Journal of Maternal and Child Health (JMCH)
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The Effects of Age, Endometriosis, Polycystic Ovarium Syndrome, and Obesity on the Success of Embryo Transfer on In Vitro Fertilization
No full textBackground: One of the important stages in in vitro fertilization (IVF) success is the embryo transfer (ET). Many studies are examining the effect of maternal factors on in vitro fertilization outcomes. However, studies that are only up to the ET stage are still rare. This study aimed to prove whether maternal factors, especially age, endometriosis, PCOS, and obesity, affect ET success in IVF.Subjects and Method: This was an analytic observational study with a case-control design. A sample of 111 patients who undergo IVF at Sekar Fertility Clinic, Dr. Moewardi Surakarta, was selected by total sampling. The dependent variable was the ET success. The independent variables were maternal age, history of endometriosis, PCOS, and obesity. The data were analyzed by a multiple logistic regression.Results: The prevalence of ET success in IVF from January 2014 to November 2019 at Sekar Fertility Clinic, Dr. Moewardi, was 65.77% (73 of 111 cycles). Only a history of endometriosis could affect the ET success which was statistically significant (aOR= 0.25; 95% CI= 0.08 to 0.78; p= 0.017). ET success was affected by age, PCOS, and obesity, but it was not statistically significant.Conclusion: Endometriosis affects the ET success in IVF, and it is statistically significant. While age, PCOS, and obesity affect the ET success in IVF, but they are not statistically significant.Keywords: embryo transfer, in vitro fertilization, endometriosis, polycystic ovarium syndromeCorrespondence: Atthahira Amalia Hafiizha. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: attha[email protected] of Maternal and Child Health (2020), 05(05): 482-489https://doi.org/10.26911/thejmch.2020.05.05.03.
Effect of a National Nutrition Communications Campaign on Stunting Awareness and Promotion of Exclusive Breastfeeding Behavior among Rural Indonesian Mothers
No full textBackground: Stunting affects 37% of Indonesian children and has lifelong consequences for the affected child. Childhood stunting can be prevented by promoting exclusive breastfeeding (EBF) and helping mothers overcome barriers to EBF. This study aimed to examine the effect of a National Nutrition Communications Campaign (NNCC) on stunting awareness and promotion of exclusive breastfeeding behavior among rural Indonesian mothers.Subjects and Method: Data came from interviews and a cross-sectional survey of 1,740 mothers with children under the age of 2 in three Indonesian districts, from November 2015 to March 2018. Measures included exposure to two different NNCC interventions: multi-media messages (media) and interpersonal communication strategies (IPC) and associations with stunting knowledge, breastfeeding knowledge, and breastfeeding perceptions/intentions. The data were analyzed by a multiple logistic regression.Results: Exposure to NNCC was positively associated with knowledge toward EBF (OR= 1.56; 95% CI= 1.10 to 2.19; p= 0.043), awareness of the importance of nutrition during the first 1000 days of life (OR= 1.90; 95% CI= 1.43 to 2.52; p<0.001), and having heard of stunting (OR= 1.93; 95% CI= 1.41 to 2.63; p<0.001). Exposure to IPC was positively associated with knowledge toward EBF (OR=1.78, CI95% 1.37 to 2.30, p<0.001), awareness of the importance of nutrition during the first 1000 days of life (OR= 3.02; 95% CI= 2.40 to 3.80; p<0.001), knowledge of EBF benefit to prevent stunting (OR= 3.05; CI 95%= 2.33 to 3.98; p<0.001), and having heard of stunting (OR= 3.15; CI 95%= 2.49 to 3.98; p<0.001). Exposure to IPC was a significant predictor of an intention to engage in EBF (p <0.050).Conclusion: These findings point to practical recommendations for national level social and behavior change communication efforts. Future campaigns should aim to be inclusive of: 1) mass media (television, radio, billboards, and social media) to promote health as these efforts provide for wide exposure while maintaining impact; and 2) IPC (face-to-face communications, classes, and support groups) as these efforts increase knowledge and impact on behavior, beliefs and intentions.Keywords: stunting, exclusive breastfeeding, communications campaignCorrespondence: Ryan Moffat. Brigham Young University, Provo, UT, USA. Email: [email protected]. Mobile: (801)792-9800.Journal of Maternal and Child Health (2021), 06(05): 612-625https://doi.org/10.26911/thejmch.2021.06.05.11
Prenatal Diagnosis and Management of Advanced Abdominal Pregnancy in Dr. Moewardi Hospital Surakarta: A Case Series
No full textBackground: The abdominal pregnancy is a pregnancy anywhere in the abdominal cavity other than the tube, ovary, and broad ligament. Abdominal pregnancy has 7.7 times greater risk than tubal pregnancy and 90 times greater than intrauterine pregnancy. This study aims to reveal the diagnosis and treatment of abdominal pregnancy in Dr. Moewardi Hospital Surakarta.Subjects and Method: This was a case series study conducted at Dr. Moewardi Hospital Surakarta. This study report three cases of advanced abdominal pregnancy at Dr Moewardi Hospital (2019 – 2020), that consisted of two cases of advanced abdominal pregnancy to term, and one advanced abdominal pregnancy with acute abdomen.Case presentation: Case 1 (it was found abdominal pregnancy at 30 weeks), the condition of the mother and the fetus was good, the pregnancy was continued until the gestational age was term. The patient was given corticosteroids for lung maturation and magnesium sulfate for neuroprotection. Case 2 (an abdominal pregnancy was found at term), it was decided to immediately terminate it with good preoperative preparation. Both patients in case 1 and case 2 had good result in both the mother and the fetus. The placenta was left in situ in both cases to prevent massive bleeding and injury to the gastrointestinal organs. Case 3 (advanced abdominal pregnancy with acute abdominal symptoms) decided to undergo an emergency laparotomy and removal of the placenta.Conclusion: Abdominal pregnancy must be diagnosed and managed properly to reduce maternal mortality and morbidity. In advanced abdominal pregnancy, it could be considered to continue the pregnancy until the term. The placenta management of in situ without methotrexate might be considered in cases of abdominal pregnancy.Keywords: abdominal pregnancy, prenatal diagnosis, treatmentCorrespondence: Uchti Akbar. Departement of Obstetrics & Gynaecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Surakarta, Jl. Kolonel Sutarto, Surakarta 57126, Central Java. Email : [email protected]. Mobile: 081397167176.Journal of Maternal and Child Health (2021), 06(04): 516-522https://doi.org/10.26911/thejmch.2021.06.05.01
The Effectiveness of Aromatherapy and Music Therapy to Reduce Pain during Stage-1 of Birth Delivery: A Meta-Analysis
No full textBackground: Labor pain is an uncomfortable feeling during the labor process, which causes a reduction in uterine contractions, uteroplacental circulation, blood flow, and oxygen to the uterus, and causes uterine ischemia, which makes the pain impulses increase. Aromatherapy and music therapy are non-pharmacological pain management that can be given to postpartum mothers during labor that helps reduce pain. In addition, they can provide a calming sensation for the self and the brain and the stress they feel. This study aimed to analyze the effectiveness of aromatherapy and music therapy in reducing labor pain in the first stage of labor.Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from ProQuest, Science Direct, Google Scholar, and Springer Link. The research subjects were mothers who gave birth in the first stage. The treatment provided was aromatherapy and music therapy. The articles used were articles presented in English, in full text with a Randomized Controlled Trial design. The research problems of PICO were as follows: Population= mothers giving birth, Intervention= giving aromatherapy and music therapy, Comparation= not being given aromatherapy and music therapy, Outcome= reducing labor pain. The study analysis was carried out using RevMan 5.3 with Random Effect Model.Results: Analysis of 9 articles on the effectiveness of aromatherapy on reducing labor pain showed that aromatherapy reduced labor pain (SMD= -0.85; 95% CI -1.14 to -0.31), and it was statistically significant (p<0.001). Analysis of 9 articles on the effectiveness of music therapy on reducing labor pain showed that music therapy reduced labor pain (SMD= -1.14; 95% CI -2.18 to -0.09), and it was statistically significant (p<0.001).Conclusion: Aromatherapy and music therapy effectively reduce labor pain in women giving birth in the first stage.Keywords: aromatherapy, music therapy, labor painCorrespondence: Uswatun Hasanah. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutarmi 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085647582541.Journal of Maternal and Child Health (2021), 06(03): 295-306https://doi.org/10.26911/thejmch.2021.06.03.0
Meta-Analysis the Effect of Sensory Integration Therapy on Sensoric and Motoric Development in Children with Autism Spectrum Disorder
No full textBackground: It is estimated that 90% of children diagnosed with ASD will show impaired sensory processing. Children with sensory processing problems present with delayed motor development which is caused by an underlying disorder in their ability to interpret sensations. Sensory integration therapy is one of the therapeutic methods to overcome sensory and motor problems. This study aims to estimate the effect of sensory integration therapy on sensory and motor development in children with autism spectrum disorders.Subjects and Method: This research was conducted using a systematic review study design and a meta-analysis conducted with PRISMA flow diagrams. The article search process was carried out between 2011-2021 using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. The keywords used are “sensory integration” OR “sensory integration therapy” OR “ayres sensory integration” OR “sensory intervention” OR “sensory stimulation” AND “sensory processing” OR “sensory skills” OR “sensory system” AND “motor skills ” OR “motor develop¬mental” AND “autism spectrum disorder” OR “autism”. Based on the database, there were 16 articles that met the inclusion criteria. The study design used was a Randomized Control Trial (RCT). The analysis was carried out using RevMan 5.3 software.Results: The meta-analysis is of 16 articles consisting of the continents of Asia, America, and Australia. Results showed that sensory integration therapy improved sensory development (SMD = 0.14; 95% CI -0.64 to 0.92; p = 0.73) and motor development (SMD = 0.42; 95% CI -0.27 to 1.11; p = 0.24).Conclusion: Sensory integration therapy did not significantly improve sensory and motor development in children with autism spectrum disorders.Keywords: sensory integration therapy, sensory, motor, autism, meta-analysisCorrespondence: Ayu Fitriyaningsih. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6281228530733.Journal of Maternal and Child Health (2022), 06(06): 52-63https://doi.org/10.26911/thejmch.2022.07.01.06
Husband Support on BOM Massage Practice and Reducing Fatigue in Post Partum Mothers
No full textBackground: BOM massage is a combination of ways to treat breasts so that breast milk can produce and provide relaxation to postpartum mothers. Mothers after giving birth may experience psychological fatigue related to anxiety or depression which can hinder the smooth flow of breast milk. The support of the husband and close family will greatly help the process of comfort and relaxation of the mother during the process of undergoing the postpartum period. This study aims to determine the effect of husband's assistance in the implementation of BOM messages on the level of fatigue of postpartum mothers.Subjects and Method: This research is an analytic experimental study with RCT (Randomized Controlled Trial) design. The research was conducted at PMB Ngudi Saras Palur Karanganyar. The research subjects were 44 postpartum mothers, which were divided into 22 with husband's assistance and 22 others without husband's assistance. The sampling method is purposive sampling. Data were analyzed using independent-sample t-test.Results: Fatigue test results in the intervention group were lower (Mean= 2.82; SD= 1.05) compared to the control group (Mean= 7.14; SD= 1.04). Statistical test Independent-Sample T-test has an effect size of 4.13 and there is an effect with a p<0.001.Conclusion: Husband's assistance in the implementation of BOM Massage has an effect on the level of fatigue of postpartum mothers in Palur Karanganyar.Keywords: husband assistance, BOM massage, fatigue, postpartum mothersCorrespondence: Tresia Umarianti. Graduate Program of Midwivery, Universitas Kusuma Husada, Surakarta. Email: [email protected]. Mobile: +628112630416.Journal of Maternal and Child Health (2021), 06(05): 533-538https://doi.org/10.26911/thejmch.2021.06.05.03
Nursing Intervention in Children with Diarrhea: A Case Study
No full textBackground: Diarrhea or gastroenteritis is a condition as watery bowel movements more than three times a day for two consecutive days, which may or may not be related to pathological conditions. Diarrhea can occur in all age groups, both toddlers, children and adults with various social groups. Diarrhea is the second leading cause of death in children under five years and almost 1.7 billion cases of diarrhea occur in children with a mortality rate of around 525,000. This study aims to describe the application of knowledge and practice of nursing care in children with diarrhea with the problem of risk of hypovolemia due to active fluid loss.Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at the Pontianak Level II Government Hospital, for 2 weeks. The sample used in this study were 4 key informants from 6 planned respondents and 3 triangulated informants. The key informants are nurses who work in the child care room, while the 3 triangulation informants are the client's family. The study variables were optimizing nursing interventions and diarrhea in children. Data collection was carried out by structured and direct interviews using a tape recorder before it was analyzed.Results: This study identified several themes such as meeting fluid needs, decreasing body temperature, and preventing damage to skin integrity, but in the case of diarrhea in children, meeting fluid needs is the nurse's main intervention that must be done in overcoming hypovolemia without forgetting the involvement of parents.Conclusion: Meeting fluid needs is a nurse's top priority in providing nursing care to diarrhea patients to prevent hypovolemia.Keywords: active fluids, diarrhea, intervention, nurseCorrespondence: Elly Marce Titihalawa. Nursing Academy of Dharma Insan, Pontianak, Indonesia. Jl. Merdeka 55 Pontianak, West Kalimantan, Indonesia. Email: [email protected]. Mobile: +6281348465064.Journal of Maternal and Child Health (2021), 06(06): 733-738https://doi.org/10.26911/thejmch.2021.06.06.11
Physical Activities and Sleeping Habits in Children and Adolescent During Pandemic Covid-19: A Systematic Review
No full textBackground:Lockdown during the COVID-19 pandemic can affect the behavior of daily habits among children and adolescents. This study aims to determine the effect of the COVID-19 pandemic lockdown on the physical activity and sleeping habits of children and adolescents.Subjects and Method:This study is a systematic review by searching for articles using the online database PubMed and BASE. The dependent variable is the COVID-19 lockdown. The independent variables are physical activity and sleep habits.Results:: A total of 8 articles were included in the qualitative analysis. 6 articles explained that the lockdown during the COVID-19 virus pandemic reduced the frequency of physical activity in children and adolescents. 6 articles explained that the lockdown during the COVID-19 pandemic caused disturbances in sleep quality and an imbalance of sleep time in children and adolescents.Conclusion:The lockdown policy or activity restriction during the COVID-19 pandemic significantly reduces physical activity and causes sleep quality disturbances and imbalance sleep time in children and adolescents.Keywords: COVID-19, children, sleep, physical activities, confinementCorrespondence: Sarwoko. Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali. Email: sanuria21@gmail.com. Mobile: 087835594214Journal of Maternal and Child Health (2021), 06(02): 154-164https://doi.org/10.26911/thejmch.2021.06.02.0
Maternal Mortality in Klaten Regency (Determinant Factors Analysis)
No full textBackground: Failure in reducing maternal mortality has become one of the world's health problems. Indonesia ranks third on the list of the highest MMR in ASEAN countries. The incidence of maternal mortality is caused by several factors, including reproductive status, obstetric complications, health services, and socioeconomic conditions.Subjects and Method: This study was an analytic observational study using a case-controlled study design. The study subjects were selected by using fixed random sampling with a total sample of 129 people consisting of 43 cases of maternal mortality in Klaten Regency and 86 controls. Maternal mortality data were taken in Klaten Regency from 2017 to 2019. The independent variables were pregnancy complications, delivery complications, postpartum complications, age of pregnant women, pregnancy spacing, parity, delay in making decisions, referral delay due to inadequate transportations, delay in handling by health workers, the quantity of ANC, maternal education, maternal occupation, and family income. The dependent variable was maternal mortality in Klaten Regency. The data collection of this study used a questionnaire. Data analysis was carried out by univariate, bivariate, and multivariate methods using the chi-square test. Path analysis and descriptive analysis were performed and presented in narrative form.Results: The delay in making decisions increases with family income below the city minimum wage (OR = 1.69; p = 0.09). Referral delay increases with family income below the minimum wage (OR = 1.73; p = 0.08). Maternal mortality increased with delay in decision making (OR = 5.28; p = 0.00), quantity of ANC (OR: 2.37; p: 0.02), income (OR: 3.92; p: 0.00), delivery complications (OR: 2.71; p: 0.01) ), postpartum complications (OR: 6.33; p: 0.00). Maternal mortality was indirectly affected by income.Conclusion: Pregnancy complications, delivery complications, postpartum complications, ANC examinations, delay in making decisions, delay in reaching the referral place, maternal education and income are associated with an increased risk of maternal mortality. While, maternal age, parity, pregnancy spacing, delay in handling by health workers, and maternal occupation have no significant association with maternal mortality.Keywords: Determinant Factors, Maternal Mortality, Klaten RegencyCorrespondence: Arfan Syahfani Sesunan. Department Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Surakarta, Central Java. Mobile: 08127949433. Email: [email protected] of Maternal and Child Health (2021), 06(02): 183-196https://doi.org/10.26911/thejmch.2021.06.02.06
Neutrophil-Lymphocyte Ratio as a Diagnosis Predictor in Pediatric COVID-19 Patients at Dr. OEN Kandang Sapi Hospital, Surakarta, Central Java, Indonesia
No full textBackground: COVID-19 is a global pandemic and affects all ages, even newborns. Until March 2021, there were 127 million cases of COVID-19 worldwide. In Indonesia, there were almost 1.5 million cases. The main symptoms of COVID-19 are fever and cough, simple laboratory tests such as measuring the neutrophil-lymphocyte ratio (NLR) are also included in the EWS (early warning score) so that they can be used to diagnose COVID-19 with a cut-off limit value of 3.13. The purpose of this study was to determine the value of NLR as a predictor of diagnosis in pediatric patients confirmed by RT-PCR Swab examination at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta.Subjects and Method: A diagnostic test study that assessed the sensitivity, specificity, negative predictive value and positive predictive value of the NLR value as a predictor of COVID-19 diagnosis in pediatric patients confirmed by RT-PCR Swab examination at the time level of March 2020 - March 2021. Data were taken from electronic medical records of inpatients and sampling was done by consecutive admission sampling.Results: A total of 153 study subjects with 34 PCR (+) patients and 119 PCR (-) patients. The characteristics of the study sample were seen from gender, age, symptoms, chest x-ray and patient outcomes. The NLR cutoff limit value for pediatric COVID-19 patients is 1,625 with an AUC (area under curve) of 0.504. The NLR value of 1.625 has a sensitivity of 0.588 (58.8%) and a specificity of 0.513 (51.3%). The PPV (positive predictive value) was 0.256 (25.6%), the NPV (negative predictive value) was 0.813 (81.3%), the PPR (positive predictive ratio) was 1.207 and the NPR (negative predictive ratio) result was 0.803.Conclusion: The NLR cutoff value of 1,625 with a sensitivity of 58.8% cannot be used as a predictor of COVID-19 diagnosis in pediatric patients at Dr. Oen Kandang Sapi Hospital, Solo, Surakarta.Keywords: COVID-19, children, pediatrics, diagnostic lab, NLR, neutrophil to lymphocyte ratioCorrespondence: Dyah Wulaningsih Retno Edi. General Practitioner, RS Dr. Oen Kandang Sapi Solo, Surakarta. Email: [email protected] of Maternal and Child Health (2021), 06(06): 653-659https://doi.org/10.26911/thejmch.2021.06.06.03