scholarly journals Infant’s Growth and Development at the Age of 6-12 Months Based on Breasfeeding

2018 ◽  
Vol 7 (2) ◽  
pp. 120
Author(s):  
Maida Ayu Ara ◽  
Etty Sudaryati ◽  
Zulhaida Lubis
Keyword(s):  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Prevalence Ratio ◽  
Food Supplementation ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Infant’S Growth

<span lang="EN-US">Infancy is a golden and critical period in the cycle of life. In this period, an infant that is not provided with exclusive breastfeeding has 14 times higher risk to death compared with an infant that is provided with exclusive breastfeeding. Malnutrition in the first year causes reduced brain cells up to 15-20% which leads to impaired growth and development of infant. Exclusive breastfeeding can fulfill the need for nutrients within the first 6 months of life. The objective of this study was to analyze the difference in growth and development of infants at the age of 6-12 months based on breastfeeding in the working area of Puskesmas Perawatan Ngkeran, Aceh Tenggara Regency. This is used comparative analytical resaerch with cross sectional design. The sample was 124 infants consisting of 62 infants with exclusive breastfeeding and 62 non exclusive breastfeeding, taken by purposive sampling. The data were collected by using questionnaires through interviews, measurement and observation. They were analyzed using chi square and logistic regression testing for confounding check. The results showed that there was a significant difference in growth and development of infants based on breastfeeding (p value=0.000) with prevalence ratio (PR)=4.167 (95%CI: 1.867-9.301), which indicated that the infant who did not get exclusive breastfeeding had 4.167 times higher risk to experience bad growth and development. Based on the examination of confounding variable found that food supplementation was the variable with the risk that influences infant’s growth and development. Mothers are expected to practice exclusive breastfeeding, health practitioners are suggested to conduct more counseling of exclusive breastfeeding for pregnant mothers, to have early breastfeeding initiation, to create supporting groups of exclusive breastfeeding and to issue health policy of exclusive breastfeeding.</span>

scholarly journals FAKTOR – FAKTOR YANG MEMPENGARUHI PEMANFAATAN RUANG LAKTASI DI PUSKESMAS GUNUNG PATI SEMARANG

2017 ◽  
Vol 9 (01) ◽  
pp. 59
Author(s):  
Is Susiloningtyas ◽  
Dewi Ratnawati
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
P Value ◽  
Space Utilization ◽  
Chi Square ◽  
Cross Sectional ◽  
Age Factor ◽  
Chi Square Test ◽  
The Government

ABSTRAKMenyusui adalah proses fisiologis untuk memberikan nutrisi kepada bayi. ASI adalah nutrisi ideal bagi bayi untuk menunjang kesehatan, pertumbuhan dan perkembangan bayi secara optimal. ASI memiliki energi dan komposisi gizi yang lengkap bagi pertumbuhan dan perkembangan bayi terutama di awal kehidupan bayi. Di era industrialisasi kegiatan menyusui telah mengalami penurunan yang signifikan. Ibu yang bekeja menjadi alasan untuk tidak menyusui. Kondisi tersebut menyebabkan semakin menurunnya angka ibu menyusui di Indonesia dalam 5 tahun terakhir. Pencapaian angka menyusui yang rendah telah mempengaruhi angka cakupan pemberian ASI Eksklusif pada tahun 2014 hanya berkisar 27,5%. Oleh karena itu pemerintah Indonesia memandang perlu untuk meningkatkan program ASI Eksklusif dengan diterbitkannya Peraturan Pemerintah Nomor 33 tahun 2012 tentang Pemberian ASI Eksklusif. Pemerintah telah menetapkan bahwa setiap penyelenggara fasilitas kesehatan dan pengurus tempat kerja serta penyelenggara tempat umum harus menyediakan ruang laktasi sesuai dengan ketentuan dan standar prosedur yang telah ditetapkan. Jenis penelitian yang digunakan adalah explanatory research, yaitu bertujuan untuk menguji suatu hipotesis dari hubungan antara variabel. Adapun pendekatannya menggunakan rancangan cross sectional dengan sampel penelitian 99 orang. Analisa data menggunakan analisis univariabel dan bivariabel. Hasil Uji chi square faktor usia dengan pemanfaatan Ruang Laktasi didapatkan  nilai p value 0,06 sehingga tidak ada hubungan antara faktor usia dengan pemanfaatan Ruang Laktasi sedangkan hasil uji chi square faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi didapatkan nilai p value 0,05 sehingga ada hubungan antara faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi. Sarannya adalah melakukan sosialisasi pemanfaatan ruang laktasi. Kata Kunci : ASI, Ruang LaktasiFACTORS THAT INFLUENCE THE USE OF LAKTATION ROOM IN PRIMARY HEALTH CARE GUNUNG PATI  SEMARANGABSTRACTBreastfeeding is a physiological process to provide nutrition to the baby. Breast milk is the ideal nutrition for babies to optimally support the health, growth and development of babies. Breast milk has a complete energy and nutritional composition for infant growth and development, especially early in life. In the industrialization era of breastfeeding activity has decreased significantly. A working mother is the reason not to breastfeed. This condition causes the decreasing number of nursing mothers in Indonesia in the last 5 years. The achievement of low breastfeeding rates has affected the coverage rate of exclusive breastfeeding in 2014 to only about 27.5%. Therefore the Indonesian government considers it necessary to improve the exclusive breastfeeding program by the issuance of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding. The Government has determined that every provider of health facilities and workplaces and public place providers should provide lactation chambers in accordance with established provisions and standard procedures. The type of research used is explanatory research, which aims to test a hypothesis of the relationship between variables. The approach using cross sectional design with a sample of 99 people. Data analysis using univariable and bivariable analysis. The result of chi square test of age factor with Lactation Space utilization got p value 0,06 so there is no correlation between age factor with Lactation Room utilization whereas chi square test of education factor, perception and motivation with Lactation space utilization got p value 0,05 So there is a relationship between educational factors, perceptions and motivation with the utilization of Lactation Space. The suggestion is to socialize the utilization of lactation space.Keywords: Breast milk, Lactation Room

scholarly journals Hubungan Inisiasi Menyusu Dini dan ASI Eksklusif dengan Stunting pada Baduta Usia 7-24 Bulan

2019 ◽  
Vol 2 (2) ◽  
pp. 92
Author(s):  
Nur Annisa ◽  
Sumiaty Sumiaty ◽  
Henrietta Imelda Tondong
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Simple Random Sampling ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Sampling Techniques ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area ◽  
The Relationship

The prevalence of stunting in five-year-old infants in Indonesia in 2018 it is 30.8% while in two-year babies it is 29.9% which consists of 12.8% very short and 17.1% short. Stunting can be caused by a variety of factors, such as the implementation of initiation of early breastfeeding which is not appropriate and the provision of breast milk is not exclusive. The purpose of this study is to know the relationship between early breastfeeding initiation and exclusive breastfeeding with stunting in two-year-old infants aged 7-24 months in the work area of Pantoloan Health Center. This type of research is an analytical survey with design cross sectional. The sample in this study were two-year-old infants aged 7-24 months totaling 57 samples with sampling techniques namely simple random sampling and data analysis using Chi Square. The results showed that respondents who experienced stunting were 36.8% and not stunting 63.2%. Respondents who had early breastfeeding initiation tended not to experience stunting (79.2%), while respondents who received exclusive breastfeeding tended not to experience stunting (81.0%). The results of the statistical test showed a significant relationship between early breastfeeding initiation and exclusive breastfeeding with stunting with the same p-value of 0.033 (α <0.05). The conclusion is that there is a relationship between early breastfeeding initiation and exclusive breastfeeding with stunting. Suggestions for researchers for health workers to promote and implement early breastfeeding initiatives and exclusive breastfeeding for mothers to prevent and minimize the incidence of stunting in children in the future.

HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA TERHADAP IBU DENGAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS PAMATANG SILIMAHUTA KABUPATEN SIMALUNGUN TAHUN 2017

2018 ◽  
Vol 3 (2) ◽  
pp. 20-25
Author(s):  
Eka Saudur Sihombing ◽  
Rohanta Manihuruk
Keyword(s):  
Breast Milk ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Independent Variables

Exclusive breastfeeding is the first, main and best food for a natural baby. Asi contains various nutrients needed in the process of growth and development of babies. ) The efficacy of breast milk is so large as breast milk can reduce the risk of babies suffering from various diseases. If the baby is sick it will heal faster when getting breast milk. Breast milk also helps the growth and development of children's intelligence Goals: The aim of the study was to determine the relationship between family knowledge and support for mothers with exclusive breastfeeding. Methods: The research method used an analytical survey type with a cross sectional approach to 75 breastfeeding mothers who had babies aged 7-24 months. Data analysis was performed by univariate analysis to obtain an overview of each independent and dependent variable. Data will be presented in the form of distribution, frequency and bivariate analysis to determine whether there is a relationship between independent variables (categorical) and independent variables (categorical) using Chi Square Test. Results: The results of the study obtained the frequency distribution of respondents with good knowledge 45 people (60%), less knowledge of 30 people (40%), family support 33 respondents (44%), family support 42 respondents (56%), ASI actions Exclusive 17 respondents (22.7%), did not provide exclusive breastfeeding 58 respondents (77.3%). There is no relationship between mother's knowledge of exclusive breastfeeding (p-value 0.063). There is no relationship between family support for exclusive breastfeeding p = 0.063 and p = 0.098 (α = 0.05) means that there is no relationship between knowledge and family support for mothers with exclusive breastfeeding. Conclusion: It is recommended to the community especially to mothers and families to increase exclusive breastfeeding so that the baby's needs for breastfeeding are met, and the family continues to provide support for the mother to give the baby exclusive breastfeeding, further researchers use different and varied variables and dig deeper into the mother's attitude towards exclusive breastfeeding with direct interviews with nursing mothers.

scholarly journals Analysis of the Role of the Midwife in Increasing Exclusive Breast Milk at UPT Puskesmas Mare

2021 ◽  
Vol 2 (5) ◽  
pp. 44-51
Author(s):  
Sulfianti Sulfianti ◽  
Hasliana Haslan
Keyword(s):  
Exclusive Breastfeeding ◽  
Community Health Center ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
The University

The kind of research that was utilized in this study was an analytical questionnaire. In this study, a cross-sectional design was employed to collect data. Sixty-six individuals were included in the samples that fulfilled the requirements. The findings revealed that 1) the midwife's attitude toward promoting exclusive breastfeeding at the UPT Puskesmas (Community Health Center) Mare had no impact on the outcomes of the study. The results of the chi square test revealed that the p-value was 0,089, indicating that the hypothesis was correct (0,05). There is an association between midwife assistance and an increase in exclusive breastfeeding at the University of Puskesmas Mare, according to the findings of the chi square test (p-value =0,007 for exclusive breastfeeding at the UPT Puskesmas Mare) (0,05). The rise in exclusive breastfeeding at the UPT Puskesmas Mare may be attributed to the midwifery program, according to the findings. The results of the chi square test reveal that the p-value is 0,0002, which indicates a significant difference (0,05). 4) Midwife assistance had a 12,7-fold higher impact on the rise in exclusive breastfeeding, with a p-value of 0.028 0.05 for the effect of midwife support. The midwife program, on the other hand, had a moderate impact on the rise in exclusive breastfeeding, with a p-value of 0,038 0.05 and a moderate effect of 11,1 times on the increase in exclusive breastfeeding.

scholarly journals Perkembangan Psikomotorik Bayi 6 – 9 Bulan berdasarkan Pemberian ASI Eksklusif

2016 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Agus Hendra Al-Rahmad ◽  
Ika Fadillah
Keyword(s):  
Motor Development ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Cross Sectional Study ◽  
Psychomotor Development ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Good Score ◽  
The Difference

The growth of childhood starting from conception until the age of 18 years. The excellent quality child should be prepared as early as possible, one of them through exclusive breastfeeding, up to the age of 5 months 29 days, so that the growth and development of psychomotor perfectly. This study aims to measure the difference in motor development in infants exclusively breastfed to those not exclusively breastfed. The study was the cross-sectional study conducted in Batoh, July 2016. Samples were infants aged 6-9 months as many as 76. The collection of data is done using a form of SBC observation and interviewing the respondents. Analysis of data using Man-Whitney test Test at CI: 95%. The results showed 48,9% of infants were breastfed exclusively had a good score motor development (9,0), and showed a significant difference (p-value <0,05) than motor development in infants who are not exclusively breastfed, with a value of p = 0,000. In conclusion, the baby did not get a chance to experience exclusive breastfeeding psychomotor development standard below the average of two (2) times greater than being exclusively breastfed. Expected mothers to breastfeed their babies exclusively for a better psychomotor development. Keywords: Growth and development, psychomotor, exclusive breastfeeding, infants 6-9 months

scholarly journals Correlation Between Mother’s Knowledge, Exclusive Breastfeeding And Patterns Time Of Complementary Feeding With The Nutritional Status Of Toddler In The Kembaran Village

2018 ◽  
Vol 5 (2) ◽  
pp. 21-26
Author(s):  
Dede Setiawan
Keyword(s):  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Complementary Feeding ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Body ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Background: Nutrition is an important part of the body needs for growth and development of children. Childhood, especially toddler is a period of growth and development of the most rapidly. Toddler nutritional adequacy is depend on the child's mother. Lack of knowledge about nutrition will reduced ability to apply in everyday life, this is one of the causes of malnutrition in toddler. In addition, nutritional problems in toddler is also due to breastfeeding practices and complementary feeding was not appropriate in terms of both quantity and quality. Purpose: Objective of this research is to determine correlation between mother’s knowledge, exclusive breestfeeding and patterns time of complementary feeding with nutritional status of toddlers at Kembaran village, Kembaran district, Banyumas regency. Method: The research design use descriptive correlation with cross-sectional approach. Population in this study were all mothers who have toddlers age 6-24 months at Kembaran village as many as 148 people. Sampling technique use simple random sampling with 66 samples. Data analyze with Chi Square test. Instrumental research use questionnaires and nutritional status with weight/aged indicators. Result: There was significant correlation between mother’s knowledge (p value = 0,012), exclusive breastfeeding (p value = 0,039) and patterns time of complementary feeding (p value = 0,039) with the nutritional status of toddlers at Kembaran village. Conclusion: There was correlation between mother knowledge, exclusive breestfeeding and patterns time of complementary feeding with the nutritional status of toddlers. It is recommended to the toddler's mother to improve the quality of breastfeeding, complementary feeding and give breesfeeding to their babies up to 2 years in order to maintain the nutritional status  who have been good status.

scholarly journals Hubungan Inisiasi Menyusu Dini dan ASI Eksklusif dengan Stunting pada Baduta Usia 7-24 Bulan

2019 ◽  
Vol 1 (3) ◽  
pp. 137-143
Author(s):  
Nur Annisa ◽  
Sumiaty Sumiaty ◽  
Henrietta Imelda Tondong
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Statistical Test ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Sampling Techniques ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area ◽  
The Relationship

Stunting can be caused by a variety of factors, such as the implementation of initiation of early breastfeeding which is not appropriate and the provision of breast milk is not exclusive. The purpose of this study was to know the relationship between early breastfeeding initiation and exclusive breastfeeding with stunting in two-year-old infants aged 7-24 months in the work area of Pantoloan Health Center. This type of research was an analytical survey with design cross-sectional. The sample in this study were two-year-old infants aged 7-24 months totaling 57 samples with sampling techniques namely proportional random sampling and data analysis using Chi-Square. The results showed that respondents who experienced stunting were 36.8% and not stunting 63.2%. Respondents who had early breastfeeding initiationn din not tend to experience stunting (79.2%), while respondents who received exclusive breastfeeding tended not to experience stunting (81.0%). The results of the statistical test showed a significant relationship between early breastfeeding initiation and exclusive breastfeeding with stunting with the same p-value of 0.033 (α<0.05). The conclusion is that there was a relationship between early breastfeeding initiation and exclusive breastfeeding with stunting. Suggestions for researchers and for health workers to maximize promote and implement early breastfeeding initiations and exclusive breastfeeding for mothers to prevent and minimize the incidence of stunting in children in the future.

scholarly journals Determinan Pelaksanaan Inisiasi Menyusu Dini

2013 ◽  
Vol 8 (3) ◽  
pp. 99 ◽  
Author(s):  
Saifuddin Sirajuddin ◽  
Tahir Abdullah ◽  
Sutriyani N Lumula
Keyword(s):  
Multivariate Analysis ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Nutrient Deficiency ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional

Inisiasi Menyusu Dini (IMD) adalah salah satu program Departemen Kesehatan Republik Indonesia, yang memberikan rangsangan awal dimulai pemberian Air Susu Ibu (ASI) secara dini, dan diharapkan berkelanjutan selama enam bulan pertama. Kegagalan IMD dan pemberian ASI eksklusif pada periode tersebut, berpotensi menimbulkan defisiensi zat gizi pada bayi, serta memungkinkan terjadi status gizi kurang, yang berujung pada penurunan poin kecerdasan intelektual bayi, dan menjadi ancaman terhadap sumber daya manusia Indonesia peda masa mendatang. Penelitian ini bertujuan mengetahui pengaruh faktor determinan pendidikan, pengetahuan, sikap ibu, tindakan bidan dan dukungan keluarga) terhadap Pelaksanaan IMD. Desain penelitian yang digunakan adalah potong lintang, populasi adalah ibu yang bersalin di Puskesmas Tilamuta, Kabupaten Boalemo. Sampel sebanyak 215 orang ditentukan secara acak sederhana. Analisis data dilakukan secara univariat, bivariat dengan uji kai kuadrat dan analisis multivariat dengan regresi linier ganda. Hasil penelitian menunjukkan bahwa terdapat tiga variabel yang berkontribus meliputi dukungan keluarga, pendidikan, tindakan bidan (nilai p < 0,05). Variabel dukungan keluarga, pendidikan dan tindakan bidan adalah determinan penting, sedangkan variabel dukungan keluarga adalah determinan utama terhadap pelaksanaan IMD.Early Breastfeeding Initiation (IMD) is Indonesian’s Ministry of Health program, which is intended to provide early stimulation start of breastfeeding, and expected to sustained during the first six months (exclusive breastfeeding). IMD failure and exclusive breastfeeding during this period, potentially causing nutrient deficiency in infants, and allow the malnutrition status, which led to the decline of infant IQ points, and a threat to Indonesia’s human resource in the future. This study aims to determine the determinant factors (education, knowledge, attitude mother, midwife, and family support measures) of implementation of IMD. The study design was cross sectional study, population was mothers who delivered at health centers Tilamuta, Boalemo district. Sample as many as 215 drawn by simple random sampling. Data analysis was performed using univariate, bivariate by chi square test and multivariate analysis using multiple logistic regression. The results of the study showed that there were a relation between education, knowledge, mother attitude, midwife action, and family support with the implementation of IMD (p value < 0.05). Multivariate analysis showed that vari- able family support, education, and midwife action contribute to the implementation of the IMD (p value < 0.05), and family support give the highest contribution. Family support, education and midwife action are an important determinant, whereas family support is the main determinants of the implementation of IMD.

scholarly journals HUBUNGAN PENGETAHUAN AYAH DAN BREASTFEEDING FATHER TERHADAP PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS MENGWI III

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Ni Ketut Ayu Kartini ◽  
Ni Ketut Martini ◽  
I Made Suwitra
Keyword(s):  
Exclusive Breastfeeding ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Study Approach ◽  
Father’S Role ◽  
Breastfeeding Practice

ABSTRAK<br />ASI merupakan nutrisi terbaik bagi bayi selama 6 bulan pertama kehidupan mereka. Meskipun demikian<br />praktik pemberian ASI eksklusif masih rendah. Keberhasilan dalam memberikan ASI pada bayi dipengaruhi<br />oleh pentingnya dukungan sosial orang terdekat, terutama dari suami. Pengetahuan mengenai masalahmasalah<br />yang berkaitan dengan menyusui merupakan hal pertama yang harus dimiliki ayah agar dapat<br />memberi pengaruh pada praktik pemberian ASI. Penelitian ini bertujuan untuk mengetahui hubungan antara<br />pengetahuan ayah dan breastfeeding father terhadap pemberian ASI eksklusif di wilayah kerja Puskesmas<br />Mengwi III. Penelitian ini dilakukan di wilayah kerja Puskesmas Mengwi III pada bulan Maret sampai<br />dengan April 2018 terhadap 59 bapak/suami yang memiliki anak umur 6-12 bulan. Penelitian ini<br />menggunakan metode kuantitatif dengan pendekatan studi Cross Sectional, dianalisa secara deskriptif dan<br />bivariat. Analisis bivariat menggunakan uji chi square (α=0,05). Hasil penelitian menunjukkan ada<br />hubungan yang signifikan antara pengetahuan ayah dan breastfeeding father terhadap pemberian ASI<br />eksklusif di wilayah kerja Puskesmas Mengwi III. Dimana hasil uji statistik tentang pengetahuan<br />menunjukkan nilai prevelensi rasio sebesar 5,868 dengan nilai p value =0,015 dan hasil uji statistik tentang<br />breastfeeding father menunjukkan nilai prevalensi rasio sebesar 4,069 dengan nilai p value =0,044.<br />Kata kunci: ASI Ekslusif, Pengetahuan, Breastfeeding Father<br />ABSTRACT<br />Breastmilk is the best nutrition for the babies during their first 6 months, despite knowing the clear benefit of<br />exclusive breastfeeding, the practice exclusive breastfeeding is still low. The Success in providing<br />breastmilk for babies influenced by the importance of social support, especially from husband. The<br />knowledge of breastfeeding issues is a matter for father to have in order to influence the practice of<br />breastfeeding. The aim of the study was to determine the relationship between knowledge and father’s role in<br />exclusive breastfeeding practice in Puskesmas Mengwi III. This study was conducted at Mengwi III Public<br />Health Center on Maret until April 2018 of 59 father/husband who had children aged 6-12 months. This<br />research used quantitative method with Cross Sectional study approach, the descriptive and bivariate<br />analysis. Bivariate analysis using chi square test (α = 0,05).The results showed significant association<br />between knowledge and father’s role as breastfeeding father in exclusive breastfeeding practice in<br />Puskesmas Mengwi III. The results of knowledge show the prevalence ratio 5,868 and p value=0,015. The<br />results of father’s role show the prevalence ratio 4,069, p value =0,044.<br />Keywords: Exclusive Breastfeeding, Knowledge, Breastfeeding Father

A Comparative Study between Ketamine and Lidocaine ro Decrease Propofol Injection Pain During Induction of Anesthesia

2021 ◽  
Vol 6 (1) ◽  
pp. 1304-1309
Author(s):  
Bikash Khadka ◽  
Nil Raj Sharma
Keyword(s):  
Comparative Study ◽  
Venous Occlusion ◽  
Verbal Response ◽  
Injection Pain ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Lidocaine Group ◽  
Mild Pain ◽  
Significant Difference

Introduction: Pain during the injection of anesthetic agents may be distressing and can reduce the acceptability of an otherwise useful agent such as propofol during daycare surgeries. Lidocaine and ketamine both are used as pre-treatment to decrease propofol induced pain. This study aims to compare the effectiveness of ketamine injection to decrease propofol-induced pain in comparison to lidocaine injection. Methodology: This is a prospective cross-sectional comparative study. Eighty-nine cases were divided into two groups where group K received ketamine 2 ml (0.2 mg/kg) whereas group L received lidocaine 2% 2ml (0.5 mg/kg) after venous occlusion with rubber tourniquet. One-fourth dose of propofol was injected 1 min after release of tourniquet and pain accessed at 0, 1, and 2 minutes of propofol injection with a verbal response and behavioral signs. Chi-square test and paired T-test were used and a p-value less than 0.05 was considered significant. Result: Regarding hemodynamic, oxygenation, and adverse effects there was no significant difference. Immediately after propofol injection, only 1 patient of the ketamine group had mild pain (2.22%) while 12 patients from the lignocaine group had mild pain (27.27%) with a p-value of 0.009. Also after 2 minutes of propofol injection, only 12 cases had mild pain i.e. 13.48% (1 from ketamine group i.e. 2.22% and 11 from lidocaine group i.e. 25%) with p-value of 0.002. Conclusion: Our study helps prove low-dose ketamine is more effective in reducing the incidence and severity of pain on injection of propofol in comparison to Lidocaine with better hemodynamic stability. 

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