scholarly journals Correlation between non-exclusive breastfeeding and low birth weight to stunting in children

2018 ◽  
Vol 58 (3) ◽  
pp. 123-7 ◽  
Author(s):  
Endang Dewi Lestari ◽  
Faraissa Hasanah ◽  
Novianti Adi Nugroho

Background Indonesia is ranked fifth in the world for the problem of stunting. Stunting in children under the age of five requires special attention, due to its inhibiting effect on children’s physical and mental development. Stunting is caused by several factors, one of which is breastfeeding. Stunting has been associated with several factors, one of which is non-exclusive breastfeeding. Objective To determine the correlations between non-exclusive breastfeeding and low birth weight to stunting in children aged 2-5 years. Methods This case-control study was conducted in October to November 2016 in multiple integrated health service clinics (posyandu) in Sangkrah, Surakarta, Central Java, Indonesia. Subjects were children aged 24-59 months who visited the posyandu and were included by purposive sampling. Children classified as stunted were allocated to the case group, whereas the children classified with normal nutritional status were allocated to the control group. Parents filled questionnaires on history of exclusive breastfeeding, child’s birth weight, maternal education, and family socio-economic status. Results Of the 60 subjects, the control group had 30 normal children and the case group had 30 stunted children. Multivariate analysis by logistical regression test revealed statistically significant correlations between stunting and non-exclusive breastfeeding (adjusted OR for exclusive breastfeeding 0.234; 95%CI 0.061 to 0.894), as well as low birth weight (adjusted OR 10.510; 95%CI 1.180 to 93.572) This value implies that exclusive breastfeeding is a protecting factor against stunting, which means exclusive breastfeeding is able to decrease the prevalence of stunting in children under the age of five. Conclusion In children aged 2-5 years, the histories of non-exclusive breastfeeding and low birth weights are significantly correlated sith stunting.    

2014 ◽  
Vol 11 (1) ◽  
pp. 31
Author(s):  
Darwin Nasution ◽  
Detty Siti Nurdiati ◽  
Emy Huriyati

Background: Stunting is one of the main problems of malnutrition often found in under-five children. The impacts include a delay in child’s growth, low endurance, lack of intelligence and productivity. The direct factors that influence the incidence of stunting are low birth weight (LBW) while the indirect factors are socioeconomic factors such as maternal education, low family income and a large number of family members.Objective: To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.Method: This was a case-control study. The subjects were children aged 6-24 months with a group of cases comprising stunted children based on the indicator of height/age with a cut-off < -2 SD Z-score and the control group comprising normal children. The number of subjects for the study was 242 with the under-five children’s mothers as the research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed by Chi-Square and multiple logistic regression.Results: The proportion of children 6-24 months who had low birth weight was 15.7 %. There was a significant relationship between LBW and the incidence of stunting in children aged 6-24 months (OR=5.60; 95%CI:2.27 to 15.70). There was a relationship between maternal height and the incidence of stunting in children aged 6-24 months (OR=2.14; 95%CI:1.08 to 4.33). Socioeconomic factors (maternal education, family income and a number of family members) did not have a significant relationship with the incidence of stunting.Conclusion: LBW had a relationship with the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.


2018 ◽  
Vol 17 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Aklima Sultana ◽  
Lutfun Nahar Begam Koli ◽  
Syeda Sayeeda

Background: Preeclampsia (PE) especially severe or early PE, is a leading cause of morbidity and mortality among the mothers and infants.To determine the maternal risk factors and fetomaternal outcome of severe preeclampsia. Methods: It was a case control study, done in a tertiary care hospital among 100 patients with severe preeclampsia and normal pregnant women admitted. Sampling technique were consecutive sampling methods. Singleton pregnancy between 28 to 40 weeks of gestation with severe preeclampsia were selected as study patients. Written informed consent was obtained. A questionnaire was completed for each patient including patient's age, gestational age, parity, History of hypertension in family, weight and Body Mass Index (BMI). Maternal complications before or after delivery, and perinatal outcome were also be recorded in the data sheet. Data was analyzed by SPSS-20. Results: Among the 50 cases and 50 controls regarding different risk factors age >34 years, BMI, history of precelampsia, were found significant (p<0.05) between two groups. Among the case group, patients developed eclampsia 2(4.0%) abruptio placenta 3(6.0%) HELLP syndrome 2(4.0%) ascites 4(8%) and oliguria1(2.0). But none of the control group had developed these types of complications. In case group 7(14.0%) patients developed PPH and pulmonary oedema 3(6.0%). In control group 5(10.0%) developed PPH and 1(2.0%) developed pulmonary oedema. It was observed that, in case group 5(12.5%) babies had very low birth weight (<1.5 kg) but not in control group. twenty one (52.5%) of the babies had low birth weight (<2.5 kg) in case group and 8.0% of babies had low birth weight in control group. Most 56.0% of the neonates had APGAR score 4-6 at 1 minute in case group and 12(24.0%) in control group. In case group 17(34%) babies developed birth asphyxia and 15(30.0%) of babies developed prematurity, where in control group 7(14.0%) babies developed birth asphyxia and 3(6.0%) of babies developed prematurity. 32(80.0%) newborn needed admission in neonatal care unit in case group and 10(20.0%) in control group (p<0.05). Take baby in home safely in 35(70.0%) in cases group and 50(100.0%) in control group. Early neonatal death was found in 5(10.0%) in case group and not found in control group. Still birth was 10(20.0%) case group and not found control group (p<0.05). Conclusion: Preeclampsia is a leading cause of both fetal and maternal morbidity and mortality in the developing countries. Maternal and fetal outcome are worse in severe preeclampsia. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 23-28


2015 ◽  
Vol 55 (5) ◽  
pp. 248 ◽  
Author(s):  
Wiharjo Hadisuwarno ◽  
Retno Asih Setyoningrum ◽  
Pirlina Umiastuti

Background Pneumonia has been one of the serious problems for children under five in Indonesia. Imbalanced interactions among host factors, agents, and environments influence incidence of pneumonia. Objective To determine the risks of the host related to the incidence of pneumonia in children aged 3-59 months in Pediatrics Department, Dr. Soetomo General Hospital during 2011-2012. Methods This was a case control study on medical records of patients with respiratory infections in Pediatrics Department, Dr. Soetomo General Hospital. We grouped patients with pneumonia as the case group and patients with other respiratory infections as the control group. The data were statistically processed to calculate odds ratios and P values. Results There were 326 subjects reviewed, 163 in the case group and 163 in the control group. Host factors that increased the risk of pneumonia were: low birth weight (OR=3.10; 95%CI 1.34 to 6.86), inadequate exclusive breastfeeding (OR=1.7; 95%CI 1.09 to 2.64), malnutrition (OR=3.44; 95%CI 2.12 to 5.58) and incomplete immunization in a certain period of age (OR=2.70; 95%CI 1.72 to 4.24). Existed comorbidity was unrelated to the incidence of pneumonia (OR=1.53; 95%CI 0.86 to 2.71). Conclusion Low birth weight, inadequate exclusive breastfeeding, malnutrition, and incomplete immunization in a certain period of age increase the risk of pneumonia.


2019 ◽  
Vol 27 (1) ◽  
pp. 12
Author(s):  
Kanda Izzatul Aini Ardelia ◽  
Gatut Hardianto ◽  
Djohar Nuswantoro

Objectives: to analyze the relationship between passive smoker of pregnant women with low birth weight (LBW).Materials and Methods: This study is an observational analytic research with case control design, which is LBW as case group and normal birth weight as control group. The location is in Wonokusumo Health Centre, Surabaya, period January 2016 – December 2017. Study sample was 68, consisting of 34 cases and 34 controls. The dependent variable is LBW, while the inde-pendent variable is passive smoking of pregnant women. Sample was excluded multiple births and congenital defects. To determine a significant level, the data collected will be tested with the statistical test Chi-square at significance level ?=0.05.Results: The results showed that a majority (61.5%) of passive smoker of pregnant women are cases. After Chi-square test obtained by value p=0.027 (p?0,05) and OR analysis obtained by 3.04 (CI 95% 1.117 – 8.274), which means there is a relationship between passive smoker of pregnant women with LBW.Conclusion: Passive smoker of pregnant women is relationship with decreased birth weight.


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


Author(s):  
Tyas Aisyah Putri ◽  
◽  
Yuni Kusmiyati ◽  
Ana Kurniati ◽  
◽  
...  

ABSTRACT Background: Stunting is a cyclical process because women who were themselves stunted in childhood tend to have stunted offspring, creating an intergenerational cycle of poverty and reduced human capital that is difficult to break This study aimed to investigate the risk factors of stunting in children aged 25-59 months. Subjects and Method: A case control study was conducted at Kotagede I health center, Yogyakarta. A sample of 78 children aged 25-59 months was selected by simple random sampling. The dependent variable was stunting. The independent variables were birth weight, exclusive breastfeeding, maternal height, and maternal education. The data were obtained from questionnaire and analyzed by a multiple logistic regression. Results: The risk of stunting increased with low birth weight (aOR= 4.24; 95% CI= 1.70 to 10.60; p= 0.001), non-exclusive breastfeeding (aOR= 2.43; 95% CI= 1.28 to 4.62; p= 0.010), short maternal height (aOR= 2.13; 95% CI= 1.79 to 2.53; p= 0.002), and low maternal education (aOR= 2.30; 95% CI= 1.12 to 4.69; p= 0.033). Conclusion: The risk of stunting increases with low birth weight, non-exclusive breastfeeding, short maternal height, and low maternal education. Keywords: stunting, low birth weight, exclusive breastfeeding, maternal height Correspondence: Tyas Aisyah Putri. Study Program in Midwifery, Health Polytechnics Ministry of Health, Yogyakarta. Jl. Tatabumi 3 Banyuraden, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: +6285725003949. DOI: https://doi.org/10.26911/the7thicph.03.112


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


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].


2015 ◽  
Vol 4 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Kashif Shahnawaz ◽  
Sanjay Kumar Choudhary ◽  
Gautam Sarker ◽  
Palash Das ◽  
Ranabir Pal ◽  
...  

Low birth weight (LBW) is an important cause of perinatal, neonatal and post-natal morbidity and mortality. In developing countries, LBW of newborns is mainly due to the poor socio-economic and environmental conditions of the mother. The aim of the study was to identify and quantify the effects of age, religion, socio-economic status and occupation of mothers, in order to examine which factors were primarily responsible for LBW of babies. In this study, all singleton newborn having a weight of <2.5kg was included as a case and a weight of ?2.5kg was included as a control. The relation of birth-weight to few maternal factors such as age, socio-economic status, religion and occupation were studied. A total of 120 cases and 240 controls were selected. After selection of each case as defined, the next available two newborns that had fulfilled the criteria for controls given above were selected and included in the control group. This ensured a case:control ratio of 1:2. Our Study showed that the greatest number of mothers having LBW newborns were in the age group of 21 to 25 years (50% and 45.1% in both the cases and control groups respectively), belonged to socio-economic group V (42.5% and 40% in both groups respectively) and were Hindus (96.7% and 89.6% in both groups respectively). It was found that 70% of LBW babies were born to mothers who belonged to the labor class by occupation. This study concluded with the findings that maternal factors like age, socio-economic status, religion and occupation of the mothers were related to LBW of the newborns. Avoiding teenage pregnancies, improving the socio-economic status (SES) of people and providing better workingDOI: http://dx.doi.org/10.3329/seajph.v4i1.21836 South East Asia Journal of Public Health Vol.4(1) 2014: 30-34


2019 ◽  
Vol 10 (1) ◽  
pp. 93
Author(s):  
Dewi Sri Sumardilah ◽  
Antun Rahmadi

<p>The results of Nutritional Status Monitoring (PSG) showed that the prevalence of stunting 29,6% in 2017. The adverse effects of stunting in toddlers is a disorder of decreased cognitive abilities and learning achievement, decreased immunity, the risk of degenerative diseases. The city of Bandar Lampung is still faced with acute and chronic nutritional problems because the prevalence of stunting in children under five is still high. Therefore, the research conducted in Sukaraja Village, Panjang District, Bandar Lampung City, considering that the Village has the highest population of poverty compared to other villages. The aim of the research is to obtain information about the risk factors for stunting in children under two years (7-24 months) This type of research was observational using case-control design, with a sample of 53 people for the case group and 106 people for the control group where the selection for the case group and controls was done in a simple random manner. Data analysis using chi-square test. The results showed that energy consumption factors (p=0.040), exclusive breastfeeding (p=0.011), history of infectious diseases (p=0.000), history of premature birth (p=0.022), and maternal education level (p=0.029) were related significantly with the incidence of stunting. While protein consumption factors (p=0.283), Zink consumption (p=0.321), Early Breastfeeding Initiation (p=0.538), maternal nutrition status (p = 0.056), maternal age (p=0.438), and distance the age of birth (p=0.188) was not significantly associated with the incidence of stunting of children aged 7-23 months in the Sukaraja Village of Panjang District. Regular home visits by health workers are expected to increase maternal awareness during pregnancy to have a pregnancy checked.</p>


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