Journal of Maternal and Child Health (JMCH)
Not a member yet
403 research outputs found
Sort by
The Effectiveness of Hypnotherapy to Reduce Anxiety in Pre-Caesarean Section Women
Get PDFBackground: Anxiety felt by women before delivery with cesarean section can cause psychological problem, increase pain in surgery, increase analgesic needs, and prolong hospital treatment. Hypnotherapy has minimal side effects and is easy to do in reducing anxiety. The purpose of this study was to analyze the effect of hypnotherapy in reducing anxiety in women with pre-cesarean section.Subjects and Method: This was a randomized controlled trial study conducted at in Karanganyar Hospital, and PKU Muhammadiyah Hospital, Karanganyar, Central Java, from July to August 2019. A sample of 60 women was selected for this study by purposive sampling. 30 subjects of the treatment group received hypnotherapy intervention and 30 subjects of the control group received standard care. The dependent variable was anxiety. The independent variable was hypnotherapy. Anxiety was tested by the Hamilton Rating Scale for Anxiety questionnaire. Hypnotherapy was done using hypnosis recording/audio. The data were analyzed by independent t test.Results: Mean of anxiety after hypnotherapy (mean = 14.17; SD = 4.36) was lower than control group (mean = 19.93; SD = 6.02), effect size = -1.09, and is statistically significant (p <0.001).Conclusion: Hypnotherapy is effective in reducing anxiety in women before cesarean section.Keywords: anxiety, hypnotherapy, cesarean sectionCorrespondence: Rizka Innayatun Mubarokah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082240337404Journal of Maternal and Child Health (2020), 5(1): 12-18https://doi.org/10.26911/thejmch.2020.05.01.0
The Contextual Effect of Place of Birth Delivery and Biopsychosocial Determinants on Postpartum Depression: A Multilevel Evidence from Yogyakarta
Get PDFBackground: Postpartum depression is a condition that affects 20% women in the first four weeks of the puerperium. Postpartum depression can be affected by biological, psychological, socio-cultural, and economic factors. This study aimed to analyze biopsychosocial factors affecting postpartum depression in Sleman, Yogyakarta.Subjects and Method: This was a cross-sectional study. This study was conducted at 25 delivery places in Sleman, Yogyakarta, in August-September 2019. A sample of 200 postpartum mothers was selected by multistage random sampling. The dependent variable was postpartum depression. The independent variables were traditional treatment, age, education, income, parity, pregnancy status, type of delivery, complication, marital satisfaction, and contextual delivery place. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: The risk of postpartum depression increased with delivery with intervention (b= 3.30; 95% CI= 1.57 to 5.02; p<0.001), delivery with complication (b=3.77; 95% CI= 2.25 to 5.28; p<0.001), and age ≥35 years (b=0.93; 95% CI=-0.20 to 2.07; p=0.109). The risk of postpartum depression decreased with traditional treatment (b= -1.33; 95% CI= -2.51 to -0.15; p= 0.027), education ≥Senior high school (b=-1.98; 95% CI= -3.59 to -0.38; p=0.015), family income ≥Rp 1,701,000 (b= -3.55; 95% CI= -5.08 to -2.02; p<0.001), multiparous (b= -1.25; 95% CI= -2.45 to -0.04; p=0.041), intended pregnancy status (b= -3.11; 95% CI= -4.96 to -1.25; p= 0.001), and happy marital satisfaction (b= -1.18; 95% CI= -2.30 to -0.05; p= 0.039). There was strong contextual effect of delivery place on postpartum depression with intra-class correlation (ICC)= 31.6%.Conclusion: The risk of postpartum depression increases with delivery with intervention, delivery with complication, and age ≥35 years. The risk of postpartum depression decreases with traditional treatment, education ≥Senior high school, family income ≥Rp 1,701,000, multiparous, intended pregnancy status, and happy marital satisfaction. There is strong contextual effect of delivery place on postpartum depression.Keywords: Postpartum depression, determinant, delivery placeCorrespondence: Selvia Febrianti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 0811593921Journal of Maternal and Child Health (2020), 5(1): 88-99https://doi.org/10.26911/thejmch.2020.05.01.1
Knowledge and Practices Regarding Self-Management of Minor Ailments among Pregnant Mothers
Get PDFBackground: During pregnancy, mother faces many minor discomforts due to physiological, anatomical, psychological, biochemical and immunological adaptations occurs in their body. The wellbeing of pregnant mothers is threatened due to these minor discomforts and lead to unnecessary hospitalization. This study was aimed to assess the knowledge and practices regarding self-management of minor discomforts among pregnant mothers attending to selected Antenatal Clinics (ANC), Medical Officer of Health (MOH) area, Batticaloa. Subjects and Method: A cross sectional descriptive study was conducted in selected antenatal clinics among all registered antenatal mothers (n=238) attending to these ANCs. A validated and pretested interviewer administered questionnaire was used to collect the data. Knowledge on self-management of minor disorders was dependent variable and independent variables were the sociodemographic status, economic status and obstetric details of pregnant mothers. Descriptive and inferential statistic was performed to analyze the relevant data. Results: Nearly half of the participants (54.6%) were in 20–29 years and 62% of them were primiparous mothers. Around 93% of them were experienced nausea and vomiting during their pregnancy and among them all were reported nausea and vomiting has been occurred during their 1st trimester. About 75% of them mentioned that home remedies are the best way to self-manage the minor discomforts. The mean knowledge score on minor discomforts and self-management was 12.16 (SD= 14.64). Majority of participants (94.1%) scored less than 50%. Knowledge score was significantly associated with participant’s ethnicity, religion, monthly income, educational level and their parity.Conclusion: The prevalence of minor discomforts among pregnant mothers was high and pregnant mothers have expressed that minor discomforts can be managed with home remedies. Further, knowledge level regarding minor discomforts and their self-management was inadequate.Keywords: Antenatal mothers, minor discomforts, knowledge, self-management, Sri LankaCorrespondence: Gnanaselvam Kisokanth. Department of Clinical Nursing, Faculty of Nursing, University of Colombo, Sri Lanka. Email: [email protected] Mobile: +94772228330Journal of Maternal and Child Health (2020), 05(03): 303-312https://doi.org/10.26911/thejmch.2020.05.03.09
The Relationship between Exclusive Breastfeeding and Tonsillitis in Children aged 0-7 Years
Get PDFBackground: Tonsillitis is a type of acute respiratory infection (ARI) that is most common in children and toddlers. This study aims to determine the relationship of exclusive breastfeeding to tonsillitis in children aged 0-7 years at the Pajang Health Center, Surakarta, Central Java, Indonesia.Subjects and Method: This was a cross sectional study conducted at Pajang community health center, Surakarta, Central Java, Indonesia. A total of 30 children aged <7 years was selected for this study. The dependent variable was tonsillitis. The independent variable was the history of exclusive breastfeeding. The data were collected by questionnaire and physical examination. The data were analyzed using the Fischer’s exact test.Results: Non-exclusive breastfeeding increases the risk of tonsillitis in children aged 0-7 years (OR= 7.00; 95% CI= 1.29 to 37.91; p= 0.024). Conclusion: Children aged 0-7 years who do not get exclusive breastfeeding are at risk of having tonsillitis than children who get exclusive breastfeeding.Keywords: tonsillitis, exclusive breastfeedingCorrespondence: Hanni Wardhani. Indonesian Doctors Internship Program, DKT Slamet Riyadi Hospital, Surakarta, Jl. Brigjen Slamet Riyadi 321, Surakarta 57148, Central Java. Email: hanniwardha@yahoo.com. Mobile +6282299801852Journal of Maternal and Child Health (2020), 5(3): 243-250https://doi.org/10.26911/thejmch.2020.05.03.03
The Effect of Short Stature on Children’s Cognitive Abilities and Psychosocial Condition
Get PDFBackground: Children are categorized as short stature when the Height for Age results are below the 3rd percentile of CDC growth chart standard. Short stature on children will have an impact on increased mortality and morbidity, children’s cognitive development, and psychological abilities. This study aims to investigate the effect of short stature on cognitive abilities and psychosocial condition of primary school children.Subjects and Methods: This was an observational analytic research with a cross-sectional design. A total of 81 students from 3rd – 5th grades of Pasar Kliwon 01 Primary School was included in this study. A consecutive sampling technique was used to select the subject. The student’s height was measured by using microtoise. Children’s cognitive ability was assessed based on mathematics, Indonesian languages, and natural sciences score. Children’s psychosocial condition was assessed using Pediatric Symptom Checklist-17. Data were analyzed using the Chi-Square test and logistic regression with SPSS 16.0 for windows.Results: 50 of 81 students were classified as normal height and 31 students with short stature. Short stature children had lower cognitive abilities (p=0,047) and psychosocial condition (p=0,027) than normal height children. Sex (p=0,058), age (p=0,233), and socio-economic condition (p=0,767) were not associated with children’s cognitive abilities. Age (p=0,264), sex (p=0,913), and socio-economic condition (p=0,138) were also not associated with children’s psychosocial condition.Conclusion: There is a statistically significant effect of short stature on children’s cognitive abilities and psychosocial condition in primary school. Age, sex, and socio-economic condition are not associated with children’s cognitive abilities and psychosocial condition. Screening and comprehensive management of short stature are needed to minimize the negative effect.Keywords: short stature; cognitive ability; psychosocial condition.Correspondence: Heni Hastuti. Faculty of Medicine, Universitas Sebelas Maret. Jl Ir. Sutami 36A, Surakarta Central Java, Indonesia. Email: [email protected]. Mobile: 081904534310.Journal of Maternal and Child Health (2020), 05(03): 297-303https://doi.org/10.26911/thejmch.2020.05.03.0
Black women’s preferences for embedding mental health services in an obstetrics setting
No full textBackground: Untreated perinatal depression is a significant public health issue that disproportionately affects low-income black women and may lead to higher maternal mortality rates and disparate birth outcomes. Despite the growing literature documenting prevalence and risk for perinatal depression among black women, our knowledge of patient preferences of mental health interventions in obstetrical (OB) settings among this population is limited. This study explored mental health treatment preferences among black pregnant and postpartum women in an urban OB practice, serving predominantly black women with public insurance.Subjects and Method: The study sample consisted of 14 perinatal women at an urban obstetrics practice in Washington, DC. Semi-structured interviews were conducted to gain insight into their emotional experiences during pregnancy and postpartum, and to obtain patient recommendations for mental health interventions within an obstetrics setting. Patient interviews were audio-recorded, transcribed, and analyzed by two coders using inductive thematic analysis and consensus procedures. Results: Participants reported several general content themes: provider- patient relationship and intervention topic feedback. Within the overall content theme of provider-patient relationship, black women noted differences in their overall levels of comfort in discussing stress and mental health issues. Subthemes of authentic connection and perceived stigma emerged. Relevant subthemes on intervention topic preferences discussed content, modality, and logistics.Conclusion: Our findings support the importance of offering integrative, culturally competent, and accessible mental health interventions in order to prevent and treat perinatal depression among low-income black women in OB settings.Keywords: pregnancy, perinatal, depression, black womenCorrespondence: Courtney Glickman. Dept of Counseling and Human Development, The George Washington University2134 G St NW, Washington, DC 20052. Email: [email protected]. Mobile: 727-324-3606.Journal of Maternal and Child Health (2020), 5(4): 352-362https://doi.org/10.26911/thejmch.2020.05.04.0
Risk Factors of Stunting in Children Aged 1-5 Years at Wire Primary Health Care, Tuban Regency, East Java
No full textBackground : Stunting is the most common malnutrition condition found in children around the world. Many factors can affect toddler nutritional status and cause stunting in them. They include genetic factors, family socioeconomic level, medical history and feeding practices. The present study aims to determine the impact of those factors on stunting incidence in children aged 1-5 years.Subjects and Method: The data was analyzed using cross-sectional approach with 109 mothers with children aged 1-5 years. Data collection was carried out by the means of direct interview using a questionnaire that has been validated for contents and toddler and parent height measurement.Results: The results showed that father and mother height, dietary diversity and fish consumption influenced stunting incidence in children aged 1-5 years. The mothers’ height (p=0.045; OR=9.847) significantly influenced stunting incidence.Conclusion: These results showed that genetic factors including mother and father height, dietary diversity and fish consumption influence stunting incidence in children aged 1-5 years. Thus, there is a need for a strategy focusing on the assistance to mothers who have children with stunting with the aim of improving the quality of feeding practices, especially related to dietary diversity and fish consumption.Keywords: stunting, children, socioeconomicsCorrespondence: Prastiwi Novia Puspitasari. Department of Maternal And Child Health, Faculty of Public Health, Airlangga University. Jl. Mulyorejo, Kampus C Unair, Sukolilo, Surabaya, East Java, Indonesia. Email: [email protected]. Mobile: +6285257200109.Journal of Maternal and Child Health (2020), 5(4): 387-395https://doi.org/10.26911/thejmch.2020.05.04.0
Contextual Effect of School on Nutrition Intake to Prevent Anemia Among Female Adolescents in Yogyakarta
No full textBackground: Inadequate nutritional intake can affect the body condition of young women, one of effects is increasing the incidence of anemia. The Health Belief Model theory can determine how a person will behave in determining the nutritional intake consumed every day, especially foods that can prevent anemia. This study aimed to determine the effect of the iron-supplemented program, intrapersonal and social factors on nutritional intake for anemia prevention among female adolescents in high school in Yogyakarta.Subjects and Method: This study was an observational analytic study with a cohort retrospective approach. The sample was selected by purposive sampling with a sample size of 120 study subjects. Data were analyzed using multilevel linear regression analysis with the Stata 16 program.Results: Nutritional intake for anemia prevention in female adolescents has increased with the iron supplement program (b= 0.24; 95% CI= 0.15 to 0.32; p<0.001), high family income (b= 0.16; 95% CI= 0.07 to 0.24; p= 0.001), high perceived susceptibility (b= 0.11; 95% CI= 0.02 to 0.20; p= 0.012), high perceived seriousness (b= 0.66; 95% CI= 0.56 to 0.76; p<0.001), and high perceived benefit (b= 0.23; 95% CI= 0.13 to 0.33; p<0.001). Nutritional intake for the prevention of anemia among adolescent decreased with high perceived barrier (b= -0.09; 95% CI= -0.17 to -0.01; p= 0.040). There was no contextual effect of school on nutritional intake for anemia prevention among female adolescent (ICC=4.57%).Conclusion: There was an effect of the blood-supplemented program, family income, and the Health Belief Model construct (perceived susceptibility, perceived seriousness, perceived benefits and perceived barriers) on nutritional intake for anemia prevention among female adolescent. There was no contextual effect of school on nutritional intake for anemia prevention among female adolescent.Keywords: iron supplements, anemia, Health Belief ModelCorrespondence: Ailsa Clarissa Cynara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ailsaclarissacynara@student.uns.ac.id. 082230233293.Journal of Maternal and Child Health (2020), 05(05): 490-499https://doi.org/10.26911/thejmch.2020.05.05.04.
School drop-outs: How do their knowledge about reproductive health increase using Gendang Beleq as an Indonesian Traditional Culture?
No full textBackground: Youth is a critical development condition and it should have understanding and awareness of sexual and reproductive health (SRH) needs. In many aspects of life, young people or adolescents who drop out of school fare worse. Those people who do not have the ability to attend school during these formative years, sadly, do not find opportunities and fall behind compared to other people who attend school. This study aimed to examine the effectiveness of Gendang Beleq as an Indonesian Traditional culture in increase the knowledge of SRH among school drops-out adolescents in Kuta coastal areas, Central Lombok, West Nusa Tenggara.Subjects and Method: This study was an experimental study using pretest-postest study without control group design. This study was conducted in Kuta coastal areas, Central Lombok, West Nusa Tenggara. A total of 30 school drops- out adolescents was selected for this study using purposive sampling. The dependent variable was SRH knowledge (fertile age, puberty, age of marriage, maturity of premarital age, and sexually transmitted infection, HIV-AIDS, and drugs). The independent variable was SRH intervention using Gendang Beleq. The data were collected using questionnaire and in-depth interview. The data were analyzed using t-test.Results: Means of SRH knowledge were increased after Gendang Beleq intervention. Fertile age (Mean= 84.58; SD= 6.58) was increased than before (Mean= 52.55; SD= 5.33), puberty was increased (Mean= 83.65; SD= 3.89) than before (Mean=52.15; SD=10.03), age of marriage was increased (Mean= 82.31; SD= 6.55) than before (Mean= 82.31; SD=5.33), maturity of premarital age was increased (Mean= 82.68; SD= 4.61) than before (Mean=57.68; SD=8.70), and sexually transmitted infection, HIV-AIDS, and drugs was increased (Mean=81.61; SD=3.11) than before (Mean=55.68; SD=8.27), and they were respectively statistically significant.Conclusion: Gendang beleq increase the knowledge regarding sexual and reproductive health among school drops-out adolescents in Kuta coastal areas, Central Lombok, West Nusa Tenggara.Keywords: Gendang beleq, knowledge, adolescents, sexual and reproductive healthCorrespondence: Maruni Wiwin Diarti. School of Health Polytechnics, Ministry of Health, Mataram. Jl. Prabu Rangkasari, Dasan Cermen, Sandubaya, Mataram, West Nusa Tenggara. Email: [email protected]. Mobile: 082236371510.Journal of Maternal and Child Health (2020), 5(5): 482-488 https://doi.org/10.26911/thejmch.2020.05.05.03
Determinants of Low Birth Weight in Cilacap District
Get PDFBackground: Low birth weight (LBW) is closely related to the increased risk of child morbidity and mortality, disruption of developmental growth and in the long-run has an increased risk of chronic disease in their adulthood. This study aims to analyze the effect of nutritional status at the beginning of pregnancy, maternal education and family expenditure on the incidence of low birth weight (LBW) in Cilacap District.Subjects and Method: This study is an observational analytic study with a cross sectional approach. The study was conducted in three health centers in Cilacap District, Central Java, in 2016. A sample of 144 children aged less than 1 year was selected by cluster sampling. The dependent variable was birth weight. The independent variables were maternal MUAC, maternal education, and family income. The data are collected with medical records. The data were analyzed using multiple logistic regression analysis.Results: Maternal MUAC ≥23.5 cm (OR = 0.22; 95% CI = 0.57 to 0.89; p = 0.033) reduced the risk of LBW and it was statistically significant. Maternal education (OR = 0.51; 95% CI = 0.12 to 2.13; p = 0.356) and high family income (OR = 0.47; 95% CI = 0.09 to 2.47; p = 0.376) reduced the risk of LBW but it is statistically insignificant.Conclusion: Maternal MUAC ≥23.5 cm, high maternal education, and high family income reduced the risk of LBW.Keywords: low birth weight, maternal mid-upper arm circumferenceCorrespondence: Majestika Septikasari. School of Health Sciences Al-Irsyad Al-Islamiyyah Cilacap, Central Java, Indonesia. Email: [email protected] of Maternal and Child Health (2020), 5(2): 141-146https://doi.org/10.26911/thejmch.2020.05.02.0