scholarly journals The Overview of Mother’s Characteristics, Exclusive Breastfeeding History and Immunization Status on the Morbidity of Infants 1-14 Months in Sukabumi

2019 ◽  
Vol 4 (1) ◽  
pp. 31
Author(s):  
Lani Gumilang ◽  
Rahmy Nurmalasari ◽  
Meita Dhamayanti ◽  
Dini Saraswati Handayani ◽  
Didah Didah

Morbidity among children in Indonesia is high. Based on the 2013 Hospital Information System data, there were five major morbidities, namely acute respiratory tract infections, diarrhea, fever, seizures, and pneumonia. This study aimed to describe the characteristics of mothers, history of exclusive breastfeeding and immunization status against morbidity in infants aged 1-14 months in the Sukabumi region. This study used descriptive research method with a cross-sectional study design on 71 mothers who have infants aged 1-14 months and are domiciled in the Sukabumi region. The data sources used were primary and secondary data, while the data was analyzed using univariate. The results of the study showed that the majority of mothers aged 20-35 years had infants morbidity due to fever by 78.9%, 29.6% of infants morbidity in mothers with elementary school graduate was caused by fever, housewives had infants morbidity due to fever by 78.9%, 83.1% of infants morbidity due to fever was occurred in mothers who performed exclusive breastfeeding, and 63.4% of morbidity in infants with complete immunization were also caused by fever. The results of this study can be concluded that the majority of morbidity was caused by fever, in mothers aged 20-35 years, mothers with elementary school graduate, housewife, children who obtained exclusive breastfeeding and complete immunization.

2017 ◽  
Vol 33 (8) ◽  
pp. 391
Author(s):  
Safitri Dwicahyani ◽  
Yayi Suryo Prabandari

Determinants of exclusive breastfeeding in SlemanPurposeThe purpose of this paper was to determine the factors associated with the exclusive provision of breast milk in Sleman.MethodsA cross-sectional study was conducted using secondary data derived from HDSS Sleman Cycles I and II. The sample in this study were 218 mothers with children aged 7 to <24 months.ResultsThe ownership of health insurance and the use of bottles and pacifiers were significantly associated with exclusive breastfeeding. Maternal age, maternal education, and maternal occupation were not significantly associated with exclusive breastfeeding. Mothers with health insurance are 2.14 times more likely to exclusively breastfeed than those without health insurance. Infants who never use bottles, and pacifiers before the age of 6 months are 5.14 times more likely to receive exclusive breastfeeding than those who used bottles / dots before the age of 6 months.ConclusionThe use of bottles, and pacifiers is the most dominant factor associated with exclusive breastfeeding. Coverage of health insurance, especially in pregnant and lactating mothers and effective health promotion programs related to exclusive breastfeeding needs to be improved. HDSS Sleman needs to analyze the data more in-depth on exclusive breast-feeding.


2020 ◽  
Vol 8 (3) ◽  
pp. 218
Author(s):  
Andro Pramana Witarto ◽  
Alpha Fardah Athiyyah ◽  
I.G.B. Adria Hariastawa ◽  
I Gusti Made Reza Gunadi Ranuh

Background: Hirschsprung-associated enterocolitis (HAEC) is one of the worst and most common complications of Hirschsprung’s disease (HD). The mortality rate of HD patients with enterocolitis is still considered to be higher compared to that of those without enterocolitis. Purpose: This study aimed to identify and evaluate potential risk factors for HAEC development. Methods: A cross-sectional study was conducted using secondary data from the medical records of HD patients treated from January 2015 to September 2018 at Regional Public Hospital (RSUD) Dr. Soetomo, Surabaya. The inclusion criteria were HD patients who had or had not experienced enterocolitis. The analysis was done by comparing the presence of risk factors between groups of HD patients with and without preoperative and/or postoperative HAEC. The results were presented as the median value and frequency. To evaluate further, a prevalence ratio (PR) with a 95% confidence interval was performed. The Mann–Whitney U test was also performed with a significance level of p < 0.05 for one factor: length of aganglionic intestinal segments. Results: This study showed that 12 of the 40 HD patients studied (30%) had experienced enterocolitis. The risk of developing HAEC was associated with patients who had a history of previous enterocolitis (PR 6.60 [2.94 < PR < 14.80]). Regarding surgical details, patients who had had surgery only once (31.30% compared to 14.30%), surgery with one surgical method (29.40% compared to 20.00%), and a primary procedure had a higher incidence of HAEC (29.40% compared to 27.30%). Conclusion: HD patients with a history of previous enterocolitis were found to have a higher risk of developing HAEC.


2020 ◽  
Vol 8 (1) ◽  
pp. 89
Author(s):  
Risna Nur Fajariyah ◽  
Atik Choirul Hidajah

Background: Stunting is a condition where the growth and development of a child fails during the first 1,000 days of life. The number of stunted children in Indonesia has increased from 35.60% in 2010 to 37.20% in 2013. Purpose: The aim of this study is to analyse the relationship between immunisation status and stunting in children 2–5 years. Methods: This is a secondary data analysis with cross-sectional study design. The data used for this study were obtained from Indonesia Family Live Survey wave 5. IFLS 5 was conducted in 13 provinces from October 2014 until April 2015. The data were collected from 1,048 respondents aged 2–5 years in the Indonesia Family Life Survey 5 with completed age and height data. The observed variables were age, sex, immunisation status, history of infection, mother’s height, mother’s age during pregnancy, living area, and region. Results: This research shows that there is a relationship between immunisation status (p = 0.01; OR =1.78; 95% CI = 1.26 < OR < 2.52), mother’s height (p = 0.00; OR = 1.41; 95% CI = 1.00 < OR < 1.98) and stunting in children aged 2–5 years. Conclusion: Immunisation status and mother’s height are associated with stunting in children aged 2–5 years.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S715-S715
Author(s):  
Ishfaque Ahmed ◽  
Nosheen Nasir ◽  
Bushra Jamil Ali ◽  
Syed Faisal Mahmood

Abstract Background Raoultella terrigena (formerly Klebsiella terrigena) is an environmental gram-negative rod, occasionally causing infections in humans, especially in elderly, immunosuppressed patients. Moreover, this organism tends to be multi-drug resistant, limiting treatment options. Evidence on clinical presentation and outcomes of this infection is limited; we conducted a cross-sectional study to get a better insight into these infections. Methods We conducted a cross-sectional study on all adult patients with clinical specimen positive for Raoultella terrigena at a 700-bedded tertiary care hospital in Karachi, Pakistan, between January 2013 to December 2018. Results A total of 58 patients with R. terrigena were identified. The median age was 61.5 years, and the male to female ratio was (60.9% vs. 39.1%). The most common site of infection was respiratory tract 28.3%, followed by urinary tract infections 26%, and central line-associated infections 15.2%. In 12 patients 22.6%, R. terrigena was a colonizer. Amongst infected cases, 23.6% were in shock, and of which 18.1% required vasopressors. 29.2% had respiratory failure requiring non-invasive ventilation in 13.9%, and mechanical ventilation in 15.3%. The previous history of multidrug-resistant organisms was present in 67.4% cases and the history of prior antibiotics use within the last six months was present in 78.3%. 91.3% of isolates were resistant to piperacillin-tazobactam and meropenem, 65.2% were resistant to colistimethate. However, tigecycline susceptibility maintained in 30.4% checked in n=31, 67.4% and fosfomycin sensitivity in 15.2% cases, checked in n=29, 63% cases. Eight patients lost to follow up. Majority of patients were treated with combination therapy n=31, 81.6% and meropenem plus colistemethate was the most commonly used combination n=11, 44%. The overall mortality rate was 44.7%. Among all recorded co-morbid conditions, chronic kidney disease was strongly associated with mortality (p= .029), as also the use of vasopressors (p= .005).Persons who had high (greater or equal to three) Charlson comorbidity index had high mortality (p=0.002). Conclusion R.terrigena is a highly drug-resistant organism with high mortality rate, and causes hospital-acquired respiratory tract infections in majority of patients. Disclosures All Authors: No reported disclosures


2018 ◽  
Vol 58 (3) ◽  
pp. 110-15 ◽  
Author(s):  
Kevin Sastra Dhinata ◽  
Atika Atika ◽  
Dominicus Husada ◽  
Dwiyanti Puspitasari

Background The number of diphtheria cases recently increased, such that an outbreak was declared in East Java Province, which includes the Sampang District. Immunization completion status is a determining factor for diptheria infection. Objective To investigate for correlations between immunization status and outcomes (severity level, fatality, and complications) of diphtheria patients in the Sampang District. Methods This analytic, cross-sectional study used secondary data from the East Java Provincial Health Office on diphteria patients aged 0-20 years during the 2011-2015 outbreak in the Sampang District and interviews with diphtheria patients in that region. The Diphtheria Research Team of Soetomo Hospital collected data on immunization status, diphtheria severity (mild, moderate, or severe), case fatality (died or survived), and complications in the patients (with or without complications). Spearman’s, Chi-square, and Fisher’s exact tests were used for data analyses, accordingly. Results Seventy-one patients with clinical diphtheria were identified, 17 of whom were confirmed with positive culture results. The case fatality rates were 7% in patients with clinical and 5.9% in confirmed diphtheria. There were no correlations between patient immunization status and severity (P=0.469 clinical, P=0.610 confirmed), or fatality (P=0.618 clinical, P=0.294 confirmed) of diphtheria in the clinical and confirmed diphtheria patients. However, there was a correlation between patient immunization status and the emergence of complications in clinical (P=0.013), but not in confirmed (P=0.620) diphtheria patients. Conclusion There is a correlation between immunization status and complications in clinical diphtheria patients. Such a correlation is not found in confirmed diphtheria cases because none of the patients had complete immunization status.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Simon Byonanuwe ◽  
Emmanuel Nzabandora ◽  
Baltazar Nyongozi ◽  
Theophilus Pius ◽  
David Santson Ayebare ◽  
...  

Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR=0.5, 95% CI: 0.22-0.69, p=0.038) and gestational age of 37 weeks or more (aOR=0.3, 95% CI: 0.14-0.71, p=0.01) while history of 3 or more abortions (aOR=13.1, 95% CI: 1.12-153.62, p=0.05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.


2021 ◽  
Vol 11 (01) ◽  
pp. e83-e88
Author(s):  
Anoush Azarfar ◽  
Alireza Ghodsi ◽  
Farnoosh Faravani ◽  
Sara Ghahremani

AbstractEnuresis is one of the most common disorders in children, and if left untreated can cause anxiety, low self-esteem, and family problems. The aim of this study was to investigate the factors associated with enuresis to provide recommendations for more efficient prevention and treatment. A cross-sectional study was performed on children aged 6 to 12 years with enuresis, referred to the pediatric clinic between April 2017 and April 2018. Children were divided into two groups: monosymptomatic enuresis and healthy subjects. Then, a questionnaire was completed by their parents to assess the factors related to enuresis. The data were analyzed using SPSS software. In this study, out of 140 children with an average age of 8.22 ± 2.01 years, 77 cases (55%) had enuresis, of which 57 (40.7%) had primary enuresis, and 20 cases (14.3%) had secondary enuresis. There was a significant difference between the control and the case groups in terms of: father's education, family income, family history, number of people sleeping in the room, family problems, problems at school, history of urinary tract infections, history of pinworms, difficulty falling asleep, difficulty in waking up, feeling tired after waking up, and drowsiness during the day. Enuresis is associated with several physiological, psychological, and genetic factors. Controlling these factors requires paying attention to the elements such as the mental health of the family and child's sleep health through education, family awareness, and counseling.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Abolhassan Seyezadeh ◽  
Mohamad Reza Tohidi ◽  
Mehdi Sameni ◽  
Mohammad Saleh Seyedzadeh ◽  
Sara Hookari

Background: Urinary tract infection (UTI) is the second most common infection in children. Parents’ lack of awareness and information about UTIs ultimately leads to delayed referral for treatment, which raises many concerns in parents. Objectives: The research aimed to evaluate the parental awareness of UTIs in infants and children and related demographic factors. Methods: In this cross-sectional analytical study, 270 parents who had a child or infant with UTIs referring to the Nephrology Clinic of Mohammad Kermanshahi Hospital in Kermanshah, Iran, in 2018 were selected by a convenience sampling method. To analyze the data, the chi-square test and Fisher's exact test were used. Results: According to the results, the parental awareness of the symptoms of UTIs in children was moderate, and the overall score on the awareness of complications, treatment, prevention, and diagnosis of UTIs in children was high. There were statistically significant relationships between the parental age and knowledge of UTI treatment in children, between paternal education and treatment and diagnosis and the total score of knowledge on UTIs in children, and between maternal education and awareness of the symptoms and how to prevent UTIs. Further, there was a statistical relationship between the children’s history of UTIs and the awareness of how to diagnose and treat UTIs in children (P < 0.05). Conclusions: Given the results, educational programs must be promoted to raise parents' awareness of UTIs in infants and children, especially UTI symptoms in lower educated, elderly parents whose other children have not had any history of UTIs.


2021 ◽  
Vol 10 (2) ◽  
pp. 261
Author(s):  
Sukma Sahadewa ◽  
Nike Salindri ◽  
Sandra Miladyna ◽  
Siti Hadijah

The objectives of this research is to find out the prevalence of exclusive breastfeeding, nutritional status, and the correlation between of breastfeeding and nutritional status in babies aged 6 to 24 months at the Kedungsari Public Health Center in Mojokerto Regency. This study used 50 babies aged 6-24 months from the Kedungsari Health Center as samples. This study applied a cross-sectional study design. The data was collected by gathering primary data via questionnaires and secondary data from the Kedungsari Health Center. The majority of the children in this research, aged 6-24 months, had been exclusively breastfed (58%). The majority of the children in this research, aged 6 to 24 months, showed normal nutritional status (74%). Furthermore, in the Kedungsari Health Center in Mojokerto Regency, there is a correlation between of breastfeeding and nutritional health in infants aged 6 to 24 months. This study's findings provide up-to-date information on the prevalence of exclusive breastfeeding, nutritional status, and the correlation between exclusive breastfeeding and nutritional status in babies aged 6 to 24 months.


Author(s):  
Enka Nur Ishmatika ◽  
◽  
Tris Eryando ◽  

ABSTRACT Background: Exclusive breastfeeding is one of the essential things in the early life of a baby. Historical, socio-economic, cultural, and individual factors influenced the decision of initiation and behavior of breastfeeding. This study aimed to examine the determinants of cessation of exclusive breastfeeding in Indonesia. Subjects and Method: This was a cross-sectional study conducted by using secondary data from the Indonesian Demographic and Health Survey (IDHS) 2017. A total of 1,497 mothers aged 15-49 years old with infants aged 0-5 month was selected by total sampling. The dependent variable was the cessation of exclusive breastfeeding. The independent variables were maternal age, living place, level of maternal education, work status, wealth index, number of live births, and infant age. The data were analyzed using multiple logistic regression. Results: Maternal age (cOR= 1.27; 95% CI= 0.81 to 1.98; p= 0.293), residence (aOR= 1.98; 95% CI= 1.36 to 2.91; p= 0.008), number of live births (aOR= 1.82; 95% CI= 1.06 to 3.12; p= 0.036), and work status (cOR= 1.18; 95% CI= 0.80 to 1.74; p= 0.417) increased the cessation of exclusive breastfeeding, and it was statistically significant except for maternal age and work status. Maternal education (cOR= 0.76; 95% CI= 0.46 to 1.24; p= 0.266), wealth index (cOR= 0.92; 95% CI= 0.58 to 1.47; p= 0.728), and infant age (aOR= 0.88; 95% CI= 0.79 to 0.99; p= 0.033) decreased the cessation of exclusive breastfeeding, it was statistically insignificant except for infant age. Conclusion: Residence, number of live births increase the cessation of exclusive breastfeeding. Maternal education and wealth index decrease the cessation of exclusive breastfeeding. Keywords: cessation, exclusive breastfeeding, determinants, IDHS Correspondence: Enka Nur Ishmatika. Faculty of Public Health, Universitas Indonesia, Depok, West Java, 16424. Email: [email protected]. Mobile: +6281240293100. DOI: https://doi.org/10.26911/the7thicph.03.54


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