynda Arum Dilafa. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285852358033Journal of Maternal and Child Health (2023), 08(03): 347-355https://doi.org/10.26911/thejmch.2023.08.03.09
Caretakers' Role in Personal Hygiene Children with Down Syndrome
No full textBackground: Despite their flaws, children with Down Syndrome require caretakers' involvement, especially in personal hygiene. Caretakers play a critical role in meetings in terms of cleanliness. This study investigates the role of caretakers in the Personal Hygiene of children with Down syndrome. Subjects and Method: A qualitative phenomenological approach was used. Purposive sampling of 10 people based on specific criteria is used to find participants. In-depth interviews, observations, and field notes were used to collect data Results: This study has resulted that the role of caretakers in the personal Hygiene of children with Down syndrome is divided into five themes: Developing communication skills with children, providing examples through specific media, providing surrounding support, providing a reward or consequences, and modeling.Conclusion: The conclusion of this study is that the role of caretakers has a significant impact on the learning of personal Hygiene, so strategies are required to enable children to carry out self-cleaning tasks thoroughly.Keywords: Caretaker; Personal Hygiene; Down Syndrome.Correspondence: Rifka Purnamawati. Masters Program in Health Promotion, Diponegoro University, Indonesia. Email: [email protected]. Mobile: +6287836126783.Journal of Maternal and Child Health (2023), 08(03): 255-263https://doi.org/10.26911/thejmch.2023.08.03.01
The Relationship Between History of COVID-19 Disease with Anxiety and Symptoms of Obsessive Compulsive Disorder (OCD) in Adolescents Age 20-24 Years
No full textBackground: The COVID-19 pandemic has sparked anxiety and worry in society. Active cases have continued to grow since the government announced the first patient of COVID-19 in Indonesia. In the midst of this spread, adolescents are one of the dominant groups in society infected with COVID-19. This condition can trigger worry and fear of being infected again. Coupled with the transition of activities that were originally carried out outside the home, they had to change from home only. This situation can affect the psychological condition of adolescents. This study aims to analyze the relationship between the history of COVID-19 and anxiety and symptoms of Obsessive Compulsive Disorder (OCD) in adolescents aged 20-24 years in Surabaya.Subjects and Method: A cross-sectional study was conducted in Surabaya City from October to November 2022. As many as 100 youth aged 20-24 years in Surabaya were the subjects of this study. The dependent variable is anxiety and obsessive compulsive disorder (OCD) symptoms. The independent variable is adolescents aged 20-24 years with a history of COVID-19. The instruments used were questionnaires and PCR swab evidence collection. Research data were analyzed using Pearson's correlation.Results: The results showed that 74 subjects (74%) had mild anxiety. Meanwhile, there were 16 subjects (16%) who had symptoms of OCD. Analysis of the chi-square correlation test between history of COVID-19 disease and anxiety showed that there was no relationship between the two variables with a p value = 0.704. Analysis of the chi-square correlation test between history of COVID-19 disease and OCD symptoms showed that there was no relationship between the two variables with a p value = 0.086.Conclusion: There is no relationship between history of COVID-19 disease and anxiety in adolescents aged 20-24 years in Surabaya and there is no relationship between history of COVID-19 disease and symptoms of Obsessive Compulsive Disorder in adolescents aged 20-24 years in Surabaya.Keywords: COVID-19, anxiety, Obsessive Compulsive Disorder (OCD) symptoms.Correspondence: Ayu Novia Christanti, Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No. 47, Pacar Kembang, Kec.Tambaksari, Kota SBY,Jawa Timur 60132. Email: [email protected]. Mobile: +6283849353637.Journal of Maternal and Child Health (2023), 08(02): 247-254https://doi.org/10.26911/thejmch.2023.08.02.12