Purpose
Kangaroo mother care (KMC) was introduced in Indonesia 30 years ago, but the extent of its use has not been fully documented. Therefore, this study aimed to examine the use of KMC and evaluate the characteristics of infants who received KMC at Koja District Hospital in North Jakarta, Indonesia. This retrospective cohort study recorded the characteristics of infants with birthweights less than or equal to 2,200 g at the above-mentioned hospital.
Methods
Data collected from infant registers included gestational age, birthweight, Apgar score, number of complications, history of neonatal intensive care unit treatment, and KMC status. Cox regression analysis was conducted.
Results
This study found that 57.7% of infants received KMC. Infants with birthweights over 1,500 g were 2.16 times (95% CI: 1.20-3.89) more likely to receive KMC.
Conclusion
Efforts to promote KMC are recommended, specifically for infants with birthweights greater than 1,500 g. KMC for infants with other conditions can also be considered based on the infants' stability.

Citations

• Trends and determinants of early initiation of breastfeeding in Indonesia: A multivariate decomposition analysis
  Siti Nurokhmah, Lucinda Middleton, Judhiastuty Februhartanty, Aryono Hendarto, Veincent Christian Pepito
  PLOS ONE.2023; 18(11): e0294900.     CrossRef
• Journal statistics, directions for development, and appreciation for reviewers
  Hyun Young Koo
  Child Health Nursing Research.2022; 28(1): 5.     CrossRef
• Congratulations on Child Health Nursing Research becoming a PubMed Central journal and reflections on its significance
  Sun Huh
  Child Health Nursing Research.2022; 28(1): 1.     CrossRef

Purpose
This study aimed to identify small for gestational age (SGA) infants' growth patterns, nutritional status, and associated factors.
Methods
This prospective cohort study was conducted at primary-care child health clinics in Greater Kuala Lumpur, Malaysia. The sample consisted of infants who fulfilled the criteria and were born in 2019. The anthropometric data of infants were assessed at birth and at 1, 3, 6, 9, and 12 months.
Results
A total of 328 infants were analysed. In total, 27.7%(n=91) of the subjects were SGA infants, and 237 of them were not. Significant differences in the median weight-for-age and length-for-age z-scores were observed between SGA and non-SGA infants at birth, 1 month, 6 months, and 12 months. There was a significant difference between the growth patterns of SGA and non-SGA infants. Birth weight and sex significantly predicted the nutritional status(stunting and underweight) of SGA infants during their first year of life.
Conclusion
SGA infants can catch up to achieve normal growth during their first year of life. Even though the nutritional status of SGA infants trends worse than non-SGA infants, adequate infant birth weight monitoring and an emphasis on nutritional advice are crucial for maintaining well-being.

Citations

• Directed acyclic graph helps to understand the causality of malnutrition in under-5 children born small for gestational age
  Soumya Tiwari, Viswas Chhapola, Nisha Chaudhary, Lokesh Sharma
  Journal of Clinical Epidemiology.2025; 177: 111611.     CrossRef
• Exploring the multifactorial predictors of stunting in children under five: A systematic review of the literature, 2015–2024
  Heti Ira Ayue, Nurdiana Nurdiana, Viera Wardhani, Ani Budi Astuti, Heri Prayitno, Agung Dwi Laksono, Tonny Sundjaya
  Journal of Public Health Research.2025;[Epub]     CrossRef
• Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
  Via Eliadora Togatorop, Laili Rahayuwati, Raini Diah Susanti, Julianus Yudhistira Tan
  Revista Brasileira de Enfermagem.2024;[Epub]     CrossRef
• Trajectory Patterns of Weight and Length in Children: From Birth Until 2-Years of Age
  Lais dos Santos, Andressa Cristino de Oliveira, Rafaela Marcondes Silva Lotz, Fernanda Manera, Renata Cordeiro Fernandes, Barbara Moreira Castilho, Doroteia Aparecida Höfelmann
  Journal of the American Nutrition Association.2024; 43(8): 686.     CrossRef
• Growth Status of Full-Term Infants with Different Sizes for Gestational Age During the First Year of Life
  Zhuo-Ren Zhou, Yong Guo
  Pediatric Health, Medicine and Therapeutics.2024; Volume 15: 265.     CrossRef
• Journal statistics, directions for development, and appreciation for reviewers
  Hyun Young Koo
  Child Health Nursing Research.2022; 28(1): 5.     CrossRef

Purpose
This descriptive study compared the perceived parental stress levels between parents with very low birth weight infants (VLBWIs) and nurses in the neonatal intensive care unit (NICU).
Methods
In total, 83 parents of VLBWIs and 78 NICU nurses were enrolled. Data were collected with the Parental Stress Scale (PSS) and analyzed using the t-test and analysis of variance in SAS version 9.4.
Results
The average PSS score was 3.31 among parents and 3.45 among nurses. The stress score was significantly higher among nurses with children (t=2.46, p=.016) and senior nurses (t=2.12, p=.037). There was a significant difference in the stress score according to parents' education (t=3.29, p=.002) and occupation (F=3.14, p=.049) in the sights and sounds subscale. Mothers had significantly higher stress scores than fathers in the parental role alterations subscale (t=2.32, p=.023). Parental stress scores were higher than those perceived by nurses in the infant's appearance and behaviors subscale for breathing patterns (t=2.95, p=.004), followed by jerky/ restless behavior (t=2.70, p=.008).
Conclusion
Nurses should provide explanations to parents of VLBWIs in order to reduce parental stress about the appearances and behavior of VLBWIs. This is more important than aspect of the NICU environment and education about parental roles.

Citations

• What Influences Maternal Stress in The NICU Among Mothers of Preterm Infants?
  Halyna Pavlyshyn, Iryna Sarapuk
  Journal of Multidisciplinary Healthcare.2025; Volume 18: 5713.     CrossRef
• Relationship between Maternal Stress and Neurobehavioral Indicators of Preterm Infants in the Neonatal Intensive Care Unit
  Bruna Abreu Ramos, Cibelle Kayenne Martins Roberto Formiga, Nayara Rodrigues Gomes de Oliveira, Patricia Gonçalves Evangelista Marçal, Rui Gilberto Ferreira, Tárik Kassem Saidah, Waldemar Naves do Amaral
  Children.2024; 11(8): 889.     CrossRef
• Parental stress and nurse-parent support in the neonatal intensive care unit: a cross-sectional study
  Dilek Konukbay, Mürşide Vural, Dilek Yildiz
  BMC Nursing.2024;[Epub]     CrossRef
• Fatores associados ao estresse de pais em Unidade de Terapia Intensiva Neonatal
  Jaquiele Jaciára Kegler, Eliane Tatsch Neves, Augusto Maciel da Silva, Diúlia Calegari de Oliveira, Kellen Cervo Zamberlan
  Acta Paulista de Enfermagem.2023;[Epub]     CrossRef
• The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
  Jiyeon Lee, Sunyeob Choi
  Journal of Pediatric Nursing.2023; 72: 36.     CrossRef

Purpose
This study investigated the effect of a woman's age at first marriage (AFM) on the incidence of labor complications and babies with low birth weight (LBW).
Methods
This study used data from the 2017 Indonesian Demographic and Health Survey (IDHS) on women aged 15-49 years who gave birth to their first child within the previous 5 years. Data analysis was conducted using binary logistic regression for labor complications and the binomial probit method for the incidence of LBW.
Results
The analysis showed that AFM affected the likelihood of childbirth complications and LBW babies. An increase in AFM tended to reduce the risk of childbirth complications, although poor economic conditions increased the risk of complications in mothers with a higher AFM. In addition, a low or high AFM increased the chances of delivering a baby with LBW.
Conclusion
A low AFM was associated with an increased likelihood of women experiencing birth complications when delivering their first child and delivering babies with LBW, underscoring the importance of delaying childbirth until a more mature age.

Citations

• Altitude of area of residence as a risk factor for stunting in children aged 0–60 months: A systematic review and meta-analysis
  Dina Fitriana Rosyada, Toto Sudargo, Indah Kartika Murni
  Dialogues in Health.2026; 8: 100268.     CrossRef
• Machine learning based prediction of low birth weight and its associated risk factors: Insights from the Bangladesh Demographic and Health Survey 2022
  Nourin Sultana, Zeba Afia, Isteaq Kabir Sifat, Shamsuz Zoha, Tajin Ahmed Jisa, Md. Kaderi Kibria, Giridhara Rathnaiah Babu
  PLOS Global Public Health.2025; 5(9): e0005187.     CrossRef
• Exploring Prevalence and Determinants of Early Marriage Through a Cross‐Sectional Study: Insights From Bangladesh Demographic and Health Survey 2022
  Md. Hazrat Ali, Farjana Afrin Koasha, Md. Rakibul Islam, Hafiza Akter Mim, Md. Yusuf Ali
  Health Science Reports.2025;[Epub]     CrossRef
• PROFIL MUTU INFORMASI DENGAN PERNIKAHAN DINI DI KABUPATEN TULUNGAGUNG: STUDI DESKRIPTIF
  Putu Eva Yuni Dyantari, Titin Novayanti Dey, Ni Putu Citra Laksmi, Luh Citrarasmi Dara Mestika, Luh Yenny Armayanti, Fatmawati, Sumiati, Titin Novayanti Dey, Ni Putu Citra Laksmi, Luh Citrarasmi Dara Mestika, Luh Yenny Armayanti, Fatmawati, S
  Judika (Jurnal Nusantara Medika).2025; 9(2): 1.     CrossRef
• Contemporary pathways to adolescent pregnancy in Indonesia: A qualitative investigation with adolescent girls in West Java and Central Sulawesi
  Sherria Ayuandini, Marie Habito, Steven Ellis, Elissa Kennedy, Maki Akiyama, Gerda Binder, Sandeep Nanwani, Margaretha Sitanggang, Neira Budiono, Ali Aulia Ramly, Karen Humphries-Waa, Peter S. Azzopardi, Julie Hennegan, Lakshmi Gopalakrishnan
  PLOS Global Public Health.2023; 3(10): e0001700.     CrossRef
• Potential Maternal Risk Factors for Low Birth Weight in Indonesia: A Systematic Review
  Yuni Nurwati, Hardinsyah Hardinsyah, Sri Anna Marliyati, Budi Iman Santoso, Dewi Anggraini
  Jurnal Gizi dan Pangan.2023; 18(3): 167.     CrossRef
• Journal statistics, directions for development, and appreciation for reviewers
  Hyun Young Koo
  Child Health Nursing Research.2022; 28(1): 5.     CrossRef
• Congratulations on Child Health Nursing Research becoming a PubMed Central journal and reflections on its significance
  Sun Huh
  Child Health Nursing Research.2022; 28(1): 1.     CrossRef
• Characteristics Energy, and Protein Intake of Pregnant Women during The Covid-19 Pandemic and Its Relation with Infant Birth Weight
  Fahmil Usman, Harsono Salimo, Adi Magna Patriadi Nuhriawangsa
  Media Gizi Indonesia.2022; 17(2): 174.     CrossRef

PURPOSE
To evaluate the efficacy of Optimal humidification during Nasal Continuous Positive Airway Pressure (nCPAP) for Extremely Low Birth Weight Infant (ELBWI).
METHODS
The study design was a pre-test-post-test nonequivalent nonsynchronized quasi-experimental design. The participants were 218 ELBWI on nCPAP (experimental group: 102 and control group: 116). Data collection was conducted from January 2005 to April 2010. In order to measure and analyze the nCPAP duration, reintubation and nasal condition, Chi-square test and t-test were used.
RESULTS
Hypothesis 1, that the duration with nCPAP in the experimental group is longer than that of the control group and hypothesis 2-3, that the rate of reintubation and nasal problems in the experimental group are lower than the control group, were all supported as there were statistically significant differences between two groups.
CONCLUSION
The findings suggest that the Optimal humidification in this study is an efficient intervention because it helps increase the last time of nCPAP with ELBWI and minimize complications. It is expected that Optimal humidification is beneficial and helpful in preventing and caring for respiratory problems in these infants.

Citations

• Systematic Review of Effects of Nasal Continuous Positive Airway Pressure on Apnea of Preterm Infants.
  Eun Joo Kim
  Child Health Nursing Research.2014; 20(3): 225.     CrossRef
• High Flow Nasal Cannula versus Nasal CPAP in Preterm Infants
  Seong-ho Yoon, Young-hee Kwon, Hyun-kyung Park, Chang-ryul Kim, In-jun Seol, Hyun Ju Lee
  Journal of the Korean Society of Neonatology.2011; 18(2): 293.     CrossRef

In recent years, reductions in infant mortality have mainly been accomplished by improving the survival of premature and low birth weight infants, however premature infants still remain at great risk. The purpose of this study was to review the maternal child health service related to premature infants and to provide a future direction for improving maternal child health (MCH) in Korea. We reviewed two MCH services which are directly related to premature infants: 1) a registry and financial support program for families with a premature infant, and 2) financial support to build neonatal intensive care units in rural public hospitals. Suggestions are made for the development of a national vital signs record system to identify high risk infants and to monitor the trends in infant mortality due to prematurity. Prevention efforts and preconception care for childbearing women is also an important strategy to reduce the rate of preterm births. Finally, we need consider long-term follow-up plans for premature infants for a successful transit to the special education system. Developing MCH policy related to premature infants that decreases the occurrence of premature may decrease infant mortality, and also improve maternal and child health services.

Citations

• Neonatal Transport and Regionalization of Neonatal Intensive Care: The Perspective of Transferred Preterm Infants in a Single Neonatal Intensive Care Unit of the South-western Area of Gyeonggi-do
  Sang Hoon Shin, Eun Hee Lee, Jeong Hee Shin, Mi Jung Hwang, Young Ok Choi, Won Hee Seo, Byung Min Choi, Hai Joong Kim, Young Sook Hong
  Korean Journal of Perinatology.2013; 24(4): 265.     CrossRef
• Risk disparities in the globalisation of assisted reproductive technology: The case of Asia
  Jung-Ok Ha
  Global Public Health.2013; 8(8): 904.     CrossRef
• Effects on Maternal Attachment, Parenting Stress, and Maternal Confidence of Systematic Information for Mothers of Premature Infants.
  Hyo Sin Choi, Yeong Hee Shin
  Child Health Nursing Research.2013; 19(3): 207.     CrossRef
• Integrative Review on Caring Education Papers for Parents with a Premature Infant.
  Mihae Im, Jina Oh
  Child Health Nursing Research.2013; 19(2): 120.     CrossRef
• Gender Differences in Awareness of Preconception Care and Pregnancy
  Dong Sook Cho, Eun Jung Kim, Eun Mi Jun
  Korean Journal of Women Health Nursing.2013; 19(4): 219.     CrossRef
• Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study
  Hae Won Kim, Yeon Yi Jung
  Journal of Korean Academy of Nursing.2012; 42(4): 477.     CrossRef
• Effects of a Home-based Discharge Program for Mothers of Premature Infants on Oxygen Therapy at Home
  Ji Min Lee, Soon Ja Oh, Kyung A Kim, Eun Jung Lee, Ji Yoon Lee, Moon Sook Hwang, Jung Sook Kim
  Journal of Korean Academy of Child Health Nursing.2010; 16(2): 144.     CrossRef

PURPOSE
The purpose of this study was to identify whether hearing a recording of mother's voice affected physiological reactions, behavioral state related to sleep and weight of very low birth weight (VLBW) infants.
METHODS
This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group, a recording of mother's voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in the incubator.
RESULTS
For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differences between the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In the daily weight change, there was no significant difference between the experimental and control groups.
CONCLUSION
The findings suggest that, for VLBW infants, the intervention of hearing a recording of mother's voice had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state and improve VLBW infants' growth.

Citations

• Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
  Young Ah Park, YeoJin Im
  Qualitative Health Research.2025; 35(10-11): 1231.     CrossRef
• The Effect of Maternal Voice on Venipuncture Induced Pain in Neonates: A Randomized Study
  Yanjun Chen, Yang Li, Jing Sun, Dongren Han, Shuju Feng, Xin Zhang
  Pain Management Nursing.2021; 22(5): 668.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Effects of tactile stimulation by fathers on physiological responses and paternal attachment in infants in the NICU
  Min A Kim, Shin-Jeong Kim, Haeryun Cho
  Journal of Child Health Care.2017; 21(1): 36.     CrossRef

PURPOSE
The aim of this study was to analyze the correlation of gestational age and birth weight with weight gain of very low birth weight infants(VLBWI) during their hospital stay.
METHOD
This is a 5 year retrospective study of which data were collected through review of medical records. Subjects were 124 VLBW infants with a birth weight more than 1000g and less than 1500g who received neonatal intensive care at the university hospital between January 1, 1997 to December 31, 2001.
RESULT
After calculating the z scores of birth weights and discharge weights, z scores of discharge weight and birth weight were compared with the median weight of a fetus of comparable gestational age based on an intrauterine growth reference. There was a significant difference between z scores of birth weight and discharge weight(t=11.60, df=122, p=0.000). Regardless of intensive care during the prolonged hospital stay, VLBW infants showed slow growth rate compared with the median weight of a fetus of comparable gestational age.
CONCLUSION
VLBW infants developed a poor velocity of weight gain during the prolonged hospital stay after birth. The development worsened during the period of physiological weight loss and regain, and they did not reach to comparable growth rate of normal fetus even at the time of discharge. This poor growth velocity of VLBW infants influence negatively for their future growth. Therefore nureses who work at the neonatal intensive care unit must develop an effective nursing intervention protocol to promote the velocity of weight gain and to conduct the parental educational sessions to emphasize the importance of weight gain for VLBW infants at home.

A phenomenological study is conducted to investigate the experience of mothers with very low birth weight. Sample of 8 mothers participate. Seven theme clusters emerge when the formulated meanings were organized into categories. The participants are 8 mothers who gave birth in the general hospital located in Kyunggi-Province and still live there. The data are collected from the intensive interviews on the experience of mothers whose baby is very low birth weight infant. Data collection is through in depth personal interviews two or three times with each mother. On the basis of the meanings of the experience of mothers with very low birth weight infant, the seven essential themes have been obtained Theme 1: Being surprised and perplexed due to the unexpected sudden delivery Theme 2:Experiencing emotional pain such as anxiety, sorrow, fear, confusion and self-blaming caused by a small and feeble baby. Theme 3: Pouring all their time and efforts into the baby under the acute tension Theme 4:Undergoing intolerable difficulties in confronting reality Theme 5:Raising the special infant into an normal one by themselves Theme 6: Being on the vigilance for their baby even though they can be relieved Theme 7:Finding out a reward for the difficulties they have experienced The results obtained in this study will enable us to comprehensively understand the experience by mothers whose baby is very low birth weight infant and furthermore to provide a new insight which helps baby.

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2.The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3.The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.