Journal of Maternal and Child Health (JMCH)
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The Effectiveness of Gym Ball and Ambon Banana Consumption Against Menstrual Pain Reduction in Teenagers
No full textBackground: There are many ways to eliminate or reduce pain, both pharmacologically. Non-pharmacological pain management is safer to use because it does not cause side effects like drugs, because non-pharmacological therapy uses physiological processes. Research Objectives The purpose of this study was to analyze the effectiveness of the Gym Ball and bananas on the reduction of menstrual pain in adolescents.Subjects and Method: A quasi research without a control group was conducted at SMP N 23 Surakarta, Central Java, from April to September 2019. A sample of 46 students was selected by accidental sampling. The dependent variable is menstrual pain. The independent variable is gymball and the provision of ambon bananas. Pain scale was measured by a verbal rating scale questionnaire. Data were analyzed by paired t-test.Results: Pain scores after treatment (Mean= 0.76; SD= 0.60) were lower than before treatment (Mean= 1.93; SD= 0.39), and were statistically significant (p= 0.001).Conclusion: There is an effect of gym ball and banana consumption to reduce menstrual pain.Keywords: gymball, ambon banana consumption, menstrual pain, teenagers.Correspondence: Midwifery Study Program ITS PKU Muhammadiyah Surakarta. Jl. Tulang Bawang Selatan No. 26, Kadipiro, Banjarsari, Surakarta. Email: [email protected], [email protected]. Mobile: 085647366458, 081578585099.Journal of Maternal and Child Health (2022), 07(03): 238-242https://doi.org/10.26911/thejmch.2022.07.03.01
Stunting Determinant Analysis in the East Mainland Province of East Nusa Tenggara for the Period of 2017-2021
No full textBackground: The Mainland of Timor, East Nusa Tenggara Province (NTT) has a diverse regional topography with a high prevalence of stunting (>20%). The local government has taken preventive measures. However, the results show a very small reduction in the prevalence of stunting (±2-3%/year). This study aimed to determine the factors that influence the incidence of stunting in the Eastern Mainland Region, NTTSubjects and Method: This data was a cross-sectional study conducted in NTT, from in June to August 2022. A sample of 28 informants who were selected with the following considerations: officials from the Health Office, PUPR Service, Agriculture Service, and Regency/ City BPS data managers for the Eastern mainland region of NTT. The dependent variable was stunting. The independent variables were Availability of Public Health Workers, Infectious infectious diseases, Open defecation behavior, Family income level, Availability of clean water and proper sanitation, Exclusive breastfeeding, Posyandu visits, Program for giving iron tablets to young women, and Administration of Vitamin A. The data were analyzed by linear regression analysis.Results: Factors that influence the incidence of stunting were sanitation factors (b= -2.22; 95% CI= -3.52 to -0.91; p= 0.012), factor of pneumonia infection (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.038), open defecation behavior factor (b= 2.60; 95% CI= 0.99 to 4.21; p= 0.014), and family income level factor (p= -1.21; 95% CI= -1.80 to -5.70; p= 0.009).Conclusion: The incidence of stunting in the East Mainland Region, NTT is influenced by factors: sanitation, pneumonia infection, open defecation behavior; and family income level.Keywords: stunting incidence, eastern mainland, sanitation factors, infectious diseases, pneumonia, open defecation.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. Mobile: +62822-3714-5517. E-mail: [email protected] of Maternal and Child Health (2022), 07(06): 711-719https://doi.org/10.26911/thejmch.2022.07.06.09
Factors Affecting Willingness to Vaccinate COVID-19 in Pregnant Women in Manggarai Regency, East Nusa Tenggara, Indonesia
No full textBackground: The COVID-19 vaccination has been recommended by WHO and the Ministry of Health of the Republic of Indonesia. Vaccination is carried out by pregnant women starting from the age of 13 weeks. Vaccines are expected to reduce the risk of pregnant women exposed to COVID-19. However, participation in receiving the COVID-19 vaccine in Manggarai Regency is still low. The purpose of this study was to analyze the factors that influence the willingness to vaccinate against COVID-19 in pregnant women in Manggarai RegencySubjects and Method: This was an analytic observational study with a cross-sectional design approach. This study was conducted in Manggarai Regency, East Nusa Tenggara, from January to May 2022. The sample in this study was 65 pregnant women who had never been vaccinated against COVID-19 with purposive sampling technique. The dependent variable in this study is the willingness of the vaccine. The independent variables are knowledge about COVID-19, knowledge about COVID-19 vaccination, belief, safety, effectiveness and side effects of COVID-19. Data collection using questionnaires and data processing using logistic regression analysisResults: Vaccination willingness was strongly influenced by mother's knowledge about COVID-19 in pregnancy (b=0.046; 95% CI= 0.003 to 0.73; p= 0.031), belief in the COVID-19 vaccine (b= 0.044; CI 95%= 0.003 to 0.757; p= 0.169), vaccination safety (b= 0.048; 95% CI= 0.004 to 0.639; p= 0.022). there was no significant effect, namely knowledge of vaccines (b= 0.195; 95% CI = 0.019 to 2.007; p=0.169) and vaccine effectiveness (b= 0.470; 95% CI= 0.048 to 0.4578; p=0.516).Conclusion: Vaccination willingness was strongly influenced by mother's knowledge about COVID-19 in pregnancy, belief in the COVID-19 vaccine and vaccination safety.Keywords: covid-19, vaccine, factorCorrespondence: Silfia Angela Norce Halu. Diploma III of Midwifery, Universitas Katolik Indonesia Santu Paulus Ruteng, Manggarai, East Nusa Tenggara, Indonesia. Email: [email protected]. Mobile: 081259163953.Journal of Maternal and Child Health (2022), 07(04): 446-453https://doi.org/10.26911/thejmch.2022.07.04.08
Meta-Analysis the Effect of Baby Massage in Increasing Quality of Sleep and Infant Body Weight
No full textBackground: Sleep patterns and weight in infants are identified as one of the most important topics related to infant growth and development. Baby massage is a slow and gentle stroke movement throughout the baby's body starting from the baby's feet, stomach, chest, face, hands and back. Baby massage is a form of touch stimulation. Babies who are massaged experience an increase in vagus nerve tone (10th brain nerve) which will lead to increased levels of gastrin and insulin absorption enzymes. Thus the absorption of food will be better. Therefore, body weight and sleep quality increased more than those who were not massaged.Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The keywords used were (“baby massage” OR “infant massage”) AND (“sleep quality” OR “baby sleep quality”) AND (“weight gain” OR “baby weight gain”) AND “randomized controlled trial”. Inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the relationship measure used was Mean SD, the intervention given was baby massage, research subjects were infants aged 0-3 years. Eligible articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 16 articles showed that baby massage improved sleep quality (SMD 0.70; 95% CI= -0.05 to 1.46; p=0.07). In addition, baby massage increased body weight (SMD 0.52; 95% CI= 0.08 to 0.96; p=0.02).Conclusion: Baby Massage has an effect on improving the quality of sleep and baby's weight.Keywords: baby massage, sleep quality, baby weight gain.Correspondence: Raina Lola Fauzia. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected] Mobile: 081215278321.Journal of Maternal and Child Health (2022), 07(01): 64-74https://doi.org/10.26911/thejmch.2022.07.01.07
Parental Posttraumatic Stress Disorder and Attunement: Meta-Analysis
No full textBackground: Attunement between a primary carer and their infant plays a crucial role in infant brain development, attachment, sense of self and personality development, with long-term effects on risk of future psychopathology. The present study aimed at 1) identifying a comprehensive definition of attunement and 2) investigating parent-infant attunement in the context of parental posttraumatic stress disorder (PTSD).Subjects and Method: Following PRISMA guidelines, a systematic review of the literature was conducted on parental PTSD and parent-infant attunement. Eligible studies were prospective, quantitative, published in peer-reviewed journals, included normal samples and samples with PTSD along with attunement variables, reporting correlational data, with mothers aged 16 or older and infants aged 0-18 months. 48 articles were examined in full-text and 18 selected for analysis. A National Heart, Lung, and Blood Institute (NHLBI) quality assessment tool was used to assess the quality of selected studies. Pooled effect sizes were calculated separately for positive and negative attunement variables under the random effects model, using comprehensive meta analysis (CMA).Results: Analysis failed to reach statistical significance. The pooled effect size for parental PTSD and negative attunement was positive and small. The pooled effect size for parental PTSD and positive attunement was negative and small.Conclusion: Due to the high heterogeneity among the included articles and statistically non-significant effect sizes, results need to be interpreted with caution. However, the results indicate that the presence of PTSD symptoms is likely to influence parents’ capacity to attune to their infants. Limitations and implications for future research and clinical practice are discussed.Keywords: attunement, parental posttraumatic stress disorderCorrespondence: Neelofar Rehman. Senior Clinical Psychologist, Mercy Mental Health, Melbourne, Australia. email: [email protected] of Maternal and Child Health (2022), 07(03): 243-260https://doi.org/10.26911/thejmch.2022.07.03.02
The Effect of Maternal Anemia on Low Birth Weight: A Systematic Review And Meta Analysis
No full textBackground: Low birth weight (LBW) is a risk factor for morbidity and mortality in infants. Several previous studies have suggested that maternal anemia has an effect on several adverse perinatal outcomes, including low birth weight. The purpose of this study was to investigate the effect of anemia in pregnant women on the incidence of low birth weight.Subjects and Method: This study is a systematic review and meta-analysis done by searching for articles published by the online database PubMed, ResearchGate, Science Direct, Google Scholar and EBSCO in 2016 to 2021. Population: pregnant women, intervention: anemia, comparison: no anemia, and outcome: low birth weight). Data analysis using RevMan software version 5.3.Results: Pregnant women who experience anemia during their pregnancy are at risk of giving birth to babies with low birth weight compared to mothers who are not anemic (OR= 3.42; 95% CI= 1.85-6.34; p < 0.001).Conclusion: Mothers who experience anemia during pregnancy is one of the risk factors for the occurrence of babies with low birth weight.Keywords: low birth weight, maternal anemia, risk factorsCorrespondence: Fara Khansa Azizah. Masters Program in Public Health Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 082243043940.Journal of Maternal and Child Health (2022), 07(01): 34-43https://doi.org/10.26911/thejmch.2022.07.01.0
Expression of Bax Protein as A Prognosis Factor of Radiotherapy Response to Decreased Tumor Size in Stage IIB-IIIB Cervical Cancer
No full textBackground: Cervical cancer plays a role as the leading cause of cancer death for women in developing countries. Radiation therapy kills cancer cells through double strand breaks and the apoptotic process. Bax protein is one of the regulators of apoptosis. This study analyzed the role of Bax expression as a prognostic factor in radiation therapy response in reducing tumor size in patients with advanced cervical cancer (IIB-IIIB).Subjects and Method: This research is a retrospective cohort observational analytic study from January 2021 to April 2021 in the Department of Obstetrics and Gynecology in collaboration with the Department of Anatomical Pathology, Dr. Moewardi Hospital, Surakarta, Indonesia. This study involved 30 cervical cancer stage IIB-IIIB patients. The level of Bax expression was determined by immunohistochemical examination. ROC curve analysis was used to find cut-off points and evaluate the sensitivity and specificity of Bax in the prognosis of radiotherapy in patients with advanced cervical cancer (IIB-IIIB). Chi square test was used to determine the relationship between Bax expression and changes in tumor size in cervical cancer patients.Results: The ROC curve analysis showed that the AUC Bax score in prognosis of radiation therapy was 0.575 (CI 95%= 0.32 to 0.83) and the cutoff point was 62.5%. Based on the analysis of the ROC curve, the Bax expression of 62.5% shows a sensitivity of 56.5% and a specificity of 71.4%. Analysis of the relationship between Bax protein expression on changes in tumor size using the Chi Square test showed a P value of 0.390 (p> 0.05).Conclusion: The expression of Bax protein cannot play a role as a prognostic factor in the response of radiation therapy to the reduction in tumor size in stage IIB-IIIB uterine cervical cancer.Keywords: bax, radiotherapy, cervical cancer.Correspondence: Ahmad Fitriawan, Department of Obstetrics-Gynecology Dr. Moewardi General Hospital, Jl. Kol. Sutarto No. 132 Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: +62 821-3669-8181.Journal of Maternal and Child Health (2022), 07(03): 307-315https://doi.org/10.26911/thejmch.2022.07.03.07
Meta-Analysis the Effect of Combination Oral Contraceptive on the Risk of Venous Thromboembolism and Stroke in Family Planning Acceptors
No full textBackground: The global percentage of contraceptive users in women of reproductive age range (15-49 years) or women who are married is 62.7%. Combined oral contraceptives represent 8.8% of the prevalence (more than 100 million women). COCs are very effective in preventing pregnancy, but like most medications, combined oral contraceptives can be associated with a variety of side effects and risks, including venous thromboembolism (VTE) and stroke. This study aims to determine the estimated effect of combined oral contraceptives on venous thromboembolism and stroke on family planning acceptors by meta-analysis.Subjects and Method: Meta-analyzes were performed by searching for articles from the Google Scholar, PubMed, Research Gate, Scopus, Springer Link, and Science direct databases. The keywords used in the search for the article included “oral contraceptive” OR “combined oral contraceptives” OR “risk factor” AND “venous thrombolism” OR “VTE” AND “stroke” AND “family planning”. The inclusion criteria in this study were full text articles, from 2000-2020, with a case-control study design. The article analysis was carried out using RevMan 5.3.Results: There are 15 articles analyzed. The results showed that combined oral contraceptives increased the incidence of venous thromboembolism and stroke in family planning acceptors (aOR 2.95; 95% CI = 1.80-4.84; p <0.001); (aOR 1.50; 95% CI = 1.30-1.74; p <0.001). The results of the meta-analysis showed a publication bias between the use of combined oral contraceptives and the incidence of stroke among family planning acceptors.Conclusion: Combined oral contraceptives affect venous thromboembolism and stroke in family planning acceptors.Keywords: COCs, venous thromboembolism, stroke, family planning acceptorsCorrespondence: Putri Yunita Sari, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 08818794685.Journal of Maternal and Child Health (2021), 06(02): 131-145https://doi.org/10.26911/thejmch.2021.06.02.0
Quality of Life in Children with Nephrotic Syndrome at Dr. Moewardi Hospital
No full textBackground: Children with chronic disease often have poor quality of life. Nephrotic syndrome was one of the most common kidney diseases in children with a high number of relapses. Therefore, treatment for nephrotic syndrome might take a long time. Complications from the disease and medications might affect the quality of life of the patient.Subjects and methods: This was a cross sectional, descriptive analytic study. Children aged 5-18 years old who visited the nephrologic outpatient department of Dr Moewardi general hospital from july to September 2020 and fullfilled the inclusion criteria were included in the study. Quality of life was assessed using PedsQLTM 4.0 generic module.The analysis of this research was done by using chi-square and logistic regression.Results: A total of 27 children aged from 5-18 years old participated in this study. Decrease quality of life was reported in 22% based on report from parents. From parent’s report, gender (OR= 0.06; CI95%= 0.01 to 0.66; p= 0.008) was associated with decrease of quality of life in children with nephrotic syndrome. Most of the children had decreased quality of life in the psychososial domain according to parent’s report (OR= 4.70; 95% CI= 1.12 to 19.70; p= 0.026).Conclusion: 22% children with nephritic syndrome have decreased quality of life. Gender was the risk factors that might contribute to the decreased quality of life of children with nephrotic syndrome.Keywords: quality of life, children, nephrotic syndromeCorrespondence: Andrew Andy Putra Kartawijaya. Department of Pediatrics, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Surakarta. Jl. Kolonel Sutarto 132, Surakarta, Indonesia. Mobile: 081314749487. email: ciploe_17@yahoo.co.uk.Journal of Maternal and Child Health (2021), 06(03): 334-352https://doi.org/10.26911/thejmch.2021.06.03.09
National Health Insurance Membership and Economic Status as Determinants of Accessibility of Antenatal Care Service
No full textBackground: According to WHO statistics, the maternal mortality rate (MMR) in developed countries is estimated at 12/100,000 live births, while in developing and low-income countries it is 239/100,000 live births. 99% of all maternal deaths are estimated to occur in developing countries, even though the causes of death can be prevented with the right policies considering that one of the goals of the Sustainable Development Goals is to reduce MMR. Antenatal Care (ANC) is the main technique to reduce maternal morbidity and mortality. This study evaluates JKN membership and economic status affecting ANC service coverage.Subjects and Method: This study is a cross-sectional study using data from the 2017 Indonesian Demographic and Health Survey (IDHS). This data is used to assess the proportion of economic status and national health insurance (JKN) membership and to measure the relationship between the two with ANC coverage. Analysis using Logistic Regression with R software version 3.6.3. and perform Propensity Score Matching (PSM) to reduce self-selection bias by balancing the observed variables between groups of respondents based on economic status with and without JKN.Results: Of the 5429 respondents, 20.2% were very poor, 20.9% poor, 19.9% middle class, 20.8% rich, and 18.2% very rich. Among these residents, 61.4% have JKN membership and 38.3% do not. The substantial gap in the utilization of maternal health services, especially in ANC4x services, is 30.7 points between the very poor (48.2%) and the very rich (86.9). Respondents who worked as employees were more likely to have JKN membership than those who did not have a job (AOR=2.34; 95% CI = 1.74 to 3.16). Respondents who were exposed to the internet at least once a week were more likely to have JKN membership than those who were not exposed to the internet (AOR=1.46; 95% CI= 1.09 to 1.97).Conclusion: JKN membership and economic status affect ANC 4x service coverage.Keyword: Socio-economic, National Health Insurance, ANC . CoverageCorrespondence: Lely Khulafa'ur Rosidah. Academy of Midwivery Dharma Husada Kediri, East Java, Indonesia. Email: lely_khulafaur@akbiddharmahusadakdr.ac.id.Journal of Maternal and Child Health (2021), 06(04): 507-515https://doi.org/10.26911/thejmch.2021.06.04.1