Journal of Maternal and Child Health (JMCH)
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The Profile of Physical Activity in Children Surviving Acute Lymphoblastic Leukemia based on the Global Physical Activity Questionnaire in Surakarta
No full textBackground: Acute lymphoblastic leukemia is one of the most common malignancies in children with the highest incidence aged 3-7 years. Management and treatments such as chemotherapy and radiotherapy have musculoskeletal and neuromuscular side effects which can significantly reduce the physical activity of leukemia patients and survivors. This study aims to determine the profile of the physical activity level of children with acute lymphoblastic leukemia as assessed by the Global Physical Activity Questionnaire (GPAQ) in Surakarta, Indonesia.Subjects and Method: This was a study with a cross-sectional design. Children who survived acute lymphoblastic leukemia who had completed chemotherapy at Dr. Moewardi Hospital and met the inclusion criteria were included in this study. A sample of 26 patients was selected through purposive sampling. Demographic data were obtained through interviews and the profile of the patient's physical activity level was assessed using the GPAQ questionnaire. Data analysis was performed using a Pearson Correlation test with SPSS 22.0.Results: The total sample in this study was 26 children with acute lymphoblastic leukemia. As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. There was a significant relationship between length of stay (p=0.001), age (p=0.004), gender (p=0.031), and the degree of risk of acute lymphoblastic leukemia (p=0.004) with the category of physical activity based on the GPAQ score.Conclusion: As many as 11.5% of children with acute lymphoblastic leukemia experienced decreased physical activity. The length of time being a survivor, the degree of risk of acute lymphoblastic leukemia, the age of the survivor, and gender are risk factors for decreased physical activity in children.Keywords: physical activity, acute lymphoblastic leukemia survivors, childrenCorrespondence: Dini Safitri Zahara. Department of Pediatrics, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Kolonel Sutarto Street No. 132, Surakarta, Indonesia. email: [email protected] Phone: 082227174192.Journal of Maternal and Child Health (2022), 07(02): 231-237https://doi.org/10.26911/thejmch.2022.07.02.12
Correlation between Passive Cigarette Smoke Exposure on Low Birth Weight: Meta-Analysis
No full textBackground: Low birth weight (LBW) is defined as a newborn baby weighing less than 2500 grams. Low birth weight is a serious condition in developing countries. The impact of cigarette smoke on pregnant women who are exposed to cigarette smoke is at a higher risk of complications, such as miscarriage, premature birth, or babies born with low weight. This study aims to analyze the relationship between exposure to secondhand smoke and low birth weight.Subjects and Method: This research is a systematic review and meta-analysis by systematically reviewing primary articles from Pubmed, Google Scholar, Scient Direct and Springerlink by selecting articles published in 2012-2022. The articles searched using PICO were P: Pregnant women, I: exposed to cigarette smoke, C: not exposed to cigarette smoke, O: low birth weight babies. Keywords "Exposure to smoking pregnant women" OR "Expectant mother" OR "Pregnancy women" OR "Exposed to cigarettes" OR "Secondhand smoke exposure" OR "Cigarette smoke exposure" AND "Low birth weight" OR "Low weight babies" AND “Case control” AND “Adjusted odds ratio”. Articles used PRISMA flow diagrams and analyzed using Review Manager 5.3.Results: There were nine articles analyzed consisting of Nepal, Morocco, Ethiopia, Sierra Leone, India, Indonesia and China. Meta-analysis showed that cigarette smoke exposure increased the risk of low birth weight and was statistically significant (aOR = 2.19; 95% CI = 1.58 to 3.03; p < 0.001).Conclusion: Exposure to cigarette smoke increases the risk of weight gain in LBW infants by 2.19 times compared to not exposed to cigarette smoke.Keywords: Exposure to cigarette smoke, low birth weight, meta-analysis.Correspondence: Winei Handriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: [email protected]. Mobile: +6283150000253.Journal of Maternal and Child Health (2022), 07(04): 408-418https://doi.org/10.26911/thejmch.2022.07.04.05
Excess Weight Gain in Pregnant Women and Prematurity: A Meta-Analysis
No full textBackground: Premature birth as a cause of morbidity and mortality in neonates. Excessive weight gain in pregnant women is considered a risk factor for adverse pregnancy outcomes including preterm birth. This study aims to analyze the effect of excess weight gain in pregnant women on premature birth.Subjects and Method: This research is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Science Direct and Springerlink. The articles used are articles published from 2011-2021. The keywords to search for articles were: “gestational weight gain” AND “pregnancy” AND (“preterm birth” OR “premature birth”) AND “cohort study” AND “adjusted odds ratio”. The inclusion criteria used were full text articles in English with a cohort study design, multivariate analysis with Adjusted Odds Ratios (aOR), research subjects were pregnant women, intervention was excessive weight gain, comparison was normal weight gain (adequate). , the study outcome was preterm delivery (<37 weeks). The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application.Results: A total of 10 cohort study articles from China, Indonesia, Canada, Korea, Mexico, Puerto Rico, Saudi Arabia, and Taiwan were selected for systematic review and meta-analysis. The results showed that excess weight gain in pregnant women increased the risk of preterm birth and was statistically significant (aOR= 1.23; 95% CI= 1.01 to 1.48; p= 0.030).Conclusion: Excess weight gain in pregnant women increases the risk of premature birth.Keywords: excess weight gain, premature birth, meta-analysis.Correspondence: Annisa Fitriana Damalita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir, Sutami 36A, Surakarta 51726, Central Java. Email: [email protected]. Mobile +6285729085880.Journal of Maternal and Child Health (2022), 07(02): 159-170https://doi.org/10.26911/thejmch.2022.07.02.0
Meta-Analysis the Effect of Hormonal Contraception on the Weight Gain and Hypertension in Women of Reproductive Age
No full textBackground: Hormonal contraception is a contraceptive method that can prevent pregnancy because it contains estrogen and progesterone. The use of hormonal contraception for a long time can cause side effects including increased body weight, cholesterol deposits, and hypertension. The purpose of this study was to examine, analyze, and estimate the magnitude of the effect of the use of hormonal contraception on the incidence of weight gain and hypertension in women of childbearing age based on the results of previous similar studies.Subjects and Method: This study is a systematic review and meta-analysis using PRISMA flowchart diagrams. The process of searching for articles was carried out between 2004-2021 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search are ""Hormonal Contraception" AND “DPMA injection” AND "Weight Gain" AND "Hypertension". Inclusion criteria for full text articles used the observational Randomized Controlled Trial method, the articles used English, and reported the Mean and SD in multivariate analysis. Articles that met the requirements were analyzed using the RevMan 5.3 application.Results: A total of 14 articles with a Randomized Controlled Trial study design originating from Thailand, Indonesia, Pakistan, America, California, Africa, Ethiopia, and Kenya were meta-analyzed in this study. Meta-analysis of 7 articles showed that hormonal contraception had an effect on weight gain in women of childbearing age by 0.03 units but not statistically significant (SMD= 0.03; 95% CI= 0.07 to 0.14; p= 0.530). Meanwhile, 7 articles showed that hormonal contraception increased the incidence of hypertension in women of childbearing age by 0.10 units, but it was not statistically significant (SMD= 0.10; 95% CI= 0.17 to 1.37; p= 0.460).Conclusion: Hormonal contraception increases body weight and hypertension in women of childbearing age.Keywords: hormonal contraception, weight gain, hypertension, meta-analysis.Correspondence: Zonna Aditiya Kusumaningtiyas. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: [email protected]. Mobile: +6282234998054.Journal of Maternal and Child Health (2022), 07(06): 699-710https://doi.org/10.26911/thejmch.2022.07.06.08
Correlations between Maternal Age, Education, and Knowledge on the Compliance of COVID-19 Vaccine Uptake in Children Aged 6 – 11 Years
No full textBackground: The coverage rate for giving the COVID-19 vaccine to children in several regions of Indonesia is still in the low category, one of which is in Abeli District, Kendari City. One of the factors that can affect the low administration of vaccines to children is due to mothers' concerns about their children so they are hesitant and reluctant to be given the COVID-19 vaccine. This study aims to analyze the relationship between age, education, and knowledge of mothers with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City.Subjects and Method: A cross-sectional study was conducted in Abeli District, Kendari City, from August to October 2022. A total of 90 subjects were selected using a proportionate stratified random sampling technique. The dependent variable is adherence to giving the COVID-19 vaccine to children. The independent variables include age, education, and mother's knowledge. The instrument used is a questionnaire. Data analysis used was the Chi Square test.Results: Adherence to maternal COVID-19 vaccine administration increased with knowledge (OR= 3.57; 95% CI= 1.46 to 8.75; p= 0.007). Meanwhile, age (OR= 0.34; 95% CI= 0.14 to 0.83; p= 0.003) and education (0.31; 95% CI= 0.12 to 0.31; p= 0.020) reduced maternal adherence in administering the COVID-19 vaccine to children.Conclusion: There is a significant relationship between age, education, and mother's knowledge with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City.Keywords: maternal age, maternal education, knowledge, COVID-19 vaccine.Correspondence: Lilis Sri Supiatun Mamesah. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya, Jawa Timur 60132. Email: [email protected]. Mobile: +6285333622541.Journal of Maternal and Child Health (2022), 07(06): 720-728https://doi.org/10.26911/thejmch.2022.07.06.10
Effect of Urinary Tract Infection on Premature Birth: A Meta Analysis
No full textBakground: Neonatal mortality in the world is mostly caused by premature birth (43%), and in Indonesia the biggest cause of neonatal death is premature birth (45%). One of the causes of pregnant women experiencing premature labor, namely urinary tract infections due to changes in the urinary tract system during pregnancy. This study aims to analyze the primary study of the effect of urinary tract infections in pregnant women on preterm delivery with a meta-analysis.Subjects and Method: This study is a meta-analysis with the following PICO, population: pregnant women. Intervention: Having a urinary tract infection. Comparison: No urinary tract infection. Outcome: Premature delivery. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles (“urinary tract infection” AND “preterm labor” OR “premature birth” OR “premature labor”). The included article is full text in English with a case-control study design from 2006 to 2022 and reports the adjusted odds ratio in a multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application.Results: A total of 10 case-control studies from Iran, Iraq, India, Tanzania, Ethiopia, and Peru were selected for the meta-analysis. The data collected showed that pregnant women with urinary tract infections increased the occurrence of preterm labor by 2.19 times compared to pregnant women who did not experience urinary tract infections (aOR= 2.19; 95% CI= 1.80 to 2.66; p<0.001).Conclusion: Urinary tract infection during pregnancy increases the incidence of preterm labor.Keywords: Urinary tract infection, Premature delivery, Meta-analysis.Correspondence: Raras Indung Palupi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile : +6285337540058.Journal of Maternal and Child Health (2022), 07(05): 510-519https://doi.org/10.26911/thejmch.2022.07.05.02
Risk of Premature Birth in Pregnant Women Infected with COVID-19: A Meta Analysis
No full textBackground: Pregnancy is a state of great susceptibility to infectious diseases, and it is not surprising that viral infections can affect pregnancy outcomes. COVID-19 infection during pregnancy is considered a risk factor for adverse outcomes such as, preterm delivery. This study aimed to analyze the risk of preterm delivery in pregnant women with COVID-19.Subjects and Method: This study was conducted using a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, and Scopus. The articles used are articles published from 2020-2021. The keywords used to retrieve the articles were: [(COVID-19 OR 2019-nCoV OR “novel coronavirus” OR SARS-CoV-2 OR “coronavirus 2”) AND (“preterm birth” OR preterm OR “preterm delivery”)] . The inclusion criteria used were full paper with observational studies (retrospective or prospective cohorts), multivariate analysis with Adjusted Odd Ratios (aOR), study subjects were pregnant women who were confirmed to be infected with COVID-19, comparison were pregnant women who were negative for COVID-19, outcome study was preterm birth (<37 weeks). The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 . application.Results: A total of 10 articles from Iran, France, Bangladesh, Spain, the United States, Romania, the United Kingdom and China showed that the heterogeneity of the primary studies in the meta-analysis was low (I2= 4%; p= 0.40), therefore this study used a fixed effect model. The results showed that the risk of premature birth in pregnant women infected with COVID-19 was 2.18 times that of pregnant women not infected with COVID-19 (aOR=2.18; 95% CI=2.00 to 2.37) and statistically significant (p<0.001).Conclusion: Higher risk of preterm birth in pregnant women with COVID-19.Keywords: Premature Birth, Pregnancy and COVID-19,Correspondence: Ratih Hermas Purnasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +628770634677.Journal of Maternal and Child Health (2022), 07(01): 22-33https://doi.org/10.26911/thejmch.2022.07.01.03
Maternal age correlation of stunting in children: Systematics review
No full textBackground: Teenage mother should be ready for the consequences to come. It is important to get prepared both mentally and economically. A teenage mother and her offspring are at risk of malnutrition and stunting. This study aims to analyze the correlation between maternal age and the incidence of stunting based on published articles.Subjects and Method: A systematic review was conducted to find the correlation between maternal age and the incidence of stunting. The research was conducted by seeking into the database by using PubMed, Ebsco, Google Scholar, and SpringerLink. The keywords used were "risk factor" OR “determinant” AND “stunting” AND "young maternal age" OR "adolescent mother*" OR "teen mother*" OR "adolescent pregnancy" OR "teen pregnancy" AND "logistic regression" OR “multivariate”. The obtained articles underwent screening and conformity assessment. Articles that met the criteria were subsequently extracted.Results: 1,048 articles were discovered from PubMed, Ebsco, Google Scholar and SpringerLink databases and 9 of them were included in the review. The articles were from Turkey, Tanzania, Pakistan, Ghana, Uganda, Burundi, 2 articles were from Ethiopia, and 1 article covered Brazil, Guatemala, India, Philippines, and South Africa. The prevalence of stunting in each region from the obtained articles showed a variation from 13.8% - 79.5%. It discovered the correlation between maternal age during pregnancy and incidence of stunting that pregnant women under the age of 20 were at greater risk for stunting compared to women aged ≥ 20 years (OR 1.37 – 7.56). Women at a younger age were at greater risk of having stunting children.Conclusion: The correlation between maternal age during pregnancy and stunting indicates that the younger the mothers, the higher the risk for stunting. The risk for stunting will decrease with the increasing maternal age at the time of delivery.Keywords: Adolescence; Stunting; Teenage mothers; Maternal Age.Correspondence: Fardhiasih Dwi Astuti. Jl. Prof. DR. Soepomo Sh, Warungboto, Kec. Umbulharjo, Yogyakarta City, Special Region of Yogyakarta. Email: [email protected] of Maternal and Child Health (2022), 07(04): 479-488https://doi.org/10.26911/thejmch.2022.07.04.11
Study of Utilization Pattern of Blood And Blood Components in Obstetrics at A Tertiary Care Hospital
No full textBackground: Blood transfusion is a life-saving procedure, but inappropriate use of blood and its com¬po¬¬nents in obstetric emergencies, especially in cases of massive bleeding, increases the risk of morbidity and mortality. The aim of this study was to describe the determinants of blood and blood components in obstetrics in a tertiary care hospital with indications for transfusion for different components during the study.Subjects and Method: A Prospective Observational study was carried from May 2018 to Dec¬ember 2019 at Department of Obstetrics and Gynaecolog,T.N.M.C & B.Y.L.Nair Hospital Mumbai. The independent variables are sociodemographic characteristics, parity, mode of delivery, edu¬cation, hospital level, while dependent variables are frequency of obstetric transfusion. Frequency of transfusion of blood and its components obtained from case file of patient. The other data were collected by questionnaire. Analysis of 366 Obstetric patients requiring blood transfusion in eigh¬teen months period was done. Qualitative data were presented as frequency and percentages and analysed using the chi-square test.Results: During the whole study 366 of obstetric admission required transfusion of blood and its components. Severe anaemia during pregnancy/postpartum anaemia (51%) were the most com¬mon indications for blood product transfusions followed by Accidental Haemorrhage (30%), Cae¬sarean section (10.38%) Genital tract trauma including uterine rupture (11%), Postpartum Haemo¬rrhage’s (13%), Placenta previa (6.5%), Ectopic pregnancies (3.5%), Vesicular mole (3.27%), Retained placenta (3.27%) Ruptured uterus (1%), and Abortion (2.7%). Packed cells (47%) were the most common type of blood and blood products transfused followed by Fresh Frozen Plasma (41.86%).Conclusion: In obstetric emergencies, correct diagnosis and management of emergencies, A pre-planned, multidisciplinary protocol yields excellent effects in the management.Keywords: blood transfusion, pregnancy, anaemia, obstetric emergenciesCorrespondence: Avinash N. Jadhao. Associate Professor, Department of Biochemistry Seth GSMC & KEMH Parel Mumbai 400012, India. Email: [email protected]. Phone no.91 7718971066.Journal of Maternal and Child Health (2022), 07(05): 591-599https://doi.org/10.26911/thejmch.2022.07.05.1
Meta-Analysis: The Effectiveness of Using mHealth to Improve Antenatal Care
No full textBackground: One of the innovations in technology in health that can be used is mHealth. The use of technology such as mHealth allows for the dissemination of information to pregnant women in an effort to improve antenatal care. This study aims to determine the effectiveness of using mHealth on antenatal care.Subjects and Method: This was a systematic review and meta-analysis study using PICO, Population: Pregnant women, Intervention: Using mHealth, Comparison: Not using mHealth/ standard services, Outcome: ANC visits. The articles used in this study came from 6 databases including Pubmed, ScienceDirect, Google Scholar, BMJ, Springer link, Sage, and Core. The keywords of the article are, Telemedicine OR Mobile Health OR Health Mobile OR Telehealth OR mHealth OR eHealth AND Short Message AND Quality Improvement OR Quality Improvement OR Quality Improvements OR Quality Improvements AND Prenatal Care OR Prenatal Care OR Antenatal Care OR Antenatal Care. The articles included in this study are complete articles, RCT study designs for 2012-2022.Results: There are 8 RCT articles from 3 continents, including Africa (Kenya, Ethiopia, Zanzibar), Asia (India), America (Peru, Brazil). It was found that using mHealth could increase ANC visits by 1.32 times compared to not using mHealth (RR=1.32; 95% CI=1.10 to 1.59; p=0.003).Conclusion: effective use of mHealth to improve antenatal care.Keywords: mHealth, pregnant women, ANC.Correspondence: Mayriyana Kartikasari Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: [email protected]. Mobile: +6285740514436. Journal of Maternal and Child Health (2022), 07(03): 359-367https://doi.org/10.26911/thejmch.2022.07.03.12