scholarly journals Pemberian Makanan dengan Frekuensi Sesuai dan Beragam Merupakan Salah Satu Kunci Status Gizi Normal pada Baduta yang Memiliki Riwayat BBLR di Kota Bogor (Studi Kualitatif di Kecamatan Bogor Tengah)

2018 ◽  
Vol 28 (3) ◽  
pp. 191-200
Author(s):  
Indri Yunita Suryaputri ◽  
Nurillah Amaliah ◽  
Bunga Christitha Rosha ◽  
Kencana Sari

AbstractThe level of infant mortality and morbidity in Indonesia still high. The factor that is one of the causes of neonatal death is Low Birth Weight (LBW). Therefore, knowing the practices of early initiation breast feeding, exclusive breast feeding, and child feeding of children with normal nutritional status who had low birth weight history is very important. This research is a qualitative study part of growth and development cohort study held in Kota Bogor in 2017. In-depth interviews were conducted to 12 informants of mothers who have children with normal nutritional status (WAZ/WHZ) who at birth had a history of low birth weight. The results showed that most of the informants did not practice early breast-feeding initiation. However, the practice of feeding shows that the frequency of feeding to children tends to be in accordance with recommendation from the WHO. Promotion and education are very necessary to be done for mothers and families to support the success of initial breast feeding practices, exclusive breast-feeding appropriate and varied frequency for low birth weight children. AbstrakTingkat morbiditas dan mortalitas bayi di Indonesia masih tinggi. Faktor yang menjadi salah satu penyebab kematian neonatus ialah Bayi Berat Lahir Rendah (BBLR). Oleh karena itu, mengetahui praktik Inisasi Menyusui Dini (IMD) dan pemberian Air Susu Ibu (ASI) esklusif serta pola pemberian makan pada bayi di bawah dua tahun (baduta) dengan status gizi normal yang mempunyai riwayat BBLR sangatlah penting. Penelitian ini merupakan penelitian kualitatif bagian dari penelitian kohor tumbuh kembang anak (TKA) tahun 2017 di Kota Bogor. Penelitian dilakukan dengan cara wawancara mendalam terhadap 12 informan ibu yang memiliki anak baduta dengan status gizi normal (BB/U dan BB/TB) yang pada saat lahir mempunyai riwayat berat badan lahir rendah. Hasil penelitian menunjukkan bahwa sebagian besar informan tidak melakukan IMD. Namun pada praktik pemberian makanan memperlihatkan bahwa frekuensi pemberian makan kepada anak cenderung sesuai dengan anjuran dari WHO. Promosi dan edukasi amat perlu dilakukan pada ibu dan keluarga untuk mendukung keberhasilan praktik IMD, pemberian ASI eksklusif, pemberian makanan dengan frekuensi sesuai dan beragam pada anak BBLR.

Author(s):  
Vidyadhar B. Bangal ◽  
Satyajit P. Gavhane ◽  
Swati D. Gagare ◽  
Kunal H. Aher ◽  
Dhruval K. Bhavsar ◽  
...  

Background: Birth weight is one of the important determinants of neonatal wellbeing. Birth weight has many determinants that mainly include maternal nutritional status and the term of gestation. Low birth weight is associated with high neonatal and childhood mortality and morbidity. Over the years the birth weight is showing the increasing trend in developing countries like India. The study aimed at finding out the changing pattern of birth weight over a decade in rural India.Methods: A retrospective analysis of over 45,000 births that took place in Tertiary care hospital from year 2008-2017was undertaken. The socio economic determinants of birth weight were studied.Results: The incidence of low birth weight declined from 47 percent to 35 percent over ten years. The mean rise in birth weight in ten years was observed in both male (176 grams) and female (151grams).The incidence of very low birth and extremely low birth was found declined. There was positive co relationship between improved birth weight and improved socio economic status, delay in age at marriage, higher maternal weight gain during pregnancy, improved pre pregnancy nutritional status of women.Conclusions: There is steady decline in incidence of low birth weight over last ten years in study area. Improved maternal health, better nutrition, improved quality of antenatal care and various efforts and actions from the government side have contributed in improving the birth weight.


Astrocyte ◽  
2014 ◽  
Vol 1 (2) ◽  
pp. 75
Author(s):  
HarishKumar Chellani ◽  
Neelam Roy ◽  
Shobha Sharma ◽  
Sanjay Siddhartha ◽  
Sugandha Arya

2020 ◽  
pp. 1-8
Author(s):  
Edinalva Neves Nascimento ◽  
Cláudio Leone ◽  
Luiz Carlos de Abreu ◽  
Gabriela Buccini

Abstract Objective: To analyse the determinants of exclusive breast-feeding (EBF) discontinuation in southeastern Brazil between 2008 and 2013. Design: Secondary cross-sectional data were analysed from three waves of child feeding surveys conducted in the city of Marília, São Paulo, Brazil, in 2008, 2011 and 2013 (n 1645 children under 6 months). Multivariable Poisson regression models were used to test the association between EBF discontinuation and socio-economic, demographic and biomedical factors in a pooled sample and within each survey wave. Setting: Regionally representative cross-sectional survey from Brazil. Participants: The analytical sample included 1645 infants under 6 months old. Results: In the pooled sample, 40·7 % of the infants were exclusively breastfed. Between 2008 and 2013, there was a significant increase in C-section (35·1–42·7 %) and pacifier use (41·4–48·8 %). The determinants of EBF discontinuation in the pooled analysis were mothers working outside the home (adjusted prevalence ratio (APR) = 1·10; 95 % CI 1·00, 1·21), first-time mothers (APR = 1·10; 95 % CI 1·01, 1·20), pacifier use (APR = 1·48; 95 % CI 1·36, 1·61) and low birth weight (APR = 1·17; 95 % CI 1·05, 1·32). Conclusions: Mothers working outside the home, first-time moms, pacifier use and low birth weight were the factors associated with EBF discontinuation. Evidence-based counselling strategies during antenatal and early postpartum care in primary healthcare are needed to address the modifiable determinants of EBF discontinuation and ultimately to improve its rates in southeastern Brazil.


Author(s):  
Sijal Fadhil Farhood Makki ◽  
Ihab Raad Abbas Abid Ali

A hospital based descriptive cross-sectional study was conducted to describe the prevalence of exclusive breast feeding in premature and low birth weight infants. The study included 200 infants in Hillah city Babylon Province, whose  ages were less than six months. Catchments of these infants was  in the neonatal /special care baby units and the general wards in both Hillah General Teaching Hospital and Babil Maternity Teaching Hospital in Babylon Governorate during the period from the first of January 2018 till the end of March 2018. The infants’  mothers came from mixed urban and rural backgrounds. Socio –demographic variables related to infants and their mothers’ obstetric data were recorded. Neonatal data was extracted from the medical records of the labor and neonatal care wards. The study included mothers of all ages, one in six of whom (16%) were teenagers  marrying at a  young age.52% of the older respondents reported being married during their teenage years. Since all the babies included in the study were either preterm or low birth weight, the mean birth weight  was (1894.00±464.15) gm (LBW) and the mean gestational age was (34.42±2.84) weeks (preterm).The study outlined three main groups of reasons in order of frequency for quitting exclusive breast feeding, the first group involved the following reasons (milk was of poor quality, breast milk causes  jaundice or diarrhea or a previous child didn't thrive on breast feeding) (53.7%), the second group covered reasons related to (advice from doctor/medical staff, or non-medically qualified  person) (22%)and the  third group was because of  (LBW and prematurity per se)(14.6%).  


2018 ◽  
Vol 22 (1) ◽  
pp. 104-114 ◽  
Author(s):  
Indrapal Ishwarji Meshram ◽  
K Mallikharjun Rao ◽  
Nagalla Balakrishna ◽  
R Harikumar ◽  
N Arlappa ◽  
...  

AbstractObjectiveTo study infant and young child feeding (IYCF) practices and their association with nutritional status among young children.DesignA community-based, cross-sectional study was carried out in ten states of India, using a multistage random sampling method. Anthropometric measurements such as length/height and weight were conducted and nutritional assessment was done using the WHO child growth standards.SettingNational Nutrition Monitoring Bureau survey, 2011–2012.ParticipantsChildren aged <3 years and their mothers.ResultsOnly 36 % of infants received breast-feeding within an hour of birth and 50 % were exclusively breast-fed up to 6 months. Prevalence of underweight, stunting and wasting was 38, 41 and 22 %, respectively. The chance of undernutrition among <3-year-old children was significantly higher among those from scheduled caste/scheduled tribe communities, the lowest-income group, with illiterate mothers and lack of sanitary latrine. Among infants, the chance of undernutrition was significantly higher among low-birth-weight babies, and among children whose mother had not consumed iron–folic acid tablets during pregnancy. Immunization practices and minimum dietary diversity were observed to be associated with undernutrition among 12–23-month-old children.ConclusionsUndernutrition is still an important public health problem in India and observed to be associated with low socio-economic status, illiteracy of mother, low birth weight and dietary diversity. Improving socio-economic and literacy status of mothers can help in improving maternal nutrition during pregnancy and thus low birth weight. Also, improving knowledge of mothers about IYCF practices will help in improving children’s nutritional status.


2021 ◽  
Vol 2 (3) ◽  
pp. 80-85
Author(s):  
Arie Alfina Mahmudian ◽  
Dian Aby Restanty ◽  
Sugijati Sugijati

KEK (Chronic Energy Deficiency) is a condition of the mother suffering from lack of calories and protein (malnutrition) that lasts chronic (chronic) at risk of causing complications in the mother one of which is anemia gravidarum. Anemia in pregnancy is a decrease in Hb levels, so that the carrying capacity of oxygen for the needs of vital organs in the mother and fetus is reduced. The purpose of this study is to determine the relationship of KEK with anemia gravidarum in mothers with low birth weigth history. The correlation analytic research design is a case control study approach, the population is 68 mothers with low birth weight history, using simple random sampling technique, the sample is calculated using Slovin formula, the number of 58 low birth weight history mothers fulfills the inclusion criteria. The research instrument used observation sheets to look at secondary data on cohorts of pregnant women, data analysis using the chi square test obtained a p value of 0, 001 means that p <0.05 indicates the relationship of KEK with anemia gravidarum in women with low birth weight history with a close relationship is sufficient. The value of the Contingency Coefficient in the Chronic Energy Deficiency variable is 0.39, which means that the relationship between KEK and anemia gravidarum is sufficient. The Odds Ratio (OR) value in the Chronic Energy Deficiency variable is 6.9, which means that pregnant women with nutritional status of Chronic Energy Deficiency have a 6.9 times greater risk of anemia during pregnancy than those who are not. Inadequate nutritional needs have a greater risk of anemia during pregnancy and the risk of giving birth to Low Birth Weight Babies. Researchers suggest providing counseling to women of adolescence, women of childbearing age and especially pregnant women so that they can add more information about the importance of nutritional status in pregnant women, the dangers of anemia during pregnancy and also the importance of consuming blood booster tablets during pregnancy. So that it is expected to reduce the incidence of anemia pregnant women case and low birth weight history.


Author(s):  
Kristiana Tri Warsini ◽  
Hamam Hadi ◽  
Detty Siti Nurdiati

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Quality of human resource was built since human being was in the womb. Pregnant mother’s health had signifi cant impact on fetus. Pregnant mother’s with anemia and CED would surely have significant impact on the fetus in their womb because it would make low birth weight. If a child with low birth weight can not catch up grow, it was highly possible that they would suffer from stunting. </em></p><p><em><strong>Objectives</strong>: The aim of this study was to identify the relationship between nutritional status of pregnant mother with stunting in children 6-23 age month in Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Methods</strong>: It was observational study with case-control design. The number of samples were 252 children aged 6-23 months. All of stunting children aged 6-23 months in Sedayu subdistrict were selected as samples. Cases and controls samples were matching based on age. Data were collected using structured questionnaire to fi nd out the identity of the children aged 6-23 month, identity of respondents, the nutritional status of the children aged 6-23 month, the history of nutritional status of the pregnant mothers’ and sociodemographic. Anthropometric measurement used microtoise to fi nd out parent’s height, infantometer to find out children length, semi-quantitative food frequency questionnaire (SQ-FFQ) and food models were used as instrument. The data was analyzed using univariate analysis, bivariate analysis with chisquare</em><br /><em>test, and multivariate analysis with multiple logistic regression.</em></p><p><em><strong>Results</strong>: The bivariate analysis showed that anemic history during pregnancy was the risk factor of stunting, but it was not statistically signifi cant (p=0.13, OR:1.5, 95% CI:0.85-2.73). The CED history during pregnancy was not the risk factor of the stunting incident (p=0.23, OR:0.7, 95% CI:0.37-1.31). Other factors related to the stunting incidence were mother’s height (p=0.01, OR:2.04, 95% CI:1.14-3.65), the history of low birth weight (p=0.03, OR:3.03, 95% CI:1.09-8.33), and food insecurity (p=0.04, OR:2.7, 95% CI:1.04-7.00). The multivariate analysis showed that mother’s height was correlated with the stunting incidence in Sedayu subdistrict.</em></p><p><em><strong>Conclusion</strong>: Factors that influence the incidence of stunting in children aged 6-23 month were pregnant mother with anemia, history of low birth weight, food insecurity, and stunted mother. Stunted mother was associated with the incidence of stunting. </em></p><p><strong>KEYWORDS</strong><em>: anemia, CED, growth disorder, pregnant women, risk factors</em></p><p><br /><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Kualitas sumber daya manusia terbentuk sejak dalam kandungan. Kesehatan ibu saat hamil akan sangat mempengaruhi kesehatan janin yang dikandungnya. Ibu hamil yang anemia dan menderita kekurangan energi kronis (KEK) tentu akan mempengaruhi kesehatan janin yang dikandungnya, karena akan menyebabkan bayi lahir dengan berat yang rendah. Bila tidak bisa tumbuh kejar, bayi BBLR kemungkinan besar akan menderita stunting. </em></p><p><em><strong>Tujuan</strong>: Untuk mengetahui hubungan antara status gizi ibu saat hamil dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Kabupaten Bantul.</em></p><p><em><strong>Metode</strong>: Penelitian ini merupakan penelitian observasional dengan desain case-control. Jumlah sampel penelitian sebanyak 252 anak berusia 6-23 bulan yang berasal dari 4 desa di Kecamatan Sedayu. Semua anak stunting usia 6-23 bulan diambil sebagai sampel, dengan matching umur kasus dan kontrol. Pengambilan data menggunakan kuesioner terstruktur untuk mengetahui identitas anak usia 6-23 bulan, identitas responden, status gizi anak usia 6-23 bulan, riwayat status gizi ibu saat hamil, dan data sosiodemografi. Pengukuran antropometri terhadap tinggi badan orang tua dengan microtoise dan panjang badan anak dengan infantometer serta untuk SQ-FFQ menggunakan food model. Data dianalisis dengan menggunakan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik).</em></p><p><em><strong>Hasil</strong>: Hasil bivariat menunjukkan riwayat anemia saat hamil merupakan faktor risiko terjadinya stunting tetapi secara statistik tidak signifikan (p=0,13, OR=1,5, 95%CI=0,85-2,73). Riwayat KEK saat hamil bukan faktor risiko terhadap kejadian stunting (p=0,23, OR=0,7, 95% CI=0,37-1,31). Faktor lain yang berhubungan</em><br /><em>dengan kejadian stunting adalah tinggi badan ibu (p=0,01, OR=2,04, 95% CI=1,14-3,65), riwayat BBLR (p=0,03, OR=3,03, 95% CI=1,09-8,33), dan rawan pangan (p=0,04, OR=2,7, 95% CI=1,04-7,00). Hasil analisis multivariat adalah tinggi badan ibu berhubungan dengan kejadian stunting di Kecamatan Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Kesimpulan</strong>: Faktor yang mempengaruhi kejadian stunting adalah ibu hamil yang menderita anemia, mempunyai riwayat BBLR, rumah tangga rawan pangan dan tinggi badan ibu yang kurang. Pada analisis multivariat yang berhubungan dengan kejadian stunting adalah tinggi badan ibu yang kurang. </em></p><p><strong>KATA KUNCI</strong><em>: anemia, KEK, stunting, ibu hamil, faktor risiko</em></p>


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