Breastfeeding History Research Articles

Analysis of The Influence of Nutritional Status Variables and Environmental Sanitation on The Event of Diarrhous to Children

Introduction: Diarrhea in 2019 became the second leading cause of death in children under five. The causes of diarrhoea include infection, malabsorption, and food and are influenced by several factors such as behavioural, nutritional, environmental, and socioeconomic factors. This study aimed to analyze the effect of variables on nutritional status and environmental sanitation on the incidence of diarrhoea in children under five in the South Lampung Regency. Method: This study is survey research with a cross-sectional design and uses binary logistic regression analysis. The samples taken were 380 toddlers aged 6-59 months. Result: 10 of the 21 predictor variables had a significant effect on the 5% significant level of the incidence of diarrhoea, where there were nine predictor variables, including poor/poor nutritional status, history of exclusive breastfeeding, clean water sources from BOR wells, clean water sources from PDAM. mountain spring drinking water sources, latrine facilities, septic tank facilities, managed waste management, and the floor of a ceramic house can reduce the incidence of diarrhea with odds ratio and [p=] values of 0.06[0.000], 0.33[0.017], 0.01[0.0000], 0.02[0.000], 0.02[0.004], 0.04[0.000], 0.01[0.025], 0.02[0.001], and 0.10[0.000]. Toddlers living in noncoastal areas have a 1.08 times higher chance of experiencing diarrhoea than coastal areas. In contrast, one variable, namely the age of toddlers, can increase the susceptibility to diarrhoea in toddlers with the odds ratio and [p=] values of 1.04 [0.007, respectively. Conclusion: This study shows that the influence of nutritional status variables and environmental sanitation has a great possibility to reduce the incidence of diarrhoea in children under five, namely in the group of nutritional status variables, including poor/poor nutritional status, age of toddlers, and history of exclusive breastfeeding.

RISK FACTOR OF EXLUSIVE BREASTFEEDING AND INFECTIVE DISEASES ON STUNTING INCINDANCE

Background: Stunting one of the nutritional problems in the children under five wich has an impact on the distruption of children’s growth. The long-term impact will reduce the quality of Indonesian children in the future. Stunting is closed to first 1000 days of life. Many factos influence. Methode: The research method used in this research is observational analytic with case control approach. The sample was using simple random sampling. The number of sampels in the study were the age 6-36 month. 45 as cases and 45tooddler as control. The dependen variable in this study was stunting and the variable was history of exclusive breastfeeding, age of first complementary feeding, incidence of diarrhea and acut respiration disesase infection (ARI),. Collecting data through primary and secondary data. Statistis test by chi square, t-test Independen and regresi logistic Result: The result showed history of exclusive breastfeeding test a value of p=0,010, incidence of diarrhea with a value of p=0,017 and history of ARI disease with a value of p=0,017, it shows that there is a relationship between the incidence of stuntingnin children age 6-36 month. The multivariate analys with logistic regression test result showed that there was the most relationtship with stunting are between a history of exclusive breastfeeding with OR=0.042 history of diarrhea incidence with OR=0.042, history of ARI disease with OR=6.627 and Conclusions: The data on the result of the study showed that a history of exclusive breastfeeding, incidence of diarrhea, history of ARI disease has a significant relation with stunting.. keyword : stunting, exclusive breastfeeding, history of child infection.

RELATIONSHIP BETWEEN EXCLUSIVE BREASTFEEDING, LOW BIRTH WEIGHT, AND FOOD INTAKE WITH STUNTING INCIDENCE IN CHILDREN AGED 24-59 MONTHS

This type of research is quantitative analytic with a case-control approach. This study aimed to determine the relationship between exclusive breastfeeding, low birth weight, and food intake with the incidence of stunting in children aged 24-59 months in the Jambula Care Health Centre Working Area. This research was conducted in the working area of ​​Jambula Health Center with a sample of 60 children aged 24-59 months, consisting of 30 children aged 24 - 59 months (Case) and 30 children aged 24 -59 months (Control). The study's dependent variable was the incidence of stunting in children aged 24-59 months. In contrast, the independent variables were the history of exclusive breastfeeding, the history of LBW, and food intake. The results showed a significant relationship between a history of exclusive breastfeeding (p = 0.000), energy intake (p = 0.000), and protein intake (p = 0.045) with the incidence of stunting in children aged 24-59 months in the Jambula Health Center Work Area, while the history of LBW (p = 0. 492) does not have a relationship with the incidence of stunting in children aged 24-59 months in the Jambula Health Center Work Area. It is recommended to mothers and the community to always pay attention to the nutritional intake consumed by children, including exclusive breastfeeding and various nutritious foods. In addition, the active role of Health Workers in Health Service Facilities needs to be increased to prevent and overcome stunting problems in the regions.

High-sensitivity C-reactive protein use in cardiovascular risk screening at 6 to 12 months postpartum following hypertensive disorders of pregnancy

Patients with a hypertensive disorder of pregnancy are more likely to have underlying cardiovascular risk factors and are at increased risk of future cardiovascular disease. These patients are more likely to be diagnosed with new-onset chronic hypertension and meet the criteria for metabolic syndrome postpartum. High-sensitivity C-reactive protein is a marker of general inflammation and may be used to identify increased risk for cardiovascular disease. This collaborative data-sharing study between Yale University, United States (Yale Hearts Moms study) and Queen's University, Canada (Maternal Health Clinic) aimed to study the utility of high-sensitivity C-reactive protein in postpartum cardiovascular risk screening, as determined by 30-year risk (Framingham) and metabolic syndrome 6 to 12 months postpartum. Patients with a hypertensive disorder of pregnancy (n=478) or an uncomplicated, term pregnancy (n=90) had cardiovascular risk screening and risk scoring performed at 6 to 12 months postpartum. Patients were excluded if they had a multiple gestation or chronic hypertension, diabetes mellitus, or cardiovascular disease diagnosed before pregnancy. Patients were categorized according to high-sensitivity C-reactive protein (mg/L) into Normal (<3.0), High (3.1 to <10.0), and Acute (≥10.0) groups. The primary outcome of the study was risk for future cardiovascular events, calculated through surrogate measures such as hypertension and cholesterol. Kruskal-Wallis and chi-square tests were used to compare groups, with post hoc tests corrected using the Bonferroni method. Multivariable logistic regression was used to assess the association between high-sensitivity C-reactive protein and cardiovascular risk, adjusting for relevant medical and sociodemographic variables. Analysis was completed with IBM SPSS Statistics, version 27. Patients in the High and Acute high-sensitivity C-reactive protein groups were more likely to have a body mass index ≥30, to have experienced a hypertensive disorder of pregnancy, to have a lower household income, and to have not breastfed or to have breastfed for <6 months, when compared with the Normal high-sensitivity C-reactive protein group (all P<.05). Patients in the High and Acute high-sensitivity C-reactive protein groups had higher 30-year cardiovascular risk scores and were more likely to have metabolic syndrome when compared with the Normal high-sensitivity C-reactive protein group (all P<.05). Patients with High high-sensitivity C-reactive protein had 2-fold odds of metabolic syndrome 6 to 12 months after delivery, compared with those in the Normal high-sensitivity C-reactive protein group (adjusted odds ratio, 2.85 [95% confidence interval, 1.66-4.91]), adjusting for hypertensive disorder of pregnancy, body mass index, clinic site, breastfeeding, income, and family history of cardiovascular disease. Those with Acute high-sensitivity C-reactive protein also seemed to have elevated odds of metabolic syndrome compared with the Normal high-sensitivity C-reactive protein group (adjusted odds ratio, 2.52 [95% confidence interval, 1.24-5.12]). The odds of chronic hypertension were significantly higher (P<.05) in the High high-sensitivity C-reactive protein group (adjusted odds ratio, 1.72 [95% confidence interval, 1.12-2.65]) compared with the Normal group. Individuals with elevated postpartum high-sensitivity C-reactive protein are at increased risk of cardiovascular disease 6 to 12 months postpartum after a pregnancy complicated by a hypertensive disorder of pregnancy. Future research is critical to determine the most comprehensive and accurate method and timing of postpartum cardiovascular risk screening to decrease the incidence of preventable cardiovascular mortality among women.

INTERVENTION OF STUNTING AGED 0-59 MONTHS REVIEWING FROM NUTRITION

Nutritional intervention is an effort to overcome nutritional problems with programs such as giving Fe and calcium tablets to pregnant women, giving zinc to children. To find out the factors that cause stunting and the effectiveness of Nutrition Interventions in Stunting Toddlers. This type of research is survey research with a cross-sectional design. The research sample was children aged 0-59 months with short or very short criteria, totaling 60 respondents. Sampling technique is purposive. Data analysis through Univariate and Multivariate. Univariate analysis to provide an overview of the prevalence of stunting in children aged 0-59 months and Multivariate Analysis to see the initial relationship of risk factors for stunting in children 0-59 months and the effectiveness of Nutrition Interventions for Stunting Toddlers. The analysis was performed by binary logistic regression. Of the risk factors for stunting found 5 factors that correlated with stunting, namely history of exclusive breastfeeding, p-value 0.007 &lt;0.05 (OR 0.111, 95% CI 0.023 – 0.541), history of complementary feeding p-value 0.044 &lt; 0, 05 (OR 0.297, 95% CI 0.091 – 0.970), the diversity of food content p-value 0.095 &lt;0.10 and the odds ratio value of 2.743. Means that the diversity of food content consumed affects stunting by 2.743 times greater, nutritional adequacy p-value 0.042 &lt;0.05 and odds ratio value of 3.429, meaning that nutritional adequacy affects stunting by 3,429 times greater and Immunity of toddlers with stunting p-value 0.029 &lt;0.05 and OR 0.268, 95% CI 0.82 - 0.876. For the Nutrition Interventions studied in this study in the form of an intervention approach to pregnant women through supplementation of Fe tablets with a p-value of 0.02 &lt;0.05 and an odds ratio of 0.194 and supplementary feeding obtained a p-value of 0.011 &lt;0.05 and an odds ratio of 4.464. There is a significant relationship between the Nutritional Intervention of Fe tablet supplementation and feeding with stunting. History of complementary feeding, exclusive breastfeeding, nutritional adequacy, diversity of food content and immunity have an impact on stunting in toddlers. The main interventions that can be done to reduce stunting are by increasing good nutrition for pregnant and lactating women and conducting early intervention in cases of malnutrition by fulfilling a diet high in protein.

Breast cancer heterogeneity

Background:Breast cancer (BC) is the most prevalent cancer in women and the leading cause of women's cancer-related deaths and morbidity worldwide. Conventionally considered as a single disease, recent advances suggest that BC is rather a heterogeneous disease with different molecular subtypes exhibiting distinct clinical presentation, anatomo-pathological features, response to treatment and survival outcomes. The purpose of this study was to compare tumor characteristics and epidemiologic risk factors associated with premenopausal versus postmenopausal BC and to assess heterogeneity by menopausal status.Methods:This was a comparative cross-sectional study. A total of 340 patients were included in the study (170 premenopausal vs. 170 postmenopausal BC). Patients' and tumor characteristics were compared in both populations. Percentages and means have been used for descriptive statistics. For categorical variables with comparison groups not exceeding 2, Fischer's exact test was used, otherwise, Chi-square test was used. For continuous variables, Mann–WhitneyU-test has been used to compare the numerical ranked variables. A value ofP= 0.05 or less was considered statistically significant. Odds ratio (OR) and 95% confidence interval (CI) was estimated using logistic regression analysis.Results:The median age of patients was 49 years (range: 18–89 years), with premenopausal median age of 41 years (range 18–50 years) and postmenopausal median age of 58 years (range 48–89 years). Factors associated more with the occurrence of premenopausal BC than postmenopausal BC were obesity/overweight in adolescence/early adulthood (OR = 0.29 95% CI 0.18–0.49,P&lt; 0.001) and history of benign breast disease (OR 0.34 95% CI 0.14–0.83,P= 0.014), while factors associated more with postmenopausal than premenopausal BC included alcohol intake (OR = 2.47 95% CI 1.54–3.98,P&lt; 0.001), history of breastfeeding (OR = 2.75 1.12–6.78,P= 0.036). However, sports activities (OR = 0.33 95% CI 0.16–0.65,P= 0.0015) and contraceptive use (OR = 0.19 95% CI 0.12–0.32,P&lt; 0.001) seem to be protective for postmenopausal BC. In premenopausal period, patients presented more at advanced stages (Stage III and IV) (51.2% of premenopausal vs. 44.7% for postmenopausal,P= 0.0246), reported more intermediate-to-rapid disease progression (92% in premenopausal vs. 81.1% in postmenopausal (P&lt; 0.001), had more invasive ductal carcinoma (98% in premenopausal vs. 93.5% in postmenopausal (P= 0.053) and had more poorly differentiated tumors (72% compared to 19.4% of postmenopausal BC patients (P&lt; 0.0001). There was no statistically difference in molecular subtypes distribution between premenopausal and postmenopausal women (P= 0.062). However, progesterone receptor (PR) positivity was more associated with postmenopausal BC (P= 0.0165).Conclusion:BC is a heterogeneous disease. Premenopausal BC seems to be more aggressive than postmenopausal BC, with a relatively high prevalence of poorly differentiated and high-grade tumors with rapid progression. However, pre- and postmenopausal BC have similar molecular subtypes with different PR expression but similar ER and human epidermal growth factor receptor 2/Neu oncogene expression.

The Breastfeeding with Nutritional Status Based on Toddler’s Height in Bondowoso

Introduction: The incidence of stunting in toddler in Indonesia has been above the WHO target. In Bondowoso, the prevalence of stunting in February 2019 reached 17.54% of 45,002 toddlers. Stunting is closely related to inadequate nutrition, one of which is exclusive breastfeeding. The purpose of research was to determine the relationship of breastfeeding with nutritional status based on toddler’s height in Walidono Village, Prajekan District, Bondowoso Regency. Methode: The type of research was a correlational study with a case control approach. Total population of 46 toddlers aged 24-36 months and obtained a sample of 41 toddlers with proportional random sampling technique. The instrument used questionnaires giving ASI, microtoise and z score application. Data analysis used Chi Square test and obtained the Contingency Coefficient value with the help of the SPSS 26. Results: The results shows 51.22% of toddlers with no history of exclusive breastfeeding and 48.78% were given exclusive breastfeeding, toddler stunting 43.90% and not stunting 56.10%. The analysis results obtain p-value of 0.039 &lt;α (0.05), it can be concluded that H0 is rejected Ha is accepted, with a Contingency Coefficient value of 0.306 meaning that there is a relationship between breastfeeding and nutritional status based on toddler’s height in Walidono Village, Prajekan District, Bondowoso Regency. Conclusion: Midwives are expected will increase the provision of information on exclusive breastfeeding to pregnant and breastfeeding mother in order to prevent stunting in toddler.

Correlation of Exclusive Breastfeeding with Stunting Incidence in Toddlers Age 24-60 Months in the Work Area of Mojolaban Health Center Sukoharjo

Background Indonesia is a country that still has a high number of stunting cases. Stunting is a case of chronic malnutrition that occurs in toddlers. According to the World Health Organization (WHO) in the Global Nutrition Targets 2025, stunting is considered an irreversible growth disorder that is largely influenced by inadequate nutritional intake and repeated infections during the first 1000 days of life. Toddlers with stunting have a short or very short body condition that exceeds -2 SD below the median length based on height for age.The purpose of this study to determine the Effectiveness of Exclusive Breastfeeding with Stunting Incidence in Toddlers Ages 24 – 60 Months in the Mojolaban Health Center Work Area, Sukoharjo Regency. The design of this research descriptive correlation with a sample of 44 children under five were taken by purposive sampling method. The instrument used was a questionnaire sheet for breastfeeding and an observation sheet for the nutritional status of toddlers. Bivariate analysis using chi square test. The result of the study history of exclusive breastfeeding in this study reached 56.8% or 25 children. The majority of children in this study were not stunted. 52.3% or 23 children who received exclusive breastfeeding and did not experience stunting. The results of the chi square test showed p value = 0.000 (p value &lt; 0.5) and r value 0.609. The conclusion of this study is that there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers aged 24-60 months in the working area of ​​Mojolaban Health Center, Sukoharjo Regency.

Knowledge and Breastfeeding Experience are Associated with High Levels of Exclusive Breastfeeding Self-Efficacy in Pregnant Women from Dobo, Maluku

Background: The rate of exclusive breastfeeding in Indonesia, including Maluku Province, was still low. One of the factors associated with exclusive breastfeeding is maternal self-efficacy. This study aimed to determine factors associated with high levels of exclusive breastfeeding self-efficacy amongst pregnant women living in the catchment area of Dobo and Siwalima Health Centers in Dobo, Aru Islands District, Maluku Province. Methods: This study was conducted in October 2021 using a cross-sectional research design. Using total population sampling, 146 pregnant women living in Dobo and Siwalima Health Center’s catchment area were selected and interviewed. We examined the role of different factors: mothers' sociodemographic characteristics, number of children, breastfeeding knowledge, social support, antenatal care use, and mothers' history of breastfeeding. Logistic regression analysis was performed to determine factors associated with high levels of exclusive breastfeeding self-efficacy in pregnant women. Results: We found that 61.6% of pregnant women had high levels of exclusive breastfeeding self-efficacy. The odds of high levels of exclusive breastfeeding self-efficacy significantly increased in pregnant women with high levels of breastfeeding knowledge (aOR=4.73; 95%CI: 1.44-15.52, p=0.010). The odds also increased in mothers who had ever exclusively breastfed their previous child (aOR = 5.10; 95% CI: 2.02-12.86, p=0.001) or had any experience with breastfeeding (aOR=0.48; 95%CI: 1.88-12, p=0.001). Conclusions: The level of knowledge about exclusive breastfeeding and previous breastfeeding experience was associated with the level of exclusive breastfeeding self-efficacy amongst pregnant women. Health promotion efforts, including health education and provision of support from health workers and family members for pregnant women who did not have any breastfeeding experience, were beneficial to improving exclusive breastfeeding self-efficacy.

Association of Nocturnal Enuresis and history of Breastffeeding in primary school children in Hilla city

Background : Nocturnal Enuresis is a common problem in children. It has significant psychological impacts on both children and families. Nocturnal enuresis refers to an inability to hold urine during sleep at night. It is essential problem for school age children Objectives: To identify whether history of breastfeeding has a positive relation with reduced rates of bedwetting bed wetting at school age and to identify characteristics of breastfeeding that correlate with bedwetting or otherwise. Patients and methods: It is a descriptive hospital based cross_ sectional study which was carried out on convenient sample of 200 child with nocturnal enuresis aged 6 -12 years who attended Pediatric consultant clinic of Babylon Maternity and Pediatric Hospital, Imam Al-Sadiq General Teaching Hospital and Al Noor Pediatric Hospital , Urology consultant clinic of Hilla General Teaching Hospital and Imam Al-Sadiq General Teaching Hospital , whose mother accepted to participate in this study . It was conducted over a period of three months beginning from first of February to first of May 2022. Result: A total of 200 children with nocturnal enuresis were enrolled in this study, with mean ± SD of age was 8.3 ± 2 years, ranging between 6 to 12 years.

Increased Rate of Spontaneous Pneumothorax in Infants of COVID-19 Positive Mothers

Abstract Objective The epidemiological and clinical characteristics of neonates born to women infected with coronavirus disease 2019 (COVID-19) during pregnancy were assessed, and the correlation between this infection and spontaneous pneumothorax in neonates born to mothers with COVID-19 was evaluated in the present study. Methods Records of 14 neonates in the neonatal intensive care unit with pneumothorax were collected and analyzed. Pregnant women were routinely screened for COVID-19 before birth. This study only included the neonates of mothers positive for severe acute respiratory syndrome coronavirus 2 immunoglobulin Mand immunoglobulin G and developing spontaneous pneumothorax. Antenatal, natal and postnatal risk factors, data related to demographic, epidemiological and clinical characteristics, treatment strategies, and breastfeeding history were obtained from medical records. Results The gestational age of the 14 neonates was 30 to 38 weeks. One male infant was born by normal spontaneous vaginal delivery, while all other infants were born by C-section. Though the mothers did not have a diagnosis of COVID-19 in their charts, they all reported one or more symptoms when interviewed. No mother had received a COVID-19 vaccination before or during pregnancy. No mother had undergone a hospital visit or doctor examination due to suspicion of COVID and COVID polymerase chain reaction test. COVID antibody titers were present during admission to hospital before birth. Conclusion The infants of pregnant cases with symptomatic or asymptomatic COVID-19 may develop respiratory distress and pneumothorax. Observational data obtained from case series similar to what is presented here may be accepted as a potential first step to producing hypotheses to test with preclinical or clinical models if it can be expanded in larger cohorts.

Analisis Faktor Resiko Kejadian Pneumonia Pada Balita di Wilayah Kerja Puskesmas Sidorejo Kota Pagar Alam

Pneumonia is an infectious disease that is still a health problem in Indonesia, the third leading cause of death in Indonesia after cardiovascular and tuberculosis. The high incidence of pneumonia mainly attacks the age group of infants and toddlers. The purpose of this study was to determine the analysis of risk factors for pneumonia in children under five in the working area of ??the Sidorejo Health Center, Pagar Alam City in 2021, this study was a retrospective study with a case control approach. The research subjects consisted of two groups, namely the case group and the control group, each of which consisted of 63 subjects. Data was collected by means of interviews, observations and measurements. Data analysis used univariate, bivariate with chi square and multivariate analysis to determine the most dominant influence of the independent variables on the dependent variable. The analysis was carried out on the variables related to the bivariate analysis with a p value &lt; 0.25 and an interval value of 95% CI not below 1. The analysis was carried out using logistic regression test with forward stepwise (conditional) with = 0.05 as a reference in decision making. test results. The results of this study that of the 12 variables studied, there are 6 variables that are at risk for the incidence of pneumonia in toddlers, namely ventilation, lighting, temperature, humidity, smoking habits, history of breastfeeding, the variable most at risk for the incidence of pneumonia in toddlers is lighting. In this study, it can be concluded that the floor of the house, the proportion of ventilation, the intensity of natural lighting (sunlight), temperature, humidity; occupancy density, smoking habit in the house, history of family members suffering from respiratory tract infections, type of fuel for cooking, nutritional status, immunization status and history of breastfeeding, have a relationship with the incidence of pneumonia.

Analisis Kejadian ISPA pada Anak di Puskesmas Sukaraya Kecamatan Baturaja Timur Kabupaten OKU Tahun 2021

Acute respiratory infection (ARI) is still a major health problem and is the leading cause of death and mortality in the world, including in Indonesia. The purpose of this study was to describe the incidence of ARI. Methods This study uses a cross sectional design conducted at the Sukaraya Health Center, Baturaja Timur District, OKU Regency in August 2021 with a total sample of 104 respondents. The results of the bivariate analysis in this study obtained the mother's education variable p-value 0.555, knowledge p-value 0.000, mosquito venom use p-value 0.000, smoking p-value 0.932, history of breastfeeding p-value 0.011, ventilation p-value 0.005. The results of the multivariate analysis showed that the knowledge variable p-Value was 0.000 (&lt;0.05) with OR=10,815. It can be said that there is a significant relationship between the use of mosquitoes, history of breastfeeding and ventilation with the incidence of ARI, while for the mother's education variable, there is no relationship related to the incidence of ARI. The more dominant variable in this study is the knowledge variable.

ANALISIS FAKTOR RISIKO KEJADIAN STUNTING PADA BALITA USIA 6 BULAN – 23 BULAN DI PUSKESMAS PEKKAE KECAMATAN TANETE RILAU KABUPATEN BARRU TAHUN 2020

Stunting is ashort body condition according to the age which exceed the 2 SD (Standard Deviation) deficit below the median length standard or the height of the age. A toddler with stunting shows the existence of long-term nutritional problems or chronic nutrition that can be affected by the condition of the mother or future mother, fetal period and infancy or toddler period, including the disease suffered during infancy period. The aim of this research was to find out the risk factor of stunting to the child aged 6-23 months in working area of Pekkae health care, Tanete Rilau, Barru Regency. This research was a quantitative research with observational analytic method and crossectional design. Sampling was obtained by using purposive sampling technique. The total of sample were 98 toddlers and their mother as a respondent. The data were analyzed by using the Chi-square p0.05 in the SPSS program. The result of this research showed that there was a significant relationship between the history of complementary feeding (p-value 0.031;1.36), infectious disease (p-value 0.005;1.41), mother’s knowledge of toddler nutrition (p-value 0.031;1.36) and economic factor (p-value 0.000; 2,71) toward the stunting. There was no significant relationship between the history of exclusive breastfeeding, toddler immunization, maternal height and the mother’s last education level toward this stunting with p-value 0.005. The most dominant factor in this research was family economic factor.Keywords : toddler, stunting, history of complementary feeding, history of infectious disease, mother’s education, mother’s knowledge, family economic factor.

Analisis Faktor-Faktor yang Berhubungan dengan Kejadian Stunting di Dinas kesehatan Kabupaten Lahat Tahun 2021

Stunting is a broad indicator to measure the nutritional status of children under five which causes children to experience linear growth retardation. Knowing the factors associated with stunting incidence in the health office of lahat regency in 2021. Cross sectional research design, the population in this study was children under five in Gunung Kembang Village 72 respondents and Prabu Menang Village 57 respondents. The sampling method is purposive sampling technique. The subjects of this study were determined by purposive sampling, namely parents of children and toddlers totaling 129 respondents. This research was conducted in June 2021. The data collection used a questionnaire. The results of the statistical analysis of respondents using the Chi-Square test showed that there was a significant relationship (p‹0.05) for the variables of birth weight and history of exclusive breastfeeding. From this research it was concluded that the Puskesmas should improve programs related to early prevention efforts in children under five, making a class of pregnancy women and giving more information and education about the importance of nutrition during pregnancy and exclusive breastfeeding so that there are no more stunting cases in the working area of ??the Puskesmas.

The Academy of Breastfeeding Medicine27th Annual International MeetingBaltimore, MarylandSeptember 15–18, 2022

The Academy of Breastfeeding Medicine27^th Annual International MeetingBaltimore, MarylandSeptember 15–18, 2022

History of Breastfeeding and Stroke Prevalence Among Parous Females: Findings from the National Health and Nutrition Examination Survey, 1999-2012.

Introduction: Given the known relationships between breastfeeding and hypertension, and between hypertension and stroke, we examined the association between breastfeeding a child and stroke later in life. We hypothesized a history of breastfeeding is associated with lower prevalence of stroke. Methods: Our study population included parous females 20 years and older. Potential confounders included family income-to-poverty ratio, education, smoking status, parity, and age at first live birth. Potential effect measure modifiers included race/ethnicity and age at survey. Multivariable logistic regression models were used to estimate crude and adjusted prevalence odds ratios (ORs) and 95% confidence intervals (CIs) for the association between breastfeeding and stroke. Results: The odds of stroke among those who ever breastfed were lower than those who never breastfed (OR = 0.68, 95% CI: 0.55-0.86; p < 0.01). Adjusting for education decreased the strength of the association (OR = 0.80, 95% CI: 0.63-1.01; p = 0.06). In analyses stratified by age, the inverse association between breastfeeding status was significant among those ages 20-64 years (OR = 0.69, 95% CI: 0.47-1.00) but not among those 65 years and older (OR = 0.99, 95% CI: 0.73-1.34). Conclusions: Ever breastfeeding a child was associated with lower prevalence of stroke in a nationally representative U.S. sample of parous females 20 years and older. Results were strongest among those <65 years old.

Maternal social determinants of stunting events in Kulon Progo, Yogyakarta

Background and purpose: Kulon Progo District is one of the 100 priority districts in Indonesia for stunting program with a prevalence of 22.65%. The purpose of this research is to identify association between mother’s education, family income and exclusive breastfeeding history with stunting events in Kulon Progo District, Yogyakarta. Methods: This research used a cross sectional design which conducted in Kulon Progo District, Yogyakarta. There were 729 children aged 0-59 months recorded in the integrated service post (posyandu) who met the inclusion criteria. Data collection was conducted using a questionnaire for children and mothers’ characteristics, while stunting status was retrieved from the growth monitoring card. Data analysis was conducted using Chi-Square test. Results: Children in the survey were 53.77% boys and around a quarter (24.69%) were at 25-36 months old. The majority of the mothers (72.98%) were between the ages of 26 and 35 years with high school education (67.35%) and most of them did not work (82.17%). Children with lower maternal education are less likely to experience stunting (PR=0.751; 95%CI: 0.593-0.952; p=0.013), and those from lower income family have almost five fold increased chance of stunting (PR=4.562; 95%CI: 2.643–7.874; p&lt;0.001). Whilst for history of exclusive breastfeeding, the association was not statistically significant with stunting (PR=0.795; 95%CI: 0.529–1.196; p=0.239) Conclusion:There is a relationship between maternal and family education with the probability of stunting, while there is 20% reduced chance of stunting if children were breast fed although it was not statistically significant. Improving maternal awareness on stunting is essential for stunting management programs.

Evolution of Preterm Infant Nutrition from Breastfeeding to an Exclusive Human Milk Diet: A Review.

The benefits of feeding human milk to human infants are well-established. Preterm infants, particularly those born with very low birthweight (VLBW; <1,500 g), are a uniquely vulnerable population at risk for serious, life-threatening complications as well as disruptions in normal growth and development that can affect their lives into adulthood. Feeding VLBW preterm infants an exclusive human milk diet (EHMD) from birth that consists of the mother's own milk or donor human milk plus a nutritional fortifier made exclusively from human milk has been associated with a reduction in morbidity and mortality and improved early growth and developmental metrics. Preliminary evidence suggests that the health benefits of adopting an EHMD (or avoiding cow milk products) early in life may last into adulthood. This review briefly summarizes the history of breastfeeding and describes the available evidence on the benefits of an EHMD among VLBW preterm infants as well as the importance of high-quality manufacturing standards for producing safe and effective human milk-based products.

RELATIONSHIP OF RISK FACTORS FOR STUNTING IN BADUTA AGES 6-24 MONTHS IN BAITUSSALAM DISTRICT ACEH BESAR DISTRICT

The problem of stunting in Aceh Besar exceeds the standard set of WHO, which is 38.7% caused by many risk factors. This study aims to determine the risk factors of stunting in children aged 6-24 months in Baitussalam, Aceh Besar. The type of this research is observational analytic with a cross-sectional method that involves 189 children under two years old. Data were collected by filling out questionnaires, maternal and child health books, and measuring body length. The results showed that children who are stunted were 24.3% and those who were not stunted were 75.7%. There were stunting children with a history of non-exclusive breastfeeding (93.5%), pre-term gestational age (82.6%), a history of low birth weight (10.9%), mothers with junior high school education levels (60.9%), fathers with junior high school education level (45.7%) and low family income (68.8%). Statistical test analysis found that the risk factors of stunting have a relationship with history of exclusive breastfeeding (p-value = 0.00), gestational age (p-value = 0.00), history of low birth weight (p-value = 0.022), mother’s education level (p-value = 0.00), father's education level (p-value 0.002) and family income (p-value = 0.00). This study concluded that risk factors which include the history of exclusive breastfeeding, gestational age, history of LBW, education level of mother and father, and family income have a relationship with the incidence of stunting in Baitussalam District, Aceh Besar District.