Journal of Maternal and Child Health (JMCH)
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Meta-Analysis the Effect of Oral Combination Contraceptive on Hypertension and Stroke
No full textBackground: Combined oral contraceptives are a form of contraception that are considered safe and effective for some women, but this does not rule out the possibility that combined oral contraceptives contribute to adverse health effects. Several epidemiological studies have shown that oral contraceptives have adverse effects on women's health. The use of contraceptive pills containing the hormones estrogen and progesterone can cause an increase in blood pressure and also stroke if used continuously. The purpose of this study was to estimate the magnitude of the risk of using combined oral contraceptives on the incidence of hypertension and stroke with a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis using PRISMA flowchart diagram guidelines. The article search process was carried out between 2007-2022 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search were “oral contraceptive” OR “contraceptive pills” OR “combined oral contraceptive” AND “hypertension” OR “blood pressure” AND “stroke” AND “women of reproductive age”. The inclusion criteria for full text articles using case control observational methods, articles using English, and articles using multivariate analysis with adjusted Odds Ratio results. Articles that have met the requirements are analyzed using the RevMan 5.3 application.Result: A total of 14 articles with case-control study designs originating from China, Ethiopia, the United States, Italy, and the Netherlands were carried out in a meta-analysis in this study. Meta-analysis of 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of hypertension 1.44 times compared to those who did not use combined oral contraceptives (aOR = 1.44; 95% CI = 1.12 to 1.84; p = 0.004). Meanwhile, 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of stroke by 2.08 times compared to those who did not use combined oral contraceptives (aOR = 2.08; 95% CI = 1.48 to 2.92; p < 0.001).Conclusion: Combined oral contraceptives increase the risk of hypertension and stroke.Keywords: combined oral contraceptives, hypertension, stroke, meta-analysisCorrespondence: Ulul Azmi Zuhaira. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: [email protected]. Mobile: +6282245012258.Journal of Maternal and Child Health (2022), 07(05): 520-531https://doi.org/10.26911/thejmch.2022.07.05.03
Does Husband Support Associated with the Duration of Breastfeeding?
No full textBackground: Breastfeeding coverage in the Bengkulu ranks second lowest (68.9%) in Indonesia. The husband is the closest person mother who can support successful breastfeeding up to 2 years. This study aimed to examine the effect of husband support on the duration of breastfeeding.Subjects and Method: This was a cross sectional study. A sample of 44 fathers who had children aged 2-3 years in Lingkar Barat community health center, Bengkulu, was selected for this study. The dependent variable was breastfeeding duration. The independent variable was informational support, assessment support, instrumental support and emotional support. Data collection using a valid and reliable questionnaire. Data analysis was performed using multiple linear regression.Results: The results showed the informational support (b= 0.37; 95% CI= -0.07 to 0.75; p= 0.046), apprisial support (b= 0.29; 95% CI= -0.39 to 0.98; p= 0.393), and instrumental support (b= 0.43; 95% CI= -0.18 to 1.05; p= 0.161) were positively associated with the duration of breastfeeding. Emotional support was negatively associated with the duration of breastfeeding (b= -0.37; 95% CI= -1.03 to 0.29; p= 0.252).Conclusion: Husband's support is associated with length of breastfeeding.Keywords: husband support, duration of breastfeeding.Correspondence: Bintang Agustina Pratiwi. Faculty of Health Sciences, University of Muhammadiyah Bengkulu. [email protected]. Mobile : 085267557125.Journal of Maternal and Child Health (2022), 07(03): 326-333https://doi.org/10.26911/thejmch.2022.07.03.09
Correlation between Antenatal Care and Anxiety in Primigravida Pregnant Women at Glagah Community Health Center
No full textBackground: In the third trimester of pregnancy, the anxiety rate tends to increase, especially at the time of delivery. In addition, pregnant women who are less obedient in carrying out pregnancy tests and do not follow the integrated ANC. Therefore, pregnant women do not get information about preparation for childbirth so that when they are about to face labor, their anxiety increases. This study aims to analyze the relationship between Antenatal Care (ANC) Frequency and Anxiety in primigravida pregnant women in the third trimester at Glagah Health Center.Subjects and Method: This is a quantitative study, which is observational analytic using a cross sectional approach. The number of samples was 94 subjects who were included in the inclusion criteria with purposive sampling technique. The study was conducted in September until October 2021. The dependent variable was anxiety. The independent variables were ANC frequency, age, education, economy, family support. Data were collected using a questionnaire and analyzed by chi-square test.Results: The results showed that there was a significant relationship between frequency of ANC (p<0.001), education (p= 0.015), socioeconomy (p= 0.042), and family support (<0.001) on anxiety in third trimester primigravida pregnant women.Conclusion: Anxiety in primigravida pregnant women was influenced by frequency of ANC, education, socioeconomy, and family support.Keywords: ANC, anxiety, primigravida.Correspondence: Sulistiawati. Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Prof. Dr. Moestopo 47, Tambaksari, Surabaya, East Java 60132. Email: [email protected]. Mobile: 08123076528.Journal of Maternal and Child Health (2022), 07(01): 110-116https://doi.org/10.26911/thejmch.2022.07.01.12
Factors Influencing the Role of Religious Leaders in the Process Accelerate Stunting Response in East Nusa Tenggara Province
No full textBackground: Stunting was the impact of chronic malnutrition in the long term and has an impact on children's growth and development disorders. Stunting has become a priority for the Indonesian government, including in the Province of East Nusa Tenggara with a stunting reduction target of 14% in 2024. The Indonesian governments have made many efforts to overcome stunting. Religious leaders are parties suspected of being able to play a role in the process. This study was aimed to determine the factors that influence the role of religious leaders in supporting the process of accelerating stunting reduction in the dry land area in East Nusa Tenggara.Subjects and Method: This was a mixed-method study. This study was conducted in May 2022 using the focus group discussion (FGD) method and involved 13 religious leaders who were taken purposively. The data collected were analyzed qualitatively (making interview transcripts) and quantitatively. The independent variables were level of understanding about stunting, support for policies/programs related to stunting, stunting program budget support, national program support: CATIN facilitation, and cross-sectoral cooperation support. The statistical analysis used is multiple logistic regression analysis.Results: Factors that significantly influence the role of religious leaders are the level of understanding of religious leaders about stunting (aOR= 3.50; 95% CI= 0.12 to 12.3; p= 0.010) and support factors for cross-sectoral cooperation (aOR= 2.00; 95% CI= 1.22 to 21.10; p= 0.007). Budget support for stunting related policies/ program (aOR= 2.40; 95% CI= 1.76 to 12.32; p= 0.621), support policy/ program related to stunting (aOR= 1.70; 95% CI= 1.27 to 7.32; p= 0.387), and national program, support “CATIN Mentoring” (aOR= 1.10; 95% CI= 0.37 to 21.02; p= 0.621) were statistically non-significant.Conclusion: Factors that influence the role of religious leaders were the level of understanding of religious leaders about stunting, support factors for cross-sectoral cooperation, budget support for stunting related policies, support policy related to stunting national program, and support “CATIN Mentoring”.Keywords: the role of religious leaders, acceleration of stunting prevention, chronic malnutrition.Correspondence: Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Mobile: +62822-3714-5517. Email: [email protected]. Journal of Maternal and Child Health (2022), 07(06): 618-629https://doi.org/10.26911/thejmch.2022.07.06.01
Intention of Women of Reproductive Age Participation on the Visual Inspection with Acetic Acid Uptake
No full textBackground: The biggest problem in preventing cervical cancer depends on the compliance of women of childbearing age in carrying out a Visual Inspection with Acetic Acid (VIA) examination, while obedient behavior will arise if there is a strong and consistent intention. Analyzing the effect of intention as a mediating variable between attitude, subjective norm and behavioral control on the behavior of VIA examination participation in women of reproductive age.Subjects and Method: A cross-sectional study was conducted on 164 women of childbearing age who were married in the working area of the Pesantren I Public Health Center, Kediri City. The independent variables (attitude, subjective norms, behavioral control), and the dependent variable (behavior), and the mediating variable (intentions). The sampling technique used simple random sampling. The questionnaire in this study was divided into two parts, the first part consisted of demographic details of the respondents and the second part related to the research variables. The analysis technique in this study uses path analysis.Results: This study shows that attitudes, subjective norms, and control behavior do not have a direct influence on behavior, but have an indirect influence with intention as a mediating variable.Conclusion: This study shows that attitudes, subjective norms, and control behavior do not have a direct influence on behavior, but have an indirect influence with intention as a mediating variable, this is in accordance with the behavioral constructs of the Theory of Planned Behavior. This means that the influence of Intention as a mediating variable between Attitude, Subjective Norm and Behavioral Control on the Behavior of VIA examination participation in women of childbearing age has been proven true.Keywords: Theory of Planned Behavior, Visual Inspection of Acetic Acid, women of childbearing.Correspondence: Devy Putri Nursanti, Institute of Health Sciences Strada Indonesia, Jl. Manila 37, Sumberece Kota Kediri, E-mail: [email protected], Phone: +62 812-5909-6664.Journal of Maternal and Child Health (2022), 07(04): 380-386https://doi.org/10.26911/thejmch.2022.07.04.02
Attitude and Family Support Influenced Human Papilloma Virus Vaccination in Female Midwifery Students
No full textBackground: In 2019 there were 13,078 cases of cervical cancer in East Java, and in 2018 the prevalence reached 2.2 per 1,000 population. However, the coverage of HPV (Human Papilloma Virus) vaccination as primary prevention of cervical cancer in Indonesia is still low. The purpose of this study was to analyze the influencing factors and the most influencing factors for female midwifery students in Human Papilloma Virus vaccination.Subjects and Method: This was an observational analytic study with a cross sectional design. The study was conducted in East Java. The study population was midwifery students. A sample of 252 midwifery students in East Java was selected by consecutive sampling. The dependent variable was HPV vaccination. The independent variables are attitudes and family support. The data were collected by online questionnaire form and analyzed by a multiple logistic regression.Results: Family support increased the likelihood of HPV vaccination in midwifery students (OR= 5.03; CI = 1.83 to 13.76; p= 0.002).Conclusion: Family support increased the likelihood of HPV vaccination in midwifery students.Keywords: Reproductive health care, HPV vaccination, attitudes, family support, midwifery student.Correspondence: Samsriyaningsih Handayani. Department of Public Health Sciences-Preventive Medicine, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Prof. Dr. Moestopo No.47, Surabaya, East Java. Email: [email protected] (0315020251).Journal of Maternal and Child Health (2022), 07(02): 117-124https://doi.org/10.26911/thejmch.2022.07.02.0
Proportion of Birth Asphyxia and Its Associated Factors among Newborns Delivered in Public Hospitals in Addis Ababa, Ethiopia, 2019: A Multicenter Cross-Sectional Study
No full textBackground: Birth asphyxia is a serious clinical problem that causes neonatal mortality and morbidity worldwide, Even though Ethiopia has made significant progress in lowering the under-five mortality rate, the neonatal mortality burden has not decreased significantly, which may be due to birth asphyxia. Therefore, the purpose of this study was to address this gap by assessing the prevalence of neonatal asphyxia and its associated factors among newborns in Addis Ababa public hospitals, Ethiopia.Subjects and Method: A facility-based cross-sectional study was conducted on 683 live newborns born at Addis Ababa public hospitals. Data were gathered through structured face-to-face interviews, questionnaire administration, and a systematic random sampling technique with proportional allocation. For statistical analysis, data were entered into Epi-data version 4.6 and exported to SPSS version 26. All variables with p-value ≤ 0.2 were taken into the multivariable model. A statistical significant level was declared at 95% CI and adjusted odds ratio (AOR) at a p <0.05.Results: The prevalence of birth asphyxia was 72 (10.6%) with a 95 % CI of (8.3 to 13.0). According to this study, birth asphyxia was significantly associated with the odds of newborns whose mothers were not educated (AOR= 8.09; 95 % CI= 1.63 to 40.19; p= 0.011), prolonged labor (AOR= 3.52; 95 % CI= 1.47 to 8.43; p= 0.005), ante-partum hemorrhage (AOR= 5.36, 95 % CI= 1.69 to 16.99; p= 0.004), preeclampsia (AOR= 5.09, 95 % CI= 2.09 to 12.47; p <0.001).Conclusion: Birth asphyxia was found in 10.6 % of neonates. Birth asphyxia was significantly predicted by the mother's educational level, complicated labor, and low birth weight.Keywords: proportion, Birth asphyxia, Newborns, Addis Ababa.Correspondence: Yohannes Godie. Debre Markos University, Ethiopia, E-mail: yohannesgua[email protected]. Mobile: +25192857735.Journal of Maternal and Child Health (2022), 07(06): 674-684https://doi.org/10.26911/thejmch.2022.07.06.0
Correlation between Low birthweight and Underweight in Children Under Five: A Meta-Analysis
No full textBackground: Underweight among children results in growth disorders, and stunting. The study aims to determine the correlation between low birthweight and underweight in children under five based on primary studies previously conducted.Subjects and Methods: This study used a meta-analysis study with PICO as follows: P=chidren under five, I= low birthweight, C= normal birthweight, O= underweight. The search for articles in this study used databases, namely Pubmed, Google Scholar, and Springerlink. The article search used the following keywords: Low birth weight AND underweight OR underweight toddler AND low birthweight. The articles were analyzed by using Review Manager 5.3.Results: There were 9 articles from Ghana, Bangladesh, East Kenya, Pakistan, Malawi, China, Ethiopia, and Rwanda from 2017-2022 analyzed by using PRISMA flow diagrams. These results indicated that children under five with a history of low birthweight had 2.21 times risk of being underweight compared to children under five who had a history of normal birthweight (aOR= 2.21; CI 95% = 1.96 to 2.49; p<0.001).Conclusion: Children under five with low birthweight history are at risk of being underweight.Keywords: low birthweight, underweight, children under five, meta-analysisCorrespondence: Adilla Misi Nurfitria. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile +6285786605313.Journal of Maternal and Child Health (2022), 07(06): 642-652https://doi.org/10.26911/thejmch.2022.07.06.03
The Impact of Exposure to Information Technology in Determining Women’s Knowledge of Complication during Pregnancy, Labor, and Postnatal
No full textBackground: Indonesian Demographic Health Survey (IDHS) 2012 reveals that Maternal Mortality Ratio (MMR) in Indonesia is 359 per 100,000 live births or increase from 228 per 100.000 live births in 2007. Compared to the other ASEAN countries, the risk of maternal death in Indonesia is also relatively high, 1 in 65 mothers. Some researches depict that maternal death is caused by inadequate care during pregnancy and delivery (labor). This condition is caused by the availability of health facility or improper health seeking behaviors. Considering the crucial role of knowledge to determine people behaviors, this paper is aimed to discuss the impact of information technology to shape people knowledge on maternal health.Subjects and Method: Some variables in Indonesian Health Demographic Survey 2017, identify the subject’s knowledge on danger sign of complication during pregnancy, labor/delivery and postnatal periods. In digitalized era, the knowledge may come from many sources. Therefore, the discussion will focus on the impact of subject’s accessibility and utilization of internet, mobile phone, radio, TV and newspaper in shaping knowledge of maternal health. Results: This study found that women with primary education (OR= 1.57; p < 0.001), did not access the internet (OR= 2.49; p= 0.110); the frequency of accessing the internet for health (OR= 1.94; p= 0.083) increased women's knowledge about dangerous signs during pregnancy. While not reading newspapers (OR= 0.66; p < 0.001); not watching television (OR= 0.66; p<0.001), having or not having television (OR= 0.59; p < 0.001); do not have a mobile phone (OR= 0.64; p<0.001); not having a radio (OR= 0.88; p < 0.001) decreased women's knowledge of the danger signs during pregnancy, but this result was statistically significant.Conclusion: This result reveal that the effectiveness of internet to influence women knowledge on maternal health must be improved because of its potential in this digitalized era and the progressive trend of internet penetration in Indonesia.Keywords: women health, pregnancy, information technology.Correspondence: Teguh Sugiyarto. Central Bureau of Statistics. Jl. Dr. Sutomo 6-8, Central Jakarta, Indonesia. Email: teguhs@bps.go.id.Journal of Maternal and Child Health (2022), 07(03): 282-293https://doi.org/10.26911/thejmch.2022.07.01.05
Knowledge and Perceptions on Antenatal Care among Men in Embakasi South Sub County, Nairobi, Kenya
No full textBackground: Involving husbands and men in decision-making processes can play a crucial role in antenatal care uptake and utilisation. However, men often lack necessary knowledge and have misleading beliefs and perceptions.Subjects and Method: The current research was an analytical cross sectional study conducted in Embakasi South Sub county, Nairobi, Kenya which sought to assess the knowledge and attitude towards antenatal care among men. Kelsey et al sample size determination formula was used to calculate a sample of 66 subjects. A researcher-administered questionnaire was used to collect data. Descriptive statistics and chi-square analyses were used in the analysis of data with the help of SPSS.Results: The results in this study showed that slightly above half (57.6%, n=38) of the subjects had low knowledge. Slightly above half (51.5%, n=34) had positive attitudes towards ANC. None of the demographic characteristics was significant to knowledge. There was also no significant associations between demographic characteristics and subjects’ attitudes towards antenatal care. There was a significant association (p =0.048) between knowledge and attitudes. Results showed that subjects with low knowledge were 2.196 times likely to have positive attitudes.Conclusion: These findings highlight the current knowledge gap that exists among men regarding antenatal care. An education intervention program ought to be carried out among men in Embakasi South Sub County and other parts of Nairobi and the country. Community health programs should also build on the positive attitudes towards ANC as found in this study to help improve male involvement in antenatal care and other reproductive health issues.Keywords: Antenatal care, knowledge, attitudes, male involvement.Correspondence: Fred Kinoti. Faculty of Natural Health Science, Selinus University, Ragusa, Italy. Mobile: +254721669513. Email: [email protected] of Maternal and Child Health (2022), 07(02): 171-182https://doi.org/10.26911/thejmch.2022.07.02.06