MATERNAL CHARACTERISTICS AND COMPLEMENTARY FEEDING FOR CHILDREN UNDER 2 YEARS OLD: A CORRELATION STUDY IN TLATAH VILLAGE, PURWOSARI, BOJONEGORO

Background: Complementary feeding (MPASI) is substitute meals for 6 months old child to meet nutritional needs that are no longer sufficient by exclusive breastfeeding. There are several factors that can affect the delivery of MPASI by maternal namely, maternal age, level of education dan maternal occupation. Purpose: The purpose of this study is to find out the relationship between maternal age, education and occupation towards the provision of MPASI in children aged 0-2 years. Method: This research is a quantitative research with d analytics using cross sectional design. Variable characteristics of the maternal include; age, level of education and occupation. The population are all maternal who has children aged 0-2 years in Tlatah Village, Purwosari, Bojonegoro as many as 42 people and samples from simple random sampling techniques into 38 people. This research has passed the ethics review from Faculty of nursing Universitas Airlangga Number : 1769-KEPK. Result: based on statistical review using chi square test with α = 0,05, there is a relationship (p value = 0,000) between level of education to provision of MPASI and there are no relationship between maternal age (p value = 0,560) and maternal occupation (p value = 0,527) to MPASI. Conclusion: There is a relationship between level of education to the provision of MPASI and There is no relationship between maternal age and maternal occupation to the provision of MPASI.

An Association between Maternal Occupations and Low Birth Weight Infants in Japan from 1995 to 2015

Differences in low birth weight rate depending on maternal socioeconomic characteristics have not yet been demonstrated using the Vital Statistics in Japan; therefore, this study aimed to investigate these differences according to maternal occupations. “Report of Vital Statistics: Occupational and Industrial Aspects” and the Vital Statistics in Japan were used every five years from 1995 to 2015. Nine types of occupations were compared. The low birth weight rate was calculated according to maternal occupations and year. Also, the standardized low birth weight ratio was obtained by dividing the number of low-birth-weight infants for each maternal occupation by an expected number of low birth weight infants. The standardized low birth weight ratio for manual workers was the highest among all occupations from 2000 to 2015, and it was significantly higher than one throughout the years. The ratio for clerical workers was also significantly higher than one from 1995 to 2010. Whereas, the ratio for farmers was significantly lower than one in most of the years. It was suggested that health guidance and prenatal care are particularly needed for manual workers, and a study investigating the differences in prenatal characteristics among maternal occupations is necessary for finding a reason for disparity.

Maternal occupation as a nail technician or hairdresser during pregnancy and birth defects, National Birth Defects Prevention Study, 1997–2011

ObjectiveNail technicians and hairdressers may be exposed to chemicals with potential reproductive effects. While studies have examined birth defects in children of hairdressers, those in children of nail technicians have not been evaluated. We investigated associations between selected birth defects and maternal occupation as a nail technician or hairdresser versus a non-cosmetology occupation during pregnancy.MethodsWe analysed population-based case–control data from the multisite National Birth Defects Prevention Study, 1997–2011. Cases were fetuses or infants with major structural birth defects; controls were live-born infants without major birth defects. Expert raters classified self-reported maternal jobs as nail technician, combination nail technician-hairdresser, hairdresser, other cosmetology work or non-cosmetology work. We used logistic regression to calculate adjusted ORs and 95% CIs for associations between occupation during pregnancy and birth defects, controlling for age, smoking, education and race/ethnicity.ResultsSixty-one mothers worked as nail technicians, 196 as hairdressers, 39 as combination nail technician-hairdressers and 42 810 as non-cosmetologists. The strongest associations among nail technicians included seven congenital heart defect (CHD) groups (ORs ranging from 2.7 to 3.5) and neural tube defects (OR=2.6, CI=0.8 to 8.4). Birth defects most strongly associated with hairdressing included anotia/microtia (OR=2.1, CI=0.6 to 6.9) and cleft lip with cleft palate (OR=2.0, CI=1.1 to 3.7). All oral cleft groups were associated with combination nail technician-hairdresser work (ORs ranging from 4.2 to 5.3).ConclusionsSmall samples resulted in wide CIs. Still, results suggest associations between maternal nail technician work during pregnancy and CHDs and between hairdressing work and oral clefts.

Influence of maternal occupation on adverse pregnancy outcomes in a Nigerian tertiary health facility

Background: There is accumulating evidence that the type of work and environmental exposures in the work environment during pregnancy may have adverse effects on fetal development and pregnancy outcome. The objective was to determine the influence of maternal occupation on adverse pregnancy outcomes.Methods: The study was a prospective hospital based study conducted at the obstetrics and gynecology department of a tertiary health facility in Nigeria. All the data were retrieved from the ante natal and delivery card of all the women that delivered at the unit within the time of data collection. Data was analyzed using SPSS version 25 and variables were presented as frequencies, percentages, means, and standard deviation. Bivariate analysis was done using chi-square test. The level of significance was set at p value ≤ 0.05.Results: Maternal occupation did not significantly affect the gestational age at delivery (X2=10.143, p=0.428) and birth weight (X2=16.807, p=0.079) however, it significantly affected the still birth (X2=28.134, p=0.002). Agricultural, forestry and fishery workers and plant and machine operators were about 8 times and 17 times more likely to have still birth than the unemployed respectively.Conclusions: There were substantial differences in the risk of adverse pregnancy outcomes between the different occupational groups.

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PERSALINAN PREMATUR DI RSUD DR SOETOMO

AbstrakLatar Belakang: Secara global, persalinan preterm menjadi penyebab utama kematian neonatus usia dini 0-7 hari pertama kehidupan dengan menimbulkan dampak morbiditas yang tinggi juga. Indonesia menempati urutan negara ke 5 estimasi persalinan preterm tertinggi di dunia. Beberapa faktor yang dapat berpengaruh terhadap persalinan preterm yaitu idiopatik, iatrogenik, sosio-demografi, maternal dan genetik. Penelitian ini bertujuan untuk melihat hubungan antara usia ibu, pendidikan ibu, pekerjaan ibu dan riwayat persalinan preterm terhadap kejadian persalinan prterm di RSUD Dr. Soetomo Surabaya. Metode: Metode penelitian ini adalah analitik observasional dengan rancang bangun case control. Jumlah populasi sebanyak 1311 orang pada periode 1 Januari - 31 Desember 2018. Sampel dibagi dalam dua kelompok yaitu kelompok kasus (ibu yang bersalin preterm) dan kelompok kontrol (ibu yang bersalin tidak preterm) sebanyak masing-masing kelompok 137 orang yang disesuaikan dengan kriteria inklusi dan eksklusi dan berdasarkan teknik pengambilan sampel yaitu simpel random sampling. Variabel independen terdiri dari usia ibu, pendidikan, pekerjaan dan riwayat persalinan preterm sedangkan variabel dependen adalah persalinan preterm. Analisis data bivariat menggunankan uji Chi-Square test dengan taraf signifikansi α = 0,05 (95% CI). Hasil: Hasil uji Chi-Square menunjukkan bahwa tidak ada hubungan bermakna antara usia ibu bersalin (nilai p = 0,259), pendidikan (nilai p = 1), pekerjaan (nilai p = 0,225) dan riwayat persalinan preterm (nilai p = 0,191) dengan kejadian persalinan preterm. Kesimpulan: Faktor risiko seperti usa ibu bersalin, pendidikan ibu, pekerjaan ibu dan riwayat persalinan preterm tidak memiliki hubungan terhadap kejadian persalinan preterm. Abtract Background : Globally, preterm labor is the main cause of neonatal mortality in the first 0-7 days of life with a high impact of morbidity. Indonesia ranks 5th in the highest estimate of preterm labor in the world. Several factors that can influence preterm labor are idiopathic, iatrogenic, socio-demographic, maternal and genetic. This study aims to look at the relationship between maternal age, maternal education, maternal occupation and a history of preterm labor against the incidence of prenatal labor in RSUD Dr. Soetomo Surabaya. Method : The method of this study is observational analytic with a case-control design. The total population is 1311 people in the period January 1 - December 31, 2018. Samples were divided into two groups, namely the case group (preterm maternity) and the control group (mothers who were not preterm) as many as 137 groups each according to the inclusion criteria and exclusion and based on sampling techniques, namely simple random sampling. Independent variables consisted of maternal age, education, occupation and a history of preterm labor while the dependent variable was preterm labor. Bivariate data analysis used the Chi-Square test with a significance level of α = 0.05 (95% CI). Results : The Chi-Square test results showed that there was no significant relationship between maternal age (p = 0.259), education (p = 1), employment (p = 0.225) and preterm labor history (p = 0.191) with the incidence of preterm labor. Conclusion: Risk factors such as maternal age, maternal education, maternal occupation and a history of preterm labor have no relationship to the incidence of preterm labor.

External risk factors associated with language disorders in children

Background Children with language delay have deficits in the ability to learn and use language, either expressive and/or receptive despite otherwise normal development. Language delay could be influenced by either internal factors (within the child) and external factors (from the environment). Timely identification and modification of these risk factors can allow early intervention to reduce child disability and are associated with better long-term outcomes. Objective To identify possible risk factors related to language delay in children, such as bilingualism, socioeconomic status, maternal and caregiver education level, use of digital media, absence of story reading sessions, breastfeeding patterns, siblings, parenting methods, and maternal occupation. Methods This observational, analytic study included 102 children aged 24-36 months from four daycare centers in Manado, North Sulawesi, selected by cluster random sampling. Parents were interviewed to gather demographic information of child age, gender, presence of older siblings, maternal occupation, socioeconomic status, maternal/caregiver educational level, use of digital media, absence of story reading sessions, breastfeeding patterns, parenting methods, and bilingual environment. Children’s language development was assessed by the Capute Scales. Results Multivariate analysis revealed 2 factors significantly associated with increased risk of language delay; namely absence of storybook reading (OR=0.16; 95%CI 0.03 to 0.72; P=0.017) and bilingualism (OR=12.58; 95%CI 1.57 to 100.81; P=0.017). Conclusion Story reading sessions is associated with decreased risk of language delay, shile bilingualism is associatd with increased risk of language delay.

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI BAYI USIA 6-12 BULAN PADA MASA PANDEMI COVID-19

The condition of the Covid-19 pandemic can cause changes in social conditions and affect the nutritional status of infants. The research objective was to analyze the relationship between maternal knowledge, occupation and history of exclusive breastfeeding with the nutritional status of infants aged 6-12 months during the Covid 19 pandemic. This study was a quantitative study with a cross-sectional design. The research sample was 62 mothers who had infants aged 6-12 months with total sampling technique. The research was conducted from January to March in Pulau Tinggi village, the working area of Puskesmas Kampar. The tools used are scales, and questionnaires. Data analysis used univariate and bivariate analysis with the chi square test. The results showed that as many as 45 mothers (72.58%) lacked knowledge of mothers, 49 mothers (79.03%) did not work, 33 babies (53.23%) were given exclusive breastfeeding, and as many as 41 babies (66.1%) ) abnormal nutritional status. Meanwhile, bivariate analysis showed a relationship between maternal knowledge (p-value = 0.001) and history of exclusive breastfeeding (p-value = 0.000), with the nutritional status of the baby. There is no relationship between maternal occupation and infant nutritional status (p-value = 0.058.) There was a significant relationship between maternal knowledge and history of exclusive breastfeeding with infant nutritional status and there is no relationship between maternal occupation and maternal nutritional status. It was recommended that health workers provide counseling to mothers to increase knowledge about balanced nutrition in infants. Keywords : maternal knowledge, history of exclusive breastfeeding, occupation, nutritional status of infants ABSTRAK Kondisi Pandemi covid-19 dapat menyebabkan terjadinya perubahan kondisi sosial dan mempengaruhi status gizi bayi. PTujuan penelitian untuk menganalisis hubungan faktor pengetahuan ibu, pekerjaan dan riwayat pemberian ASI ekskusif dengan status gizi bayi usia 6-12 bulan pada masa pandemi covid 19. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Sampel penelitian adalah 62 ibu yang mempunyai bayi usia 6-12 bulan dengan teknik total sampling. Penelitian dilakukan pada Januari- Maret di desa Pulau Tinggi wilayah kerja Puskesmas Kampar. Alat yang digunakan timbangan, dan kuesioner. Analisis data menggunakan analisa univariat dan bivariat dengan uji chi square. Hasil penelitian didapatkan bahwa sebanyak 45 ibu (72,58%) pengetahuan ibu kurang, 49 ibu (79,03%) tidak bekerja, sebanyak 33 bayi (53,23%) diberikan ASI ekslusif, dan sebanyak 41 bayi (66,1%) status gizinya tidak normal. Sedangkan analisis bivariat menunjukkan adanya hubungan pengetahuan ibu (p-value=0.001) dan riwayat pemberian ASI eksklusif (p-value=0.000), dengan status gizi bayi. Tidak terdapat hubungan antara pekerjaan ibu dengan sttaus gizi bayi (p-value=0.058.) Terdapat hubungan yang signifikan antara pengetahuan ibu dan riwayat pemberian ASI eksklusif dengan status gizi bayi dan tidak ada hubungan antara pekerjaan ibu dengan status gizi ibu. Disarankan kepda petugas kesehatan untuk memberikan penyuluhan kepada ibu untuk meningkatkan pengetahuan tentang gizi seimbang pada bayi.

Determinants of Skilled Birth Attendance Utilization Among Mothers Who Gave Birth In The Past 24 Months In Kembata Tembaro Zone

Background: Skilled delivery is encouraged as a single most important strategy in preventing maternal and neonatal morbidity and mortality. It ensures safe birth, reduce both actual and potential complications and increase the survival of most mothers and newborns. Little is known on current factors that affect utilization of skilled birth attendance in the study area. Therefore this study was aimed identify determinants of skilled birth attendance utilization among women who gave birth in the last 24 months preceding the studyMethods: A community based cross-sectional study was employed among women who gave birth in the last 24 months prior to the survey in Kembata Tembaro zone from April 1 to 30, 2020. 624 study participants were recruited for the study as eligible study participants. Multi-stage stratified sampling was used to select three districts and one town administrative unit of the study area. The data were collected and verified for their completeness, edited, and coded. Multivariate analysis was performed using the back ward LR method to identify factors independently associated with dependent variable. Statistical significance was declared at p-value of less than 0.05 and the strength of statistical association was measured by adjusted odds ratios and 95% confidence intervals.Results: In this study, 375(61.8%) women gave their last birth at health institutions being attended by skilled birth attendants. Place of residence [AOR (95% CI)=0.33(0.215, 0.582)], age at interview [AOR (95% CI=3.41(1.572, 5.449)], maternal education [AOR (95% CI)=1.50(1.336, 4.193)], history of still birth [AOR (95% CI)=3.85(2.144, 6.905)], maternal occupation [AOR (95% CI)=3.35(1.793,6.274)], husband occupation [AOR (95% CI)=2.69(1.701,7.986)], ANC visit [AOR (95% CI) =4.62(3.124, 7.324)], knowledge about obstetric complications [AOR (95% CI) =3.10(1.371,5.214)] and final decision maker about place of delivery [AOR (95% CI)= 3.64(1.701,7.986)] were significant with utilization of skill birth attendance.Conclusion: In this study, about two fifth of the respondents were delivering in the home without using unskilled delivery attendant. Place of residence, age at interview, maternal education, history of still birth, maternal occupation, husband occupation, ANC visit, knowledge about obstetric complications and final decision maker about place of delivery were determinants of utilization of skilled attendant delivery.

Bringing Occupations Back In: Maternal Occupation-Specific Skills and Children’s Language and Cognitive Development

This study investigated the impact of maternal occupation-specific skills on 5-year old children’s verbal and cognitive abilities. Representative data from the Millennium Cohort Study on 13,543 children were complemented with data from the British Skills Surveys to analyze how the relative importance of multiple job tasks across maternal occupations (79 groups) influences children’s inductive reasoning, spatial awareness and verbal ability. We found that mothers’ problem-solving and professional skills (e.g., presentation and teaching skills) are positively associated with children’s verbal abilities over and above human, social and economic capital. Mothers’ manual and numerical skills were negatively associated with children’s verbal abilities. Albeit effect sizes are small, this study shows that maternal occupation-specific resources contribute to social stratification in child development.