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Siregar, Desmita
"ASI merupakan makanan terpenting bagi bayi. Persentase ibu yang menyusui mengalami penurunan meskipun sudah diketahui bahwa ASI banyak manfaatnya. Penelitian sebelumnya telah meneliti mengenai faktor-faktor yang mempengaruhi lama pemberian ASI pada ibu bekerja, namun penelitian tersebut dirasa belum konklusif. Ibu bekerja sebagai salah satu golongan ibu yang memberikan ASI mempunyai masalah tersendiri yang mempengaruhi lama pemberian ASI. Penelitian ini bertujuan mengetahui proporsi ibu bekerja sebagai pegawai negeri sipil yang berkaitan dengan lama pemberian ASI serta faktor-faktor yang berhubungan. Penelitian ini menggunakan metode potong lintang dengan metode wawancara dan pengisian kuesioner. Subyek yang diteliliti adalah ibu-ibu yang bekerja sebagai pegawai negeri sipil di beberapa kantor dan rumah sakit pemerintahan di Jakarta dalam jangka waktu Mei hingga Juni 2009. Penelitian ini melibatkan 88 subyek yang memenuhi kriteria penelitian. Lalu dilakukan uji statistik Chi-Square yang menunjukan adanya hubungan antara lama pemberian ASI dengan faktor dukungan suami (p=0,025). Serta dilakukan uji statistik Kolmogorov-Svirnov yang menunjukan adanya hubungan antara lama pemberian ASI dengan faktor pengetahuan ibu mengenai ASI (p=0,029). Disimpulkan bahwa proporsi ibu bekerja yang menyusui kurang dari empat bulan adalah 25%, selama empat hingga enam bulan 14,8%,dan menyusui lebih dari enam bulan adalah 60,2% .

Breastmilk is the best food for babies. Although the advatages of breastmilk are well known, the percentage of breastfeeding mother keep on declining. Prior research had assess factors that could affect breastfeeding period in working mother, but that research was not adequate. The purpose of this research is to know the proportion of working mother as a civil servant in association with breastfeeding period and other associated factors. The method used in this research is cross-sectional with interview through questionnaire. The samples taken was civil servants working mother in some offices and government hospitals in Jakarta from May to June 2009. This research involving 88 subjects that meet the criteria. Researcher test those samples using chi square statistical test to asses the association between breastefeeding peride with husband?s support (p=0,025). Researcher using Kolmogorov-Svirnov test that show there is an association between breastfeeding period with mother?s knowledge (p=0,029). Researcher concludes that the proportion of civil servants working mother who has breastfeeding period less than four months is 25%, between four and six months is 14.8%, and more than six months is 60.2%."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
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UI - Skripsi Open  Universitas Indonesia Library
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Siti Sunya Kumala
"Cakupan inisiasi menyusu dini (IMD) di Indonesia masih rendah. Tempat persalinan dan penolong persalinan dapat mendukung wanita bersalin untuk melakukan IMD. Penelitian ini bertujuan untuk mengetahui hubungan antara tempat dan penolong persalinan dengan praktik IMD pada wanita usia subur (WUS) di Indonesia. Desain penelitian ini adalah cross sectional dan menggunakan data sekunder Survei Demografi Kesehatan Indonesia Tahun 2007 dan 2017. Sampel pada penelitian ini adalah wanita usia 15-49 tahun yang melahirkan anak terakhir dalam periode 5 tahun terakhir sebelum survei . Hasil analisis dengan uji regresi logistik ganda menunjukkan bahwa tidak ada perbedaan signifikan antara WUS yang bersalin di rumah dan di rumah sakit pemerintah dibandingkan dengan yang bersalin di rumah sakit swasta/ RSIA/ RS bersalin dalam praktik IMD. Sementara WUS yang bersalin di poskesdes/ polindes (AOR: 1,78, 95% CI: 1,35-2,35), puskesmas (AOR: 1,53, 95% CI: 1,31-1,78), praktik bidan mandiri (AOR: 1,56, 95% CI: 1,37-1,77), dan bidan desa (AOR: 1,35, 95% CI: 1,14-1,59) berpeluang lebih besar melakukan IMD daripada tempat bersalin lainnya. Persalinan yang ditolong oleh tenaga kesehatan dibandingkan dengan yang ditolong oleh dukun bayi menunjukkan tidak ada perbedaan signifikan dalam praktik IMD. Peningkatan monitoring pelaksanaan IMD, sosialisasi dan pelatihan secara periodik kepada tenaga kesehatan, jumlah fasilitas kesehatan yang menerapkan Baby-Friendly Hospital Initiative, serta promosi kesehatan kepada masyarakat luas diperlukan untuk memperbaiki cakupan IMD.

The coverage of early initiation of breastfeeding (EIBF) in Indonesia is still low. The place of delivery and birth attendants can support women who give birth to perform EIBF. This study aims to determine the relationship between place and birth attendant with the practice of EIBF in women of childbearing age (WCA) in Indonesia. . The design of this study is cross sectional and uses secondary data from the 2007 and 2017 Indonesian Health Demographic Survey. The sample in this study were women aged 15-49 years who gave birth to their last child in the last 5 years before the survey. The results of the analysis by multiple logistic regression tests showed that there was no significant difference between WCA who gave birth at home and in government hospitals compared to those who gave birth in private hospitals birth in EIBF practice. While WCA who gave birth at the village health post/ village maternity post (AOR: 1.78, 95% CI: 1.35-2.35), primary health center (AOR: 1.53, 95% CI: 1.31-1.78), private midwives (AOR: 1.56, 95% CI: 1.37-1.77), and village midwives (AOR: 1.35, 95% CI: 1.14-1.59) had a greater chance of EIBF than other delivery places. Deliveries assisted by health personnel compared to those assisted by traditional birth attendants showed no significant difference in EIBF practice. Improved monitoring of EIBF implementation, periodic outreach and training to health workers, the number of health facilities implementing the Baby-Friendly Hospital Initiative, and health promotion to the wider community are needed to improve EIBF coverage."
Depok: Fakultas Kesehatan masyarakat Universitas Indonesia, 2021
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UI - Skripsi Membership  Universitas Indonesia Library
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Nunung Nuraini
"Penyakit diare akut masih merupakan masaiah kesehatan masyarakat yang utama di dunia. Rotavirus merupakan penycbab utama gastroenteritis pada bayi dan anak-anak serta menyebabkan dehidrasi yang serius. Beberapa hasil penelitian menunjukkan bahwa pemberian air susu ibu secara ekslusif meningkatkan sistcm imunitas pada bayi berusia 4 - 6 bulan berkaitan dengan pcnyakit diare. I-Iubungan ini tidak konsisten pada infeksi rotavirus namun sangat kuat hubungannya pada intbksi non virus seperti bakteri. Pemberian air susu ibu hanya dapat menurunkan ringkat keparahan diare yang disebabkan rotavirus.
Tujuan dari penelitian ini untuk mengetahui hubungan pemberian air susu ibu dengan keparahan diare rotavirus pada anak-anak 0 - 24 bulan di Rumah Sakit Mataram September 2005-Desember 2007 setelah dikendalikan oleh faktor umur, jenis kelamin, tingkat pendidikan ibu, adanya infeksi lain, terapi di rumah, proses rehidrasi di rumah sakit, mjukan umuk rawat inap dan rawat inap.
Desain penelitian ini adalah studi cross sectional dengan menggunakan data sekunder yang berasal dari kuesioner yang merupakan bagian dari penelitian yang dilakukan NAMRU-2 Jakarta yang bekeija sama dcngan Badan Penelitian dan Pengembangan Biomedis dan Farmasi Departemen Kesehatan Rl dan Rumah Sakit Mataram, Lombok. Populasi studi sejumlah 739 orang adalah pasien yang menderita diare rotavirus yang bcrumur 0-24 bulan di RSU Mataram Lombok antara bulan September 2005 sampai bulan Desember 2007. Hubungan pemberian air susu ibu dcngan keparahan diarc rotavirus ditentukan dengan anlisis mullmle logistic regression menggunakan perangkat STATA 9,0.
Dari hasil analisis didapatkan bahwa prcvalcnsi diare rotavirus pada anak-anak usia 0 - 2 tahun yang memberikan sampel dan data yang lcngkap di RS Mataram adalah 64,l3%. Sebelum dikendalikan oleh variabel-variabel lainnya terlihat bahwa anak-anak yang mendapat ASI mempunyai kemungkinan untuk terjadinya diare parah 20% lebih rendah dibandingkan dengan anak-anak yang tidak mendapatkan ASI (ORcrude=0,80; 95%CI 0,53-l,22. Variabel lain yang mempengaruhi untuk tenjadinya keparahan diare rotavirus adalah rawat inap, terapi dirumah dengan ORS dan/lanpa antibiotik/obat diare dan tempi dengan antibiotik dan/tanpa obat diare serta pendidikan ibu. Setelah dikendalikan oleh variabel tersebut di atas ditemukan bahwa kemungkinan anak-anak yang mendapat ASI akan menjacli parah adalah 26% lebih rendah (ORu¢#us!ea'=0,74; 95%CI 0,46-l,l9) dari anak-anak yang tidak mendapat ASI. Genotipe predominan untuk tipe G adalah G1 (l9,35%), G2 (20,03%) dan G4G9 (40,l9%) sedangkan untuk tipe P adalah P[4] (l9,35%), P[6] (1l,34%) dan P[8] (48,7I %).

Acute dirrheae is a major health problem a worldwide. Rotavirus has become a predominant cause of gastroenteritis to infant and children which also causes severe dehydration. Some studies suggested that exclusive breastfeeding increased immunity related to diarrheaeof infant aged 4-6 months old. This association is inconsistent between breasfeeding and rotavirus infection, however strong association between breasfeeding and nonviral infection, such as bacteria infection. Nevertheles, brcastfeedeng reduces the severity of diarrlteae caused by rotavirus infection.
The object of this study is to determine the association between breastfeeding and the severity of diarrheae caused by rotavirus in children aged 0-24 months old at Mataram General Hospital in the period of September 2005 through December 2007, with control measures of age, sex, educational background of mother, presence of other gastroenteritis infection, home medication, rchydration process at the hospital, hospital referral and hospitalization.
Design of this study is across sectional using secondary data from questionares which are a part of a collaborative study conducted by US Naval Medical Research Unit No. 2 (US NAMRU-2), Biomedical and Pharmaceutical division of' Indonesia National Institution Health Research and Development, and Mataram general hospital at Lombok. The total of study population was 739 children aged 0-24 months old with diarrheae caused by rotavirus, who were pediatric patients at Mataram general hospital, I .ombok, September 2005-December 2007. The association between breasfeeding and the severity of dianheac was dtermined using multiple logistic regression with the application of STA'l`A 9.0 soltware (Stata Corp, Texas, USA).
Analysis result suggested that the prevalence in our study population was 64.13%. Prior to the control measures application of other variables, it was concluded that children who were breasfed had the tendency to develop severe diarrheae 20% less than children who were neverbreasfed (Orcrude=0.80; 95%: Cl 0.53-1.22. Other variables which had effect on the diarrheae severity were hospitalization, home medication using oral rehydration solution (ORS) with or without antibiotics or anti diarrhea, and educational bacground of mothers. After those control measured were applied, it was concluded that children who were breasfed tended to develop severe diarrhea 26% less than children who were never breasfed (OR adjusted=0.74; 95% Cl: 0.46-l.l9). Predominant genotype for G-type rotavirus were G4G9, G2, and G1 with 40.l9%, 20.03%, and 19.35% respectively, meanwhile for P-type rotavirus were P[8], P[4], and P[6] with 48.7l%, l9.35%, and l l.34% respectively.
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Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2008
T34536
UI - Tesis Open  Universitas Indonesia Library
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Nurul Aini
"ABSTRACT
Penelitian ini dibuat dengan tujuan untuk menggambarkan kejadian amenorea pascasalin pada wanita usia 15-49 tahun di Indonesia serta pengaruh pola pemberian ASI terhadap kejadian amenorea pascasalin di Indonesia. Penelitian ini menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dengan analisis univariat dan bivariat. Populasi dalam penelitian ini adalah ibu yang memiliki bayi usia 0-6 bulan. Jumlah sampel yang ada untuk analisis adalah 2031 bayi.
Hasil penelitian menunjukkan bahwa ada hubungan antara pola pemberian ASI dan penggunaan kontrasepsi dengan kejadian amenorea pascasalin di Indonesia. Ibu yang memberikan ASI saja memiliki masa amenorea lebih lama. Efektifitas MAL pada dua bulan kedua pascapersalinan adalah 63,5% dan pada bulan ke enam adalah 49,5%. Probabilitas amenorea selama 6 bulan pascasalin pada ibu yang tidak menggunakan kontrasepsi sebesar 53,1%, sementara yang menggunakan kontrasepsi hormonal adalah 16,1%.

ABSTRACT
This study aim is to describe the incidence of postpartum amenorrhea in women aged 15-49 years old in Indonesia and to know the association of breastfeeding and contraception againts postpartum amenorrhea. This study used data of Indonesia Demographic and Health Survei (IDHS) 20012 with univariate and bivariate analyzes. Population is a women who have infants within range of ages 0-6 months. The analysis using 2033 infants as a sample.
The result of the study shows that there is a relationship between breastfeeding and contraception with the incidence of pascasalin amenorrhea in Indonesia. Mothers who gaves just breastfeeding have longer amenorrhea. The effectiveness of Lactanional Amenorea Methode (LAM) within first two months are 63,5% and 49,5% at the sixth month.The probability of sixth months amenorrhea from mothers who didn?t use contraception was 53,1%, while mothers who used hormonal contraception was 16,1%.
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Depok: Universitas Indonesia, 2014
S55876
UI - Skripsi Membership  Universitas Indonesia Library
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Heny Auliawati
"Penelitian ini bertujuan untuk menelaah pemberian ASI Eksklusif dan faktor-faktor yang berpotensi di Wilayah Kerja Puskesmas Bruno Kabupaten Purworejo tahun 2014. Penelitian ini menggunakan metode kualitatif dengan desain studi kasus dan metode pengumpulan data wawancara mendalam terhadap 8 ibu yang memberi ASI secara Eksklusif dan tidak, 8 suami, 6 care giver, dan 2 penolong persalinan. Baik ibu yang memberikan ASI secara Eksklusif maupun tidak kebanyakan berusia sekitar 21 tahun. Sebagian ibu yang memberikan ASI Eksklusif bekerja paruh waktu sedangkan semua ibu yang tidak ASI Eksklusif tidak bekerja. Ibu yang memberikan ASI secara Eksklusif berpengetahuan tentang ASI lebih baik dibanding ibu tidak ASI Eksklusif. Ibu ASI Eksklusif setuju bila bayi disusui hingga 2 tahun dan tidak setuju bila bayi kurang dari 6 bulan diberi susu formula sedangkan ibu tidak ASI Eksklusif bersikap sebaliknya. Hanya keluarga ibu tidak ASI Eksklusif yang menyuruh ibu memberikan susu formula atau makanan lainnya pada bayi kurang dari 6 bulan. Ibu ASI Eksklusif mendapat banyak informasi dan pelatihan terkait pemberian ASI Eksklusif dari bidan dan dokter, sementara ibu tidak ASI Eksklusif hanya mendapatkan nasihat dari bidan.

The aims of this study is to analyze exclusive breastfeeding practice and its potential factors in working area of Bruno PHC, Purworejo, 2014. Qualitative approach with case study design and in-depth interview methods was used to collect data from 8 mothers of baby 7-12 months and their husbands, 6 care givers and 2 midwives. Majority of mothers who did exclusive breastfeeding and did not were around 21 years old. Mothers who did exclusive breastfeeding have better education level and part-time worked, while the other have not worked. Mothers who breastfeed exclusively had good knowledge on breastfeeding and agreed to continue breastfeed their child up to 2 years. Contrary mothers who did not exclusive breastfeeding disagreed to breastfeed up to 2 years and agreed on giving formula milk and other foods to under 6 months baby, because they got suggestion from their families. Mothers who did exclusive breastfeeding get a lot of information and training about breastfeeding from midwife and doctor, but the other only get an advices from midwife.
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Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2014
S55141
UI - Skripsi Membership  Universitas Indonesia Library
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Triana Dewi
"Keyakinan ibu menyusui dikaitkan secara positif dengan peningkatan durasi menyusui pada berbagai budaya dan kelompok usia. Penelitian ini bertujuan untuk mengetahui pengaruh kontak kulit ke kulit segera terhadap keyakinan ibu menyusui paska bedah sesar. Desain penelitian quasi eksperiment posttest only design with control groups yang melibatkan 52 ibu dengan consecutive sampling di kota Langsa-Aceh. Pengambilan data menggunakan instrumen Breastfeeding Self-Efficacy Scale-Short Form. Hasil uji statistik Indenpendent t test menunjukkan adanya perbedaan nilai rerata keyakinan ibu menyusui pada kelompok intervensi dan kelompok kontrol (59,00±6,54; 49,62±7,78 p=0,001). Kontak kulit ke kulit terbukti dapat mempengaruhi keyakinan ibu menyusui paska bedah sesar.

Maternal breastfeeding self-efficacy is positively associated with increased duration of breastfeeding in different cultures and age groups. This study aims to determine the effect of skin-to-skin contact immediately after cesarean section on maternal breastfeeding self efficacy. The research design is Posttest quasiexperimental research design only with control groups involving 52 women with consecutive sampling in Langsa-Aceh. The data collected through breastfeeding Self-Efficacy Scale-Short Form. The results of Independent t test showed a significant difference in the mean values of maternal breastfeeding self efficacy in the intervention group and the control group (59.00 ± 6.54; 49.62 ± 7.78 p= 0.001). Skin to skin contact is proven to affect the maternal breastfeeding self efficacy after cesarean section significantly.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
T42408
UI - Tesis Membership  Universitas Indonesia Library
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Zakiyyah Ahsanti Ruhiyati
"Kemiskinan merupakan akar masalah dari munculnya masalah ketidakmampuan keluarga memenuhi status gizi ibu menyusui pada masyarakat perkotaan. Karya Ilmiah Akhir ini memberikan gambaran tentang metode pengaturan menu harian dan modifikasi menu sebagai intervensi dalam masalah ketidakcukupan pemberian ASI pada bayi. Implementasi yang telah dilakukan terdiri dari implementasi yang bersifat kognitif, afektif, dan psikomotor dengan pendekatan lima tugas kesehatan keluarga. Intervensi berfokus pada penyusunan menu makanan harian dengan gizi seimbang untuk memenuhi kebutuhan gizi ibu menyusui berdasarkan triguna makanan. Hasil evaluasi menunjukkan bahwa terjadi peningkatan berat badan pada bayi A. Ibu M melaporkan bahwa terjadi peningkatan frekuensi pemberian ASI pada Bayi A. Pengaturan menu harian dan modifikasi menu ibu menyusui dapat meningkatkan status gizi ibu dan berpengaruh pada produksi ASI.

Poverty is the root cause of the emergence of problem families could not meet the needs of nutritional of breastfeeding mothers in urban area. The thesis provides an overview of methods of daily menu setting and menu modification as intervention in inadequacy problem of breastfeeding in infant. The implementation has been performed consists of implementation that is cognitive, affective, and psychomotor with five task of family health approach. The intervention focuses on the setting of daily meals with balanced nutrition in meeting needs of breastfeeding mother based on Three-function of food. The evaluation result shows that there is increasing in the weight of infant A. Mrs. M reported there is increasing in frequency of breastfeeding to infant A Daily setting menu and modification menu of breastfeeding mother could increase the nutrition status of the mother and impacts to the production of breastfeeding."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
PR-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Sorayah Agustini
"[ABSTRAK
Latar belakang Demam merupakan salah satu KIPI tersering terutama pascavaksinasi DTwP Bayi yang mendapat ASI eksklusif memperoleh faktor antiinflamasi dan imunomodulator dari ASI yang secara teoritis dapat menurunkan risiko demam pascavaksinasi namun belum ada penelitan di Indonesia yang menghubungkan pemberian ASI dengan kejadian demam pascavaksinasi Tujuan Membandingkan kejadian demam pascavaksinasi DTwP Hep B Hib antara bayi yang mendapat ASI eksklusif dan susu formula Metode Penelitian potong lintang pada bayi usia kurang dari 6 bulan yang mendapat vaksinasi DTwP Hep B Hib di Puskesmas di daerah Jakarta Utara dan Jakarta Timur pada bulan Juli September 2015 Hasil Subyek penelitian ini terdiri atas 65 subyek kelompok ASI eksklusif dan 68 kelompok susu formula Median usia kedua kelompok 3 bulan sebagian besar mendapat DTP pertama dan memiliki status gizi baik Terdapat perbedaan proporsi demam antara kelompok ASI eksklusif dan susu formula yaitu 27 dan 45 p 0 045 Bayi yang mendapat ASI memiliki risiko demam lebih rendah 0 59 kali IK 95 0 37 0 96 dibanding susu formula Median awitan demam kelompok ASI dan susu formula masing masing 6 jam p 0 829 sedangkan median lama demam kelompok ASI 7 jam dan susu formula 6 jam p 0 947 Rerata suhu tertinggi kelompok ASI 37 50C dan susu formula 37 80C p 0 165 Sebagian besar subyek demam pada suhu 38 0 38 50C 72 pada kelompok ASI dan 66 kelompok susu formula p 0 97 Simpulan Proporsi demam pascavaksinasi DTwP Hep B Hib pada bayi yang mendapat ASI eksklusif lebih rendah dibanding susu formula Tidak terdapat perbedaan bermakna awitan lama demam dan suhu tertinggi pascavaksinasi antara kelompok ASI dan susu formula ABSTRACT Background Fever is one of the most common adverse events following vaccination especially DTwP vaccine Babies who are exclusively breastfed received anti inflammatory factors and immunomodulator consisted in breastmilk which theoretically can reduce the risk of fever after vaccination There is no research in Indonesia concerning breastfeeding in association with post vaccination fever Objective To compare the fever following DTwP HepB Hib vaccine between exclusively breast fed and formula fed infants Methods A cross sectional study in infants younger than 6 months who received DTwP Hep B Hib vaccinations in North Jakarta and East Jakarta primary health care in July September 2015 Results The subjects consisted of 65 exclusively breast fed infants and 68 formula fed infants The median age of both groups were 3 months most of them received the first DTP vaccines and had good nutritional status There were differences in the proportion of fever among infants who were being exclusively breast fed and formula fed 27 and 45 respectively p 0 045 The relative risk for fever among infants who were exclusively breastfed was 0 59 95 CI 0 37 0 96 Median onset of fever for each groups was 6 hours p 0 829 whereas the median duration of fever for exclusively breast fed infants was 7 hours and formula fed infants was 6 hours p 0 947 The peak of mean temperature for breast fed and formula fed infants was 37 50C and 37 80C respectively p 0 165 Most subjects experienced fever at 38 0 38 50C 72 in the breast fed groups and 66 in the formula fed groups p 0 97 Conclusions The proportion of fever following DTwP Hep B Hib vaccine in breast fed infants is lower than formula fed infants There were no significant differences in onset duration of fever and highest temperature after vaccination between exclusively breast fed and formula fed infants ;Background Fever is one of the most common adverse events following vaccination especially DTwP vaccine Babies who are exclusively breastfed received anti inflammatory factors and immunomodulator consisted in breastmilk which theoretically can reduce the risk of fever after vaccination There is no research in Indonesia concerning breastfeeding in association with post vaccination fever Objective To compare the fever following DTwP HepB Hib vaccine between exclusively breast fed and formula fed infants Methods A cross sectional study in infants younger than 6 months who received DTwP Hep B Hib vaccinations in North Jakarta and East Jakarta primary health care in July September 2015 Results The subjects consisted of 65 exclusively breast fed infants and 68 formula fed infants The median age of both groups were 3 months most of them received the first DTP vaccines and had good nutritional status There were differences in the proportion of fever among infants who were being exclusively breast fed and formula fed 27 and 45 respectively p 0 045 The relative risk for fever among infants who were exclusively breastfed was 0 59 95 CI 0 37 0 96 Median onset of fever for each groups was 6 hours p 0 829 whereas the median duration of fever for exclusively breast fed infants was 7 hours and formula fed infants was 6 hours p 0 947 The peak of mean temperature for breast fed and formula fed infants was 37 50C and 37 80C respectively p 0 165 Most subjects experienced fever at 38 0 38 50C 72 in the breast fed groups and 66 in the formula fed groups p 0 97 Conclusions The proportion of fever following DTwP Hep B Hib vaccine in breast fed infants is lower than formula fed infants There were no significant differences in onset duration of fever and highest temperature after vaccination between exclusively breast fed and formula fed infants , Background Fever is one of the most common adverse events following vaccination especially DTwP vaccine Babies who are exclusively breastfed received anti inflammatory factors and immunomodulator consisted in breastmilk which theoretically can reduce the risk of fever after vaccination There is no research in Indonesia concerning breastfeeding in association with post vaccination fever Objective To compare the fever following DTwP HepB Hib vaccine between exclusively breast fed and formula fed infants Methods A cross sectional study in infants younger than 6 months who received DTwP Hep B Hib vaccinations in North Jakarta and East Jakarta primary health care in July September 2015 Results The subjects consisted of 65 exclusively breast fed infants and 68 formula fed infants The median age of both groups were 3 months most of them received the first DTP vaccines and had good nutritional status There were differences in the proportion of fever among infants who were being exclusively breast fed and formula fed 27 and 45 respectively p 0 045 The relative risk for fever among infants who were exclusively breastfed was 0 59 95 CI 0 37 0 96 Median onset of fever for each groups was 6 hours p 0 829 whereas the median duration of fever for exclusively breast fed infants was 7 hours and formula fed infants was 6 hours p 0 947 The peak of mean temperature for breast fed and formula fed infants was 37 50C and 37 80C respectively p 0 165 Most subjects experienced fever at 38 0 38 50C 72 in the breast fed groups and 66 in the formula fed groups p 0 97 Conclusions The proportion of fever following DTwP Hep B Hib vaccine in breast fed infants is lower than formula fed infants There were no significant differences in onset duration of fever and highest temperature after vaccination between exclusively breast fed and formula fed infants ]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Agnes Yunie Purwita Sari
"ABSTRAK
Latar belakang. Upaya peningkatan pencapaian pemberian ASI pada bayi sakit sangat diperlukan. Penelitian ini bertujuan untuk mengetahui pengaruh Focus
Group Discussion tenaga kesehatan terhadap peningkatan pemberian ASI.
Metode. Penelitian ini merupakan operational research, dengan FGD dan
wawancara mendalam sebagai intervensi. Diagram fishbone digunakan untuk analisis masalah. Tingkat pemberian ASI dibandingkan sebelum FGD dan setelah FGD.
Hasil. Terdapat 257 subjek penelitian, yaitu 177 subjek sebelum FGD dan 80
subjek setelah FGD. Proporsi subjek yang mendapat ASI selama perawatan adalah 97,5% setelah FGD dan 82,9% sebelum FGD (X1
2=9,43 p=0,002). Subjek yang mendapat ASI dalam 0-4 jam lebih tinggi setelah FGD (10(12,5%)) dibandingkan sebelum FGD (6,(3,5%)) (X5
2=52,5; p<0. 001). Kendala program pemberian ASI
diselesaikan dengan 1) dukungan Manajemen Rumah Sakit, 2) dukungan petugas
kesehatan kepada ibu menyusui, 3) dukungan suami dan keluarga kepada ibu
menyusui, 4) biaya, 5) faktor lain seperti level perawatan dan FGD secara secara konsisten, dan 6) diperlukan penelitian kohort prospektif.
Simpulan. FGD petugas kesehatan meningkatkan pemberian ASI selama perawatan, serta mempercepat inisiasi pemberian ASI. Perangkat diagram
fishbone dalam FGD dapat menganalisis kendala pelaksanaan program pemberian
ASI pada bayi sakit.ABSTRACT Background. Improving breastfeeding in sick infants is essential. The purpose of this study is to analyse the influence of Focus Group Discussion (FGD) on
healthcare workers on breastfeeding achievement in sick infants.
Methods. This study was an operational research using FGD and in-depth interviews an intervention. Fishbone diagram was used to analyse problems.
Breastfeeding achievement was compared before FGD and after FGD.
Results. There were 257 subjects, 177 infants before FGD and 80 infants after
FGD. The proportion of subjects with breastfeeding during admission was 97.5%
after the FGD, and 82.9% before the FGD (x1
2 = 9.43; p = 0.002). Breastfeeding
initiation in 0-4 hours was higher after the FGD, 10 (12.5%) compared to 6
(3.5%) before the FGD (x5
2 = 52.5; p < 0.001). The solutions for breastfeeding
problems were: 1) Supporting for the hospital management, 2) supporting of healthcare workers for breastfeed mothers, 3) supporting of husband and family
for breastfeed mother, 4) finance, 5) other factors such as admission level and
FGD consistently. 6) and a prospective cohort study was required.
Conclusions. FGD increased breastfeeding acheivement during admission, and
accelerated breastfeeding initiation. Fishbone diagram effectively analyzed the
problems or difficulties on breastfeeding programs for sick babies;Background. Improving breastfeeding in sick infants is essential. The purpose of this study is to analyse the influence of Focus Group Discussion (FGD) on
healthcare workers on breastfeeding achievement in sick infants.
Methods. This study was an operational research using FGD and in-depth interviews an intervention. Fishbone diagram was used to analyse problems.
Breastfeeding achievement was compared before FGD and after FGD.
Results. There were 257 subjects, 177 infants before FGD and 80 infants after
FGD. The proportion of subjects with breastfeeding during admission was 97.5%
after the FGD, and 82.9% before the FGD (x1
2 = 9.43; p = 0.002). Breastfeeding
initiation in 0-4 hours was higher after the FGD, 10 (12.5%) compared to 6
(3.5%) before the FGD (x5
2 = 52.5; p < 0.001). The solutions for breastfeeding
problems were: 1) Supporting for the hospital management, 2) supporting of healthcare workers for breastfeed mothers, 3) supporting of husband and family
for breastfeed mother, 4) finance, 5) other factors such as admission level and
FGD consistently. 6) and a prospective cohort study was required.
Conclusions. FGD increased breastfeeding acheivement during admission, and
accelerated breastfeeding initiation. Fishbone diagram effectively analyzed the
problems or difficulties on breastfeeding programs for sick babies"
Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Tugas Akhir  Universitas Indonesia Library
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Ervin Yamani Amouzegar
"ABSTRAK
Latar Belakang: Ankiloglosia atau tongue tie adalah suatu keadaan dimana lidah melekat pada dasar mulut melalui frenulum sehingga gerakan lidah terbatas. Frenotomi merupakan insisi frenulum pada ankiloglosia merupakan prosedur sederhana, cepat, mudah, aman dan banyak manfaatnya. Frenotomi pada bayi ankiloglosia dilakukan jika terdapat masalah menyusui, mengisap buruk, berat badan bayi kurang dan ibu mastitis berulang. Tujuan: Meningkatkan pengetahuan tentang ankiloglosia, tatalaksana dan pengaruhnya pada kenaikan berat badan bayi menyusui eksklusif. Metode: Penelitian kohort retrospektif menilai kenaikan berat badan bayi menyusui ekskusif dengan ankiloglosia sebelum dan pasca frenotomi berusia dibawah 1 bulan dan 1-3 bulan. Hasil: 34 subjek yang dilakukan frenotomi berusia dibawah 1 bulan dan 34 subjek 1-3 bulan. Rerata kenaikan berat badan sebelum frenotomi kelompok dibawah 1 bulan 3,4gram/hari kelompok 1-3 bulan 21,1gram/hari. Kontrol pasca frenotomi kelompok dibawah 1 bulan 33,4gram/hari kelompok 1-3 bulan 17,3gram/hari. Kesimpulan: Kenaikan berat badan bayi menyusui eksklusif dengan ankiloglosia yang dilakukan frenotomi sebelum berusia 1 bulan lebih bermakna dibanding dilakukan frenotomi saat berusia antara 1-3 bulan

ABSTRACT
Background: Ankyloglossia or tongue tie is a condition which tongue attached to the floor of the mouth through frenulum make tongue movement limited. Frenotomy in ankyloglossia is simple, fast, easy, safe and useful procedure. Frenotomy in infant ankyloglossia perform if there are problems with breastfeeding, poor sucking, slow weight gain and recurrent mastitis. Objective: To increase ankyloglossia knowledge, therapy and weight gain effect in exclusive breastfeeding infant. Methods: Retrospective cohort study assessing weight gain in exclusive breastfed infant with ankyloglossia before and after frenotomi under 1 month and 1-3 months. Results: 34 subjects performed frenotomi under 1 month and 34 subjects 1­-3 months. The mean weight gain before frenotomy group under 1 month 3,4gram/day group 1-3 months 21,1gram/day. Control after frenotomy group under 1 month 33,4gram/day, group 1-3 months 17,3gram/day. Conclusion: Exclusive breastfeeding infant weight with ankyloglossia gaining significantly in frenotomy under 1 month compare with infant 1-3 months."
2016
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UI - Tugas Akhir  Universitas Indonesia Library
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