Journal of Maternal and Child Health (JMCH)
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The Effectiveness of “Ibu Pintar” Bookmic on Maternal Knowledge and Attitude toward Complementary Feeding Practice in Children Aged 6-24 Months
No full textBackground: Complementary Feeding Practice is an important factor for the fulfilment of children’s nutritional needs. Due to the nutritional imbalance between the energy and nutrient needed by infants and what provided by breastmilk, therefore it should be fulfilled by complementary feeding. One third of toddlers worldwide are in developing countries who obtain adequate complementary feeding, with a standard frequency and variety. Meanwhile, in Indonesia two third or most of the children aged 0-24 months do not obtain appropriate complementary food. The study aims to develop “Ibu Pintar” Bookmic, a media which is valid and effective to improve maternal knowledge and attitude in appropriate complementary feeding practice.Method: The design of the study used 2 methods. The first method was Research and Development to collect user data and subsequently generated a product that can be utilized to improve knowledge and attitude of mothers of toddlers. The second method was quasi experimental design conducted before and after the study without any comparison to apply Paired Sample T-Test by using SPSS.Result: The result indicated that after the treatment with “Ibu Pintar” Bookmic maternal knowledge in complementary feeding practice was improved (Mean= 1.42; SD= 0.67) compared to maternal knowledge in complementary feeding practice before the treatment (Mean= 0.66; SD; 0.77), and the result was statistically significant (p < 0.001). After the treatment with “Ibu Pintar” Bookmic maternal attitude in complementary feeding practice was improved (Mean= 0.76; SD= 0.43) compared to maternal attitude in complementary feeding practice before the treatment (Mean= 0.44; SD; 0.50), and the resulf was statistically significant (p < 0.001).Conclusion: “Ibu Pintar” Bookmic is effective for maternal knowledge and attitude in complementary feeding practice.Keywords: knowledge, attitude, and complementary food.Correspondence: Fifty K. Lucita. Master Program in Public Health. Universitas Negeri Semarang. Email: [email protected]. Mobile: +62 858-6922-1419.Journal of Maternal and Child Health (2022), 07(04): 489-497https://doi.org/10.26911/thejmch.2022.07.04.12
Meta-Analysis the Effect of Complementary Feeding Practice on Stunting in Children Aged 6-59 Months
No full textBackground: A child's ability to achieve growth standards is determined by the adequacy of food intake. Malnutrition in toddlers increases the risk of stunting, which is a serious problem. Stunting is closely related to neurocognitive development, risk of non-communicable diseases, and decreased productivity. Appropriate complementary feeding is an important milestone in efforts to improve survival and promote healthier child growth and development and can significantly reduce stunting. This study aims to estimate the magnitude of the effect of poor complementary feeding practices on the incidence of stunting in toddlers using a meta-analysis study.Subjects and Method: The meta-analysis was carried out with the initial step of formulating the research problem using the PICO technique. The population in this study were children aged 6-59 months old with poor complementary feeding practices, comparison with good complementary feeding practices and stunting outcomes. Articles were selected and found from the databases of Google Scholar, PubMed, Springer Link, and Research Gate. The keywords used were "complementary Feeding practice" OR "meal frequency" OR "dietary diversity" AND "Stunting". The inclusion criteria were full text study, children under five, complementary feeding practice, the results of the article were stunting with observational studies, and the results reported in Adjusted Odds Ratio (aOR) Analysis of articles using RevMan 5.3.Results: The total articles analyzed were 16 articles. The results showed that the variety of complementary feeding increased the incidence of stunting 1.72 times compared to various types of complementary feeding (aOR 1.72; 95% CI=1.54 to 1.92; p < 0.001). The frequency of infrequent complementary feeding increased the incidence of stunting by 1.85 times compared to the frequency of frequent complementary feeding (aOR 1.85; 95% CI 1.34 to 2.55; p <0.001).Conclusion: The diversity of types of complementary foods and low frequency of giving complementary foods can increase the incidence of stunting in children aged 6-59 months. Keywords: practice of complementary feeding, feeding frequency, diversity of food types, stunting.Correspondence: Isna Yuswella Babys, Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:[email protected]. No HP: 082354707563Journal of Maternal and Child Health (2022), 07(04): 465-478https://doi.org/10.26911/thejmch.2022.07.04.10
The Experience of Mothers Caring for Children with Disabilities at the Persatuan Rakyat Indonesia Special School in Pekalongan, Central Java: A Phenomenological Study
No full textBackground: Disabilities are often called physical, mental and sensory disabilities or disorders that limit a person's ability to carry out daily activities. Parenting a child with a disability is not easy because the child cannot perform any activities independently and the child's behavior is not controlled. This results in a negative impact on the mother psychologically, physically and can disrupt family dynamics such as domestic violence and quarrels. This study aimed to explore the experiences of mothers caring for children with disabilities.Subjects and Method: This was a qualitative study with a phenomenological approach, conducted at the Persatuan Rakyat Indonesia Special School (SLB) in Pekalongan, Central Java. The study subjects were selected purposively as many as four participants, namely housewives without caregivers who have children with physical disabilities, deaf-speech, and mentally retarded children. Data were collected using in-depth interview technique. The tools used in this research are camera, recording device and interview guide. Data analysis using Colaizz's method.Results: This qualitative research resulted in seventeen themes that show the experience of mothers in caring for children with disabilities, namely destiny, mother's burden, mother's initial psychological response, emotional changes, behavioral changes, limited funds, obstacles in daily life, social stigma, financial support, social support, assistance efforts. health workers, efforts to seek other assistance, the attitude of the mother when the child conveys a choice, the attitude of the mother when the child acts inappropriately, the expectations and limitations of special health services for disability, the wisdom of spiritual improvement and bathing.Conclusion: Mother's experience in caring for children with disabilities found unstable emotional changes, excessive worry and excessive attention. Support is very influential for mothers in the form of information support, extended family support, nuclear family and the surrounding community. During caring for children with disabilities, mothers gain wisdom, namely increasing patience and gratitude.Keywords: Children with disabilities, experience of caring, phenomenology study.Correspondence: Amanda Via Maulinda. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 085736228812.Journal of Maternal and Child Health (2021), 06(06): 632-641https://doi.org/10.26911/thejmch.2021.06.06.01
Enhancing Nutrients Knowledge during Pregnancy through Webinars to Prevent Stunting
No full textBackground: Indonesia still has a high stunting rate, 1.2 million out of 5 million births each year result in stunted baby growth. linear growth in utero, the process can be caused by maternal malnutrition, which can result in intrauterine growth inhibition and low birth weight, and result in stunting. This study aims to analyze the effectiveness of the webinar in improving nutrition knowledge during pregnancy to prevent stunting growth.Subjects and Method: This is a cross sectional study conducted in July, 15th 2022 using the Zoom Meeting webinar platform. Target population are all young POGI and POGI Members who took part in webinars and online conversations using the Zoom Meeting program. This study used random sampling, and sample size are 161. The independent variables of this study was learning via webinars while the dependent variable was nutrient knowledge. Data were analyzed by paired t-test statistical test.Results: There was a significant difference score of knowledge in pregnant women after (Mean= 8.60) compared to before webinars (Mean= 6.52).Conclusion: The result of this study indicates that learning method via webinars increased maternal understanding about optimal nutrient during pregnancy.Keywords: stunting, nutrients, webinar, pregnant womenCorrespondence: Nutria Widya Purna Anggraini. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Jl. Kolonel Sutarto No. 132 Jebres, Surakarta. Email: [email protected]. Mobile: 08122651819.Journal of Maternal and Child Health (2022), 07(05): 543-549https://doi.org/10.26911/thejmch.2022.07.05.05
Prenatal Exposure to Mercury and Adverse Birth Outcomes in Rio de Janeiro, Brazil: Rio Birth Cohort Study (PIPA Project)
No full textBackground: Mercury (Hg) is a highly toxic environmental pollutant, with studies of its prenatal expo¬sure indicating adverse birth outcomes such as low birth weight, preterm delivery, and micro¬cephaly. Therefore, we analyzed prenatal Hg exposure levels and their relationship with birth outcomes in pregnant women living in an urban area in the city of Rio de Janeiro.Subjects and Method: A cross-sectional study nested in the prospective birth cohort (PIPA Project) was conducted at the Federal University of Rio de Janeiro Maternity School from October to November 2017. A total of 117 mother-infant pairs were evaluated. The sampling technique used convenience sampling. The independent variables encompassed maternal and cord blood Hg levels, while the dependent variables were birth weight, birth length, head circumference (neonatal anthropometrics), and Apgar score at 1 and 5 minutes. The Hg levels were analyzed using induc¬tively coupled plasma-mass spectrometry, and dependent variable data were obtained through medical records. Multiple regression models were applied using the SPSS.Results: The detection rate of maternal and cord blood was 100%, with medians of 0.76 and 0.91 µg/L, respectively. A strong correlation between maternal and cord blood Hg levels was observed (r= 0.70; p<0.010), as well as an inverse association between cord blood Hg and Apgar score at 1 and 5 minutes (b=−0.47; p<0.010; b=−0.34; p<0.010) after adjusting for covariates. Conclusion: Our study provided preliminary evidence that Hg exposure was associated with a worse Apgar score at 1 and 5 minutes. However, the relevance of this finding requires further evalu¬¬ations due to its potential clinical implications concerning newborn health.Keywords: Mercury, Maternal exposure, Apgar Score, AnthropometryCorrespondence: Angelica dos Santos Vianna. Federal University of Rio de Janeiro (UFRJ). Avenida Horacio Macedo sem numero – Proximo a Prefeitura Universitária da UFRJ. Ilha do Fundao – Cidade Universitária. ZIP Code: 21941-598, Rio de Janeiro, RJ, Brazil. Email address: [email protected] of Maternal and Child Health (2022), 07(05): 559-571https://doi.org/10.26911/thejmch.2022.07.05.0
Maternal characteristics as predictors of immunization status of under-five in Ebonyi State of Nigeria. A community based cross-sectional study
No full textBackground: : Childhood immunization with the interacting factors has been a significant public health challenge especially in the sub-Saharan Africa. Nigeria has been presented as one the countries with the worst under-five mortality rates, and factors affecting childhood immunization are poorly understood. This study determined the influence of maternal characteristics as a predictor of immunization status of under-five in Ebonyi State of Nigeria.Subjects and Method: The design in this study is cross-sectional survey. The population of the study was 572,955 under-five children in Ebonyi State from which 2865 was sampled. Data were analyzed using percentages and chi-square.Results: The results revealed that 83.01% of under-5 children were fully immunized, suggesting a high immunization status in Ebonyi State. The chi-square analysis shows a significant influence of mothers’ age (p < 0.05), mothers’ location of residence (p < 0.05), mothers’ educational level (p < 0.05) and immunization status of under-five children.Conclusion: It was concluded that immunization status of under-five children in Ebonyi State was high and maternal characteristics had significant influence on immunization status of under-five children. Thus, it was recommended among others, that government at all levels should provide tangible incentives to mothers who fully immunized their children and promulgate a law to prevent children without immunization cards, also compel mothers, teachers to show full immunization of under-five children by registering in public and private primary schools. Keywords: maternal characteristics, immunization status, under-five childrenCorrespondence: Christian Okechukwu Aleke, Department of Human Kinetics and Health Education, Ebonyi State University, Abakaliki, Nigeria. Tel: 234-703-085-6506. E-mail: [email protected]. [email protected] of Maternal and Child Health (2022), 07(03): 294-306https://doi.org/10.26911/thejmch.2022.07.03.06
The Effect of Endorphin Massage on Reducing The Intensity of Back Pain in Third Trimester Pregnant Women: A Systematic Review
No full textBackground: During the period of pregnancy, the mother will experience physical and psychological changes that will cause discomfort, one of them is back pain. Persistent pain not resolved immediately can result in chronic pain. Endorphin massage is a non-pharmacological method with touch or light massage techniques that can provide a feeling of calm and comfort to pregnant women who are entering late pregnancy until before labor. This study aimed to determine the effect of endorphin massage on decreasing back pain intensity in third trimester pregnant women.Subjects and Method: This systematic review uses three databased article searches, namely Pubmed, Research Gate and Schoolar with a publication time of the last 5 years. The criteria inclusion were pregnant women who experienced back pain and given endorphin massage. There was no comparison, quasi-experimental research design, randomized control and trial, qualitative research, cross-sectional. Articles published in 2015 – 2020 both of Indonesian and English Article. The exclusion criteria were the article with systematic review method.Results: Nine articles that met the inclusion criteria were used in this study. The article mostly discusses the effect of endorphin massage on reducing back pain intensity in third trimester pregnant women (7 articles) and compares the effect of endorphin massage with other non-pharmacological therapies (2 articles) with 5 articles using a pre-experimental research design and 4 articles using a research design. Quasy-experiments and the average number of samples in the articles reviewed were more than 250 subjects.Conclusion: Endorphin massage is effective in reducing the intensity of back pain in the third trimester of pregnant women.Keywords: éndorphin massage, back pain, pregnant women.Correspondence: Endah Widhi Astuti. Study Program of Midwifery, Health Polytechnic, Ministry of Health Surakarta. Jl Let. Jend Sutoyo, Mojosongo, Surakarta, Central Java, Indonesia. Email: widhiastutie@gmail.com. Mobile: 08179456374.Journal of Maternal and Child Health (2022), 07(02): 148-158https://doi.org/10.26911/thejmch.2022.07.02.04
The Effectiveness of Lavender Aroma Therapy for Better Quality of Sleep in Pregnant Women: Meta-Analysis
No full textBackground: Sleep is a state of natural rest for the body that must be fulfilled every day. Sleep patterns of each individual are always different depending on age, lifestyle, environment, activities and health conditions. This study aims to analyze the primary study of the effectiveness of lavender aromatherapy to improve sleep quality in pregnant women with a meta-analysis.Subjects and Method: This study is a systematic review and meta-analysis with PICO as follows Population: pregnant women, Intervention: Giving lavender aromatherapy, Comparison: No aromatherapy given Outcome: Sleep quality. The articles used in this study were obtained from three databases, namely: Google Scholar, Pubmed, Science Direct with a time span between 2015-2022. The keywords used are “Lavender aromatherapy effect OR improving the quality of sleep AND pregnant AND Randomized Controlled Trials”. The articles were provided in full text in English and Indonesian, with a Randomized Controlled Trial study design and reporting on the Mean and SD in a multivariate analysis. The selection of articles was done by using a prism flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application.Results: A total of 9 randomized controlled trials originating from Iran and Indonesia were selected for a systematic review and meta-analysis. The data collected showed the effectiveness of aromatherapy on improving sleep quality in pregnant women was 0.38 times that of pregnant women who were not given aromatherapy (SMD= 0.38; 95% CI= 0.38 to 0.55) and statistically significant p=0.004.Conclusion: Giving lavender aromatherapy can improve sleep quality in pregnant women.Keywords: aromatherapy lavender, sleep quality in pregnant women, meta-analysis.Correspondence: Zadia Dara Cynintya Teha. Masters Program in Public Health, Universitas Sebelas Maret. Jl.Lawu raya Seturan Caturtunggal Depok Sleman Yogyakarta 55281 Indonesia. Email: Cynintya@gmail.com. Mobile: +6283857619108.Journal of Maternal and Child Health (2022), 07(04): 454-464https://doi.org/10.26911/thejmch.2022.07.04.0
Correlations between Obesity, Polycystic Ovary Syndrome, and Sleep Apnea: A Meta-Analysis
No full textBackground: Obesity is one of the biggest public health problems in the world. Obesity is associated with various health problems, decreased quality of life and death. Obesity is known to have an impact on women's lives, namely Polycystic Ovary Syndrome (PCOS) which if not treated immediately can cause sleep apnea. This study aims to analyze the relationship between obesity and PCOS and sleep apnea.Subjects and Method: This research is a systematic review and meta-analysis. Population = women, Intervention = obesity, Comparison = not obese, Outcomes = PCOS and sleep apnea. Article searches through journal databases include: PubMed, Science Direct, Google Scholar, and Springerlink. The keywords used are obesity OR obese AND PCOS OR “Polycystic Ovary Syndrome” AND “sleep apnea” OR “Poor Sleep” OR “obstructive sleep apnea”. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria include full-text articles with observational studies, multivariate analysis results in the form of aOR values and published from 2012-2021. Eligible articles were analyzed using the Revman 5.3 application.Results: Eighteen articles from the United States, Brazil, China, Turkey, Iraq, Pakistan, Sri Lanka, Korea, West Africa, East Africa, Nigeria and the United Kingdom were included in the meta-analysis. A meta-analysis of the results of the case-control study design subgroup (4 articles) and the cross-sectional study (4 articles) showed that obese women had a 1.14-fold increased risk of developing PCOS compared to non-obese women (aOR = 1.14; 95% CI = 1.03 to 1.26). ; p= 0.010). A meta-analysis of 10 cross-sectional studies showed that obese women increased the risk of developing sleep apnea 4.66 times than non-obese women (aOR = 4.66; 95% CI = 3.23 to 6.71; p = <0.001).Conclusion: Obesity is a risk factor for PCOS (Polycystic Ovary Syndrome) and sleep apnea in women. Keywords: obesity, PCOS, sleep apnea, meta-analysis.Correspondence: Saktryana Endang Ragil Jayanti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: 082242154117.Journal of Maternal and Child Health (2022), 07(04): 432-445https://doi.org/10.26911/thejmch.2022.07.04.07
Correlation Between Parenting Styles During The COVID-19 Pandemic with The Level of Personal Social Development of Preschool Children (3-6 Years)
No full textBackground: The golden period (Golden Age) is the maturation of psychic and physical functions that respond to environmental stimuli and incorporate them into their personality. Child development is an important aspect that must be optimized in preschool, especially in the personal social aspect. Parenting patterns greatly determine the social activities of children in their development stage. This study aims to see the relationship between parenting patterns during the COVID-19 pandemic with the level of social development of preschool children (3-6 years).Subjects and Method: This research is an analytical observational study with a cross sectional design at Ummi Erni Kindergarten Pematang Johar on Friday, November 19, 2021. 30 subjects were selected by the total sampling method. The dependent variable is the level of child development. The independent variable is parenting. Data were analyzed by chi-square test.Results: From 30 subjects, it can be seen that there are 25 positive parenting styles with normal child development (83.3%), negative parenting patterns with suspected child development as many as 5 people (16.7%). This study shows that there is a significant relationship between parenting patterns and personal social development of preschool children (3-6 years) (p < 0.001).Conclusion: Parenting patterns are related to the personal social development of preschool children (3-6 years) at Ummi Erni Kindergarten, Pematang Johar Village.Keywords: parenting, personal social development.Correspondence: Rahmaini Fitri Harahap, Midwifery Study Program, Faculty of Nursing and Midwifery, Universitas Prima Indonesia, North Sumatera, Indonesia. Email: [email protected] of Maternal and Child Health (2022), 07(01): 100-109https://doi.org/10.26911/thejmch.2022.07.01.11