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Paediatrica Indonesiana
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
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Articles 4 Documents
Search results for , issue " Vol 28 No 5-6 (1988): May 1988" : 4 Documents clear
Neonatal Mortality in Yogyakarta Rural Areas Surjono, Achmad
Paediatrica Indonesiana Vol 28 No 5-6 (1988): May 1988
Publisher : Indonesian Pediatric Society

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Abstract

The outcome of neonatal care was studied in three subdistricts rural areas in Yogyakarta Province with a total population of 112075 people. For data collection all pregnancies and deliveries between May 1983 -April 1984 were registered and visited twice during pregnancy, on delivery, 5 days and one month afterwards by trained health cadres. There were 1819 singleton liveborn infants with a neonatal mortality rate of 25.3 o/oo, in which 82.6% of the deaths occurred in the early neonatal period. An amount of 91.5% of the women delivered in their own house and 83.9% were assisted by a traditional birth attendant either trained or untrained. There was still 27.1% of pregnancies which never got any antenatal care. The coverage of tetanus immunization was 75.2% with 1.1 o/oo incidence of tetanus. The incidence of low birth weight infants was 8.1%, of which 19. 7% died before one month of age, I representing 63% of neonatal mortality. The causes of neonatal deaths were as follows: birth asphyxia and hypoxia 56.5%, prematurity/low birth weight 13%, infection/sepsis 13%, diarrhea 8. 7%, tetanus neonatorum 4.4% and others/unknown 4.4%. In rural areas, traditional birth attendants play a key role on assisting labour and taking care of the mothers as well as their newborns up to one month of age. Improvement of health service delivery at all levels of the health care system which includes the traditional birth attendants is needed especially concerning resuscitation of the newborns and the problems of low birthweights.
Investigations on the Aetiology and Antibiotic Management of Neonatal Septicemia Monintja, Hans Eldih
Paediatrica Indonesiana Vol 28 No 5-6 (1988): May 1988
Publisher : Indonesian Pediatric Society

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Abstract

This is a prospective study aimed in identifying the latest aetiological factors of neonatal sepsis in Dr. Cipto General Hospital, Jakarta, and investigating the efficacy of antibiotics treatment especially with ceftriaxone. This study revealed that the present main causative microorganisms are as follows: Pseudomonas, Klebsiella and E. coli. The case fatality rates being: (1) Standard treatment with ampicillin and gentamycin: 80.9%, (2) S(andard treatment with consomittant ceftriaxone: 20%, (3) Ceftriaxone: 9,52%. It seems that in facing neonatal septicemia, the initial antibiotic should be the third generation cephalosporine. The second choice is chloramphenicol. However, the causative agent and the sensitivity test should be monitored regularly.
A Study Comparing Rooming-in with Separate Nursing Mapata, Syafruddin; M., Djauhariah A,; Daud, Dasril
Paediatrica Indonesiana Vol 28 No 5-6 (1988): May 1988
Publisher : Indonesian Pediatric Society

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Abstract

A study comparing rooming-in with separate nursing involving 253 and 161 pairs of mothers and their newborns respectively, was carried out in Ujung Pandang General Hospital from September 1985 to February 1987 inclusive. Breastmilk production started earlier in mothers on rooming-in program compared to those with separate nursing. Jaundice was more often seen and physiological body weight loss more obvious in the separate nursing than in the rooming-in group. This study failed to show the differences in the incidence of diarrhea and moniliasis between the two systems, but the overall morbidity of nosocomial infections seemed to be lower in the rooming-in group.
Rooming-in For Babies Born by Caesarean Section in Dr. Cipto Mangnnkusumo General Hospital Jakarta Suradi, Rulina
Paediatrica Indonesiana Vol 28 No 5-6 (1988): May 1988
Publisher : Indonesian Pediatric Society

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Abstract

Rooming-in was started in our hospital in 1981 for newborns born normally. After having good results with this in mid 1984 we started rooming-in for babies delivered by caesarean section if they fulfilled a certain criteria. But the facilities for rooming-in for caesaren babies were still limited, so not every baby who fulfilled the criteria could be roomed in with the mother. In the year 1986, 4112 babies were born in our hospital among which 868 were delivered by caesarean section. Of the 868 babies 435 babies fulfilled the criteria but only 269 babies could be roomed in with the mother while 166 babies had to be nursed separately. We compared the data of the rooming-in babies to the babies nursed separately. The study showed that in the rooming-in group more mothers were fully breastfeeding on discharge and incidence of sepsis, enteritis and hyperbilirubinaemia were significantly lower while mortality and the incidence of pneumonia, omfalitis, conjunctivitis and pyodermia did not differ significantly.

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