Rachel Bryant, Brandon Delise, Ying Zhang, Niema Beckford, C. Lockett
{"title":"Assessment of risk factors for Neonatal Abstinence Syndrome (NAS) using a Standardized Surveillance Case Definition in Clark County, NV","authors":"Rachel Bryant, Brandon Delise, Ying Zhang, Niema Beckford, C. Lockett","doi":"10.26911/thejmch.2024.09.01.07","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.07","url":null,"abstract":"Background: Neonatal Abstinence Syndrome (NAS) is a withdrawal syndrome in neonates that can occur due to drug exposure during pregnancy. This study had two objectives: (1) Assess the implementation of the Council of State and Territorial Epidemiologists (CSTE) Tier 2 case definition for NAS surveillance in Clark County, Nevada and (2) Identify risk factors for NAS.\u0000Subjects and Method: This study utilized hospital discharge data. Claim-based records from non-federal acute care hospitals located in Clark County during 2016-2022 were analyzed. All newborn inpatient discharge records from January 1, 2016 to September 30, 2022 in Clark County, Nevada were selected. ICD-10-CM codes were utilized based on the CSTE Tier 2 case definition. Any neonate record that met the case definition, including any record with the diagnosis code P96.1, was considered a NAS confirmed case. Codes for suspect cases, maternal history of substance use, unspecified maternal medication, and transmitted noxious-substances were also assessed. A multiple logistic regression model using backward stepwise selection was developed to find risk factors related to NAS-confirmed births.\u0000Results: In Clark County, Nevada, the NAS incidence rate from January 2016 to September 2022 was 7.4 per 1,000 births. In 2022 alone, the rate of NAS was 8.9 per 1,000 births. Estimated rates of NAS were highest among neonates who were White at 13 per 1,000 births. Hospital J, the largest academic medical center in Southern Nevada, had the highest NAS confirmed case rate at 11.3 per 1000 newborn hospitalizations. Results from the multiple logistic regression model showed the odds of being born with NAS among neonates who identified as White were 5.0 (OR=5.17; 95% CI= 4.29 to 6.24; p <0.001) times more likely to have NAS compared to the Hispanic group.\u0000Conclusion: Given that 2022 had the highest rate of confirmed NAS cases there is a need to collect substance and diagnosis-specific data about prenatal substance use to identify unmet service care and disparities.\u0000Keywords: neonatal abstinence syndrome, opioids, substance dependence.\u0000Correspondence: Cassius Lockett. Southern Nevada Health District. 280 S Decatur Blvd, Las Vegas, NV 89107. lockett@snhd.org. 702-759-1691.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"21 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140226074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Husband Support, Family Income, Employed Mothers, and Antenatal Care Visit on Exclusive Breastfeeding","authors":"Reza Widiantoro, Khairunnisa Khairunnisa1, Mashaf Fahrur Murdo Furqon, Bhisma Murti, Anggun Fitri Handayani","doi":"10.26911/thejmch.2024.09.01.06","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.06","url":null,"abstract":"Background: Breastfeeding is advantageous to the infants health. Employed mothers experienced various challenges in providing exclusive breastfeeding. Studies suggest that husband support contribute to lactating mothers efficacy, improves breastfed duration, and reduces risk factors for bottle feeding. This study aimed to estimate the influence of husband's support, income, working mother, and ANC visits on exclusive breastfeeding. \u0000Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA and PICO model. Population= lactating mothers. Intervention= low husband's support, high income, employed mother, irregular ANC visit. Comparison= high husband's support, low income, unemployed mother, regular ANC visits. Outcome= exclusive breastfeeding. Articles published from 2013 to 2023 were collected from Google Scholar, PubMed, and Science Direct. Literature search using the keywords \"family support or husband support\" AND \"Income\" AND \"Employment\" AND \"Antenatal Care Visit\" or \"ANC Visit\" AND \"Exclusive Breastfeeding\" AND \"Cross Sectional\". Selected articles were assessed using RevMan 5.3. \u0000Results: 18 cross sectional studies from Indonesia, Ethiopia, Somalia, Brazil, Thailand, Taiwan, Jordan, and India were selected for meta-analysis. Total sample was 7,234. High husband's support (aOR= 3.41; 95% CI= 2.36 to 4.91; p= 0.010), regular ANC visits (aOR=1.87; 95% CI= 1.11 to 3.17; p= 0.020) significantly increased exclusive breastfeeding. High income (aOR= 1.11; 95% CI= 0.51 to 2.44; p=0.790) and unemployment mothers (aOR= 1.11; 95% CI= 0.46 to 2.68; p=0.820) increased exclusive breastfeeding, but it was statistically non-significant. \u0000Conclusion: High husband support, regular ANC visits, high income, and unemployed mothers increase exclusive breastfeeding. \u0000Keywords: husband support, income, employment, antenatal care, exclusive breastfeeding. \u0000Correspondence: Reza Widiantoro. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: rezawidiantoro0507@gmail.com. Mobile: +6285701063463.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"40 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139890237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Husband Support, Family Income, Employed Mothers, and Antenatal Care Visit on Exclusive Breastfeeding","authors":"Reza Widiantoro, Khairunnisa Khairunnisa1, Mashaf Fahrur Murdo Furqon, Bhisma Murti, Anggun Fitri Handayani","doi":"10.26911/thejmch.2024.09.01.06","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.06","url":null,"abstract":"Background: Breastfeeding is advantageous to the infants health. Employed mothers experienced various challenges in providing exclusive breastfeeding. Studies suggest that husband support contribute to lactating mothers efficacy, improves breastfed duration, and reduces risk factors for bottle feeding. This study aimed to estimate the influence of husband's support, income, working mother, and ANC visits on exclusive breastfeeding. \u0000Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA and PICO model. Population= lactating mothers. Intervention= low husband's support, high income, employed mother, irregular ANC visit. Comparison= high husband's support, low income, unemployed mother, regular ANC visits. Outcome= exclusive breastfeeding. Articles published from 2013 to 2023 were collected from Google Scholar, PubMed, and Science Direct. Literature search using the keywords \"family support or husband support\" AND \"Income\" AND \"Employment\" AND \"Antenatal Care Visit\" or \"ANC Visit\" AND \"Exclusive Breastfeeding\" AND \"Cross Sectional\". Selected articles were assessed using RevMan 5.3. \u0000Results: 18 cross sectional studies from Indonesia, Ethiopia, Somalia, Brazil, Thailand, Taiwan, Jordan, and India were selected for meta-analysis. Total sample was 7,234. High husband's support (aOR= 3.41; 95% CI= 2.36 to 4.91; p= 0.010), regular ANC visits (aOR=1.87; 95% CI= 1.11 to 3.17; p= 0.020) significantly increased exclusive breastfeeding. High income (aOR= 1.11; 95% CI= 0.51 to 2.44; p=0.790) and unemployment mothers (aOR= 1.11; 95% CI= 0.46 to 2.68; p=0.820) increased exclusive breastfeeding, but it was statistically non-significant. \u0000Conclusion: High husband support, regular ANC visits, high income, and unemployed mothers increase exclusive breastfeeding. \u0000Keywords: husband support, income, employment, antenatal care, exclusive breastfeeding. \u0000Correspondence: Reza Widiantoro. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: rezawidiantoro0507@gmail.com. Mobile: +6285701063463.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"414 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139830110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Affecting Nutritional Status (Height for Age) of Children Under Five in Rote Ndao District, Kupang, Nusa Tenggara Timur, Indonesia","authors":"Intje Picauly, D. Boeky, Grouse Oematan","doi":"10.26911/thejmch.2024.09.01.04","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.04","url":null,"abstract":"Background: Nusa Tenggara Timur (NTT) Province has many problems related to nutritional intake and public health. Pregnant women and children under five are groups of people who are very vulnerable to this problem. Many government programs have been implemented but to date there are still high maternal and infant mortality rates as well as high problems of malnutrition and stunting. This study aimed to determine what factors influence the nutritional status of toddlers in Rote Ndao Regency.\u0000Subjects and Method: This was a cross-sectional study conducted in Rote Ndao Regency, Kupang, NTT, Indonesia, from August to November 2023. A total of 43 mothers who had children aged 12-59 months were selected for this study. The dependent variable was nutritional status (height for age/ HAZ). The independent variables were maternal knowledge on nutrition and stunting, history of infectious diseases, and local-food-based supplementary feeding. Supplementary feeding was measured using food frequency questionnaire (FFQ). Nutritional status was measured by height for age. The data were analyzed using a multiple linear regression.\u0000Results: Maternal nutritional knowledge (b= 0.37; 95% CI = 0.23 to 0.50; p = 0.001), no history of infection (b= 0.98; 95% CI= 0.72 to 1.24; p= 0.001), and local-food-based supplementary feeding (b= 1.33; 95% CI= 0.71 to 1.96; p= 0.001) positively and significantly increased nutritional status (height for age) in children under five.\u0000Conclusion: Maternal nutritional knowledge, no history of infection, and local-food-based suplementary feeding positively and significantly increase nutritional status (height for age) in children under five.\u0000Keywords: supplementary feeding, nutritional status, maternal knowledge, stunting\u0000Correspondence: Intje Picauly. Study Program of Public Health, Faculty of Public Health, Universitas Nusa Cendana, Kupang 85111, Nusa Tenggara Timur, Indonesia. Email: intjepicauly@staf.undana.ac.id. Mobile: +6282237145517.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"21 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lilik Asmawati, Diyah Fatmasari, Ari Suwondo, M. Widyawati
{"title":"Effectiveness of Rose and Jasmine Aromatherapy on The Phase 1 Labor Duration in Intrapartum Mothers at Aisyiyah General Hospital, Kudus, Central Java","authors":"Lilik Asmawati, Diyah Fatmasari, Ari Suwondo, M. Widyawati","doi":"10.26911/thejmch.2024.09.01.10","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.10","url":null,"abstract":"Background: Unhandled prolonged labor can cause death for the mother and baby. Prolonged labor is caused by inadequate contraction. Uterotonics and aromatherapy can improve the contraction. Rose and jasmine aromatherapy increase oxytocin level and aid the birth process. This study aims to compare the effectiveness of rose and jasmine aromatherapy on duration of labor in women in the first stage of labor at Aisyiyah Hospital Kudus.\u0000Subject and Methods: This research was a true experimental study with posttest-only control group design. The number of samples was determined using simple random sampling. The number of samples was 45 respondents (15 rose aromatherapy, 15 jasmine aromatherapy, 15 control). Aromatherapy (1-3%) was given through diffuser for 30 minutes. Each respondent who had prolonged labor was given aromatherapy during first stage of labor, then the duration of labor was measured. The data was analyzed using Kruskal-Wallis test.\u0000Results: In the normality test by Shapiro-Wilk test, the value of p=0.006 (p<0.05), which means that the data is not normally distributed. Homogeneity test with the Lavene test yields p=0.044 (p<0.05) which indicates that the variance of data is not homogeneous. Then continued with the Kruskal-Walls test, it was found that there was no significant difference in the effectiveness of giving rose aromatherapy, jasmine aromatherapy and standard treatment on the duration of labor in women with prolonged labor (p=0.104).\u0000Conclusion: There was no significant difference in the labor duration in rose, jasmine and control groups.\u0000Keywords: Rose Aromatherapy, Jasmine Aromatherapy, Duration of Labor, First Stage of Labor\u0000Correspondence: Lilik Asmawati, Master of Applied Midwifery Poltekkes Kemenkes Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Central Java 50268. Email: lilik.asmawati23@gmail.com Mobile Phone : 0821-3324-4814.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"33 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140505727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diaz Alifarizki Zuvarcan, David Anggara Putra, Sri Martuti
{"title":"Correlation between Preeclampsia and Infant Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia","authors":"Diaz Alifarizki Zuvarcan, David Anggara Putra, Sri Martuti","doi":"10.26911/thejmch.2024.09.01.03","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.03","url":null,"abstract":"Background: Preeclampsia is a pregnancy complication with a triad of symptoms including high blood pressure, proteinuria, and tissue swelling as well as convulsions and coma. Preeclampsia in pregnant women can cause disruption in the supply of nutrients and oxygen to the fetus which can inhibit fetal growth and development (intrauterine growth restriction). In several similar previous studies, there were different variations in results which could be caused by multifactorial factors. This research was conducted to determine the relationship between preeclampsia in pregnant women and low birth weight babies by including confounding factors into the research.\u0000Subjects and Method: This was a retrospective case control study at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. A total of 120 live birth infants was selected using purposive sampling. The dependent variable was low birth weight (LBW). The independent variables were preeclampsia, maternal age, gestational age, parity, gemelli, anemia, and asthma. Data were collected from medical records of Dr. Moewardi Hospital from January to December 2022. The data were analyzed using a multiple logistic regression.\u0000Results: Preeclampsia increased LBW by 7.75 times compared to without preeclampsia, and this was a statistically significant (OR= 7.75; 95% CI= 2.77 to 21.71; p<0.001). In addition, there was a confounding variable of gestational age (OR= 18.47; 95% CI= 6.46 to 52.79; p<0.001).\u0000Conclusion: Preeclampsia increases LBW, and this is a statistically significant.\u0000Keywords: preeclampsia, low birth weight, intrauterine growth restriction.\u0000Correspondence: Diaz Alifarizki Zuvarcan. Medical Study Program, Faculty of Medicine, Sebelas Maret University. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: alifarizki@student.uns.ac.id. Mobile: +6281290823142.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139618394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nabilah Zhafirah Al Mumtazah, Shifa Nabila Husen, Farida Fitriana
{"title":"The Relationship between Early Pregnancy and Postpartum Anxiety: A Systematic Review","authors":"Nabilah Zhafirah Al Mumtazah, Shifa Nabila Husen, Farida Fitriana","doi":"10.26911/thejmch.2024.09.01.11","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.11","url":null,"abstract":"Background: Anxiety in pregnancy has many adverse effects, both on maternal mental health and birth outcomes, as well as being a risk factor for maternal depression. The period of pregnancy and childbirth is said to be a period of life that has the potential for pregnant women to experience stress. Early pregnancy occurs in young women aged <20 years. This study aims to analyze and examine the relationship between early pregnancy and postpartum anxiety using a systematic review method. \u0000Method: This research is a systematic review with PICO including: (1) Population: pregnant women; (2) Intervention: Early pregnancy; (3) Normal age pregnancy; (4) Postpartum blues. The databases used are Google Scholar, PubMed, and GARUDA. Inclusion criteria include full text in Indonesian and English with research subjects being pregnant women with anxiety. The exclusion criteria in this study were articles published under the last five years. \u0000Results: A total of 9 articles stated that there was a relationship between early pregnancy and postpartum anxiety. The average level of anxiety during pregnancy is quite high, and approaches a severe anxiety score. Anxiety levels decreased immediately after delivery, but there was no further decrease until the late postpartum period. \u0000Keywords: early pregnancy, anxiety, postpartum \u0000Correspondence: Shifa Nabila Husen, Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof.Dr. Moestopo No. 47, Tambaksari, Surabaya 60132, Jawa Timur. Email: shifanaabilaa@gmail.com. Mobile: +6281210299045.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140505692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Lactate Level as Predictor of Mortality Critically Ill Children at Moewardi Hospital","authors":"Reza Ervanda Zilmi, Pudjiastuti Pudjiastuti, Rustam Siregar","doi":"10.26911/thejmch.2024.09.01.08","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.08","url":null,"abstract":"Background: The prevalence of mortality among critically ill children worldwide, particularly in Indonesia, remains alarmingly high. Numerous studies have indicated that elevated lactate levels serve as a significant predictor of mortality in this vulnerable population. The primary objective of this study is to elucidate the predictive value of lactate levels in determining mortality risk among critically ill children.\u0000Subjects and Method: A cohort prospective study was conducted in children aged between 1 month and 18 years old who met the criteria for critically ill children treated in the Pediatric High care unit (PHCU) of Dr. Moewardi General Hospital, Surakarta from January to June 2023. The dependent variable was the mortality. The independent variable was lactate level serum. The data were collected using questionnaire and observation sheet. The cut off point of lactate level was determined with ROC curve.\u0000Results: Among thirty critically ill pediatric patients, 43.3% died, while 56.7% survived. The deceased predominantly comprised females, with a mean age of 5.62 years (SD= 4.14). The mean lactate levels of those who died in the first hour, 6 hours, and 24 hours (Mean= 2.94; SD= 0.90) with a cut-off value of ≥2.35 mmol/L, (Mean= 3.20; SD= 0.50) with a cut-off value of ≥ 2.35 mmol/L and (Mean= 3.65; SD= 0.53) with a cut-off value of ≥2.95 mmol/L, respectively. The 24th hours lactate levels (persistence hyperlactatemia) had the highest sensitivity (92.3%) and specificity (100%) for predicting mortality (p<0.001).\u0000Conclusion: In critically ill children, lactate level of ≥2.95 mmol/L is a good predictor of mortality.\u0000Keywords: lactate level, mortality, critically ill children.\u0000Correspondence: Reza Ervanda Zilmi. Department of Pediatrics, Sebelas Maret University/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Kolonel Sutarto Street No. 132, Surakarta, Indonesia. email: zilmiervanda@gmail.com Phone: 081258038925.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"60 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140506332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Closed Kinetic Chain Exercise to Reduce Pain and Increase Functional Ability in Patient with Osteoarthritis Genu","authors":"Siti Fadhilah, Agus Widodo","doi":"10.26911/thejmch.2024.09.01.12","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.12","url":null,"abstract":"Background: Osteoarthritis genu is a degenerative disease with symptoms of chronic inflammation of the joint cartilage which causes pain, limited movement and function. Closed kinetic chain exercise is an active movement that involves many joints and muscle groups simultaneously. This study aims to analyze the effect of closed kinetic chain exercise on reducing pain and increasing functional ability in osteoarthritis genu. \u0000Subjects and Method: Quasi experimental research with a research approach in the form of pretest and posttest with control group design. This study was conducted at RST dr. Soedjono Magelang in May-June 2023. A total of 20 osteoarthritis genu patients were divided into two groups: (1) The intervention group was given closed kinetic chain exercise and (2) The control group was given conventional physiotherapy. Pain level was measured using the Visual Analog Scale (VAS). Functional ability was measured by the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Mean differences between the closed kinetic chain exercise group and the conventional physiotherapy group were analyzed using the independent t-test. \u0000Results: Providing closed kinetic chain exercise is effective in reducing the level of silent pain (Effect Size = 1.20; p= 0.014), movement pain (Effect Size= 0.99; p= 0.004), movement pain (Effect Size= 1.37; p= 0.023), and increasing functional ability in osteoarthritis genu patients (Effect Size = 0.10; p= 0.023). \u0000Conclusion: Providing closed kinetic chain exercise can reduce pain and increase functional ability in osteoarthritis genu. \u0000Keywords: Closed Kinetic Chain Exercise; Painful; Functional Capabilities; Osteoarthritis Genu \u0000Correspondence: Siti Fadhilah, Bachelor of Physiotherapy, Universitas Muhammadiyah Surakarta, Indonesia. Perumahan Koperasi Putri Tujuh Blok D17 RT 026 Bagan Besar Dumai Riau. Email: j120221270@student.ums.ac.id. Mobile: 081267705503","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140506838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hambrah Sri Atriadewi, Yulidar Hafidh, Ismiranti Andarini
{"title":"Newborn Calf Circumference to Identify Low Birth Weight Neonates","authors":"Hambrah Sri Atriadewi, Yulidar Hafidh, Ismiranti Andarini","doi":"10.26911/thejmch.2024.09.01.09","DOIUrl":"https://doi.org/10.26911/thejmch.2024.09.01.09","url":null,"abstract":"Background: The absence of birth weight records for infants remains a prevalent issue in developing countries, including Indonesia. The timely identification of low birth weight (LBW) and premature neonates, particularly those born outside well-equipped healthcare facilities is vital within the critical first 48 hours of life. This study aimed to ssess the potential utility of calf circumference in identifying low birth weight infants.\u0000Subjects and Method: A cross-sectional study was conducted on 100 neonates aged between 0 – 48 hours old who were treated at Dr. Moewardi General Hospital, Surakarta from May 2022 to August 2022. The dependent variable was neonates birth weight. The independent variables was calf circumference. Calf circumference was measured using non elastic but flexible measuring tape, with measurement precision up to the nearest 0.1 cm. The cut-off point of calf circumference was determined with the ROC curve.\u0000Results: Calf circumference significantly correlates with birth weight (p<0.001), with r=0.969. The calf circumference cut-off value of 10.35 cm in LBW had an AUC of 0.99, a sensitivity of 98.0%, a specificity of 98.0%, and a positive predictive value of 98.0%, a negative predictive value of 98.0%. The calf circumference cut-off value was 8.85 cm for LBW neonates, which had an AUC of 0.93, with a sensitivity of 83.9%. specificity 85.7%, positive predictive value 98.7%, negative predictive value 28.6%.\u0000Conclusion: Calf circumference in newborns can be used to identify neonates with low birth weight.\u0000Keywords: calf circumference, birth weight, low birth weight, anthropometry.\u0000Correspondence: Hambrah Sri Atriadewi. Department of Pediatrics, Dr. Moewardi General Hospital, Surakarta/ Faculty of Medicine, Universitas Sebelas Maret. Jl. Kolonel Sutarto 132, Surakarta, Central Java, Indonesia. Email: hs.atriadewi@gmail.com. Phone: 08119852631.","PeriodicalId":513350,"journal":{"name":"Journal of Maternal and Child Health","volume":"41 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140506636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}