Journal of Maternal and Child Health (JMCH)
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The Effect of Ferric Carboxymaltose Versus Iron Sucrose on Hemoglobin Levels in Pregnant Women with Anemia: Meta-Analysis
No full textBackground: Anemia in pregnant women is one of the global health problems experienced by developed or developing countries affecting 1.62 billion world population, which corresponds to 24.8% of the population in the world. Anemia is a serious problem for maternal health because it is one of the five problems that becomes the target of solving the World Health Organization (WHO) in 2025. This study aimed to estimate the magnitude of the effect of Ferric Carboxymaltose on hemoglobin levels in pregnant women with anemia compared to Iron Sucrose.Subjects and Method: This study was a meta-analysis study. The study was conducted by looking for data from the study results in the period 2010-2019. The data of this study was from Pubmed, DOAJ, Science Direct, Springer Link, Web of Science, Cochrane, Google Scholar, BMJ, BMC, Research Gate, J Stor, Wiley, Clinical Key, J Gate, SAGE, IEEE Xplore, ERIC Institute of Education Science, BASE, SciELO, WorldCat, Microsoft Academic, Index Copernicus, CABI, Cambridge, Nature, Oxford, ProQuest, and BJOG using the keyword "ferric carboxymaltose" AND "iron sucrose" AND "anemia in pregnancy" AND "randomized control trial" OR RCT, "ferric carboxymaltose" AND "iron sucrose" AND "hemoglobin in pregnancy" AND "randomized control trial". The subjects of this study were pregnant women with anemia. The study used a Revman 5.3 application to analyze the article.Results: The eight articles were reviewed using the meta-analysis technique in this study. Pregnant women who were given ferric carboxymaltose therapy had a higher mean hemoglobin level than those who were not treated carboxymaltose therapy and it was statistically significant (SMD= 1.11; 95% CI= 0.37 to 1.85; p= 0.003). The heterogeneity of the data showed I2= 98% so that the distribution of the data was stated to be heterogeneous (random effect model).Conclusion: Ferric Carboxymaltose is effective in increasing hemoglobin levels in pregnant women with anemia.Keywords: Ferric Carboxymaltose, Iron Sucrose, Randomized Controlled Trial.Correspondence: Astika Candra Nirwana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: astikacandranirwana2796@gmail.com. Mobile: 085640018896.Journal of Maternal and Child Health (2021), 06(01): 15-24https://doi.org/10.26911/thejmch.2021.06.01.02.
The Influence of Attitude, Subjective Norm, and Perceived Behavior Control on the Early Detection of Cervical Cancer among Female Students
No full textBackground: Cervical cancer is the fourth most frequent female malignancy in the globe, affecting an estimated 527,624 women every year and resulting in 265,672 deaths. This study aimed to determine the effect of attitudes, subjective norms, and perceived behavioral control on early detection of cervical cancer in female students.Subjects and Method: This was an analytic observational study with a cross-sectional approach. This study was conducted in Malang, East Java, Indonesia. The sample size of 350 female students was selected by simple random sampling technique. The dependent variable is the early detection of cervical cancer. The independent variables include attitudes, subjective norms, and perceived behavioral control. The data were collected by using a questionnaire and analysis using multiple linear regression.Results: Attitudes (b= 0.33; 95% CI= 0.22 to 0.44; p <0.001), subjective norms (b= 0.12; 95% CI= 0.01 to 0.22; p= 0.029), and perceived behavioral control (b= 0.32; 95% CI = 0.12 to 0.52; p= 0.002) has a relationship with behavior of early detection of cervical cancer in female students and statistically significant.Conclusion: Attitudes, subjective norms, and perceived behavioral control are factors that influence the behavior of early detection of cervical cancer in female students.Keywords: attitude, subjective norm, perceived behavioral control, behavior.Correspondence: Santy Irene Putri. Midwifery Study Program, University of Tribhuwana Tunggadewi Malang. Jl. Telaga Warna, Tlogomas, Malang, East Java. Email: [email protected] of Maternal and Child Health (2021), 06(06): 690-697https://doi.org/10.26911/thejmch.2021.06.06.07
The Effect of Premature Births on Language Delay in Children: A Meta-Analysis
No full textBackground: Child development problems are problems that need attention. A child can experience developmental delays in one or more developmental domains. It usually occurs in infants who born prematurely. In Indonesia, data from the Ministry of Health states that there are 675,700 premature infants in Indonesia. This study aimed to examine the effect of premature births on language delay in children using a meta-analysisSubjects and Method: This was a systematic review and meta-analysis. The articles used in this study were obtained from several databases including PubMed, Wiley, Springer Link, Elsevier, BMC Pediatrics and Google Scholar. The articles used in this study were those published from 2000-2020. The article search was carried out by considering the eligibility criteria defined using the PICO model. The population in the study were children with intervention in the form of babies born prematurely, the comparison was that babies born at term, the outcome was language delay. The keywords for searching articles are as follows: (preterm OR "short gestational ages" OR SGA OR premature) AND "language delay" AND child AND observational AND aOR. The articles included in this study are full text articles with an observational study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3.Results: A total of 8 articles from the Americas, Europe, Asia and Australia were reviewed in this study. The meta-analysis combining 8 cohort studies concluded that preterm infants caused language delay in children 1.65 times as much as non-nomal children (aOR= 1.65, 95% CI= 1.11 to 2.44, p= 0.010).Conclusion: Infants born prematurely experience delays in language development.Keywords: premature birth, language development delay Correspondence: Alfiani Vivi Sutanto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085799253568.Journal of Maternal and Child Health (2021), 06(01): 67-76https://doi.org/10.26911/thejmch.2021.06.01.0
Psycho-Social Stimulation and Food Diversity of Children Detected Stunting
No full textBackground: Stunting is a growth failure in children under five due to chronic malnutrition so that children are too short for their age. According to WHO, stunting becomes a public health problem if the prevalence is 20% or more. The prevalence of stunting under five in Indonesia in 2018 was more than 20% so that it became a public health problem and needed to be addressed immediately. Food diversity describes the quality of food for toddlers. Providing a variety of foods will increase the risk of malnutrition, stunting, and disease disorders. Stunting not only has an impact on physical growth but also psychosocial development. This study aimed to analyze whether psychosocial stimulation and food diversity were associated with stunting.Subjects and Method: This research is an observational analytic with a case control approach. The study population was all toddlers aged 24-59 months in Bangkok Village, Gurah, Kediri, East Java, Indonesia, in August 2020. Using the fixed disease sampling technique, a sample of 25 stunting toddlers aged 24-59 months as the case group and 25 non-stunted toddlers as the control group. The dependent variable is the incidence of stunting, while the independent variables are psychosocial stimulation and food diversity. The stunting measurement was carried out based on the TB/U measurement. Measurement of psychosocial stimulation using the HOME (The Home Observation for Measurement of the Environment Revisited) questionnaire and diversity using the IDDS (Individual Dietary Diversity Score) questionnaire. The data collected were analyzed by Chi Square and Fisher's Exact Test.Results: The incidence of stunting was associated with psychosocial (p= o.o31) and food diversity (OR= 12.67; CI 95%= 3.31 to 48.50; p < 0.001).Conclusion: Psychosocial stimulation and food diversity are associated with stunting. Not consuming a variety of foods increases the incidence of stunting 12 times.Keywords: stunting, psychosocial stimulation, food diversity.Correspondence: Dian Rahmawati. Academy of Midwivery Dharma Husada. Jl. Penanggungan 41A, Kediri 64114, East Java. Email: [email protected]. Mobile: +6285645076003.Journal of Maternal and Child Health (2021), 06(05): 560-568https://doi.org/10.26911/thejmch.2021.06.05.0
Postnatal care service utilization and associated factors among women in Goba woreda, Bale zone, Ethiopia: A community based cross-sectional study
No full textBackground: Postnatal care of mothers is essential to reduce maternal morbidity and mortality. Providing postnatal care to recently delivered mothers is quite essential. The aim of the study was to determine the postnatal care utilization and associated factors among women who gave birth in the last 12 months in Goba woreda, Bale Zone, Ethiopia, 2020.Subjects and Method: A community based quantitative cross-sectional study was conducted in Goba woreda from March to April, 2020 among reproductive age group mothers who gave birth the in last 12 months prior this data collection. In this study 422 subjects were conducted using Lottery method to select them. The independent variables were socio-demographics charctestics and obstetrics’ health related factors with outcome variable of postnatal care service utilization. Binary and multivariable logistic regressions analysis were computed to evaluate the factors associated with postnatal care services utilization.Results: In this study a total of 422 women were interviewed with a response rate of 100%. Out of the total respondents, 178 (42.2%) utilized postnatal care service after delivery within six weeks of their last birth. Educational level of mothers (OR= 1.96; 95% CI= 1.06 to 3.62; p= 0.050) maternal knowledge on postpartum danger sign & symptoms (OR= 1.78; 95% CI= 1.16 to 2.72; p= 0.010) pregnancy desire (OR= 1.89; 95% CI= 1.67 to 3.35; p= 0.050) ANC visit (OR= 2.80; 95% CI= 1.32 to 5.97; p= 0.010) and place of deliver (OR= 2.09; 95% CI= 1.30 to 3.34; p= 0.010) had showed statistical significant association with postnatal care utilization.Conclusion: More than half of respondents in Goba woreda were not utilized postnatal care service. Maternal educational status, maternal knowledge on postnatal danger signs and symptom, pregnancy desire for youngest child, ANC attendance and place of delivery found to be independent predictors for PNC service utilization.Keywords: postnatal care, delivery, postpartum, Bale zone, danger signCorrespondence: Yonas Lamore. Department of Environmental Health, Faculty of Health Science, Debre Markos University. Debre Markos, Ethiopia. Email: [email protected] of Maternal and Child Health (2021), 06(04): 455-466https://doi.org/10.26911/thejmch.2021.06.04.0
Socioeconomic Determinants of Diarrhea among Under-Five Children in Bangladesh: Do Education and Wealth Matter?
No full textBackground: The purpose of this study is to assess the current status of diarrhea among the under-five children in Bangladesh by exploring the risk factors which are associated with this disease.Subjects and Method: In this study, a nationally representative cross-sectional data had been used and the sample of women having under five children was selected by using a two stage stratified sampling method. A total of 7410 under five children were included. The dependent variable of this study was the status of diarrhea disease in the two weeks preceding the survey. The independent variable was education-wealth composition along with some other important variables such as age of children, delivery by caesarean section, migration status, mother’s age at birth, type of residence, source of toilet facility, sources of drinking water. The bivariate analysis was chi-square. The multivariate analysis was a multiple logistic regression.Results: According to this research study, education and wealth didn’t show any impact individually in the logistic regression model but when we excluded education and wealth from the model and create it is composition, it worked as a significant influential factor of diarrhea disease in Bangladesh. Women who were literate and their wealth status was not rich (OR= 0.64; 95% CI= 0.43 to 0.96; p= 0.030), women who were literate and rich (OR= 0.55; 95% CI= 0.35 to 0.88; p = 0.012) had significant association with childhood diarrhea. In addition to that only children age between 6-23 months (OR= 3.49; 95% CI= 2.23 to 5.48; p<0.001) and 24-35 months (OR= 1.75; 95% CI= 1.08 to 2.85; p= 0.023) worked out as a significant predictor of childhood diarrhea.Conclusion: This study was expected to help to build up a proper understanding about the socio-economic factors in order to reduce the childhood diarrhea in Bangladesh.Keywords: under-five children, childhood diarrhea, education-wealth composition, socioeconomicCorrespondence: Sharlene Alauddin. Statistics Discipline, Khulna University, Khulna-9208, Bangladesh. Email: [email protected] of Maternal and Child Health (2021), 06(04): 444-454https://doi.org/10.26911/thejmch.2021.06.04.0
The Effect of Active Smoking of Pregnant Women on Premature Birth: A Meta Analysis
No full textBackground: Smoking is a well-known major risk factor for premature death from cancer, cardiovascular disease, and chronic obstructive pulmonary disease. When a pregnant woman smokes, she puts herself and her baby at risk. This is because the developing fetus / baby in the mother's womb is in contact with the mother's bloodstream. Any chemical that the mother inhales or swallows can affect the fetus. This study aims to analyze the magnitude of the effect of active smoking on pregnant women with preterm labor by means of a meta-analysis study.Subjects and Method: This was a systematic review and meta-analysis carried out by following the PRISMA flow diagram. The process of searching for articles is through a journal database which includes: PubMed, Springer Link, and Google Scholar by selecting articles published in 2005-2020. Keywords used include: "Maternal Smoking" OR "Smoking During Pregnancy" AND "Preterm Birth" OR "Premature" AND "multivariate" AND "AOR". The inclusion criteria were full paper articles with observational study design, articles in English, and multivariate analysis used with adjusted odds ratios. Articles that meet the requirements are analyzed using the Revmen 5.3 application.Results: A total of 19 articles were reviewed in this study with a cross-sectional cohordant study design. A meta-analysis of 6 cohort studies showed that active smoking in pregnant women had a 1.34-fold increase in the incidence of preterm birth compared with nonsmoking pregnant women (aOR= 1.34; 95% CI= 0.14 to 5.80; p= 0.002). A meta-analysis of 5 cross-sectional studies showed that active smoking in pregnant women had a 1.29-fold increase in the incidence of preterm birth compared with nonsmoking pregnant women (aOR= 1.29; 95% CI= 0.89 to 4.54; p= 0.04).Conclusion: Active smoking in pregnant women increases preterm labor.Keywords: pregnant women smoking, premature labor, meta-analysisCorrespondence: Imam Setya Arifian. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085253402793.Journal of Maternal and Child Health (2021), 06(01): 95-107https://doi.org/10.26911/thejmch.2021.06.01.1
The Effectiveness of Hypnobreastfeeding and Marmet Techniques in Improving Breast Milk Production
No full textBackground: Breast milk as a natural food is the best food that a mother can give to a newborn child. Judging from the factor of peace of mind and mind to produce good breast milk, the mental condition and mind must be calm. The psychological state of the mother who is depressed, sad, stressed, anxious, depressed and tense will reduce the volume of breast milk. One of the methods that can be done to increase milk production is Hypnobreastfeeding and marmet technique.The purpose of this study was to examine the effectiveness of hypnobreastfeeding and marmet techniques in increasing breast milk production.Subjects and Method: This study used a quasi-experimental design with a non-equivalent control group design. The population in this study were pregnant women ≥36 weeks in the Banjar District Health Center in 2019 (Aranio, Astambul and Mataraman). The sample of the study was 45 pregnant women ≥36 weeks consisting of 3 groups, namely the group that received hypnobreastfeeding treatment, the group that received the marmet technique treatment and the group that did not get the treatment consisted of 15 people each. Bivariable analysis used the one way anova statistical test.Results: Breast milk production in the hypnobreasfeeding group Hypnobreastfeeding vs control group (mean= 2.00; SD= 0.50; p= 0.001); The marmet technique vc marmet technique group (mean= 1.87; SD= 0.50; p= 0.002). The marmet technique vc control group (mean= -18.7; SD= 0.50; p= 0.002).Conclusion: Pregnant women should get hypnobreasfeeding during pregnancy and after giving birth, health workers, especially midwives, to have hypnobreasfeeding skills.Keywords: hypnobreasfeeding, marmet technique, milk productionCorrespondence: Hapisah. Department of Midwifery, Health Polytechnic of the Ministry of Health Banjarmasin [email protected] of Maternal and Child Health (2021), 06(04): 486-495https://doi.org/10.26911/thejmch.2021.06.04.1
Meta-Analysis the Effect of Obesity on Polycystic Ovary Syndrome and Anemia in Women of Reproductive Age
No full textBackground: Obesity in women of reproductive age is a nutritional problem that needs attention because obesity affects other health problems, especially problems of nutrient absorption and reproductive health. This needs special attention considering that the health of women of reproductive age has a major influence on the quality of future generations. The purpose of this study was to estimate the magnitude of the effect of obesity on the possibility of polycystic ovary syndrome (PCOS) and anemia in women of reproductive age.Subjects and Method: Systematic review and meta-analysis. The data of this study used a research research design obtained from the databases of Google Scholar, PubMed, BMJ, ScienceDirect, SpingerLink, and Sage. The inclusion criteria used were full paper, cross-sectional and cohort study designs with reported results adjusted odds ratio (aOR). Article searches were performed using the PICO model. Population= women of reproductive age, Intervention= Obesity, Comparison= not obese, Outcome= anemia and PCOS. Articles were collected using PRISMA diagrams and analyzed using the Review Manager application (RevMan5.3).Results: A total of 10 articles on the relationship of obesity with anemia and 4 articles on the relationship of obesity with PCOS. Studies show that obesity reduced the risk of anemia compared to normal weight in women of reproductive age (aOR= 0.73; 95% CI= 0.63 to 0.84; p<0.001). Obesity increased the risk of PCOS 1.21 times compared to women with normal weight (aOR= 1.21; 95% CI= 1.00 to 1.48; p= 0.050).Conclusion: Obesity reduces the risk of anemia. Obesity increases the risk of PCOS in women of reproductive age.Keywords: Obesity, anemia, PCOS, women of reproductive age.Correspondence: Nabila Aulia Tsaqifah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085607389109.Journal of Maternal and Child Health (2021), 06(04): 409-422https://doi.org/10.26911/thejmch.2021.06.04.0
Difference Of Fetal Weight Between Conventional vs Electric Smoke Exposure in Mice (Mus Musculus)
No full textBackground: The increase in tobacco excise rates (CHT) or cigarette excise in early 2020 is a reason for smokers to switch to using e-cigarettes. WHO reports that about 64.9% of adult men in Indonesia are smokers, while in women it is 2.1%. This shows that Indonesia is ranked first in the world. Exposure to e-cigarettes and conventional cigarettes will affect pregnancy and the fetus it contains. However, in reality, most people have the perception that e-cigarettes are safer than conventional cigarettes because their nicotine content is much lower than conventional cigarettes. The purpose of this study was to analyze differences in exposure to e-cigarettes and conventional cigarettes on fetal weight in mice (mus musculus).Subjects and Method: This study used a true experimental design which was divided into two groups, namely 16 female mice as a group given exposure to e-cigarettes and 16 female mice as a group being exposed to conventional cigarettes. The dependent variable is the weight of the fetus. The independent variables were exposure to e-cigarettes and conventional cigarettes. The instrument in this study used a digital gold scale with an accuracy of 0.01 gram. Data were analyzed using the Mann Whitney test.Results: On average, exposure to e-cigarettes had a greater fetal weight (Mean= 1.61; SD= 0.64) than exposure to conventional cigarettes (Mean= 1.48; SD= 1.19), and this result was statistically significant (p < 0.001).Conclusion: There are differences in exposure to e-cigarettes and conventional cigarettes on fetal weight in mice (Mus musculus). Keywords: E-cigarettes, Conventional cigarettes, Fetal weight, Mice (Mus Musculus)Correspondence: Nurry Ayuningtyas Kusumastuti. Study Program in Midwivery, Scool of Health Sciences Yatsi Tangerang, Indonesia. Jl. Aria Santika 40A, Margasari, Karawaci, Tangerang, Indonesia. Email: [email protected]. Mobile: +6285743739007.Journal of Maternal and Child Health (2021), 06(05): 570-579https://doi.org/10.26911/thejmch.2021.06.05.0