Journal of Maternal and Child Health (JMCH)
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Visit to the Disability Integrating Health Post and Its Effect on the Quality of Life of Children with Cerebral Palsy: A Multivariate Evidence from Sukoharjo, Central Java
Get PDFBackground: An assessment of the quality of life of children with cerebral palsy is important to be carried out, as part of the indicators of achieving health service delivery goals. To facilitate access to health services for children with disabilities, the government of Sukoharjo District established an integrated health post (posyandu) for children with disabilities called inclusion centers. This study aimed to determine the quality of life of children with cerebral palsy who receive services at the inclusion center.Subjects and Method: his was a cross sectional study conducted in 12 inclusion centers in Sukoharjo, Central Java. A sample of 100 children with cerebral palsy (CP) aged 4-18 years old was selected by fixed disease sampling. The dependent variable was the quality of life of CP children. The independent variables were the level of gross motor function capability, parental coping, quality service, and frequency of posyandu visits. Gross motor function capability was measured by Gross Motor Funtion Classification System (GMFCS). Quality of life was measured by the Cerebral Palsy Quality of Life (CP-QOL) version of the parent proxy. Data collection used questionnaire and analyzed by a multiple linear regression run on Stata 13.Results: Better quality of life of children with cerebral palsy was influenced by lower GMFCS levels (b= -128.72; 95% CI= -220.34 to -37.10; p= 0.006), good parental coping (b= 18.87; 95% CI= 10.85 to 26.89; p<0.001), good service quality (b= 20.79; 95% CI= 9.99 to 31.59; p<0.001), and more frequent visits to posyandu (b= 214.86; 95% CI= 56.66 to 373.15; p= 0.008).Conclusion: Quality of life of children with cerebral palsy is influenced by lower GMFCS levels, good parental coping, good service quality, and more frequent visits to posyandu.Keywords: quality of life, disability, cerebral palsy, integrating health post (posyandu)Correspondence: Retno Dwi Rohaniyati, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: 08154626 8418.Journal of Maternal and Child Health (2020), 5(2): 193-199https://doi.org/10.26911/thejmch.2020.05.02.0
The Effect of Gadget Use on Child Development: A Path Analysis Evidence from Melawi, West Kalimantan
Get PDFBackground: The use of gadgets in early childhood can affect the mental and physical development of children. The Indonesian Pediatric Association (IDAI) estimates that 5-10% of children experience developmental delays. Children's development is influenced by environmental factors, parents, nutritional status, and the use of gadgets. This study aimed to analyze the effect of gadget use on child development in Melawi, West Kalimantan, using path analysis model.Subject and Method: This was a cross sectional study conducted in Melawi, West Kalimantan, Indonesia, from August to September 2019. A total 200 children aged 3 to 5 years old was selected by fixed exposure sampling. The dependent variable was child development. The independent variables were gadget usage, maternal age, maternal education, maternal employment, family income, number of children, and family type. The data were collected by questionnaire. The data were analyzed by path analysis run on Stata 13.Result: Child development was directly and positively affected by maternal aged ≥20 years old (b= 1.52; 95% CI= -0.29 to 3.35; p= 0.101), high maternal education (b=2.53; 95% CI=1.23 to 3.84; p2 (b= -2.48; 95% CI= -3.67 to -1.29; p2. Child development is indirectly affected by maternal education and maternal employment.Keywords: gadget use, child development, path analysisCorrespondence: Livia Calorina. Postgraduate of Public Health Sciences, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: [email protected]. Mobile: 081346595497Journal of Maternal and Child Health (2020), 5(1): 111-120https://doi.org/10.26911/thejmch.2020.05.01.1
Meta-Analysis: The Association between Social Support and Postpartum Depression
No full textBackground: Postpartum depression is a mood disorder that occurs in the first year after childbirth, which affects mothers, babies and their families. The prevalence of postpartum depression is estimated to be 10-15% worldwide. Postpartum women who have weak social support are at risk for postpartum depression. This study aimd to estimate the strength of the relationship between social support and postpartum depression based on the results of previous similar studies.Subjects and Method: This research is a systematic review and meta-analysis. Meta analysis is carried out by systematically reviewing articles published from 2010 to 2020 from the Pubmed, Google Scholar, Science Direct, and Spinger Link databases using search keywords, namely "social support" OR "family support" OR "partner support" AND" postpartum depression "OR" postnatal depression "AND" cross sectional "AND" multivariate. Article searches were carried out using PICO. The study population was postpartum women, intervention/ exposure was weak social support with comparison was strong social support and the outcome was postpartum depression. The search for articles was carried out for one month. The articles included in this study were full text articles with cross sectional design. Articles were reviewed using the PRISMA flow diagram guidelines. Articles analyzed using Revman 5.3 Software.Results: 12 articles were reviewed in this study. This study shows that weak social support increased the risk of postpartum depression (aOR = 2.64; 95% CI: 2.08 - 3.35; p <0.001).Conclusion: Weak social support increases the risk of postpartum depression.Conclusion: Weak social support increases the risk of postpartum depression.Keywords: social support, postpartum depressionCorrespondence: Ardiani. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dhini[email protected]. Telepon: 085337742831.Journal of Maternal and Child Health (2020), 05(06): 641-650https://doi.org/10.26911/thejmch.2020.05.06.04.
Effect of Acupuncture Therapy on Pain Reduction in Dysmenorrhea Patients: A Meta-Analysis
No full textBackground: Dysmenorrhea is a common complaint that usually occurs in adolescent girls and women of reproductive age. Dysmenorrhea is not a disease, but a symptom that occurs due to abnormalities in the pelvic cavity and greatly disrupts women's activities. Acupuncture therapy is a therapeutic method by inserting a needle at the acupoint to reduce pain in dysmenorrhea patients. This study aimed to estimate how great the effect of acupuncture therapy on pain reduction in dysmenorrhea patients based on the results of previous studies.Subjects and Method: This study was a systematic study and a meta-analysis, with the following PICO: Population= dysmenorrhea patients aged 14-40 years, Intervention= acupuncture therapy, Comparison= no acupuncture therapy, and Outcome= pain reduction in dysmenorrhea patients. The articles were obtained from several databases including PubMed, Google scholar, and Hindawi. These articles were collected for 1 month. The keywords were "acupuncture pain" OR "acupuncture primary dysmenorrhea" AND "acupuncture for dysmenorrhea" AND "randomized controlled trial". The included articles were full-text articles with a randomized controlled trial study design. The articles were collected using PRISMA flow diagram. These articles were analyzed using the Review Manager (RevMan) 5.3 application.Results: 7 articles from South Korea, Taiwan, Spain, China, India, and Hong Kong were reviewed in this meta-analysis. This study showed that acupuncture therapy was -1.16 better in reducing pain in dysmenorrhea patients (Standardized Mean Difference= -1.16; 95%CI= -1.92 to -0.41; p= 0.003).Conclusion: Acupuncture therapy can affect pain reduction in dysmenorrhea patients.Keywords: Acupuncture pain, Acupuncture dysmenorrhea, Primary dysmenorrheaCorrespondence: Elisa Novitasari, Masters Program In Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected] of Maternal and Child Health (2020), 05(06): 705-714https://doi.org/10.26911/thejmch.2020.05.06.10.
Meta Analysis: Effect of Oral Contraceptives on Obesity in Fertile Age Women in Asia
No full textBackground: Obesity is a disease with a complex (multi-causal) cause because it involves genetic and environmental factors. Some of them are heredity, individual socio-economic factors, eating patterns (habits), food consumption, physical activity, hormonal, nutritional knowledge, and perception. This study aimed to analyze the effect of oral contraceptives on obesity in women of childbearing age.Subjects and Method: This was a meta analysis and systematic review from several observational studies. The articles were collected from PubMed, Google Scholar, and Springerlink databases, published from 2000-2020. Data collection used eligibility criteria, including population (P): women of reproductive age, intervention (I): oral contraceptive, comparison (C): non oral contraceptive, and outcome (O): obesity. Keywords used “pil contraception” OR “Pil Contraceptive” AND “Oral Contraceptive” OR “Oral Contraception” AND “Obesity” OR “Overweight” AND“ Cross sectional” AND “Cohort” AND “Adjusted Odds Ratio”. Selected articles were full text of observational study. These articles were selected by PRISMA flow diagram. Quantitative synthesis was conducted using Review Manager 5.3 program.Results: A total of 3 articles reviewed in a meta-analysis with subgroup analysis using an observational cohort design showed that oral contraceptives increased the risk of obesity in women of reproductive age (aOR= 1.14, 95% CI= 1.03-1.26, p<0.001). A meta-analysis of 4 articles that conducted a subgroup analysis with a cross sectional observational design also showed that oral contraceptives increased the risk of obesity in women of childbearing age (aOR= 1.52; 95% CI= 0.78-298; p <0.001). This meta-analysis combines primary research from Korea, India, Canada, Congo, and the United States of America.Conclusion: Oral contraceptives increase the risk of obesity.Keywords: oral contraception, obesityCorrespondence: Muhammad Zia Ulhaq. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected] of Maternal and Child Health (2020), 05(06): 673-682https://doi.org/10.26911/thejmch.2020.05.06.07
Family Approach Model in Affecting Cognitive and Psychomotor of Women of Reproductive Age to Use Long-term Contraceptive Method
No full textBackground: Family planning and birtth control is a program launched by the government to overcome population problems. Based on the Indonesian health profile in 2016, the new and active family planning participants mostly preferred injections and tablets (short-term contraception). The use of short-term contraception tends to decrease the continuity of contraceptive use. It may affect the fertility rate. The family approach model was expected to be able to contribute in overcoming population problems, especially in making decisions for the use of the Long-term Contraceptive Method. This study aimed to determine the family approach model in affecting cognitive and psychomotor of women of reproductive age to use long-term contraceptive method.Subjects and Method: This was a quasi experimental study with pre and post designs. This study was conducted at the Ngampel village, Mojoroto District, Kediri City, East Java, from June to July 2019. This study population was all women of reproductive age. A sample of 30 women of reproductive age was selected by purposive sampling. The dependent variable were the cognitive and psychomotor aspects. The independent variable was the family approach. The data was collected by questionnaire. The data were analyzed with Mann Whitney.Results: The cognitive and psychomotor aspects after giving a family approach model to the treatment group (Mean= 6.60) were higher than the control group (Mean= 6.00). The result was statistically significant (p<0.001).Conclusion: Family approach model can be used as an alternative solution to population problems. The family approach model can affect cognitive and psychomotor aspects. It can contribute to the decision making for the use of the Long-term Contraceptive Method. Keywords: family approach model, long-term contraceptive methodJournal of Maternal and Child Health (2020), 5(4): 346-351https://doi.org/10.26911/thejmch.2020.05.04.0
The Associations between Anemia, Stunting, Low Birthweight, and Cognitive Ability in Indonesian Children: An Analysis from Indonesian Family Life Survey
No full textBackground: Stunting, anemia, and Low Birth Weight (LBW) are the most common child health problem in Indonesia. These three factors can affect the nutritional status of children both in the short and long term. These disorders will affect children growth and development. One of the long-term developmental disorders in children that occur due to stunting, anemia, and LBW is cognitive impairment.Subjects and Method: This was a cross-sectional study. This study was conducted by analyzing the secondary data of the 3rd, 4th, and 5th Indonesian Family Life Survey (IFLS). The study was conducted from June to July 2020. The study subjects were 3563 children aged 7-14 years. The sample was collected using a total random sampling technique after clearing the data. The dependent variable was cognitive ability. The independent variables were anemia, stunting, and Low Birth Weight (LBW). The data were analyzed using the Chi-square method and logistic regression.Results: The prevalence of stunting was 35.92%, anemia was 36.21%, children with a history of LBW were 7.69%, and children who had cognitive abilities below the average were 37.22%. Children who did not experience stunting improved their cognitive abilities (OR=1.32; 95%CI=0.88 to 1.18; p<0.001).Conclusion: Children who do not experience stunting improve their cognitive abilities.Keywords: Anemia, stunting, Low Birth Weight, cognitiveJournal of Maternal and Child Health (2020), 05(04): 402-412https://doi.org/10.26911/thejmch.2020.05.04.07
Improved Understanding of IUD and Implant Family Planning Acceptors in Family Planning Services at Solo Peduli Clinic
No full textBackground: Family planning acceptor's understanding of intra uterine device (IUD) and implant contraception is still low, due to the lack of knowledge and negative perceptions about IUD and implants contraception in the society. Therefore, it needs an effort to increase the understanding of family planning acceptors to reduce fertility rates through increasing the use of contraception. This study aimed to analyze understanding and satisfaction of family planning acceptors with the satisfaction aspects of counseling, the comfortable effect on the insertion of contraceptives, and the satisfaction of family planning services at the Solo Peduli Clinic.Subjects and Method: A cross sectional study was conducted at Solo Peduli Clinic, Surakarta, Central Java, from June to August 2020. A sample of 60 women divided into 2 groups: (1) 30 women who have used IUD and implant contraceptives, and (2) 30 women that will be given counselling and insertions of IUD and implant contraceptives. The study subject was selected by fixed disease sampling. The dependent variable was satisfaction. The independent variables were counselling, comfortable effect, and family planning service. The data were collected by questionnaire and analyzed by a multiple logistic regression run on SPSS ver. 25.Results: The average level of satisfaction of counseling, the comfortable effect of using contraceptives, and satisfaction with family planning services has an "very satisfied". Good counselling (OR= 1.592; 95% CI= 1.097 to 2.310; p= 0.014), insertion convenience (OR= 1.428; 95% CI= 0.976 to 2.090; p= 0.066), and good family planning service (OR= 1.761; 95% CI= 1.191 to 2.603; p= 0.004) increased satisfaction.Conclusion: Good counselling, insertion convenience, and good family planning service increase satisfaction.Keywords: Family planning acceptors, IUD, implants, family planning servicesCorrespondence: Uki Retno Budihastuti. Department of Obstetrics and Gynecology, Dr. Moewardi Hospital/ Faculty of Medicine, Universitas Sebelas Maret, Jl. Kolonel Sutarto 132, Surakarta, Central Java. Email: [email protected]. Mobile: 08122656140.Journal of Maternal and Child Health (2020), 05(04): 436-445https://doi.org/10.26911/thejmch.2020.05.04.11
The Effect of Kangaroo Mother Care in Increasing Body Weight and Temperature in Premature Infants: Meta-Analysis
No full textBackground: Preterm birth is the leading cause of death in toddlers by 7.5% - 12.5% in various regions of the world. Premature is one of the causes of low birth weight and is a factor that increases the risk of hypothermia. Kangaroo Mother Care is a powerful and easy-to-use method for improving the long-term health and well-being of premature babies. This study aimed to estimate the average effect of Kangaroo Mother Care therapy on increasing body weight and temperature of premature infants.Subjects and Method: This was a meta-analysis and a systematic. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with the Randomized Control Trial (RCT) design, the study subjects were premature infants, the treatment provided was Kangaroo Mother Care with a comparison of conventional care, weight and temperature assessment of premature infants using standard scales and thermometers, articles published in English. The PICO research problems are as follows. Population= premature babies. Intervention= Kangaroo Mother Care. Comparison= Conventional Method Care. Outcome= weight and temperature of premature infants. 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 15 articles conducted a meta-analysis review of this study. The meta-analysis of 11 articles showed that Kangaroo Mother Care increased weight gain in premature infants compared to conventional method care (Standardized Mean Difference= 0.54; 95% CI= 0.17 to 0.92; p= 0.004). Meta analysis on 4 articles showed that Kangaroo Mother Care increased the temperature in preterm infants higher than the conventional method of care, statistically not significant (Standardized Mean Difference= 0.48; 95% CI= -0.23 to 1.19; p=0.190).Conclusion: Kangaroo Mother Care is effective in increasing body weight and temperature in premature infantsKeywords: Kangaroo care, skin-to-skin contact, weight, temperature, preterm infantCorrespondence: Ines Ratni Pravitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285649507909.Journal of Maternal and Child Health (2020), 05(05): 563-578https://doi.org/10.26911/thejmch.2020.05.05.10.
Comparison of Infant Complication between Emergency and Caesarean Sections: A Meta-Analysis
Get PDFBackground: The World Health Organization (WHO) calls for all regions in the world not to have a caesarean section (SC) rate of more than 15%. Globally, since 2003-2018, Emergency Caesarean Section (EmCS) and Elective Caesarean Section (ElCS) actions have continued to increase by 4% each year to 21%. Previous studies report that EmCS increases the risk of complications in the fetus compared to ElCS. Based on the problem above, this study aims to analyze and compare complications experienced by the fetus in the process of Emergency Caesarean Section (EmCS) and Elective Caesarean Section (ElCS).Subjects and Method: This was systematic review and meta-analysis study, which was conducted from July-August 2019. The data were obtained from PubMed, Science Direct, Web of Science, Springer Link, and Cochrane Database. The keywords were "elective cesarean section (ElCS) AND emergency cesarean section (EmCS)" AND "emergency cesarean section (EmCS) and fetal complication" AND "elective cesarean section (ECS) and fetal complication" AND "elective cesarean section (EmCS) AND fetal complication" (ElCS) AND emergency cesarean section (EmCS) AND fetal complication.Results: Emergency cesarean section increases the likelihood of neonatal death 4 times higher than the elective cesarean section and is statistically significant (RR= 4.02; 95% CI= 2.41 to 6.72). Emergency cesarean section can increase the likelihood of apgar score decrease 2 times higher than elective cesarean section and statistically significant (RR= 2.07; 95% CI= 1.03 to 4.15). Emergency cesarean section is 1.62 times higher than elective cesarean section and statistically significant (OR= 1.62; 95% CI= 1.19 to 2.20).Conclusion: Emergency cesarean section can increase the likelihood of death, decrease Apgar score <6, and hypoxia in the fetus compared to elective cesarean section.Keywords: emergency cesarean section, elective cesarean section, meta-analysisCorrespondence: Ika Yulianti. Faculty of Health Science, Universitas Borneo Tarakan, North Kalimantan, Indonesia. Email: ikatamaevan@gmail.com. Mobile: +628115440036Journal of Maternal and Child Health (2020), 5(2): 200-205https://doi.org/10.26911/thejmch.2020.05.02.1