Analysis of Factors Associated with Exclusive Breastfeeding of Low Birth-weight Infants at NICU Discharge Using Data from Interviews of Mothers and Clinical Records

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

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NEW CONCERNS ABOUT THERAPIES FOR RETINOPATHY OF PREMATURITY

PEDIATRICS ◽

10.1542/peds.98.6.a30 ◽

1996 ◽

Vol 98 (6) ◽

pp. A30-A30

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Premature Infants ◽

Retinopathy Of Prematurity ◽

Very Low Birth Weight ◽

Patient Characteristics ◽

Low Birth Weight Infants ◽

Factors Associated ◽

Corrected Visual Acuity

Purpose. Cryotherapy for retinopathy of prematurity (ROP) is effective in reducing the incidence of blindness in premature infants. However, macular complications associated with successful treatment have not yet been well studied. Methods. Eighteen very low birth weight (<1251 g) infants (32 eyes) who received cryotherapy for ROP were examined serially for regression of disease and for development of macular abnormalities. Patient characteristics and treatment factors were evaluated to identify risk factors associated with the development of macular abnormalities after successful cryotherapy. Results. Eleven of 32 eyes (34.4%) that had undergone cryotherapy developed significant macular abnormalities, including macular coloboma-like change (six eyes), macular hyperpigmentation (two eyes), irregularly mottled macular hyperpigmentation and hypopigmentation (two eyes), and macular hyperpigmentation and hypopigmentation with subretinal proliferation (one eye). Corrected visual acuity in affected eyes ranged from 0.15 to 0.03 (20/133 to 20/666) compared with 1.0 to 0.2 (20/20 to 20/100) in treated eyes without macular abnormality (P = .0002). No difference in gestational age was noted between infants who did or did not develop macular coloboma-like lesions or pigment abnormalities. Eyes with macular abnormality had more posterior disease (P = .037) and received significantly more cryotherapy than did eyes without macular abnormality (P = .0005). Conclusions. In very low birth weight infants receiving cryotherapy for ROP, development of macular coloboma-like lesions and macular pigment abnormalities were related to greater severity of ROP and a greater amount of cryotherapy. Macular abnormalities were associated with markedly worse visual outcomes than were treated eyes without macular abnormality.

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Risk Factors Associated With The Development Of Ventilator Associated Pneumonia And Tracheitis In Extremely Low Birth Weight Infants

10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3890 ◽

2010 ◽

Author(s):

Ish K. Gulati ◽

Mariana Iskandar ◽

Maroun J. Mhanna

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Extremely Low Birth Weight ◽

Ventilator Associated Pneumonia ◽

Low Birth Weight Infants ◽

Factors Associated

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

Paediatrica Indonesiana ◽

10.14238/pi52.4.2012.229-32 ◽

2012 ◽

Vol 52 (4) ◽

pp. 229 ◽

Cited By ~ 1

Author(s):

Karolina Trigemayanti Tallo ◽

I Kompyang Gede Suandi ◽

Setya Wandita

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Exclusive Breastfeeding ◽

Lower Risk ◽

Acute Respiratory Infection ◽

Low Birthweight ◽

Respiratory Infections ◽

Acute Respiratory Infections ◽

Low Birth Weight Infants ◽

History Of

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].

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