Pemberian Makanan dengan Frekuensi Sesuai dan Beragam Merupakan Salah Satu Kunci Status Gizi Normal pada Baduta yang Memiliki Riwayat BBLR di Kota Bogor (Studi Kualitatif di Kecamatan Bogor Tengah)
Abstract
Abstract
The level of infant mortality and morbidity in Indonesia still high. The factor that is one of the causes of neonatal death is Low Birth Weight (LBW). Therefore, knowing the practices of early initiation breast feeding, exclusive breast feeding, and child feeding of children with normal nutritional status who had low birth weight history is very important. This research is a qualitative study part of growth and development cohort study held in Kota Bogor in 2017. In-depth interviews were conducted to 12 informants of mothers who have children with normal nutritional status (WAZ/WHZ) who at birth had a history of low birth weight. The results showed that most of the informants did not practice early breast-feeding initiation. However, the practice of feeding shows that the frequency of feeding to children tends to be in accordance with recommendation from the WHO. Promotion and education are very necessary to be done for mothers and families to support the success of initial breast feeding practices, exclusive breast-feeding appropriate and varied frequency for low birth weight children.
Abstrak
Tingkat morbiditas dan mortalitas bayi di Indonesia masih tinggi. Faktor yang menjadi salah satu penyebab kematian neonatus ialah Bayi Berat Lahir Rendah (BBLR). Oleh karena itu, mengetahui praktik Inisasi Menyusui Dini (IMD) dan pemberian Air Susu Ibu (ASI) esklusif serta pola pemberian makan pada bayi di bawah dua tahun (baduta) dengan status gizi normal yang mempunyai riwayat BBLR sangatlah penting. Penelitian ini merupakan penelitian kualitatif bagian dari penelitian kohor tumbuh kembang anak (TKA) tahun 2017 di Kota Bogor. Penelitian dilakukan dengan cara wawancara mendalam terhadap 12 informan ibu yang memiliki anak baduta dengan status gizi normal (BB/U dan BB/TB) yang pada saat lahir mempunyai riwayat berat badan lahir rendah. Hasil penelitian menunjukkan bahwa sebagian besar informan tidak melakukan IMD. Namun pada praktik pemberian makanan memperlihatkan bahwa frekuensi pemberian makan kepada anak cenderung sesuai dengan anjuran dari WHO. Promosi dan edukasi amat perlu dilakukan pada ibu dan keluarga untuk mendukung keberhasilan praktik IMD, pemberian ASI eksklusif, pemberian makanan dengan frekuensi sesuai dan beragam pada anak BBLR.
References
BKKBN, BPS, Kemkes, ICF. Survei demografi dan kesehatan 2017. Jakarta: BKKBN; 2013.
Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet [Internet]. 2012 Jun 9 [cited 2018 Sep 27];379(9832):2151–61. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/22579125.
Badan Penelitian dan Pengembangan Kesehatan. Laporan Riset Kesehatan Dasar Tahun 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2013.
WHO. Optimal feeding of low birth-weight infants in low-and middle-income countries [Internet]. 2011 [cited 2018 Sep 27]. Available from: http://www.who.int/maternal_child_ adolescent/documents/9789241548366.pdf.
Barker DJ, Forsén T, Uutela A, Osmond C, Eriksson JG. Size at birth and resilience to effects of poor living conditions in adult life: longitudinal study. BMJ [Internet]. 2001 Dec 1 [cited 2018 Sep 27];323(7324):1273–6. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/11731388.
WHO. Indicators for assessing infant and young child feeding practices: conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA. [internet]. Geneva; 2008[cited 2018 Oct 23]. available from:http://apps.who.int/iris/bitstream/ handle/10665/43895/9789241596664_eng. pdf?sequence=1.
Presiden Republik Indonesia. Peraturan Pemerintah Nomor 33 Tahun 2012 tentang Pemberian Air Susu Ibu Eksklusif [Internet]. 33 2012. Available from: http://pergizi.org/ images/stories/downloads/PP/pp 33 2012 ttg pemberian asi ekslusif.pdf.
Singh D, Devi N, Raman TR. Exclusive Breast Feeding in Low Birth Weight Babies. Med journal, Armed Forces India [Internet]. 2009 Jul [cited 2018 Sep 27];65(3):208–12. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/27408247.
Agrasada G V, Ewald U, Kylberg Phd E, Gustafsson J. Exclusive breastfeeding of low birth weight infants for the first six months: infant morbidity and maternal and infant anthropometry [Internet]. Vol. 20, Asia Pac J Clin Nutr. 2011 [cited 2018 Sep 27]. Available from:http://apjcn.nhri.org.tw/server/ APJCN/20/1/62.pdf.
Oloyede Oladeji M. Exclusive breastfeeding of babies with low birth weight as a correlate of child survival strategies in the universitycollege hospital, ibadan nigeria [Internet]. Vol. 1, International Journal of Education and Research. 2013 [cited 2018 Sep 28]. Available from: www.ijern.com.
Lok K, Chau P, Fan H, Chan K, Chan B, Fung G, et al. Increase in weight in low birth weight and very low birth weight infants fed fortified breast milk versus formula milk: a retrospective cohort study. Nutrients [Internet]. 2017 May 20 [cited 2018 Oct 1];9(5):520. Available from: http://www.mdpi.com/20726643/9/5/520.
Kementerian Kesehatan. Buku saku pelayanan kesehatan neonatal esensial [Internet]. Jakarta; 2010 [cited 2018 Sep 1]. Available from: http://kesga.kemkes.go.id/images/pedoman/ Buku-Saku-Pelayanan-Kesehatan-NeonatalEsensial.pdf.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet (London, England) [Internet]. 2013 Aug 3 [cited 2018 Sep 27];382(9890):427–51. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/23746772.
Permatasari TAE, Syafruddin A. Early initiation of breastfeeding related to exclusive breastfeeding and breastfeeding duration in rural and urban areas in Subang, West Java, Indonesia. J Heal Res [Internet]. 2016 [cited 2018 Sep 28];30(5):337–45. Available from: https://www.tci-thaijo.org/index.php/ jhealthres/article/view/77866.
Anggraini DI, Septira S. nutrisi bagi bayi berat badan lahir rendah (BBLR) untuk Mengoptimalkan Tumbuh Kembang. J Major [Internet]. 2016 Sep 1 [cited 2018 Sep 27];5(3):151–5. Available from: http://juke. kedokteran.unila.ac.id/index.php/majority/ article/view/1053.
Farmer T, Robinson K, Elliott SJ, Eyles J. Developing and Implementing a Triangulation Protocol for Qualitative Health Research. Qual Health Res [Internet]. 2006 Mar [cited 2018 Oct 1];16(3):377–94. Available from: http:// www.ncbi.nlm.nih.gov/pubmed/16449687.
Nasar SS. Tata laksana nutrisi pada bayi berat lahir rendah. Sari Pediatr [Internet]. 2016 Dec 6 [cited 2018 Sep 27];5(4):165. Available from: https://saripediatri.org/index.php/saripediatri/article/view/915.
Presiden Republik Indonesia. Undang- Undang Republik Indonesia Nomor 36 Tentang Kesehatan - Indonesian Law No.36 about Health [Internet]. Indonesia; 2009 p. 1–33. Available from: http://www.hukor. depkes.go.id/up_prod_uu/UU No. 36 Th 2009 ttg Kesehatan.pdf.
Utami GT. Perbandingan kenaikan berat badan BBLR yang diberi ASI dan susu formula pada dua minggu pertama perawatan.J Online Mhs Bid Ilmu Keperawatan [Internet]. 2014 [cited 2018 Sep 27];1.(1):1–8. Available from: https://www.google.co.id/search?q=13.+Utami+GT.+2014.+Perbandingan+kenaikan+berat+badan+BBLR+yang+diberi+ASI+dan+susu+formula+pada+dua+minggu+pertama+perawatan.&rlz=2C1CHVO_enTW0537ID0541&oq=13.+Utami+GT.+2014.+Perbandingan+kenaikan+berat+badan+BBLR+yang+
Fikawati S, Syafiq A, Gizi J, Masyarakat K, Kesehatan F. Hubungan antara menyusui segera (immediate breastfeeding) dan pemberian ASI eksklusif sampai dengan empat bulan [Internet]. [cited 2018 Sep 27]. Available from: http://www.univmed.org/wpcontent/uploads/2011/02/Sandra.pdf.
Gangal P, Bhagat K, Prabhu S, Nair R. Breast Crawl: Initiation of Breastfeeding by Breast Crawl [Internet]. 2007 [cited 2018 Sep 27]. Available from: https://breastcrawl.org/pdf/ breastcrawl.pdf.
Fikawati S, Syafiq A. Penyebab Keberhasilan dan Kegagalan Praktik Pemberian ASI Eksklusif. Kesmas Natl Public Heal J [Internet]. 2009 Dec 1 [cited 2018 Sep 27];4(3):120. Available from: http://journal. fkm.ui.ac.id/kesmas/article/view/184.
Sugiarti E, Zulaekah S, Susi Dyah Puspowati D, Karangmalang Kabupaten Sragen P, Gizi Fakultas Ilmu Kesehatan UMS Jl Yani PA, Pos TI, et al. Faktor-faktor yang berhubungan dengan pemberian asi eksklusif di kecamatan karangmalang kabupaten sragen [Internet]. Surakarta; 2011 [cited 2018 Aug 27]. Available from: https://publikasiilmiah.ums. ac.id/bitstream/handle/11617/2948/9. ENI SUGIARTI.pdf;sequence=1.
Kementerian Kesehatan. Buku saku pelayanan kesehatan ibu di fasilitas kesehatan dasar dan rujukan [Internet]. Jakarta; 2013 [cited 2018 Aug 27]. Available from: http://www.searo. who.int/indonesia/documents/976-602-235265-5-buku-saku-pelayanan-kesehatan-ibu. pdf?ua=1.
Patel A, Bucher S, Pusdekar Y, Esamai F, Krebs NF, Goudar SS, et al. Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six lowand middle-income countries: A prospective cohort study. Reprod Health [Internet]. 2015 [cited 2018 Sep 28];12 Suppl 2(Suppl 2):S10. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/26063291.
Badaya N, Jain S, Kumar N. Time of initiation of breastfeeding in various modes of delivery and to observe the effect of low birth weight and period of gestation on initiation of breastfeeding. Int J Contemp Pediatr [Internet]. 2018 Jun 22 [cited 2018 Oct 1];5(4):1509. Available from: http://www.ijpediatrics.com/ index.php/ijcp/article/view/1643.
Ariani A, Ilmu D, Anak K. Peningkatan berat badan pada bayi prematur yang mendapat asi, pasi, dan kombinasi ASI-PASI [Internet]. Vol. 40, Majalah Kedokteran Nusantara. 2007 [cited 2018 Sep 27]. Available from: http://repository.usu.ac.id/bitstream/ handle/123456789/18780/mkn-jun2007-40 %283%29.pdf?sequence=1&isAllowed=y.
Wijayanti LA & Meilisa C. Perbedaan berat badan bayi usia 6 bulan yang diberikan asi eksklusif dan non asi eksklusif di Desa Keniten Kecamatan Mojo Kabupaten Kediri. J Penelit Kesehat Suara Forikes. 2011;II(4):190–8.
Reeves AA, Johnson MC, Vasquez MM, Maheshwari A, Blanco CL. TGF-β2, a protective intestinal cytokine, is abundant in maternal human milk and human-derived fortifiers but not in donor human milk. breastfeed med [Internet]. 2013 Dec [cited 2018 Sep 27];8(6):496–502. Available from: http:// www.ncbi.nlm.nih.gov/pubmed/23869537.
Ramadani M, Hadi EN. Dukungan suami dalam pemberian ASI eksklusif di wilayah kerja puskesmas air tawar kota Padang, Sumatera Barat. Kesmas Natl Public Heal J [Internet]. 2010 Jun 1 [cited 2018 Sep 27];4(6):269. Available from: http://journal. fkm.ui.ac.id/kesmas/article/view/166.
Kurnia Indriyanti Purnamasari. Hubungan motivasi suami dengan sikap ibu menyusui bayi 0-6 bulan dalam melaksanakan ASI Ekslusif. J Keperawatan dan Kebidanan [Internet]. 2017 [cited 2018 Sep 28];6(1). Available from: https://scholar.google.co.id/citations?user=M5eMq2gAAAAJ&hl=en#d=gs_md_ cita-d&p=&u=%2Fcitations%3Fview_ op%3Dview_citation%26hl%3Den%26user%3DM5eMq2gAAAAJ%26citation_ for_view%3DM5eMq2gAAAAJ%3AUeHWp8X0CEIC%26tzom%3D-420.
Indicators for assessing infant and young child feeding practices. [cited 2018 Jun 6]; Available from:http://apps.who.int/iris/bitstream/ handle/10665/43895/9789241596664_eng. pdf?sequence=1.
Fekadu Y, Mesfin A, Haile D, Stoecker BJ. Factors associated with nutritional status of infants and young children in Somali Region, Ethiopia: a cross- sectional study. BMC Public Health [Internet]. 2015 Dec 2 [cited 2018 Sep 27];15(1):846. Available from: http://bmcpublichealth.biomedcentral.com/ articles/10.1186/s12889-015-2190-7.
Saaka M, Wemakor A, Abizari A-R, Aryee P. How well do WHO complementary feeding indicators relate to nutritional status of children aged 6-23 months in rural Northern Ghana? BMC Public Health [Internet]. 2015 Nov 23 [cited 2018 Sep 27];15:1157. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/26596246
