Journal of Maternal and Child Health (JMCH)
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The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis
No full textBackground: Nausea and vomiting in pregnancy is a common condition experienced by 50-80% of pregnant women between 6 to 12 weeks of pregnancy. Acupressure stimulation can stimulate and increase blood circulation and vital energy, so as to maintain normal body functions. The purpose of this study was to determine the effect of acupresure on hyperemesis gravidarum and labor pain in pregnant and childbirth women.Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT) design. Research subjects are pregnant women or giving birth. The intervention given was acupressure with the comparison not being given acupressure or fake acupressure, articles published in English and Indonesian. The PICO research problems were as follows: Population= pregnant women and childbirth, Intervention= giving acupressure, Comparison= sham acupressure or without acupressure, Outcome= reduced intensity of nausea and vomiting and labor pain. The study was conducted using an effect size (Standardized Mean Difference). Meta-analysis was carried out using RevMan 5.3 with a random effect model.Results: A total of 20 articles were reviewed in a meta-analysis in this study. Meta-analysis of 9 articles showed acupressure was effective in reducing hyperemesis gravidarum. Pregnant women who received acupressure therapy experienced hyperemesis gravidarum 0.8 units lower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A meta-analysis of 11 articles showed that acupressure was effective in reducing labor pain. Pregnant women who received acupressure therapy experienced labor pain 1.8 units lower than without acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001).Conclusion: Acupressure can reduce the intensity of nausea and vomiting in pregnant women who experience hyperemesis gravidarum as well as the intensity of labor pain in pregnant women.Keywords: Acupressure, hyperemesis gravidarum, labor pain, meta analysisCorrespondence: Alfira Fitriana. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 085812071211.Journal of Maternal and Child Health (2021), 06(03): 365-375https://doi.org/10.26911/thejmch.2021.06.03.1
Meta-Analysis the Effect of Urinary Tract Infection in Pregnant Women on Prematurity and Low Birth Weight
No full textBackground: During pregnancy there are physiological changes associated with the pregnancy process that can cause urinary tract infections caused by the enlargement of the uterus, decreased urine flow through the ureters and decreased bladder tone during pregnancy. So that healthy pregnant women become vulnerable to serious complications in the urinary tract and will have an impact on the mother and baby who will be at great risk of causing premature birth and low birth weight. This study aims to estimate the magnitude of the effect of urinary tract infections in pregnant women on premature birth and low birth weight.Subjects and Method: This study is a systematic review and meta-analysis conducted with PRISMA flow diagrams. Search articles through journal databases including: Google Scholar, MEDLINE/PubMed, Science Direct, Spinger Link and Directory of Open Access Journal (DOAJ) by selecting articles published in 2005-2021. The keywords used were “Urinary Tract Infection Pregnancy” AND “Preterm Labor”, “Urinary Tract Infection Pregnancy” AND “Low Birth Weight”, “Urinary Tract Infection Pregnancy” AND “Preterm Labor” AND “Low Birth Weight” AND “adjusted Odds Ratio". Inclusion criteria included full-text articles, case-control study designs. The analysis used logistic regression with adjusted odds ratio. Eligible articles were analyzed using the Revman 5.3 application.Results: A total of 17 articles were reviewed in this study with a case control study design. A meta-analysis of 11 articles showed that urinary tract infections in pregnant women increased the risk of preterm delivery by 2.49 times compared with pregnant women without urinary tract infections (aOR= 2.49; 95% CI= 2.04 to 3.05; p<0.001), whereas 7 The article shows that urinary tract infections in pregnant women can increase the risk of increasing the risk of LBW by 1.54 times compared to pregnant women without urinary tract infections (aOR= 1.54; 95% CI= 1.24 to 1.91; p<0.001).Conclusion: Urinary tract infections increase the risk of preterm birth and low birth weight.Keywords: Urinary tract infections, prematurity, low birth weightCorrespondence: Rizqi Amalia Wulandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 085740488978.Journal of Maternal and Child Health (2021), 06(05): 580-591https://doi.org/10.26911/thejmch.2021.06.05.10
Meta-Analysis: The Effects of Depression and Anxiety on the Quality of Life of People with Disability
No full textBackground: A person with a disability is a person who has (suffers) a disability/ limitations in the structure and function of the body which can cause problems in their life. Environmental conditions (physical, biological and social) that are not disability-friendly will have an impact on mental problems and the most common are depression and anxiety. Depression and anxiety have an important influence on the health conditions and quality of life of persons with disabilities. The purpose of this study was to analyze the effect of depression on the quality of life of persons with disabilities and to analyze the effect of anxiety on the quality of life of persons with disabilities.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. This is done using the search keywords “anxiety” AND “depression” AND “quality of life” AND “disability” AND “multivariate analysis”. The population in this study were persons with disabilities. The interventions given were anxiety and depression, while the comparison was not anxious and not depressed. The outcome of the study was quality of life. The article used is a full text article with an observational study design that reports the value of the Adjusted Odds Ratio (aOR). Articles were collected using PRISMA flowcharts and analyzed using the Review Manager 5.3 application with random effect models.Results: Meta-analysis in 8 cross-sectional studies of depression can reduce 0.79 times the quality of life of persons with disabilities (aOR= 0.79; 95% CI= 0.69-0.92; p= 0.002) and in 3 cohort studies depression decreased 0.61 times the quality of life of persons with disabilities (aOR= 0.61; 95% CI= 0.30-1.22; p= 0.16). Meta-ana¬lysis in 8 cross-sectional studies, anxiety decreased 0.70 times the quality of life of persons with disabilities (aOR= 0.70; 95% CI= 0.60; p<0.001) and in 5 cohort studies anxiety decreased 0.84 times (aOR= 0.84; 95% CI= 0.68-1.04; p= 0.12).Conclusion: Depression and anxiety have an effect on decreasing the quality of life of persons with disabilities.Keywords: Anxiety, depression, quality of life, disability, multivariate analysisCorrespondence: Iffah Nurhayati, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile-phone: 085742202990.Journal of Maternal and Child Health (2021), 06(03): 267-284https://doi.org/10.26911/thejmch.2021.06.03.02
Factors Associated with Breast Cancer in Women of Reproductive Age at Dr. Pirngadi Hospital, Medan, North Sumatera
No full textBackground: Breast cancer has the highest prevalence in Indonesia. The objective of the research was to analyze the risk factors which influenced the incidence of breast cancer in women of reproductive age.Subjects and Method: This was a case-control study conducted at Dr. Pirngadi Hospital, North Sumatera. The population was all 15-49 year-old breast cancer women. Sample of 42 women of reproductive age with breast cancer and 42 women without breast cancer was selected for this study. The dependent variable was breast cancer. The independent variables were family history of breast cancer, menarche, history of breastfeeding, and history of fibrocystic disease. The data were collected by questionnaire and medical record. The data were analyzed by a multiple logistic regression.Results: History of family with breast cancer (OR= 4.93; 95% CI=1.33 to 18.28), age of menstruation (OR= 8.46; 95% CI=2.34 to 30.64), history of breastfeeding (OR= 8.46; 95% CI= 2.19 to 32.70), and history of fibrocystic disease (OR= 7.12; 95% CI=1.99 to 25.48) were associated with breast cancer.Conclusion: History of family with breast cancer, age of menstruation, history of breastfeeding, and history of fibrocystic disease are associated with breast cancer.Keywords: breast cancer, history of breastfeeding, women of reproductive ageCorrespondence: Mila Trisna Sari. Masters Program in Public Health, Universitas Sumatera Utara. Email: [email protected]. Mobile: 08192100173Journal of Maternal and Child Healthdoi.org/10.26911/thejmch.2021.06.01.09
Exclusive breastfeeding practice and its association with breastfeeding self-efficacy among mothers giving birth during the COVID-19 pandemic in Indonesia : A Brief Report
No full textBackground: Breast milk is the best nutrition for most infants, and current recommendations encourage mothers to keep giving breast milk during the COVID-19 pandemic.Subjects and Method: This is an analytic cross-sectional study involving mothers giving birth since March 2020 and their infants aged under 6 months. An online-based questionnaire, including the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), was distributed through social media from April to September 2020. The dependent variable was exclusive breastfeeding rate, and the independent variables were BSES-SF score, mother working status, educational level, place of birth, birth method, and COVID-19 status.Results: There were 113 respondents, and the rate of exclusive breastfeeding was 79.6%. Self-efficacy score in mothers who give exslusive breastfeeding (Mean= 58.4; SD= 0.8) was higher than non exclusive breastfeeding (Mean= 44.8; SD= 13.4) and it was statisfically significant (p <0.001).Conclusion: This study showed that during the COVID-19 pandemic exclusive breastfeeding rate might remain high in populartions with good breastfeeding self-efficacy.Keywords: exclusive breastfeeding, breastfeeding self-efficacy, child nutrition, COVID-19Correspondence: Angelina. Child Health Department, Faculty of Medicine, Universitas Pelita Harapan. Jendral Sudirman 20, Tangerang, Banten, Indonesia. Email: [email protected] of Maternal and Child Health (2021), 06(04): 436-443https://doi.org/10.26911/thejmch.2021.06.04.0
Associations between Smoking, Intrauterine Device Uptake, and Ectopic Pregnancy: A Meta Analysis
No full textBackground: Ectopic pregnancy is an important cause of maternal morbidity and mortality, estimated to occur in approximately 1-2% of pregnancies worldwide. Smoking and history of using intrauterine devices are risk factors for ectopic pregnancy. This study aims to estimate the magnitude of the relationship between smoking and a history of using intrauterine devices on the incidence of ectopic pregnancy based on a number of previous primary studies.Subjects and Method: This study is a systematic review and meta-analysis. The articles used in this study were obtained from several databases, including: PubMed, Google Scholar, and Science Direct which were published from 2000-2020. The inclusion criteria used are full text articles with Case Control design. The keywords used to search for articles were as follows: smoking AND "ectopic pregnancy" AND multivariate; "use of intrauterine device" AND "ectopic pregnancy" AND multivariate; smoking OR cigarette AND “use of intrauterine device” AND “ectopic pregnancy” OR “tubal pregnancy” AND multivariate. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3.Results: A meta-analysis of 7 articles showed that women of reproductive age who smoked had a 2.20 times risk of ectopic pregnancy compared to women of reproductive age who did not smoke (aOR= 2.20; 95% CI= 1.45 to 3.34; p= 0.002). A meta-analysis of 9 articles showed that women of reproductive age with a history of using intrauterine devices had a 2.28 times risk of ectopic pregnancy compared to women of reproductive age who did not use intrauterine devices (aOR= 2.28; 95% CI= 1.74 to 2.98; p<0.001).Conclusion: Smoking and a history of using intrauterine devices increase the risk of ectopic pregnancy.Keywords: smoking, intrauterine contraceptives, ectopic pregnancy, meta-analysisCorrespondence: Ridha Rossela Yanuari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085747311182Journal of Maternal and Child Health (2021), 06(04): 388-399https://doi.org/10.26911/thejmch.2021.06.04.0
Meta-Analysis the Effect of Obesity and Stress on Menstrual Cycle Disorder
No full textBackground: There are many factors that influence menstrual patterns to become irregular, including stress and obesity. Menstrual cycle irregularities can have a serious impact on women's health, which will affect the metabolic, fertility, sexual and reproductive systems. This study aims to analyze the influence of obesity and stress on menstrual cycle disorders with a meta-analysis study.Subjects and Method: This study is a systematic study and meta-analysis, with the following PICO, Population= women of childbearing age. Intervention= obesity and stress. Comparison= not obese and not stressed. Outcome = disruption of the menstrual cycle. The articles used in this study were obtained from several databases, including PubMed, ScienceDirect and Google Scholar. The keywords used are "menstrual disorder and obesity and stress", "obesity and menstrual irregularity", "obesity OR stress AND menstrual irregularity OR cross sectional study". The articles included in this study are full text articles with a cross sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: Meta-analysis of 8 observational studies showed that obese women were 4 times more likely to have menstrual cycle disorders than normal weight (aOR= 4.19; 95% CI= 1.99 to 8.84; p= 0.002). Meta-analysis of 6 observational studies showed that women with stress had a risk of experiencing menstrual cycle disorders 1.28 times compared to women who did not experience stress (aOR= 1.28; 95% CI= 1.13 to 1.45; p= 0.001).Conclusion: Obesity and stress affect menstrual cycle disorders.Keywords: obesity, stress, menstrual cycle disorders, meta-analysisCorrespondence: Lutfi Annarahayu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 081910979054.Journal of Maternal and Child Health (2021), 06(04): 423-435https://doi.org/10.26911/thejmch.2021.06.04.0
Maternal and Adolescent Factors Associated with Menstrual Hygiene of Girls in Senior Secondary Schools in Lagos, Nigeria
No full textBackground: Menstrual hygiene has not received proper attention deserved among adolescent girls in Nigeria. Unhygienic practices during menstruation can increase the vulnerability to reproductive tract infections, pelvic inflammatory diseases, and associated complications. This study was conducted to assessment maternal and female adolescent factors associated with the menstrual hygiene of the female adolescent surveyed.Subjects and Method: A quantitative and cross-sectional study was collected in October 2018, using structured questionnaires with validity and reliability established through pilot study. The target population N= 300 is the female students (female adolescent) aged 10-19 years old attending the selected Senior Secondary School (SSS1- SSS3) classes in Lagos, Nigeria. The sample size was determined and a systematic random sampling technique was used to select the participants. Hypotheses were tested using Chi-square and a multiple logistic regression.Results: The findings revealed that female adolescent who uses sanitary pad and not tissue paper or cotton cloth were 3.3 times more likely to practice good menstrual hygiene (OR= 3.31, 95% CI= 2.31 to 9.38, p= 0.010). Similarly, female adolescent who received information on menstrual hygiene from their mothers’ prior the onset of menstruation were 11.9 time more likely to practice good menstrual hygiene (OR= 11.93, 95% CI= 2.94 to 56.80, p= 0.002). The participants menstrual hygiene status shows that n=210, 70.0% indicated good menstrual hygiene practices, while n=90, 30.0% indicated poor menstrual hygiene practice.Conclusion: The intrinsic factors of the female adolescent and support received from their mother prior the onset of menstruation have the potential to improve female adolescent reproductive health and wellbeing. Youth Hygiene Initiative is recommended to provide good milieu for the female adolescent to interact and learn more about their health in school and at home.Keywords: maternal, female adolescent, menstrual hygiene, practices, secondary school, NigeriaCorrespondence: Tajudeen Olusegun Rasheed. Department of Health, Safety & Environment Studies, Training & Research Institute, Economic and Financial Crimes Commission Academy, Karu, Abuja, Nigeria. Email: [email protected] or [email protected]. Phone: +234-803-800-7373. Journal of Maternal and Child Health (2021), 06(01): 35-45https://doi.org/10.26911/thejmch.2021.06.01.04.
Biopsychosocial Analysis of Factors on COVID-19 Screening Awareness of Infertile Couples in Assisted Reproductive Technology
No full textBackground: The development of screening methods for infertility patients during the Coronavirus-2019 (COVID-19) pandemic provides new challenges in the adaptation of children's want programs in the era of the COVID-19pandemic. Several screening methods have been developed but various factors affect the awareness of couples to want to do COVID-19 screening. This study aimed to analyze biopsychosocial factors associated with awareness of COVID-19 screening in infertile couples.Subjects and Method: A cross-sectional study conducted at The Sekar Polyclinic of Dr. Moewardi Regional General Hospital during the COVID-19 pandemic. A number of 60 infertile couple of reproductive age who underwent the ART program was selected by random sampling. The dependent variable was awareness for COVID-19 screening. The independent variables were anxiety, knowledge, age, and length of infertility. The data were obtained from medical record and questionnaire and analyzed by a multiple logistic regression.Results: Anxiety (OR= 26; 95% CI; p0.05).Conclusion: Anxiety and above-average knowledge levels affect awareness for COVID-19 screening.Keywords: biopsychosocial, COVID-19 screening, infertile, assisted reproductive technology.Correspondence: Uki Retno Budihastuti. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 08122656140.Journal of Maternal and Child Health (2021), 06(05): 539-546https://doi.org/10.26911/thejmch.2021.06.05.04
Causes and Features of Childhood Trauma in COVID-19 Period
No full textBackground: In this study, we aimed to reveal the characteristics and severities of child traumas under the Covid-19 pandemic and lockdown according to trauma mechanisms, locations and age distributions, and to evaluate the results.Subjects and Method: The data of 333 pediatric trauma patients who came to our hospital during the lockdown period were analyzed retrospectively. The frequency and ratio analysis of the data obtained by the purposeful sampling method was performed. Pediatric Trauma Score, Injury Severity Score and Pediatric Glasgow Coma Scale were calculated. Gender, age distribution, trauma locations and trauma mechanisms were recorded, and distribution characteristics of the data according to trauma scores were compared. Continuous variables were analyzed using Student's t-test. Categorical variables were analyzed using the chi-square test. Statistical significance level was accepted as <0.05.Results:193 of the patients (58.0%) were male. The mean age of the patients was 7.73 (Mean= 7.73; SD= 5.33). The most common trauma patients (49.8%) consisted of the school age patients. The number of patients who applied to our hospital from the urban was 244 (73.3%), and it was observed that the trauma occurred at homeside in 189 (56.8%) patients. The most common cause of trauma was falls. The mean Pediatric Trauma Score of the patients was 10.43 (Mean= 10.43; SD= 1.28), the Injury Severity Score was 2.24 (Mean= 2.24; SD= 4.45), the Pediatric Glasgow Coma Scale calculated was 14.95 (Mean= 14.95; SD= 0.66). It was observed that 99.7% of the study patients according to the Injury Severity Score and 93.7% according to the Pediatric Trauma Score were minor trauma.Conclusion: Major childhood traumas and mortality decreased with the Covid 19 pandemic and lockdown.Keywords: Childhood, Covid-19, Pediatric Trauma Score, Injury Severity Score, Pediatric Glascow Coma ScaleCorrespondence: Mehmet Ali Narsat. Kastamonu Training and Research Hospital Kuzeykent 57. Alay Avenue, Cankat St, No. 4, 37150 Kastamonu Central District/Kastamonu. Email: [email protected]. 05077166471.Journal of Maternal and Child Health (2021), 06(02): 238-249https://doi.org/10.26911/thejmch.2021.06.02.1