scholarly journals The Effect of Early Initiation of Breastfeeding on Neonatal Mortality among Low Birth Weight in Aceh Province, Indonesia: An Unmatched Case Control Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Satrinawati Berkat ◽  
Rosnah Sutan
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Period ◽  
Total Sample ◽  
Early Initiation ◽  
Design Data ◽  
Early Initiation Of Breastfeeding ◽  
Aceh Province ◽  
Initiation Of Breastfeeding

Background. Early initiation of breastfeeding is the breastfeed that is received by the baby within the first hour of birth. It is recommended to reduce infant mortality and illness. Objective. To assess the effect of early initiation of breastfeeding on neonatal mortality for low birth weight in Aceh province, Indonesia. Method. In this qualitative study unmatched case controls were used as the design. Data was collected in 8 districts in Aceh province, Indonesia, between January and December 2012. The total sample for this study was 500 LBW who were born between 2010 and 2012, subdivided into 250 LBW who died in neonatal period and 250 LBW who survived during neonatal period. Result. Thermal care and hygienic practice were not significantly associated with neonatal mortality among LBW. Feeding and early initiation of breastfeeding were associated. Discussion. Early initiation of breastfeeding had an effect on neonatal mortality for the low birth weight in Aceh province, Indonesia. The risk of mortality was decreased for those neonates who accepted breast milk within the first hour after birth. Therefore it is concluded that a new strategy to promote and improve the coverage of the initiation of breastfeeding is needed.

scholarly journals The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu

2019 ◽  
Vol 39 (3) ◽  
pp. 168-173
Author(s):  
Sharada Acharya ◽  
Chitra Khanal ◽  
Akriti Shree Dahal ◽  
Mankeshari Maharjan ◽  
Bhagawati Bhandari
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Early Initiation ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Low Birth Weight Babies ◽  
Breastfeeding Practice ◽  
Initiation Of Breastfeeding

Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice. Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF. Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding. Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.

scholarly journals Risk Factors Associated with Initiation of Breastfeeding among Mothers with Low Birth Weight Babies: A Cross-Sectional Multi-Centre Study in Abu Dhabi, United Arab Emirates

2019 ◽  
Vol 7 (23) ◽  
Author(s):  
Zainab Taha ◽  
Ahmed Ali Hassan ◽  
Ludmilla Wikkeling-Scott ◽  
Dimitrios Papandreou
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
United Arab Emirates ◽  
Early Initiation ◽  
Abu Dhabi ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Delayed Initiation ◽  
The Mean ◽  
Initiation Of Breastfeeding

BACKGROUND: Early initiation of breastfeeding is important for good lactation outcomes and has long been recommended by the World Health Organization (WHO). Recommendations are based on research showing that breastfeeding saves children’s lives, particularly among vulnerable populations such as low birth weight (LBW) neonates. In spite of a consistent rise in LBW deliveries, and in spite of the importance of breastfeeding for the survival of LBW neonates, a dearth of research exists regarding early initiation of breastfeeding for this population. AIM: This study aimed to investigate the prevalence of, and factors associated with the initiation of breastfeeding among mothers with children aged less than two years who were low birth weight in Abu Dhabi, United Arab Emirates (UAE). METHODS: The data for this cross-sectional study were extracted from a larger project on evaluation of breastfeeding practices in Abu Dhabi. The original data were collected from seven healthcare centres located in different urban and suburban areas of Abu Dhabi during 2017. A structured questionnaire was used by trained research assistants who collected relevant data from mothers during the interview. RESULTS: The study included a total of 1,822 mothers of children below the age of two years; 175 (9.6%) of those children were identified as LBW. The mean (standard deviation [SD] ages of the mothers and the children were 30.5 (5.0) years and 6.0 (5.1) months, respectively. The mean birth weight (SD) of the LBW children was 2079.6 (255.0) grams. Forty (29.9%) mothers of LBW children initiated breastfeeding within the first hour. Sixty-four (47.8%) were delivered vaginally, and 70 (52.2%) were delivered via caesarean section (CS). In multivariable logistic regression analysis, the only factor associated with delayed initiation of breastfeeding among the LBW children was CS (adjusted odds ratio [AOR] 2.33; 95% confidence interval [CI] 1.07, 5.07). CONCLUSION: The prevalence of LBW was 9.6%, and it was associated with delayed initiation of breastfeeding as compared to the normal birth weight babies. While early initiation of breastfeeding should be promoted for all newborns, LBW infants are recognised as a vulnerable group and thus require additional support. There should be more emphasis on promoting and facilitating breastfeeding for LBW babies, especially those delivered by CS.

scholarly journals Time of initiation of breastfeeding in various modes of delivery and to observe the effect of low birth weight and period of gestation on initiation of breastfeeding

2018 ◽  
Vol 5 (4) ◽  
pp. 1509 ◽  
Author(s):  
Navneet Badaya ◽  
Sanjiv Jain ◽  
Nayan Kumar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Negative Impact ◽  
Early Initiation ◽  
P Value ◽  
Early Initiation Of Breastfeeding ◽  
Group I ◽  
The Difference ◽  
Period Of Gestation ◽  
Initiation Of Breastfeeding

Background: There are certain factors influencing early initiation of breastfeeding, most of them can be corrected by paying little attention and by making certain strategies for the other factors. Study the difference between the time of initiation of breastfeeding in vaginally delivered and caesarean born deliveries, evaluate the effect of low birth weight and period of gestation on initiation of breastfeeding and to promote and encourage the breastfeeding.Methods: This observational prospective study was conducted on 500 newborns delivered at Department of RMC, Ajmer and outborn section of Department of Pediatrics, JLN MC, Ajmer. The study group was divided two groups, group- I 250 newborn delivered vaginally and group-II 250 newborn delivered by caesarean section.Results: Among birth weight >2500gm, in 146 (41.83%) cases breastfeeding was started in 0-1 hr, in 172 (49.28%) cases in 1-4 hours. Thus 91.11% initiated breastfeeding in first 8 hours (p value <0.00002), showing early initiation of breastfeeding in >2500g newborn. Among term babies, out of 398 (79.6%) babies with period of gestation 37-41 weeks, in 162 (40.70%) cases breastfeeding was initiated in 0-1 hour, in 185 (46.48%) cases in 1-4hr (p value <0.0391). Thus, 347(81.18%) initiated breastfeeding in first 8 hours.Conclusions: Term gestation is positively associated while low birth weight and prematurity of baby has negative impact on early initiation of breastfeeding.

scholarly journals Early initiation of breastfeeding at Dustira Hospital

2015 ◽  
Vol 55 (3) ◽  
pp. 126
Author(s):  
Yoke Ayukarningsih ◽  
Arief Dwinanda
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Success Rate ◽  
Medical Records ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Vaginal Deliveries ◽  
Preterm Group ◽  
Initiation Of Breastfeeding

Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.Objective To assess the success rate and time needed for latching on in EIB implementation.Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.

scholarly journals Infection remains a leading cause of neonatal mortality among infants delivered at a tertiary hospital in Karachi, Pakistan

2014 ◽  
Vol 8 (11) ◽  
pp. 1470-1475 ◽  
Author(s):  
Muhammad Ayaz Mustufa ◽  
Razia Korejo ◽  
Anjum Shahid ◽  
Sadia Nasim
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Distress Syndrome ◽  
Very Low Birth Weight ◽  
Neonatal Period ◽  
Healthcare Facility ◽  
Normal Birth Weight ◽  
Neonatal Deaths ◽  
Normal Birth

Introduction: The current cohort study was conducted to determine the frequency and compare the mortality rate with associated characteristics among low birth weight and normal birth weight infants during the neonatal period at a tertiary healthcare facility, Karachi. Methodology: Close-ended structured questionnaires were used to collect information from the parents of 500 registered neonates at the time of birth. Follow-ups by phone on the 28th day of life were done to determine the mortality among low birth weight and normal birth weight babies during the neonatal period. Results: The neonatal mortality rate ranged from as low as 2.4% in the normal birth weight and 16.4% in the low birth weight categories to as high as 96% in the very low birth weight category. Respiratory distress syndrome (24.2%) and sepsis (18.2%) were reported as the leading causes of neonatal deaths. The babies’ lengths of stay ranged from 2 to 24 hours, and around 90% of neonatal deaths were reported in the first seven days of life. More than 6% of neonates died at home, and 7.6% of the deceased babies did not visit any healthcare facility or doctor before their death. In the 12–15 hours before their deaths, 13.6% of the deceased babies had been unattended. Around 90% of the deceased babies were referred from a doctor or healthcare facility. Conclusions: The present estimates of neonatal mortality are very high among low birth weight and very low birth weight categories. Infectious diseases, including respiratory distress syndrome (24.2%) and sepsis (18.2%), were leading causes of neonatal deaths.

scholarly journals DETERMINANTS OF NEONATAL MORTALITY BASED ON THE 2017 INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY (IDHS)

2021 ◽  
Vol 16 (3) ◽  
pp. 363
Author(s):  
Fidya Rumiati ◽  
Asri C. Adisasmita
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Health Survey ◽  
Neonatal Period ◽  
Health Interventions ◽  
Demographic And Health Survey ◽  
Outcome Variable ◽  
Childbearing Age ◽  
Major Health Problem

ABSTRACTInfant mortality is still a major health problem in Indonesia as 63% of deaths occur in the neonatal period. The trend of the neonatal mortality rate in Indonesia has decreased from 15 (2017) to 13 deaths per 1,000 live births (2018), but this does not meet the Sustainable Development Goals (SDGs) target. Evidence-based health interventions are based on determinants that most influences neonatal mortality. The purpose of this study was to determine the most influential determinants of neonatal mortality in Indonesia. This research is an analytic observational study that uses the 2017 Indonesian Demographic and Health Survey (IDHS) data, with a cross-sectional design. This study’s population was the last baby of married women of childbearing age (15-49 years) and was recorded in the 2017 IDHS with a sample of 15,102 babies. The outcome variable in this study was neonatal mortality. The analysis was conducted in stages, namely univariate analysis, bivariate analysis using the chi-square statistical test (X2), and multivariate analysis using logistic regression. The results showed that 85.71% of deaths occurred in the early neonatal period. The most influential determinants of neonatal mortality were male sex (adj OR = 2.91: 95% CI 1.78-4.76), low birth weight (adj OR = 12.08: 95% CI 7.38-18.86) and parity status ≥ 4 (adj OR = 2.11: 95% CI 1.22-3.61). Public health interventions aimed at reducing neonatal mortality should be linked to newborn and maternal characteristics that significantly influence Indonesia's neonatal mortality. Therefore, health services must consider adequate postpartum neonatal care that is fully integrated with medical care. Moreover, further prevention of potential factors that cause low birth weight before conception should be implemented and further control of births would optimize the family planning program. Keywords: gender, low birth weight, parity status, determinant, neonatal mortality, Indonesia

scholarly journals GAMBARAN KEJADIAN BERAT BADAN LAHIR RENDAH DI KABUPATEN PATI

2018 ◽  
Vol 11 (1) ◽  
pp. 46-55
Author(s):  
Aeda Ernawati
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Community Health ◽  
Health Center ◽  
Neonatal Mortality ◽  
Neonatal Period ◽  
Community Health Center ◽  
Secondary Data ◽  
Male Infant ◽  
Data Sources

ENGLISHLow Birth Weight is one of the health problems during neonatal period. The purpose of this study is to describe Low Birth Weight (LBW) incidences in Pati Regency, include time, sex, place, and contributing for neonatal mortalities. This research used descriptive and quantitative approaches. Data sources derived from secondary data, i.e. Low Birth Weight records in Pati Regency 2011-2014. Data were analyzed descriptively. Results of study are the percentage of Low Birth Weight (LBW) incidence in Pati Regency in 2014 was 3.19% and it tended to increase from the previous year. Based on infant’s sex, there was slight different percentage between male infant and female infant (about 0.09% to 0.17%). The highest percentage of LBW in 2014 was found in Community Health Center (Puskesmas) of Winong 2, i.e. 6.69%. Period 2011-2014, LBW was the prior determinant of neonatal mortality in every year with the percentage ranged 32-45%. Threathment and prevention for LBW should become priority to decrease neonatal mortality. INDONESIABerat Badan Lahir Rendah (BBLR) merupakan salah satu masalah kesehatan pada masa neonatal. Tujuan penelitian untuk menggambarkan kejadian BBLR di Kabupaten Pati berdasarkan waktu, jenis kelamin, tempat dan kontribusinya terhadap kematian neonatal. Penelitian ini menggunakan pendekatan deskriptif kuantitatif. Sumber data berasal dari data sekunder berupa data BBLR di Kabupaten Pati tahun 2011-2014 kemudian dianalisis secara deskriptif. Hasil penelitian menunjukkan angka kejadian BBLR di Kabupaten Pati tahun 2014 sebesar 3,19% dan ada kecenderungan meningkat dari tahun sebelumnya. Persentase BBLR pada bayi laki-laki berbeda dengan persentase BBLR pada bayi perempuan, meskipun perbedaannya tidak terlalu jauh yaitu sekitar 0,09% sampai 0,17%. Angka kejadian BBLR tertinggi tahun 2014 terjadi di Puskesmas Winong 2 yaitu sebanyak 6,69%. BBLR menjadi penyebab kematian neonatal terbesar yaitu sekitar 32-45% setiap tahun. Penanganan dan pencegahan BBLR menjadi prioritas dalam rangka menurunkan angka kematian neonatal.

scholarly journals THE INFLUENCE OF MATERNAL AND CHILD HEALTH SERVICES ON NEONATAL DEATH OF LOW BIRTH WEIGHT NEONATES IN ACEH PROVINCE

2019 ◽  
Vol 19 (1) ◽  
pp. 15-24
Author(s):  
Satrinawati Berkat
Keyword(s):  
Logistic Regression ◽  
Birth Weight ◽  
Child Health ◽  
Health Services ◽  
Neonatal Death ◽  
Neonatal Period ◽  
Total Sample ◽  
Child Health Services ◽  
Aceh Province ◽  
And Child Health

Low birth weight (LBW) is one of the most crucial problem related to neonatal mortality and infant mortality. The LBW is defined as babies born with a birth weight less than 2500 grams. LBW does not only contribute to neonatal morbidity, but may lead to neonatal mortality. This study aim   to determine the influence of maternal and child health services (MCH) services to neonatal death among LBW babies in Aceh province, Indonesia.This study is observational study with mix method, using quantitative (Unmatched case control study) and qualitative (case study). The study   was conducted between 2011-2015 in 8 district/municipality in Aceh Province, Indonesia. Total sample for quantitative study was 500 neonates (1:1), 250 neonates who died in neonatal period (case) and   250 LBW neonates who survived in the neonatal period (control group). Meanwhile, the total sample for qualitative study was 22, there were 12 (mother) and 10 (midwife).The result of   A simple logistic regression analysis for MCH  factors found that 4 of 7 variable were significant association with neonatal death  among LBW (P value < 0.05), these variables include: Antenatal care (ANC), place of delivery, level of health facilities and neonatal visit. Multiple logistic regression found the ANC has   a strongest influence on neonatal death among LBW   babies in Aceh Province (OR=3.6; 95% CI: 2.3-5.7). The LBW neonates who were born to mothers who received number of ANC equal to or less than 3 times had a 3.6 times higher risk of death, than neonates who were born to mothers who received ANC ≥ 4 times. The appropriate of health services in health facilities are needed to reduce the NMR and improve the health of neonate.

scholarly journals THE SECOND-HAND SMOKE IN PREGNANCY AND ITS IMPACT TOWARD LOW BIRTH WEIGHT IN DISTRICT OF ACEH BESAR, ACEH PROVINCE, INDONESIA

2018 ◽  
Vol 17 (3) ◽  
pp. 117-124
Author(s):  
Ampera Miko ◽  
Satrinawati Berkat
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Total Sample ◽  
Normal Weight ◽  
Second Hand Smoke ◽  
Bivariate Analysis ◽  
P Value ◽  
Aceh Province ◽  
The Impact ◽  
In Pregnancy

Smoking does not only endangers the smokers themselves but will also harm the people around them. These are the non-smokers also called the passive smokers or second-hand smoke.In particular pregnant women who are the second-hand smoke can lead low birth weight (LBW) babies. This study aims to determine the impact of second- hand smoke in pregnancy toward LBW   in the district of Aceh Besar in 2016. A case control study was done in district of Aceh Besar, Aceh province, Indonesia. The total sample was 120 neonates (1:1), 60 neonates were LBW (cases) and 60 neonates were normal weight (controls). Data collection was doneusing a questionnaire filled in by the parents. The univariate analysiswas described with percentages and the Wald-Wolfowithz run test was used for the bivariate analysis. The results showed that the majority of mothers had a good knowledge about the dangers of smoking, ie 91 or 75.8%. Most of the mothers had positive attitudes for male smokers. The smoking men are considered normal and acceptable, consisting of 73 mothers or 60.8%.  All the mothers in this study were non-smokers (100.0%). The majority of the fathers were smokers, 88   or   73.3%, and most of them smoked around their   pregnant wife, 55 fathers or 62.5%.  The results of the bivariate analysis indicated there was a significant impact of the second-hand smoke toward the LBW (P value <0.05). It means, mothers as a second-hand smoke during pregnancy have a risk to born the LBW baby

scholarly journals Causes of Preterm and Low Birth Weight Neonatal Mortality in a Rural Community in Kenya: Evidence From Verbal and Social Autopsy

2020 ◽  
Author(s):  
Beatrice Olack ◽  
Nicole Santos ◽  
Mary Inziani ◽  
Vincent Moshi ◽  
Polycarp Oyoo ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Distress Syndrome ◽  
Neonatal Period ◽  
Preterm Neonates ◽  
Neonatal Deaths ◽  
Social Autopsy

Abstract BackgroundUnder-five mortality in Kenya has declined over the past two decades. However, the reduction in the neonatal mortality rate has remained stagnant. In a country with weak civil registration and vital statistics systems, there is an evident gap in documentation of mortality and its causes among low birth weight (LBW) and preterm neonates. We aimed to establish causes of neonatal LBW and preterm mortality in Migori County, among participants of the PTBI-K (Preterm Birth Initiative-Kenya) study.MethodsThis was a cross sectional study whereby Verbal and social autopsy (VASA) interviews were conducted with caregivers of deceased LBW and preterm neonates delivered within selected 17 health facilities in Migori County, Kenya. The probable cause of death was assigned using the WHO International Classification of Diseases (ICD-10). ResultsBetween January 2017 to December 2018, 3175 babies were born preterm or LBW, and 162 (5.1%) died in the first 28 days of life in 17 participating health facilities in the PTBI-K project. VASA was conducted among 88 (53.7%) neonatal deaths. Almost half (38, 43.2%) of the deaths occurred within the first 24 hours of life. Birth asphyxia (45.5%), neonatal sepsis (26.1%), respiratory distress syndrome (12.5%) and hypothermia (11.0%) were the leading causes of death. In the early neonatal period, majority (54.3%) of the neonates succumbed to asphyxia while in the late neonatal period majority (66.7%) succumbed to sepsis. Delay in seeking medical care was reported for 4 (5.8%) of the neonatal deaths. ConclusionDeaths among LBW and preterm neonates occur early in life due to preventable causes. This calls for enhanced intrapartum and immediate postpartum care interventions targeting asphyxia, sepsis, respiratory distress syndrome and hypothermia.

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