Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.Objective To assess the success rate and time needed for latching on in EIB implementation.Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.
Thalassemia is an autosomal recessive single gene disorder due to an imbalance in the production of globin chains, namely α-globin and β-globin chains, which until now the case is increasing with manifestations of severe anemia and can have an impact on nutritional status. Malnutrition is one of the effects of thalassemia due to rapid erythrocyte turnover. The purpose of this paper is to discuss and provide information regarding the definition, epidemiology, classification, pathogenesis, diagnosis, complications, management, and nutritional status to minimize growth disorders in thalassemia patients. This research is a literature study, which is a type of research that collects, manages, uses, and reviews research data sourced from scientific research journals, previous research manuscripts, and textbooks. The results of the literature review are a factor of good nutritional status in thalassemia patients can be affected by various factors, one of which is increased energy expenditure which can offset good intake and consumption patterns. One of the assessments of nutritional status in thalassemia patients is the Upper Arm Circumference (UAC) because it can be used in organomegaly patients. Many factors can affect the nutritional status of children, especially in children with thalassemia.
Low Birth Weight (LBW) is an indicator of public health. The morbidity and mortality risk of LBW is 4 times greater than non-LBW. Low birth weight (LBW) both in pre term and term gestational age infants often occurs jaundice. This study aims to determine the distribution of LBW with neonatal jaundice based on gestational age in Perinatology Ward at Dustira Hospital. This quantitative descriptive study uses data sources from medical records in the Perinatology Ward from January to December 2019. The results of this study showed there were 51 (87.9%) pre-term LBW and 7 (12,1%) term LBW and none post-term LBW infant. There are 42 (72,8%) cases of LBW with neonatal jaundice with 35 (83,3%) pre-term LBW and 7 (16,7%) term LBW. Neonatal jaundice occurrs more often in pre-term LBW than term LBW as done by other studies. The incidence of LBW with neonatal jaundice is not only affected by gestational age, but also by ABO blood group incompatibility, maternal age during pregnancy, the gender of the infants, and asphyxia.
Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged. Objective To assess the success rate and time needed for latching on in EIB implementation. Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June-November 2011. Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects' birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/ fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30-44 minute group (52.7%). Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.[Paediatr Indones. 2015;55:126-30.].
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