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INDONESIA
Paediatrica Indonesiana
Published by Ikatan Dokter Anak Indonesia
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
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.
Arjuna Subject : -
Articles 7 Documents
 1 
Search results for , issue "Vol 35 No 1-2 (1995): January - February 1995" : 7 Documents clear
Neonatal Tetanus: Risk Factors and Prognosis Rachma F. Boedjang
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2390.974 KB) | DOI: 10.14238/pi35.1-2.1995.1-7

Abstract

Neonatal tetanus (NT) remains a common cause of morbidity among neonates in Indonesia. A retrospective study was made on 83 cases on NT seen in Cipto Mangunkusumo Hospital, Jakarta over the period of 1991 -1993. The purpose of this study was to know the factors which might contributed to NT. The number of cases on NT admitted per year was almost the same; 91.6%-of cases were residents inside Jakarta and came from low socioeconomic level with low educational level. Almost 3/4 of cases were delivered by traditional birth attendants who cut the umbilical cord with uncleaned instruments or dressed it with herbal mixtures, ashes, etc. Non'e of the mothers had had tetanus immunization when they were pregnant The ratio of male to female was 1.24 : 1. All cases presented the symptoms within the first 14 days of life,  mostly at 5-8 days of life. The overall mortality was 63.8%. The most frequently found complications were omphalitis (36%) and sepsis (24%). It is concluded that low socioeconomic level, low educational level, absence of tetanus immunization during pregnancy and poor umbilical cord dressing may contribute to the development of NT.
Cesarean Section Rates Differences among Hospitals in Jakarta Basalamah A.; Suradi R.; Wiknyosastro G. H.
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (801.805 KB) | DOI: 10.14238/pi35.1-2.1995.8-17

Abstract

The incidence cesarean section (CS) has increased in the world as well as Indonesia. This fenomenon creates a concern among professionals. This study was undertaken to determine the incidence of CS and its indications among hospitals in Jakarta in 1992. Hospitals were divided into 3 groups according to the management and ownership: government (type A), semiprivate (type B) and private (type C) hospitals. Twelve hospitals belonged to type A, 17 to type B, and 34 to type C. Total deliveries in type A, B and C hospitals were  respectively: 11 803; 19 130 and 17 665. The median number of deliveries was higher in type A than in type B or C. Most of type A hospitals (83.3%) and only 47.9% of type B and 11.8% of type C hospitals were open for referral cases. The mean CS rates were respectively 12.7%; 16,6% and 29.9% in type A, D. and C hospitals. Cephalopelvic disproportion was the most frequent indication in all 3 groups. In type A and B hospitals the second most frequent indication was antepartum hemorrhage while in type C hospitals it was previous CS. It is widely accepted that 80% of pregnancy with a CS scar can be delivered vaginally; so that the high incidenceof CS due to previous CS might be related to difference in interest or concept. In type C hospitals the 6th most frequent indication of CS was on mother's request, which was not found in type 8 or A hospitals. The length of stay was longer in type C than in type G or A hospitals.
Normal Hemoglobin Values in 12-24 Month Old Children Zahedi Affandi; Harry Respati; Ponpon Ijradinata
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (574.346 KB) | DOI: 10.14238/pi35.1-2.1995.18-22

Abstract

One hundred and thirty-one children aged 12 to 24 months attending the Under Five Clinic of The Department of Child Health, Medical School, Padjadjaran University/Hasan Sadikin General Hospital in Bandung were studied. These subjects were "healthy" and they had no laboratory evidence neither of folic acid, vitamin B12 or iron deficiency, nor thalassemia minor, and/or hemoglobinopathy. These individuals were considered adequately nourished from the erithropoietic point of view, and they constituted the "normal" subjects from which values of hemoglobin were calculated. Results from this highly selected subjects indicated that the mean hemoglobin value was 127.2 g/L (range: 111.6-142.8 g/L). The lower limit of the hemoglobin value in this study is within the normal range according to the WHO criteria for normal hemoglobin values in children 6 months to 6 years of age.
Differentials of Diarrheal Diseases Management in District Rambutan, South Sumatra, Indonesia Rusdi Ismail
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (635.543 KB) | DOI: 10.14238/pi35.1-2.1995.23-30

Abstract

The aim of this report is to present the association between some sociodemographic and biomedical factors and diarrheal diseases (DD) case management practiced by the community. The study was conducted in District Rambutan, South Sumatra Province, Indonesia, based on the data from a sociodemographic survey in 1990 and sequential surveillance of DD between April 1990 and March 1991. The number of house-hold (HH) monitored was 4349 comprising 3816 children under five years of age. The point prevalence of DD in this age group was 0.007. The most prominent differentials of DD case management by the community were biomedical factors, that were duration, frequency or kind of diarrhea, and accompanying diseases. The practices of DD case attendees had been in line with the guidelines promoted by the Indonesian CDD program. But specific behaviors still deviate, which need more detail promotion guidelines and elaborate education processes based on better knowledge of the community perception, demand and which need more detail promotion guidelines and elaborate education processes based on better knowledge of the community perception, demand and practices in facing DD. Using Weiss' model, this study points out that the important determinant for these deviation is the nature of the DD itself.
Patterns of Birth Weight in Rural Tanjungsari, West-Java Anna Alisjahbana; Ali Usman; S. Tanuwidjaja; R. Peeters; A. Meheus
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (822.396 KB) | DOI: 10.14238/pi35.1-2.1995.31-40

Abstract

Few population studies on birth weight distribution are available in Indonesia. This report is the result of a cohort of pregnant women who were followed from early pregnancy through delivery until the child is two years of age in a rural area Tanjungsari, about 45 km from Bandung. The infants were born between January 1, 1988 -December 31, 1989. A total of 3818liveborn infants were available for analysis. The birthweight was grouped into low birth weight (<2500 g), deficient birth weight (2500-<3000 g), and favorable birthweight (>3000 g). The percentages were 13.9, 45.5 and 40.6 percent, respectively. The percentage of favorable birth weight in this study was lower compared with that in developed countries, it was even lower compared with other studies in Indonesia. The Tanjungsari has shown that the pattern of birth weight of live born infants have a distinct relationship to survival. Taken into consideration that most of low birth weight infants died in the neonatal period, improvement in birth weight may result in decline in infant mortality.
Bowel Habits in Children Sri Sulastri; M. Iqbal; Johnwan Usman; Atan Baas Sinuhaji; A. H. Sutanto
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (490.743 KB) | DOI: 10.14238/pi35.1-2.1995.41-6

Abstract

A cross sectional study of the bowel habits of 119 children (aged 2 years or less) was performed at PTP VIII, North Sumatera. The study was carried out on Desember 18 and 19, 1992, using questionnaire. Mean frequency of defecation was 1.2 times/day (± 0.49) and median volume of defecation was 25 mL/day. Out of 119 children, 9 children were on fluid diet, the mean frequency of defecation was 1.5 times/day (± 0.71) and the median volume of defecation was 5 mL/day. Eighty-eight children who were on fluid diet plus solid diet had a mean frequency of defecation 1.1 times/day (± 0.48) and median volume of defecation was 25 mL/day. Twenty two children who received solid diets had a mean frequency of defecation of 1.2 times/day (± 0.35) and median volume of defecation was 57.5 mL/day. The volume of defecation in children who received solid_diets was higher than children who bad not received solid diets (p < 0.05). There was a positive corelation between age and stool volume (r=0.4; p < 0.05).
Hepatitis C in A Child with Thalassemia Dina Dina; Anky Tri Rini; M. Widia; Sudaryat S.
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.255 KB) | DOI: 10.14238/pi35.1-2.1995.47-51

Abstract

We present a case of hepatitis C in a patient with thalassemia major. The transmission seems to be through blood transfusion. The diagnosis of hepatitis C was determined by the presence of anti HCV in serum. Ursodeoxycholic acid therapy gave a satisfactory result and the patient was discharged after showing improvement of both clinical signs and liver function tests. He was suggested for regular examination to evaluate anti HCV and his thalassemia. lt is believed that if anti HCV titer is more than 6 months, hepatitis may become chronic hepatitis C.

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