Delayed cord clamping can have an effect on the hematological value of the newborn. The advantages of cord clamping delays include preventing anemia, increasing hematocrit levels, reducing postpartum incidence, optimizing oxygen transfusion to the baby, improving maternal and infant closeness and promoting infant brain growth. The disadvantage of cord clamping delays is the occurrence of hyperbilirubin and policitemia in newborns. The purpose of this study was to identify the levels of bilirubin newborns. The research method used True Experimental Design in 3 (three) treatment groups; treatment of umbilical delayed cord clamping (DCC) for 2 minutes after birth; delay cord clamping (DCC) for 3-7 minutes /until stop pulsating; and delayed cord clamping (DCC) up to 2 hours. The results showed that the highest average bilirubin levels were found in the 2 minute DCC treatment group with mean value (4.04)
The World Health Organization (WHO) reports that the coverage of exclusive breastfeeding in the world was only 36% in 2016, while the coverage of exclusive breastfeeding in Indonesia was 37.3%. This achievement still does not meet the target that has been set, which is 80%. This study aims to determine the relationship between nutritional status and the smoothness of breast milk in breastfeeding mothers 0-6 months in the working area of Binangun Community Health Centre, Cilacap Regency. This study used an analytical survey design with a cross sectional approach. The sample in this study was breastfeeding mothers 0-6 months in the working area of Binangun Community Health Centre, Cilacap Regency, as many as 123 breastfeeding mothers 0-6 months taken proportionally randomly. The results showed that most of them were not at risk (87.8%), the last education was SMA/SMK (67.5%), non-employment was (90.2%) and parity multipara (61.0%), nutritional status mostly with Obesity I (43.1%), and smooth breastfeeding (92.7%). There is a relationship between nutritional status and the smoothness of breastfeeding in breastfeeding mothers 0-6 months with the acquisition of a significant value using the chi-square test p = 0.001 (<0.05). The conclusions derived from this study enhance the understanding of nutritional status is related to the smoothness of breast milk in breastfeeding mothers 0-6 months.
One of the Millennium Development Goals (MDGs) is to improve maternal and child health. To improve maternal health starts from adolescent health to women of childbearing age. An important aspect of adolescent girls’ health is reproductive health, which is characterized by the occurrence of menarche (first menstruation). Menarche is influenced by many factors, such as factors of race, ethnicity, genetic, social, economic, medicine, health, and audio visual equipment. The effects of global information (audiovisual media) which is more accessible will lure children and teenagers to adopt bad habits such as watching blue films, pornographic VCDs, porn internet access, and porn scene via mobile.The aim of this research is to determine the relationship of the history of watching audiovisual to age of menarche among junior high school female students in Kebumen Sub-district of Kebumen District.A cross sectional survey design was used in this study. The Population was VII grade female students of 5.050 who had experienced menarche in the Junior High School Subdistrict Kebumen District Kebumen. Sampling methods use two-level clustering method. The first stage level at random cluster sample selection and the second level is a simple random elementary unit. Samples were obtained as many as 214 students selected at random proportionate sampling at each school. Data was collected through questionnaires, measurements of weight and height scales by meter. The data analysis by Chi Square test and used to know best models by logistic regression test.The results show that mean age of menarche was 11.8 years. Most of the students (58.4%) had a history of watching audio-visual equipment. There was a significant relationship of a history of watching audio-visual (p 0.001; RP = 2.57, 95% CI = 1.68 to 3.94), socioeconomic (p 0.0001; PR = 1.77, 95% CI = 1.25 to 2.49) to the age of menarche. There was no significant relationship between chronic disease (p 0.918) and nutritional status (p 0.448) and the age of menarche. The history of watching an audio-visual was associated with age of menarche, and had 5.14 times more likely than girls who never watched any audio-visual equipment. There needs to be education about reproductive health for adolescents and supervise the use of audio-visual media in accessing porn movies. Keywords: Audio Visual, menarche, Adolescent
Background: Delayed clamping of the umbilical cord is known to increase iron level in newborns. Optimal time for delayed clamping of umbilical cord is not known clearly. Objectives: To know the optimal time for delayed clamping of umbilical cord to improve hemoglobin level after birth. Methods: This study used experimental design which divided in three groups with different treatment; delayed umbilical cord clamping within during two minutes after birth; delayed umbilical cord clamping within threeseven minutes or / until its stop pulsed; and delayed umbilical cord clamping within till two hours. Results: the optimal time to improve hemoglobin level in after birth was delayed umbilical cord clamping within two hours, the average of the highest hemoglobin level after birth was 19.61gr%, while the mean of hemoglobin level of afterbirth in two minutes was lower, 2.65 g% and in three till seven minutes was lower mean, 3,16gr%. Conclusion: The optimal time to increase hemoglobin level in newborns is the delayed cord clamping for 2 hours treatment, with the average infant mortality rate of 19.61gr%.
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