Journal of Maternal and Child Health (JMCH)
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Increase Breast Milk Production for Postpartum Mothers with Oxytocin Massage Using Innovative Massage Tools
No full textBackground: Goal 3 of Global commitment of 2015-2030 Sustainable Development Goals (SDGs) program is to ensure a healthy life and to promote well-being for all people at all ages in the 2nd achievement indicator targeting by 2030. It is hoped to end infant and under-five mortality that can be avoided, with all countries trying to reduce the Neonatal Mortality Rate to at least 12 per 1,000 KH and the Toddler Mortality Rate by 25 per 1,000 KH. Infant mortality cases caused by nutritional factors reached 53%. Several diseases that arise due to malnutrition include pneumonia (13.2%), diarrhea (17.2%) and perinatal problems (36%). Breast milk is the best food for babies and has the right balance of nutrients, is bioavailable, easy to digest, protects babies from disease, and has anti-inflammatory properties. This study aims to analyze the difference in the volume of breast milk before and after the mother received oxytocin massage with the Effleurage technique and a combination of innovative massage tools.Subjects and Method: This research is a quasi experiment. The study was conducted in the City of Kediri from August to September 2020. The sample used was post partum women on days 4 to 10 using simple random sampling technique. The dependent variable is the volume of breast milk. The independent variable is the type of oxytocin massage treatment with effleurage technique, and the combination of oxytocin massage with efflurage technique and innovative massage tools. Data analysis per treatment and control groups used the one-way annova test with 95% CI.Results: There was no difference in the mean volume of breast milk in mothers who received lactation massage using the innovative massage method (Mean= 21.65; SD= 15.43; p= 0.994), conventional Efflurage massage (Mean= 22.15; SD= 15.43; p= 0.330), and in control group (Mean= 20.50; SD= 15.43; p=0.386).Conclusion: There was no difference in the mean volume of breast milk in each group and this result was not statistically significant.Keywords: oxytocin massage, breast milk production, innovative massage tool.Correspondence: Nining Istighosah. Akademi Kebidanan Dharma Husada Kediri. Jl. Penanggungan No. 41-A Kediri. Email: [email protected]. Mobile: +6281231352032.Journal of Maternal and Child Health (2021), 06(06): 660-670https://doi.org/10.26911/thejmch.2021.06.06.04
Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants
No full textBackground: Pregnancy can be defined as the process of meeting spermatozoa with the ovum which is followed by attachment of the embryo to the uterine wall, in the process of pregnancy according to some or almost all women it becomes a happy process or causes anxiety due to the occurrence of many physiological and psychological changes, so that if it is not treated seriously then will have an impact on the baby such as premature birth and low birth weight. This study aims to estimate the magnitude of the effect of anxiety during pregnancy on premature birth and low birth weight with a meta-analysis study.Subjects and Method: This was a meta-analysis and systematic review conducted with PRISMA flow diagrams. Population= pregnant women, Intervention= anxiety, Comparison= not anxious, Outcomes= premature birth and low birth weight. Search articles through journal databases include: Google Scholar, PubMed, Science Direct. The articles used in this study are articles that have been published from 2000-2021. The keywords to search for articles were as follows: “antenatal anxiety” OR “pregnancy anxiety” OR “anxiety during pregnancy” OR “anxiety disorder” OR anxiety OR pregnancy AND “Perinatal outcomes” OR “adverse birth outcome” OR “neonatal outcome” OR “low birth weight” OR “Low Birth Weight” AND “preterm birth” OR “preterm infant”. The inclusion criteria were full text with a cohort study design, articles in English, analysis used multivariate with adjusted odds ratio. Eligible articles were analyzed using the Revman5 application.Results: 10 observational studies showed that anxiety during pregnancy increased the risk of preterm delivery by 1.49 times compared with no anxiety (aOR=1.49; 95% CI 1.33 to 1.66; p<0.001). A meta-analysis of 7 observational studies showed that anxiety during pregnancy increased the risk of low birth weight by 1.55 times compared with no anxiety (aOR=1.55; 95% CI 1.26 to 1.91; p<0.001).Conclusion: Anxiety during pregnancy increases the risk of premature birth and low birth weight.Keywords: Pregnancy, anxiety, premature birth, low birth weightCorrespondence: Amalia Ulfah Suparno. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 0882005711778.Journal of Maternal and Child Health (2021), 06(05): 580-591https://doi.org/10.26911/thejmch.2021.06.05.08
The Effect of Prenatal Yoga on Birth Labor Duration and Pain: A Meta Analysis
No full textBackground: Increased psychological burden during pregnancy can cause problems with the quality of the fetus and cause complications in pregnancy. The lack of knowledge about labor pain management and the mother's perception of prolonged labor makes the mother experience an increase in the psychological burden during pregnancy. One alternative therapy needed in dealing with a happy pregnancy and minimal trauma delivery is to do prenatal yoga. The purpose of this study was to estimate the magnitude of the effect of prenatal yoga on the duration of labor and labor pain.Subjects and Method: This study uses a systematic review and meta-analysis research design. The time of the selected test results is between 2005 to 2021. The search for articles is carried out for 1 month. Research data was searched from databases: PubMed, Science Direct, Springer Link, Google Scholar, Chocrance Library. The inclusion criteria in this study were full text articles in English, the study design used a randomized controlled trial. Article searches were carried out using the PICO model. The population in this study were pregnant women, the intervention was in the form of prenatal yoga, comparison was without prenatal yoga, and the outcomes were labor duration and labor pain. Data processing is carried out using the Review Manager (RevMan 5.3) by calculating the standardized mean difference to determine the combined research model and form the final result of the meta-analysis.Results: There are 9 articles in the study of the effect of prenatal yoga on the duration of labor and there are 5 articles on labor pain. The study showed that prenatal yoga significantly reduced labor duration (SMD= 0.88; 86% CI -1.31 to -0.44 p<0.001). Prenatal yoga can also reduce labor pain (SMD = 0.88; 77% CI -1.44 to -0.33 p = 0.002).Conclusion: Prenatal yoga can reduce labor duration and reduce labor pain. Keywords: labor duration, labor pain, prenatal yoga, pregnancyCorrespondence: Meida Siwi Riawati. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 087824093041.Journal of Maternal and Child Health (2021), 06(03): 327-337https://doi.org/10.26911/thejmch.2021.06.03.07
Overweight and Obesity as Risk Factors of Breast Cancer in Premenopausal and Postmenopausal Women: Meta-Analysis
No full textBackground: A woman has an increased risk of breast cancer due to increased exposure to the hormone estrogen during her life due to early menarche, late menopause, and/or the absence of childbearing. Epidemiological data show that menopausal status has a risk factor for breast cancer. The aim of this study was to investigate overweight and obesity as risk factors for premenopausal and postmenopausal breast cancer.Subjects and Method: A systematic review and meta-analysis study was conducted by systematically reviewing articles published from 2010-2021 in the PubMed, Google Scholar, SpringerLink and Science Direct databases with the keywords overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "premenopausal women", overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "postmenopausal women". Inclusion criteria included articles in English, full text, using an observational study design, and displaying adjusted odds ratios. Articles were reviewed using PRISMA diagrams and analyzed using Revman 5.3.Results: A meta-analysis of 10 articles concluded that overweight women were 1.35 times more likely to develop premenopausal breast cancer than women with a normal BMI (aOR= 1.35; 95% CI= 0.98 to 1.86; p= 0.070). A meta-analysis of 10 articles concluded that obese women were 1.27 times more likely to develop premenopausal breast cancer than women with normal BMI (aOR= 1.27; 95% CI= 0.95 to 1.69; p= 0.110). A meta-analysis of 9 articles concluded that overweight women had a 1.28 times risk of developing postmenopausal breast cancer compared with women with a normal BMI (aOR= 1.28; 95% CI= 1.00 to 1.63; p= 0.050). A meta-analysis of 11 articles concluded that obese women were 1.52 times more likely to develop postmenopausal breast cancer than women with normal BMI (aOR= 1.52; 95% CI= 1.17 to 1.98; p= 0.002).Conclusion: Overweight and obesity increase the risk of pre-menopausal and postmenopausal breast cancer.Keywords: overweight, obesity, breast cancer, premenopause, postmenopausal.Correspondence: Shofia Nur Fadhila. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected] of Maternal and Child Health (2021), 06(06): 678-689https://doi.org/10.26911/thejmch.2021.06.06.06
Multilevel Analysis on the Ecological Effect of School on the Risk of Anemia among Female High School Students in Klaten Central Java
No full textBackground: Anemia is a major nutritional problem worldwide. In 2018, at least 1.62 billion people were affected by anemia, and 33% were school children. Anemia in female adolescents contributes to high rates of maternal and infant mortality. This study aims to analyze the determinants of anemia among female adolescent at the individual level and at the school level.Subjects and Method: This study used a cross sectional research design. The study was conducted in Klaten Regency in February 2020. Sampling used was probability sampling with a total of 200 female adolescents aged 15 to 19 years old. The independent variables include knowledge, family economy, menstrual pattern, consumption of blood supplement tablets, and nutritional status. The dependent variable is anemia. Data were collected by using the Easy Touch brand hemoglobinometer, weighing scale, microtoice and questionnaire. Data were analyzed using multilevel multiple logistic regression with a stata of 13.Results: The results of this study indicated that good knowledge (b=-2.29; 95% CI= -4.23 to -0.32; p= 0.022), family economy ≥Rp 1,947,821 (b= -2.73; 95% CI= -4.58 to -0.75; p= 0.006), regular menstrual patterns (b= -2.29; 95% CI= -4.58 to -0.75; p= 0.001), blood supplement consumption (b= -3.22; 95% CI= -8.96 to -2.17; p= 0.001), normal nutritional status (b= -3.36; 95% CI= -6.65 to -1.74; p= 0.001) reduce the incidence of anemia in adolescents. Variations at the school level indicate a contextual influence on the incidence of anemia in adolescents (ICC= 59.36%).Conclusion: There was a statistically significant influence of knowledge, family economy, menstrual patterns, blood supplement consumption and nutritional status on the incidence of anemia in adolescents. Variations at the level of school indicated that there was a contextual influence on the incidence of anemia in adolescents.Keywords: Multilevel, Anemia, Adolescents, SchoolCorrespondence: Nurmala Dewayanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nurmala[email protected]. Mobile: +6287734875004.Journal of Maternal and Child Health (2021), 06(01): 1-14https://doi.org/10.26911/thejmch.2021.06.01.01.
The Effect of Kangaroo Mother Care on Increasing the Body Weight in Infants with Low Birth Weight: A Meta-Analysis
No full textBackground: Low Birth Weight (LBW) is a condition of babies born weighing <2,500 grams regardless of gestational age. Stabilization of the general condition is an important thing to do during the treatment period, there are several treatments for LBW babies, namely standard care with an incubator, monitoring nutritional intake and doing kangaroo mother care. This study aims to analyze the effect of kangaroo mother care on weight gain in LBW infants, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: infants with low birth weight. Intervention: Kangaroo Mother Care. Comparison: Conventional Method Care. Outcome: weight gain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “kangaroo mother care” AND “weight gain” OR “growth” AND “neonatal outcome” AND “low baby weight infants” OR “skin to skin contact” OR “kangaroo care” OR “kangaroo method” AND “ Randomized Controlled Trial” OR “RCT”. The articles included are full-text English and Indonesian with a study design of a Randomized Controlled Trial from 2007 to 2020 and reporting on the Mean and SD in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 11 randomized controlled trials from India, Nepal, Pakistan, Bangladesh, Malaysia, Kenya, and Egypt were selected for a systematic review and meta-analysis. The data collected showed that kangaroo mother care increased the weight of LBW infants and was statistically significant (SMD= 1.05; 95% CI= 0.56 to 1.54; p<0.001).Conclusion: Kangaroo mother care increases weight in LBW babies.Keywords: kangaroo mother care, body weight, LBW, meta-analysisCorrespondence: Anggun Fitri Handayani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: [email protected]. Mobile: +6281225095742.Journal of Maternal and Child Health (2021), 06(06): 707-718https://doi.org/10.26911/thejmch.2021.06.06.09
Are Maternal Education, Maternal Occupation, and Breastfeeding Escalate Nutrition Status in Stunted Children?
No full textBackground: Stunting is a nutritional problem that has a negative impact on achieving optimal growth and development in children. The Tangerang District Health Office has a high percentage of stunting children. Improving the nutrition of stunting children is influenced by providing balanced nutrition to children. Stunting children have an old orange with elementary-high school education. This study aims to determine the relationship between mother's education, mother's occupation and exclusive breastfeeding with the improvement of nutritional status in stunting children.Subjects and Method: This research was conducted using cross sectional with a total sample of 45 subjects. The dependent variable is the improvement of stunting nutritional status. The independent variables were the mother's education level, occupation and exclusive breastfeeding status. Data was collected using a questionnaire. Data were analyzed using multiple logistic regression test.Results: Low education affects the improvement of nutritional status in children (aOR= 1.68; 95% CI= 0.53 to 5.31; p= 0.660), Employment as a protective factor on nutritional status in stunted children (aOR= 0.64; 95% CI= 0.16 to 2.87; p = 0.450)Conclusion: Mother's education affects the improvement of nutritional status in stunted children.Keywords: balanced nutrition, education, employment, exclusive breastfeeding, stunting.Correspondence: Ria Setia Sari, Program Keperawatan Stikes Yatsi Tangerang Jl. Arya Medika 40A Bugel, Karawaci, Tangerang, Banten, Indonesia 15114. Email: [email protected]. Mobile: +6282311936890.Journal of Maternal and Child Health (2021), 06(06): 671-677https://doi.org/10.26911/thejmch.2021.06.06.05
The Utilization of Android-Based Application as a Stunting Prevention E-Counseling Program Innovation during Covid-19 Pandemic
No full textBackground: Stunting in children is one of the most significant barriers to human development, globally affecting approximately 162 million children under 5 years of age. During the Covid-19 pandemic, the development of communication and information media such as smartphones has encouraged the creation of various kinds of application-based health innovations known as mobile health. The purpose of this study was to analyze the utilization of android-based applications as a stunting prevention e-counseling program innovation in the Covid-19 pandemic era.Subjects and Method: This research was a systematic review. The articles were selected from Google Scholar, PubMed, ScienceDirect, and Elsevier. The keywords for this review are: prevention, education, stunting counseling, Covid-19, android-based stunting prevention application, stunting counseling application during the Covid-19 pandemic, application for stunting, android application for stunting. The search process to exclude the articles used for this literature review using the PRISMA method.Results: The results showed that the existence of an Android-based stunting prevention application innovation can make it easier for the public to monitor health, obtain the education, and provide counseling to health workers. This is in line with government policies during the Covid-19 pandemic which urges the public to limit activities.Conclusion: The conclusion of this study is android-based applications are very friendly if used by the wider community because they can access information anytime and anywhere, are more flexible, and affordable.Keywords: android-based applications, stunting, COVID-19.Correspondence: Erlin Friska. Faculty of Public Health, Universitas Indonesia. Jl. Margonda Raya, Depok 16424, West Java. Email: [email protected]. Mobile: +6282337880585.Journal of Maternal and Child Health (2021), 06(05): 323-332https://doi.org/10.26911/thejmch.2021.06.05.02
Meta-Analysis The Effect of Maternal Obesity on the Risk of Premature Birth and Neonatal Death
No full textBackground: The prevalence of obesity in women of reproductive age worldwide is increasing by an estimated 20-36%. Increased prevalence of obesity also occurs in pregnant women. Obesity increases the risk of poor pregnancy outcome. This study aims to investigate the effect of maternal obesity on preterm birth and neonatal mortality.Subjects and Method: This was a systematic review and meta-analysis. The articles used were obtained from several databases, including: Google Scholar, Science Direct, Springer Link, Proquest, and Scopus published from 2010 to 2021. The population in this study was pregnant women with an intervention in the form of obesity, comparison in the form of normal BMI, and outcome such as premature birth and neonatal death. The keywords used to search for articles were: (“maternal obesity” OR “maternal BMI”) AND (“premature birth” OR “preterm birth” OR “preterm delivery” OR “preterm labor”) AND (“neonatal mortality” OR “ neonatal death”) AND “adjusted Odds Ratio”, and “maternal obesity” AND (“premature birth” OR “preterm birth” OR “preterm delivery”) AND (“neonatal mortality” OR “neonatal death”) AND “adjusted Odds Ratio ". The article is a full text article with a cross-sectional and cohort study design. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 . application. Results: There were 19 articles reviewed in the study. A meta-analysis of 13 cohort studies showed that obese pregnant women were 1.02 times more likely to have a premature birth when compared to normal BMI pregnant women, but this result was not statistically significant (aOR=1.02; 95% CI=0.93 to 1.13; p=0.630). A meta-analysis of 4 cohort studies showed that maternal obesity increased the risk of neonatal death and was statistically significant (aOR=1.52; 95% CI=1.17 to 1.99; p=0.002). A meta-analysis of 4 cross-sectional studies showed that maternal obesity increased the risk of neonatal death and was statistically significant (aOR=1.44; 95% CI=1.26 to 1.64; p<0.001).Conclusion: Maternal obesity increases the risk of neonatal death which is statistically significant and the risk of preterm birth which is not statistically significant.Keywords: maternal obesity, premature birth, neonatal death.Correspondence: Fitria Wulandari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082169215248.Journal of Maternal and Child Health (2021), 06(06): 719-732https://doi.org/10.26911/thejmch.2021.06.06.10
The Integrated Health Posts Have Contextual Effect on Maternal Practice of Providing Complementary Feeding
Get PDF Background: Age 0-24 months is a period of rapid growth and development, or also known as the golden period as well as a critical period. The golden period can be realized if during this period infants and children obtain appropriate nutrition for optimal growth and development. The highest prevalence of toddlers of BGM (below the red line) in 2017 is found in Gunungkidul Regency by 1.24%. This study aimed to analyze the determinants of providing MP-ASI at the individual level and posyandu level.Subjects and Method: This research was conducted using a cross sectional research design. The study was conducted in Gunungkidul Regency from October to November 2019. Sampling was conducted using probability sampling with a number of 200 mothers who have children aged 6-24 months. The dependent variable is the practice of complementary feeding. The independent variables were birth weight, nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. Data were collected using a questionnaire, weight scales, and height gauges. Data were analyzed by a multiple multilevel logistic regression.Results: Good Complementary feeding practice increased with birth weight ≥2500 grams (b= 2.51; 95% CI= 0.57 to 4.66; p= 0.012), normal child nutritional status (b= 2.18 ; 95% CI= 0.33 to 6.42; p= 0.029), high maternal knowledge toward complementary feeding (b= 2.12; 95% CI= 0.16 to 4.38; p= 0.034), maternal education ≥Senior high school (b= 2.10; 95% CI= 0.18 to 5.31; p= 0.036), and high family income (b= 2.30; 95% CI= 0.34 to 4.32; p= 0.021). Posyandu had strong contextual effect on complementary feeding practice (ICC= 28.01%).Conclusion: Good Complementary feeding practice increases with normal birth weight, normal child nutritional status, high maternal knowledge, high maternal education, and high family income. Posyandu has strong contextual effect on complementary feeding practice.Keywords: complementary feeding, integrated health postCorrespondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami No. 36 A, 571-26, Surakarta, Central Java. Email: [email protected]. Mobile: +62 815 3934 0421Journal of Maternal and Child Health (2020), 5(3): 265-274https://doi.org/10.26911/thejmch.2020.05.03.05