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RELATIONSHIP OF RISK FACTORS FOR STUNTING IN BADUTA AGES 6-24 MONTHS IN BAITUSSALAM DISTRICT ACEH BESAR DISTRICT Sofia Sofia; Irma Agustina; Nora Sovira; Mulya Safri; Iflan Nouval
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 2 (2021): Medical Technology and Public Health Journal September 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i2.3002

Abstract

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.
The effectiveness of Lactobacillus reuteri on serum bilirubin levels in neonatal hyperbilirubinemia with phototherapy Deska Andina Rezki; Isra Firmansyah; Dora Darussalam; Sulaiman Yusuf; Nora Sovira; Bakhtiar Bakhtiar
Paediatrica Indonesiana Vol 63 No 4 (2023): July 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.4.2023.219-25

Abstract

Background Hyperbilirubinemia occurs in 60% of full term and 80% of premature infants. Phototherapy is the main treatment, but it has side effects, sometimes requires hospitalization, and causes the baby to be separated from the mother. Underdeveloped gut microflora and increased enterohepatic circulation in newborns contribute to increased serum bilirubin levels in early life. Objective To assess the efficacy of adding probiotic L. reuteri on phototherapy in full-term neonates with hyperbilirubinemia. Methods In this double-blind, randomized clinical trial, full term infants with hyperbilirubinemia at Dr. Zainoel Abidin Hospital, Banda Aceh, Aceh, Indonesia, were randomly assigned to either an intervention or control group. All subjects received phototherapy. The intervention group was also given five drops of L. reuteri once a day orally before phototherapy started, while the control group received a placebo. Bilirubin levels after 24-hour phototherapy were evaluated in both groups. Results A total of 42 term neonates met the inclusion criteria. The intervention group had a significantly greater decrease in total serum bilirubin (TSB) level (6,517 mg/dL) than did the control group (4,434 mg/dL) (P<0.001), as well in indirect bilirubin levels in the intervention group had decrease 6.40 mg/dL while in the control group 4.43 mg/dL after 24 hours of phototherapy (P<0.001). Conclusion In full-term neonates with hyperbilirubinemia who underwent 24-hour phototherapy, adding probiotic L. reuteri leads to a significantly greater reduction in total and indirect bilirubin levels compared to the control group.