Articles

Found 28 Documents
Search

PENGARUH DISCHARGE PLANNING TERHADAP PENAMBAHAN BERAT BADAN PADA BBLR DALAM 3 BULAN PERTAMA DI KOTA SEMARANG Rakhmawati, Nur Dian; Haryanti, Fitri; Wibowo, Tunjung
Jurnal Keperawatan Anak Vol 1, No 2 (2013): JURNAL KEPERAWATAN ANAK
Publisher : Jurnal Keperawatan Anak

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Discharge planning is one of the methods needed to improve the knowledge of mother or parents in providing appropriate care, especially in the provision of nutrition for Low birth weight infants(LBW). Weight gain given an overview of baby health status. Lack of information on how to breastfeed and how to care LBW at home rightly, makes family less understanding about the importance of nutritionfor the growth and development of infants.Objective: Proving the effect of discharge planning for gaining of weight on LBW in first 3 months.Methods: The study was quasi-experimental non equivalent control design. Subjects were that meet the inclusion and exclusion criteria. Number of samples was 24 for the intervention and 24 for the control. Evaluation was done every 2, 4, 6, 8, 12 weeks to measure the weight gain on LBW in the first 3 months. Analysis was using Chi-Square (ujiX2), t-test and multivariable logistic regression.Results: On statistical test was obtained result that discharge planning affect on LBW weight gain in 3 months (RR = 2.2; CI = 1.35 to 3.59, p = 0.000), discharge planning also affects the full breastfeedingfor 3 months (RR = 4.2; CI = 1.68 to 10.78, p = 0.000), full breastfeeding was also influenced on the weight gain of infants (RR = 2.1; CI = 1.39 to 3.30, p = 0.000)Conclusion: At discharge planning was shown significantly affect to the gaining of weight in the first 3 months of LBW.
The role of indoor air pollution and other factors in the incidence of pneumonia in under-five children Sunyataningkamto, Sunyataningkamto; Z, Iskandar; T, Alan R; I, Budiman; Surjono, Ahmad; Wibowo, Tunjung; Lestari, Endang Dewi; Wastoro, Dwi
Paediatrica Indonesiana Vol 44 No 1 (2004): January 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (343.443 KB) | DOI: 10.14238/pi44.1.2004.25-9

Abstract

Background The World Health Organization has asked for a spe-cial attention to the relation between pneumonia and indoor airpollution, i.e., household biomass fuel smoke, cigarette smoke,and mosquito coil smoke, especially in developing countries.Objective To analyze the role of indoor air pollution and otherfactors as risk factors for pneumonia in under-five-year children.Methods This case-control study was carried out from August un-til December 2000 at Public Health Centers in Banjarnegara,Kebumen, Jepara, and Pekalongan districts. All children qualify-ing pneumonia classification as recommended by WHO in IMCI(Integrated Management of Childhood Illness) were defined ascases and without pneumonia as controls. Severe pneumonia andno pneumonia (as classified in IMCI) were excluded. Statisticalanalysis was done using bivariate and logistic regression.Results There were three hundreds and five children with pneu-monia and 289 children without pneumonia. By bivariate analysis,biomass fuel smoke (OR=3.25; 95%CI 1.50;7.07) and cigarettesmoke exposure from other family members (OR=1.63; 95%CI1.11;2.38) were risk factors for pneumonia, while mosquito coilsmoke (OR=1.13; 95%CI 0.79;1.69) was not. History of wheezing(OR=2.60; 95%CI 2.7;8.55), malnutrition (OR=2.60; 95%CI1.33;5.07), and male sex (OR=1.47; 95%CI 1.06;2.04) were otherrisk factors.Conclusions Household biomass fuel smoke and cigarette smokewere risk factors for pneumonia. Other variables as risk factorswere history of wheezing, male sex, and malnutrition
PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007) Dewi, Utami; Agus Wilopo, Siswanto; Wibowo, Tunjung
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.805 KB)

Abstract

PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007) Utami Dewi1, Siswanto Agus Wilopo2, Tunjung Wibowo3  ABSTRACT Background: It is recommended for a mother to initiate and give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding may stimulate non breast milk-supplementary food to be given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with Kaplan-Meier, Log regression and Cox regression.Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95). Conclusion: Pre-lacteal feeds shows relationship with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and < 35 years, low economic status, and birth assistant with non professional. Keyword: infant’s survival, pre-lacteal feeds, infant  ANSTRAK Latar Belakang : Pemberian Air Susu Ibu (ASI) sejak dini sangat dianjurkan karena ASI yang keluar pertama kali sangat bergizi dan mengandung antibodi. Keterlambatan memulai pemberian ASI menunjukkan bahwa adanya pemberian makanan dan minuman selain ASI. Menurut Data BPS dan Macro International sebesar 65% bayi yang dilahirkan mendapatkan makanan pralaktasi selain ASI pada tiga hari pertama kehidupan.Tujuan : Diketahuinya hubungan pemberian makanan pralaktasi terhadap kelangsungan hidup bayi di Indonesia. Metode : Jenis penelitian observasional dengan rancangan cohort retrospectif menggunakan data SDKI 2007. Sampel penelitian adalah semua bayi (berumur 0-12 bulan, menyusu setelah lahir) dari ibu yang berumur 15-49 tahun berjumlah 2.886. Variabel bebas adalah pemberian makanan pralaktasi setelah lahir, variabel terikat kelangsungan hidup bayi. Analisis yang digunakan adalah univariabel, bivariabel dan analisis survival dengan Kaplan- Meier, Log regression dan Cox regression.Hasil dan Pembahasan: Analisis bivariabel dengan survival Kaplan-Meir didapatkan hubungan yang bermakna antara pemberian makanan pralaktasi setelah lahir dengan kelangsungan hidup bayi, namun kelangsungan hidup lebih tinggi pada bayi yang mendapatkan makanan pralaktasi dibandingkan dengan yang tidak mendapatkan makanan pralaktasi (92%:89%). Analisis multivariabel dengan Cox regresion menunjukkan peluang kelangsungan hidup pada bayi yang tidak mendapatkan makanan pralaktasi sebesar 0,63 kali lebih rendah dibandingkan dengan yang mendapatkan makanan pralaktasi (HR 0,63; CI 95%=0,42-0,95).Kesimpulan : Pemberian makanan pralaktasi berhubungan dengan kelangsungan hidup bayi. Faktor lain yang berpengaruh terhadap kelangsungan hidup bayi adalah umur ibu < 20 dan < 35 tahun, sosial ekonomi rendah dan penolong persalinan oleh non nakes Kata kunci: kelangsungan hidup bayi, pemberian makanan pralaktasi, bayi 1 Sekolah Tinggi Kesehatan Hangtuah, Pekanbaru2 Magister Kesehatan Ibu dan Anak-Kesehatan Reproduksi, FK UGM3 Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran UGM  
Diagnostic accuracy of the 2004 Indonesian Pediatric Society medical standard of care for neonatal sepsis Fitriani, Oki; Suryantoro, Purnomo; Wandita, Setya; Wibowo, Tunjung; Haksari, Ekawaty L.; Julia, Madarina
Paediatrica Indonesiana Vol 52 No 2 (2012): March 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.134 KB) | DOI: 10.14238/pi52.2.2012.86-90

Abstract

Background Neonatal sepsis is a leading cause of neonatal morbidityand mortality. There are no pathognomonic signs or symptomsto diagnose neonatal sepsis. Blood culture is the standard tool forsepsis diagnosis, but it is not available in most district hospitals. In2004, the Indonesian Pediatric Society (IPS) developed a medicalstandard of care to diagnose neonatal sepsis, but its accuracy hasnot been adequately verified.Objective To evaluate the diagnostic accuracy of the IPS medicalstandard of care 2004 to diagnose neonatal sepsis.Methods We conducted diagnostic testing at the PerinatalWard, Dr. Sardjito Hospital, Yogyakarta, from June to November2010. Inclusion criteria were neonates with signs and symptomsof infection. We excluded neonates with congenital anomalies,blood disorders, or whose mothers received peripartum antibiotictreatment. All neonates were assessed by the 2004 IPS medicalstandard of care for neonatal sepsis and by blood cultureexaminations.Results A total of 193 neonates with signs and symptoms ofinfection were evaluated. The IPS medical standard had asensitivity of 88% (95% CI 81 to 94), specificity of 17% (95%CI 2 to 25), positive predictive value of 53% (95% CI 45 to 60),negative predictive value of 57% (95% CI 39 to 75), positivelikelihood ratio of 1.06 (95% CI 0.94 to 1.19), and negativelikelihood ratio of0.71 (95% CI 0.36 to 1.42).Conclusion The 2004 IPS medical standard of care showedadequate sensitivity for diagnosing neonatal sepsis, but its lowspecificity limits its use as a diagnostic tool. [Paediatr lndones.2012;52:86-90].
Liquid crystal thermometry for early detection of hypothermia in newborns in neonatology ward, Sardjito Hospital, Yogyakarta Wibowo, Tunjung; Setyowireni, Dwikisworo; Wahab, A. Samik
Paediatrica Indonesiana Vol 48 No 1 (2008): January 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (620.116 KB) | DOI: 10.14238/pi48.1.2008.5-9

Abstract

Background Hypothermia in neonates increases the risk ofmortality and morbidity such as infection, coagulation disorders,acidosis and hyaline membrane disease. Mercury thermometer iscommonly used to detect hypothermia in newborns, but it has itis not ecological acceptable, difficult to be sterilized, easily broken,difficult to find in some developing countries and needs sometraining before use. A simple, effective and easily used tool fordetection of hypothermia in newborns is needed.Objective To evaluate the ability of liquid crystal thermometry(LCT) in early detection of newborn hypothermia.Methods This study was conducted in the neonatology ward,Sardjito Hospital. The LCT was placed on the abdominal wall.Digital thermometer measurement and LCT observation wereconducted three times in each patient. LCT’s color and bodytemperature were documented by using a pre-coded questionnaire.Results A total of 268 newborns met the inclusion and exclusioncriteria. The pilot study showed that the inter-observer agreementof LCT was 0.75. Positive likelihood ratio during threemeasurements were 22.9 (95%CI 11.47;45.78), 18.97 (95%CI9.43;38.16) and 22.8 (95%CI 11.34;45.83) respectively.Conclusion LCT exhibits good accuracy and is safe to diagnosehypothermia in newborn.
Faktor Prognostik Kematian Bayi Berat Lahir Sangat Rendah di Rumah Sakit Rujukan Tingkat Tersier Wibowo, Tunjung; Haksari, Ekawaty Lutfia; Wandita, Setya
Sari Pediatri Vol 13, No 6 (2012)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.399 KB) | DOI: 10.14238/sp13.6.2012.401-5

Abstract

Latar belakang. Bayi berat lahir sangat rendah (BBLSR) masih merupakan tantangan dalam upaya menurunkan angka kematian neonatal. Beberapa faktor risiko telah terbukti meningkatkan risiko kematian BBLSR, seperti berat lahir dan umur kehamilan. Besarnya variasi tingkat perawatan di neonatal intensive care unit(NICU) juga akan berkontribusi terhadap risiko kematian.Tujuan. Melakukan pengaruh beberapa faktor maternal, fetal, kondisi bayi dan parameter pemeriksaan pendukung terhadap kematian BBLSR.Metode. Penelitian kohort prospektif dilakukan di bangsal Perinatologi RSUP Dr. Sardjito Yogyakarta dari tanggal 1 Februari 2007 sampai Agustus 2010. Semua bayi yang dirawat dengan berat lahir lebih dari 500 g, tanpa kelainan kongenital yang lethal dan dapat diikuti sampai diijinkan pulang dimasukkan sebagai subjek penelitian. Data faktor prognostik kematian dikumpulkan dengan formulir yang sudah terkode. Dilakukan analisis dengan logistik regresi untuk mengetahui pengaruh faktor prognosis terhadap kejadian kematian BBLSR.Hasil. Didapatkan 394 bayi lahir BBLSR yang diikutsertakan ke dalam penelitian, 33 (8%) bayi dikeluarkan karena pulang sebelum diijinkan. Angka kematian BBLSR 62,3%. Dari hasil analisis multivariat didapatkan variabel yang dapat menjadi faktor prognostik kematian BBLSR adalah berat lahir <1000 g ( OR:5; 95% CI: 2,3 – 10,7), nilai Apgar menit pertama <4 (OR: 6: 95% CI: 3,1 – 12), penggunaan ventilator (OR; 8,3; 95% CI: 4,3 – 16), sepsis (OR: 12; 95% CI: 3,8 – 37,9) dan kasus rujukan (OR: 3,1; 95% CI: 1,4 – 6,6)Kesimpulan. Berat lahir <1000 g, nilai Apgar menit pertama <4, penggunaan ventilator, sepsis dan kasus rujukan merupakan faktor prognostik yang secara bermakna meningkatkan kematian BBLSR
ASI Eksklusif sebagai Faktor Protektif Rinitis Alergi pada Anak Wuryanti, Thrisia; Sumadiono, Sumadiono; Wibowo, Tunjung
Sari Pediatri Vol 17, No 1 (2015)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp17.1.2015.59-63

Abstract

Latar belakang. Prevalensi rinitis alergi di dunia semakin meningkat termasuk di Indonesia. Rinitis alergi menyebabkan penurunankualitas hidup sehingga sedini mungkin dicegah agar proses tumbuh kembang anak optimal. Faktor pencegah di antaranya denganpemberian air susu ibu (ASI) secara eksklusif.Tujuan. Mengetahui apakah pemberian ASI eksklusif merupakan faktor protektif terhadap rinitis alergi pada anak di Provinsi DaerahIstimewa Yogyakarta.Metode. Rancang penelitian berupa kasus kontrol berpasangan, analisis Mc.Nemar, dan conditional logistic regression. Populasi targetmurid sekolah dasar di Yogyakarta dengan rinitis alergi sebagai kasus (diagnosis berdasarkan kriteria AIRA, kuesioner ISAAC, ujitusuk kulit). Matching berdasarkan umur dan jenis kelamin. Informasi pemberian ASI dengan wawancara dan kuesioner.Hasil. Subjek penelitian adalah 55 kasus dan 55 kontrol. Alergen terbanyak menimbulkan alergi adalah kutu rumah. PemberianASI eksklusif terhadap rinitis alergi mempunyai rasio odds 0,23; IK95% 0,08-061; p=0,23. Paparan asap rokok terhadap alergimempunyai rasio odds 3,07; IK95% 1,23-7,68; p=0,016.Kesimpulan. ASI eksklusif merupakan faktor protektif terhadap rinitis alergi pada anak.
Faktor Risiko Hiperbilirubinemia pada Bayi Lahir dari Ibu Diabetes Melitus Biade, Dio; Wibowo, Tunjung; Wandita, Setya; Haksari, Ekawaty L.; Julia, Madarina
Sari Pediatri Vol 18, No 1 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (524.288 KB) | DOI: 10.14238/sp18.1.2016.6-11

Abstract

Latar belakang. Bayi yang lahir dari ibu diabetes melitus (IDM) memiliki risiko lebih tinggi mengalami berbagai morbiditas pada masa neonatus. Metabolisme bilirubin merupakan salah satu sistem yang mungkin terganggu.Tujuan. Mengetahui faktor risiko hiperbilirubinemia pada bayi IDM dan hubungannya dengan faktor risiko hiperbilirubinemia yang lain.Metode. Studi kohort retrospektif pada 71 IDM dan 71 bayi ibu tidak diabetes melitus (ITDM) yang lahir di RSUP Dr.Sardjito antara Januari 2007 - Desember 2014. Data diperoleh dari register neonatal-perinatal WHO-SEARO.Hasil. Risiko hiperbilirubinemia lebih tinggi pada bayi IDM dibandingkan ITDM (42% vs 17%) (RR 2,5 IK95%: 1,4-4,5). Analisis stratifikasi menunjukkan bahwa risiko dipengaruhi oleh usia kehamilan, berat lahir, polisitemia, dan inisiasi menyusu dini. Sepsis meningkatkan risiko pada IDM (RR 11,5 IK95%: 3,7-36,0), sedangkan inisiasi menyusu dini merupakan faktor pencegah (RR 0,6, IK95%: 0,3-0,9).Kesimpulan. Ibu diabetes melitus meningkatkan risiko hiperbilirubinemia pada masa neonatus. Risiko ini dipengaruhi oleh berat lahir, usia kehamilan, kondisi sepsis, dan inisiasi menyusu dini.
Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia Dewi, Utami; Wilopo, Siswanto Agus; Wibowo, Tunjung
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.089 KB) | DOI: 10.22146/jkr.35436

Abstract

Background: It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with KaplanMeier, Log regression and Cox regression.Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).Conclusion: Pre-lacteal feeds showed a significant result with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and ≥ 35 years, low economic status, and birth assistant with non professional.Keywords: infant’s survival, pre-lacteal feeds, infant
Ibu hamil perokok pasif sebagai faktor risiko bayi berat lahir rendah Irnawati, Irnawati; Hakimi, Mohammad; Wibowo, Tunjung
Jurnal Gizi Klinik Indonesia Vol 8, No 2 (2011): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17769

Abstract

Background: Low birth weigth babies (LBW) are most likely a cause of the infant mortality and morbidity. Many factors causes LBW babies as maternal health, behavior during pregnancy, environmental  as well as fetal and placental factors. Negative behavior during pregnancy such as exposure of cigarette smoke can affect the body’s supply of oxygen from mother to fetus and placenta. Exposure to cigarette smoke may also reduce maternal folic acid level which causes disruption of fetal growth inside the womb.Objective: This study was aimed to fnd out the risk of low birth weight baby in the passive smoker pregnant woman.Method: The study used a case control design. The subject consisted of mothers who delivered at RSU dr. Zainoel Abidin in Banda Aceh municipality. The case group were mothers who delivered babies of less than 2,500 grams and the control group were those who delivered babies of 2,500 grams or more. Each group consisted of 105 mothers (1:1). Sample were taken using non probability with consecutive sampling method. Data analysis used univariable method with frequency distribution, bivariable with chi square and multivariable with logistic regression.Results: Passive smoker pregnant woman exposed the 1-10 cigarettes a day had risk 2,4 times greater of getting low birth weight baby (OR=2,42; 95%CI 1,24-4,71). Pregnant mother exposed to ≥11 cigarettes a day had the risk 3,1 times greates in having LBW infants than those not exposed (OR=3,1; 95%CI 1,50-6,70).Conclusion: Passive smoker of pregnant mother increased the risk of low birth weight babies.