Journal of Maternal and Child Health (JMCH)
Not a member yet
403 research outputs found
Sort by
Correlation between Child Behavior and Depression in Mother with Autism Spectrum Disorders Child
No full textBackground: The behavioural characteristics of an autistic child can lead to challenging relationships with the mother. For mothers who serve as the key person in the care of their children with ASD, maintaining good mental health, which may be directly related to the growth and development of their children, is an important issue for professionals engaged in parenting support. The aim of this study was to determine the interaction between the behavioural problems of children with ASD (from toddlers to adolescents) and their mothers’ depression.Subjects and Method: This was a cross-sectional study carried out in Yamaguchi Prefecture, Japan. The recruitment of subjects was through a paediatric out-patient unit. Eighty-six mothers with ASD participated in this observational study. The Center for Epidemiological Studies-Depression (CES-D) scalewas used as a measure of depression in mothers, and the Child Behaviour Checklist (CBCL) was used as an assessment of the children’s behavioral characteristics. The prevalence of depression among mothers of children with ASD was estimated and related factors were also examined.Results: There were 66 boys (76.7%), 12 girls (14.0%) and 8 (9.3%) non-responders. Comparing the pre- adolescent and adolescent groups, there were significant differences in the ages of mothers and children (P <0.001). In this study, the prevalence rate of depression in mothers of children with ASD was 47.7% (95% CI= 36.8 to 58.7), and the prevalence rate of depression in mothers of adolescent children group was 48.6% (95% CI= 31.4 to 6.0). The predictive factors of maternal depression were others’ problems (toileting problems, and masturbation) in CBCL and children’s age group.Conclusion: These children’s behavioural characteristics were recognised as serious problems by their mothers, which in turn can negatively affect their mental health, particularly the depression of mothers in the adolescent group was probably due to concerns about their children’s unsocial behaviour.Keywords: Mental health, behavioural problems, pre-adolescent, adolescentCorrespondence: Kumiko Kido, Department of Nursing, Faculty of Health Sciences, Kagawa Prefectural University of Health Sciences, Murechohara 281-1 Takamatsu, Kagawa, Japan. Email: kkumiko0[email protected]. Mobile:+819013360452Journal of Maternal and Child Health (2021), 06(04): 475-485https://doi.org/10.26911/thejmch.2021.06.04.0
Pineapple Juice for Uterine Fundal Height Reduction in Postpartum Mothers
No full textBackground: Uterine subinvolution occurs because the uterus cannot contract properly, causing bleeding, leading to death. Pineapple fruit is one of the herbal plants that can prevent uterine subinvolution and accelerate uterine involution. This study aimed to determine pineapple's effect on the reduction of uterine fundal height in postpartum mothers in Bengkulu City. Subjects and Method: This was a quasi-experiment. This study was conducted in Bengkulu City, Bengkulu, and using maternal postpartum injected oxytocin in the management stage III with one intervention group, namely the given juice pineapple. The sample used as many as 32 mothers postpartum in Bengkulu were taken by purposive sampling, by predetermined criteria. The dependent variable was uterine fundal height. The independent variables were pineapples juice, age, parity, early mobilization, and early initiation of breastfeeding. Data collection was carried out by the means of the direct interview using a questionnaire and observation sheet. The data were analyzed using independent t-test.Results: The bivariate analysis test results using the independent t-test showed that the group that consumed pineapples experienced a decrease in uterine fundal height for three days more than the control group. Pineapples juice (Mean= 2.55; SD= 1.66), without pineapples juice (Mean= 8.39; SD= 1.48; p <0.001). Age for interventions group, (Mean= 33.19; SD= 7.57) and control group (Mean= 27.56; SD= 8.45; p= 0.057). Parity for interventions group, (Mean= 2.38; SD= 1.45) and control group, (Mean= 2.12; SD= 1.31), p= 0.613. Early mobilization for interventions group, (Mean= 0.84; SD= 0.37) and control group, (Mean= 1.26; SD= 0.58), p= 0.022. Early initiation of breastfeeding for interventions group, (Mean= 16.44; SD= 6.64) and control group, (Mean= 16.38; SD= 5.69), p= 0.978. Conclusion: Pineapple juice and early mobilization affect lowering a uterine fundal height in mothers postpartum three days and can help speed up uterine involution in postpartum mother in Bengkulu City, Bengkulu. Keywords: pineapple juice, uterine fundal height, postpartumCorrespondence: Jesica Mulyadi. Department of Midwifery, Health Polytechnics, Ministry of Health Bengkulu. Indri Giri Street Number 03, Bengkulu, Bengkulu Province. Email: Jesicamulyadi25@gmail.com. Journal of Maternal and Child Health (2021), 06(04): 467-474https://doi.org/10.26911/thejmch.2021.06.04.0
Relationship Between Duration of Breastfeeding and Nutritional Status and KPSP’s Score
No full textBackground: ASI is one of the factors that can affect growth and development. World Health Organization (WHO) is promoted exclusive breastfeeding and also encourages mother to raise breastfeeding until the children reach 2 year of age. This study was aimed to examine the relationship between the duration of breastfeeding with the nutritional status and KPSP’s score of the children.Subjects and Method: This study was an observational analytic study with a cross sectional approach. This research was conducted in December 2019 to January 2020 in three public health centres of South Sulawesi, Indonesia: Bontomate’ne, Jeneponto district, Bulukunyi, Takalar district, and Sudiang, Makassar city. A total of 200 mothers with children aged 1-3 years old were selected by Purposive Sampling. The dependent variables were nutritional status and KPSP score while the independent variable was duration of breastfeeding. We did an anthropometric measurement and held a KPSP’s (Prescreening Developmental Questionnaire) to the samples. Data analysis was used Statistical for Social Science (SPPS) version 23 with Kruskal Wallis test was performed to assess the relationship between variables.Results: This study found no significant relationship between nutritional status with length of breastfeeding time (P=0,071). Meanwhile, we found a significant relationship between KPSP score with length of breastfeeding time (P=0,018). By the result of this study, we would like to encourage the breastfeeding duration from 6 months until 24 months to achieve motoric status of the childrenConclusion: There was no association between breastfeeding duration and children nutritional status. However, children's KPSP score was associated with duration of breastfeeding.Keywords: Breastfeeding, nutritional status, KPSP ScoreJournal of Maternal and Child Health (2021), 06(03): 307-313https://doi.org/10.26911/thejmch.2021.06.03.05
Influence of Body Mass Index, Waist Circumference, and Physical Activity on Age of Menarche in Female Adolescent
No full textBackground: The age of menarche which was referred to first time of teenagers had menstruation can be affected by anthropometric index, including body mass index, and waist circumference. Differences in measurement of body mass index, waist circumference, and intensity of physical activity will make some differences in age of menarche. This research aimed to determine the influence of body mass index, waist circumference and physical activity with age of menarche in late adolescent girls in Surakarta.Subjects and Method: The data collected by observed 359 adolescent girls aged 15 until 18 years old in Surakarta during September to October 2016 using observational analytic with cross sectional methods. The independent variables were body mass index, waist circumference, and physical activity. The dependent variable is age of menarche. Body mass index is measured using BW (kg)/BH² (m²) formula, in which: BW is Body Weight (measured using digital standardized scales) and BH is Body Height (measured using standardized microtoise). Students asked to fill in the questionnaire that contain questions regarding reproductive health especially menarche and physical activity questionnaire (IPAQ). The data is processed using SPSS for Windows 23.0 and are analyzed using multiple regression analysis.Results: From the 359 respondents, the mean of age of menarche is 12.6 years (Mean= 12.6; SD= 1). Mean of body mass index is 21.42 kg/m² (Mean= 21.42; SD= 4.44). Mean of waist circumference is 70.41 cm (Mean= 70.41; SD= 7.47). There are 87 respondents (24.2%) with low physical activity, 100 respondents (29.5%) with moderate physical activity, and 166 respondents (46.2%) with high physical activity. Physical activity has significant influence positively (OR= 1.98; 95% CI= 0.39 to 4.72; p= 0.017) on the age of menarche.Conclusion: Physical activity has significant influence on the age of menarche in adolescent girls in Kota Surakarta, Indonesia.Keywords: endocrinology, body mass index, waist circumference, physical activity, menarche, female studentCorrespondence: Ulfa Puspita Rachma. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java. Email: ulfapr96@gmail.com. Mobile: 082329342140.Journal of Maternal and Child Health (2021), 06(04): 400-408https://doi.org/10.26911/thejmch.2021.06.04.0
The Effectiveness of Letrozole Adjuvant Therapy - Electro Acupuncture in Reducing the Number of Follicles and Body Weight and Increasing Endometrial Thickness in Women with Polycystic Ovary Syndrome
No full textBackground: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. Acupuncture can improve menstrual cycle recovery and decrease body mass index (BMI) in women with PCOS. The effect of acupuncture can be enhanced by giving letrozol. Researchers are interested in knowing the comparison between letrozol therapy with letrozol + electroacupuncture on body weight, follicle count, and endometrial thickness in women with polycystic ovary syndrome. This study aims to determine the differences in weight loss, follicle number, and endometrial thickness in PCOS patients receiving letrozol treatment compared to letrozol + electroacupuncture.Subjects and Method: An observational analytic study using a case-control approach and fixed disease sampling technique was carried out at the Gynecology Polyclinic and Sekar Clinic at Dr Moewardi Hospital, Surakarta. Group 1 consisted of 15 infertile SOPK women who received letrozol and group 2 consisted of 15 infertile SOPK women who received electroacupuncture + letrozol. Body weight, follicle count, and endometrial thickness were measured in both groups. Data were analyzed univariate, bivariate and multivariate using the IBM-SPSS version 22 and STATA version 13 statistical applications.Results: There was a significant difference in the thickness of the endometrium (p= 0.008), the number of follicles on day 6 (p= 0.039), the number of follicles on day 8 (p= 0.033), the number of follicles on day 10 (p= 0.041), the number of follicles on day 12 (p= 0.041) ) with letrozol therapy with letrozol + electroacupuncture. There was no significant difference in body weight between groupsConclusion: There were significant differences between the letrozol group compared to the letrozol + electroacupuncture group in endometrial thickness and on the number of follicles on days 6, 8, 10, 12 in infertile PCOS women. However, there was no significant difference in body weight between groups.Keywords: number of follicles, endometrial thickness, PCOS, letrozol, electroacupunctureCorrespondence: Todung Antony Wesliaprilius. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi hospital, Surakarta. Mobile: 08222181626 Email: [email protected] of Maternal and Child Health (2021), 06(02): 219-228https://doi.org/10.26911/thejmch.2021.06.02.0
Meta-Analysis the Effect of Section Caesarea on Early Breastfeeding Initiation
No full textBackground: Early Initiation of Breastfeeding is the baby's first activity to find the mother's nipple within the first hour of birth. UNICEF and WHO recommend Early Breastfeeding Initiation as a strategy to achieve the 4th MDG, namely reducing child mortality. Early Breastfeeding Initiation has many benefits but its prevalence is still low, one of the contributing factors is cesarean section delivery. This study aims to estimate the effect of cesarean section delivery on early breastfeeding initiation based on the results of a number of previous studies.Subjects and Method: This study was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar published from 2009-2020. The inclusion criteria used were full text articles with observational designs, articles published in English and Indonesian. The PICO study problems are as follows. Population= post partum mothers. Intervention= cesarean section delivery. Comparison= normal delivery. Outcome= early initiation of breastfeeding. This study used the effect size (Standardized Mean Difference). Meta analysis was performed using RevMan 5.3 with a Random Effect Model.Results: A total of 11 articles conducted a meta-analysis review of this study. The meta-analysis of 11 articles showed that women who gave birth through cesarean section technique were 0.33 times more likely to have early breastfeeding initiation compared to normal delivery. (aOR= 0.33; 95% CI= 0.18 to 0.59; p<0.001).Conclusion: Mothers who gave birth through cesarean section technique were more likely to initiate early breastfeeding by 0.33 times compared to normal delivery.Keywords: caesarean section, delivery method, early initiation of breastfeedingCorrespondence: Ferda Fibi Tyas Nurkholifa. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ferdafibi13@gmail.com. Mobile: +6285655778863.Journal of Maternal and Child Health (2021), 06(01): 46-55https://doi.org/10.26911/thejmch.2021.06.01.05.
Effects of Stunting on Child Development: A Meta-Analysis
No full textBackground: Stunting is a condition where children under five have a low height for their age. Stunted children under five have a nutritional deficiency (malnutrition), thus affecting the maturity of nerve cells. In addition, they are susceptible to developmental delays such as slow motor movements, lack of intelligence, and slow social response. This study aimed to analyze the effect of stunting on child development based on the results of previous studies.Subjects and Method: This study was a systematic review and a meta-analysis. The articles were searched systematically and comprehensively through several databases including Pubmed, Science Direct, and Google Scholar published from 2010 to 2020. It aimed to ensure the relevance of current findings in the health context and the possibilities for what would happen ahead. Eligibility criteria were used to select studies included in a systematic review/a meta-analysis. The researcher provided eligibility criteria using the PICO model. The population of this study was children. The intervention was stunting. The comparison was non-stunting. The outcome was child development. The article search was carried out for 2 weeks. The keywords were "Association between stunting and delayed development regression", "the effect of stunting on development", "the relationship of stunting to development", "stunting and development", "stunted and development". The articles were collected using PRISMA flow diagrams. The data were analyzed using Review Manager (RevMan) 5 software.Results: This study reviewed 5 articles. The results showed that stunting increased the risk of abnormal development in children (aOR=3.71; 95%CI=2.35 to 5.86; p=0.760).Conclusion: Stunting increases the risk of abnormal development in children.Keywords: stunting, development, child developmentCorrespondence: Milatur Rosyidah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 089620575849.Journal of Maternal and Child Health (2021), 06(01): 25-34https://doi.org/10.26911/thejmch.2021.06.01.03.
The Effectiveness of Fish Oil and Ginger Drink in Reducing Dysmenorrhea: A Meta Analysis
No full textBackground: Dysmenorrhea causes 34-50% of women to be unable to work in the workplace and 40% of adolescent girls are absent from school. Fish oil and ginger are used as alternatives to NSAIDs, because although the use of NSAIDs is effective in reducing dysmenorrhea pain, they have side effects that are harmful to health after long-term conventional therapy. This study aims to estimate the magnitude of the effect of fish oil and ginger in reducing dysmenorrhea in women of reproductive age.Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct, ProQuest, Springer Link, and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT). The study subjects are women of productive age. The treatment given was the consumption of fish oil or ginger with a placebo comparison, dysmenorrhea assessment using standardized measuring instruments such as VAS, Cox, questionnaires, etc. Articles published in English. The PICO Research Problem are population= women of reproductive age, intervention= fish oil or ginger, comparison= placebo, and outcome= dysmenorrhea. The study was assessed using an effect size (Standardized Mean Difference). Meta analysis was performed using RevMan 5.3 with Random Effect Model.Results: A total of 14 articles were reviewed in a meta-analysis in this study. Meta-analysis of 6 articles showed that fish oil reduced dysmenorrhea pain in women of reproductive age higher than placebo (Standardized Mean Difference= -1.06; 95% CI= -1.76 to -0.36; p= 0.003). Meta-analysis of 8 articles showed that ginger reduced dysmenorrhea pain in women of childbearing age more than placebo (Standardized Mean Difference= -0.77; 95% CI= -1.26 to -0.27; p=0.002).Conclusion: Fish oil and ginger are effective in reducing dysmenorrhea pain in women of reproductive age.Keywords: fish oil, ginger, and dysmenorrheaCorrespondence: Isnaini Novitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085921790588.Journal of Maternal and Child Health (2021), 06(03): 353-364https://doi.org/10.26911/thejmch.2021.06.03.1
Meta-Analysis: The Effect of Early Breastfeeding Initiation on Hypothermia and Diarrhea in Infants
No full textBackground: Early initiation of breastfeeding is the process of letting the baby instinctively breastfeed within the first hour after birth, along with skin-to-skin contact between the baby and the mother's skin which can prevent hypothermia in the baby. This study aims to analyze the relationship between early initiation of breastfeeding and the incidence of hypothermia in infants.Subjects and Method: This is a systematic review and meta-analysis study. Population= Infants aged 0-59 months, Intervention= early initiation of breastfeeding, Comparison= no early initiation of breastfeeding, Outcomes= incidence of hypothermia and diarrhea. Article searched through journal databases include: PubMed, Science Direct, Google Scholar, research gate, and Springerlink. The keywords used are breastfeeding" OR "early initiation of breastfeeding" OR "initiation breastfeeding" AND newborn OR neonatal OR neonate OR infant OR children OR child AND hypothermia OR “low body temperature” OR “low temperature” OR thermoregulation OR “body temperature regulation "AND diarrhea OR diarrhea. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria included full-text articles with cross-sectional studies, multivariate analysis results in the form of AOR values and published in English from 2011-2021. Eligible articles were analyzed using Revman 5.3 application.Results: Sixteen articles from Ethiopia, Vietnam, Bangladesh, Pakistan, Tanzania, and India were included in the meta-analysis. Meta-analysis in 7 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of hypothermia in infants (aOR= 0.32; 95% CI= 0.21 to 0.48; p<0.001). Meta-analysis in 9 cross-sectional studies showed that early initiation of breastfeeding was able to reduce the risk of diarrhea in infants (aOR = 0.81; 95% CI = 0.76 to 0.86; p<0.001).Conclusion: Early initiation of breastfeeding reduced the risk of hypothermia and diarrhea in infants. Researchers recommend implementing early initiation of breastfeeding in the first hour of birth to prevent the risk of hypothermia and diarrhea in infants.Keywords: early initiation of breastfeeding, hypothermia, diarrhea, meta-analysisCorrespondence: Fristyaningrum Hidayah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Phone: 085745611008.Journal of Maternal and Child Health (2021), 06(06): 642-652https://doi.org/10.26911/thejmch.2021.06.06.02
Meta-Analysis: The Effect of Prenatal Yoga and the Use of Transcutanal Electric Nerve Stimulation During Pregnancy on Labor Pain
No full textBackground: Pregnant women are suggested to do light exercise to reduce complaints such as spasms, low back pain, hypertension and other problems. Prenatal yoga and the use of TENS are media that can help reduce pain during labor. The aimed of the study was to analyze the effect of prenatal yoga and the use of TENS during pregnancy on labor pain with a meta-analysis study.Subjects and Method: This was a systematic review and meta-analysis. The study was carried out using PRISMA flow diagrams. Search articles through journal databases including PubMed, Google Scholar, and Science Direct by selecting articles published in 2001-2021. The keywords used were "pregnancy" OR "pregnant" AND "pregnant women" AND "pregnant" AND "prenatal yoga" AND "Transcutaneous electrical nerve stimulation" AND "labor pain" AND "Randomized Controlled Trial". Article searches were performed using the PICO model. Population: Pregnant women, Intervention: prenatal yoga and TENS practice, Comparison: routine care from midwives, Outcome: labor pain. The inclusion criteria were full text articles with a Randomized Controlled Trial (RCT) study design, articles using English, research subjects were pregnant women, the exercises given were prenatal yoga and TENS, the effect size research method used Mean SD, articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 4 primary studies on the use of prenatal yoga on labor pain showed that the reduction in pain in postpartum women was 0.39 times lower than that of women in labor receiving routine care from a midwife (SMD=-0.39; 95% CI=-1.66 to 0.88; p=0.550) and from 5 primary studies on the use of TENS for labor pain, it showed a 0.78 times lower reduction in pain in childbirth compared to women who received routine care from a midwife (SMD= -0.78; 95% CI= -1.92). up to 0.37; p=0.190).Conclusion: The use of prenatal yoga and administration of TENS can reduce labor pain, but not statistically significant.Keywords: prenatal yoga, TENS, labor pain, meta-analysisCorrespondence: Fiqi Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile:082231458699.Journal of Maternal and Child Health (2021), 06(05): 547-559https://doi.org/10.26911/thejmch.2021.06.05.0