scholarly journals The effect of exclusive breastfeeding on reducing acute respiratory infections in low birth weight infants

2012 ◽  
Vol 52 (4) ◽  
pp. 229 ◽  
Author(s):  
Karolina Trigemayanti Tallo ◽  
I Kompyang Gede Suandi ◽  
Setya Wandita

Background Infants who are breastfed receive natural protectionagainst certain infections. Despite the known benefits of exclusivebreastfeeding, many Indonesian mothers choose to supplementwith formula. There have been few Indonesian studies on theeffect of exclusive breastfeeding in reducing acute respiratoryinfections in low birth weight infants in their first four monthsof life.Objective To investigate the effect of exclusive breastfeeding inreducing the incidence of acute respiratory infections in low birthweight infants during their first four months of life.Methods We conducted a prospective cohort study on low birthweight babies in Sanglah Hospital, Denpasar. The total numberof subjects was 181. The incidence of acute respiratory infectionsduring the first 4 months of life and the duration of breast feedingwere assessed by questionnaires. Data was analyzed Mth Chisquare and logistic regression tests.Results Infants who were exclusively breastfed for 4 months hada lower risk of acute respiratory infection than those who were notexclusively breastfed (RR 0.07; 95% CI 0.03 to 0.14; P􀁄O.OOI).After adjustment for gestational age, parity, maternal nutritionalstatus, family size, smoke exposure, and history of atopy, infantswho were exclusively breastfed still had a lower risk for acuterespiratory infection than those who were not exclusively breastfed(RR 0.06; 95% CI 0.03 to 0.13; P 􀁄 0.001)Conclusion Exclusive breastfeeding reduced the risk of acuterespiratory infection in low birth weight infants in the first fourmonths after birth. [Paediatr Indones. 2012;52:229,32].

2010 ◽  
Vol 50 (2) ◽  
pp. 86 ◽  
Author(s):  
Ekawaty L Haksari ◽  
Setya Wandita ◽  
Yustivani Yustivani

Background Low birth weight infants are ongoing problems sincethey are likely to have high risks of morbidity, mortality andfeeding problems. American Academy of Pediatrics recommendsbreastfeeding practice for infants with low birth weight, yet someproblems have occured.Objective To determine risk factors for non-optimal breastfeedingpractices in low birth weight infants.Methods In this historical cohort study we included mothers with6-month-old infants, single birth with weight of2000-2499 gramsand the pregnancy period of 2:: 34 weeks, and excluded motherswith infants who had a major congenital disorder, labioschizis,labiognatopalatoschizis, or history of admission in NICU. Datawere collected using standard longitudinal surveillance form forbreastfeeding mothers. Analyses were performed using chi-squaretest and logistic regression.Results The percentage of low birth weight infants breastfedoptimally were 42.7%. Working mothers presented the highestrisk for non-optimal breastfeeding. The onset of lactation formore than 6 hours was the second factor (81.8%). The resultsof multivariate logistic regression analysis showed that motherswho worked (RR 2.79; 95% CI 1.84 to 4.23) and onset lactationof more than 6 hours (RR 2.34; 95% CI 1.57 to 3.50) were therisk factors for non-optimal breastfeeding practices in low birthweight infants.Conclusion Mother's working status and onset of lactationfor more than 6 hours were the risk factors for non-optimalbreastfeeding in low birth weight infants.


2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Linda Linda

Pneumonia is the premiere killer of toddlers in the world and in Indonesia. In Indonesia pneumonia is the cause of 15% of infant mortality is estimated as many as 922,000 under-fives in 2015. Puskesmas Kamonji is a health center that has the highest number of pneumonia cases in the city of Palu is 422 cases in 2015. Based on evidence that the risk factor of pneumonia is the lack of breastfeeding exclusive, malnutrition, indoor air pollution, low birth weight (LBW), population density, and lack of measles immunization. The purpose of this study is known factors associated with the incidence of pneumonia, namely Exclusive breastfeeding and history of low birth weight (LBW). The type of research used is analytical survey with case control approach. The samples in this study were all mothers who had children under 12-59 months in the Kamonji Puskemas Working Area consisted of 70 samples consisting of 35 case samples and 35 control samples. This research uses Chi-square statistical analysis with 5% error rate (α = 0,05) and trust level 95%. The results showed that exclusive breastfeeding (P value = 0.147) and low birth weight (P Value = 1,000) did not correlate with pneumonia occurrence in children aged 12-59 months. The conclusion in this study was no association between exclusive breastfeeding and the incidence of pneumonia and no association between low birth weight infants and the incidence of pneumonia. Suggestions for Health Officers to continue to give counseling about the importance of healthy living behavior teaches the community how important to wash hands with soap and keep the nutritional status of toddlers is always good.  Keywords: Exclusive Breast Milk, Low birth weight, Pneumonia


2020 ◽  
Vol 1 (1) ◽  
pp. 27-33
Author(s):  
Linda

Pneumonia is the premiere killer of toddlers in the world and in Indonesia. In Indonesia pneumonia is the cause of 15% of infant mortality is estimated as many as 922,000 under-fives in 2015. Puskesmas Kamonji is a health center that has the highest number of pneumonia cases in the city of Palu is 422 cases in 2015. Based on evidence that the risk factor of pneumonia is the lack of breastfeeding exclusive, malnutrition, indoor air pollution, low birth weight (LBW), population density, and lack of measles immunization. The purpose of this study is known factors associated with the incidence of pneumonia, namely Exclusive breastfeeding and history of low birth weight (LBW). The type of research used is analytical survey with case control approach. The samples in this study were all mothers who had children under 12-59 months in the Kamonji Puskemas Working Area consisted of 70 samples consisting of 35 case samples and 35 control samples. This research uses Chi-square statistical analysis with 5% error rate (α = 0,05) and trust level 95%. The results showed that exclusive breastfeeding (P value = 0.147) and low birth weight (P Value = 1,000) did not correlate with pneumonia occurrence in children aged 12-59 months. The conclusion in this study was no association between exclusive breastfeeding and the incidence of pneumonia and no association between low birth weight infants and the incidence of pneumonia. Suggestions for Health Officers to continue to give counseling about the importance of healthy living behavior teaches the community how important to wash hands with soap and keep the nutritional status of toddlers is always good.


2019 ◽  
Vol 11 (2) ◽  
pp. 79-86
Author(s):  
Cindy Ayustin Noya ◽  
Angkit Kinasih ◽  
Venti Agustina ◽  
R.Rr Maria Dyah Kurniasari

Infeksi saluran pernafasan akut atau yang sering disebut ISPA merupakan infeksi pada saluran pernafasan baik saluran pernafasan atas atau bawah.ISPA juga kebanyakan terjadi pada anak balita karena daya tahan tubuh mereka tidak kuat dalam menghadapi penyakit ISPA. ISPA mengakibatkan kematiansekitar15%-20% per tahun pada usia balita di Negara berkembang. Tujuan penelitian ini adalah untuk mengetahui dan menganalisa peran ibu dalam meningkatkan sistem imun anak dengan ISPA.Metode penelitian yang digunakan dalam penelitian ini adalah kualitatif deskriptif dengan sampel purposive sampling.Populasi dan sampel penelitian ini adalah ibu yang mempunyai anak dengan riwayat dan saat ini menderita penyakit ISPA di Batu Gajah Kota Ambon.Partisipan dalam penelitian ini berjumlah 5 orang. Hasil dari penelitian mendapati 4 kategori yaitu pemberian nutrisi pada anak untuk memenuhi kebutuhan agar sistem imunnya terjaga, kebersihan lingkungan, peran ibu dalam melakukan pencegahan pada anaknya yang mengalami ISPA, dan  peran ibu dalam menjaga dan mempertahankan kesehatan anaknya.   Kata kunci: peran ibu, sistem imun, ispa THE ROLE OF MOTHERS IN INCREASING IMMUNE SYSTEM OF CHILDREN WITH ACUTE RESPIRATORY INFECTION    ABSTRACT Acute respiratory infections or often called ARI is an infection of the upper or lower respiratory tract. ARI occurs mostly in children under the age of five because their endurance is not strong in dealing with ARI. ARI results in deaths of around 15%-20% per year at the age of under-five in developing countries. The purpose of this study was to determine and analyze the role of mothers in improving the immune system of children against ARI. The research method used in this study was qualitative descriptive with a purposive sampling sample. Respondents and samples of this study were five mothers who had children with a history of ARI and currently suffering from the disease in Batu Gajah, Ambon City. The results of the study found 4 categories, namely providing nutrition to children to meet their needs so that their immune systems are maintained, clean environment, mother's role in preventing children with ARI, and mother's role to preserve and maintain the health of their children. The findings indicated that in terms of coping or improving the immune system of a child to avoid ARI, it is necessary to have role the of mothers in providing nutrition so that the immune system is boosted, besides that the mother can prevent and protect her child from various diseases, especially ARI. Keywords: role of mothers, immune system, acute respiratory infections


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Yulia Efni ◽  
Rizanda Machmud ◽  
Dian Pertiwi

AbstrakAda beberapa faktor risiko yang meningkatkan angka kejadian pneumonia di negara berkembang yaitu: kurangnya pemberian Air Susu Ibu (ASI) eksklusif, gizi buruk, polusi udara dalam ruangan, Bayi Berat Lahir Rendah (BBLR) dan kurangnya imunisasi campak. Tujuan penelitian ini adalah menentukan faktor risiko yang berhubungan dengan kejadian pneumonia pada balita di Kelurahan Air Tawar Barat, Kota Padang. Penelitian ini menggunakan desain case control study, sampel terdiri dari 27 case dan 27 control. Data dikumpulkan dengan wawancara terpimpin serta melihat data rekam medik dan dianalisis dengan uji chi-square. Hasil penelitian  mendapatkan balita pada kelompok kasus yang tidak mendapatkan ASI eksklusif (81,5%), paparan asap rokok (74,1%), riwayat bayi berat lahir rendah (3,7%), tidak mendapatkan imunisasi campak (40,7%) dan gizi kurang (25,9%). Hasil analisis bivariat menunjukkan terdapat hubungan yang bermakna antara status gizi dengan kejadian pneumonia (p=0,022; OR=9,1; 95%CI=1,034-80,089), sedangkan pemberian ASI eksklusif, paparan asap rokok, riwayat bayi berat lahir rendah dan imunisasi campak tidak terdapat hubungan yang bermakna terhadap pneumonia.Kata kunci: balita, faktor risiko, pneumonia AbstractPneumonia in developing countries are associated to the risk factors such as: lack of exclusive breastfeeding, malnutrition, indoor air pollution, low birth weight and lack of measles vaccinations. The objective of this study was to determine the risk factors associated on the occurrence of pneumonia among the children under five years of age in Air Tawar Barat district, Padang City. This study used case control study  to the 27 cases and 27 control. The data were collected by guided interview and the medical records, than was analyzed by chi-square.test. The results of this study obtanined in the group of cases based on the low exclusive breastfeeding rates (81.5%), exposure to cigarette smoke (74.1%), a history of low birth weight (3.7%), did not get measles vaccinations (40.7%) and malnutrition (25.9%). The result of bivariate analysis shows the significant relationship between nutritional status on the occurrence of pneumonia (p=0.022; OR=9.1; 95% CI=1.034-80.089). The exclusive breastfeeding, exposure to cigarette smoke, a history of low birth weight and measles vaccinations are not significantly related to the occurrence of pneumonia. Keywords: children under five years of age, risk factors, pneumonia


PEDIATRICS ◽  
1988 ◽  
Vol 81 (6) ◽  
pp. 807-811
Author(s):  
C. G. Victora ◽  
P. G. Smith ◽  
J. P. Vaughan ◽  
L. C. Nobre ◽  
C. Lombardi ◽  
...  

The association between birth weight and infant mortality from infectious diseases was investigated in a population-based case-control study in two urban areas in southern Brazil. All deaths of children, seven to 364 days of age, occurring in a year were studied and the parents of the 357 infants dying of an infectious cause were interviewed, as were the parents of two neighborhood control infants for each case. Low birth weight infants (<2,500 g) were found, after allowing for confounding factors, to be 2.3 (90% confidence interval = 1.6 to 3.4) times more likely to die of an infection than those of higher birth weight. The odds ratios were 2.0 (1.1 to 3.6) for deaths due to diarrhea, 1.9 (1.0 to 3.6) for respiratory infections, and 5.0 (1.3 to 18.6) for other infections. These estimates of the risks associated with low birth weight are considerably lower than those from studies in developed countries.


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