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World Nutrition Journal
Published by Indonesian Nutrition Association
ISSN : -     EISSN : 25807013     DOI : https://doi.org/10.25220/WNJ
Core Subject : Health,
Medicine & Pharmacology Public Health
World Nutrition Journal was founded in 2016 as the official journal of Indonesian Nutrition Association. It aims to publish high quality articles in the field of community, clinical, and critical care aspects of nutrition sciences. World Nutrition Journal (abbreviated: W Nutr J) is an English language, peer-reviewed, and open access journal upholding recent evidence related to nutrition sciences. The journal accepts manuscripts in terms of original paper, case report, editorial, and letter to editor.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 8 Documents
 1 
Search results for , issue "Vol. 4 No. S2 (2020)" : 8 Documents clear
Rising trends and indication of Caesarean section in Indonesia Ali Sungkar; Ray Wagiu Basrowi
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0001

Abstract

The rate of Caesarean delivery is rising dramatically worldwide, and also nationally. The number of Caesarean births exceeds the WHO recommended rate. This study aims to provide an overview of current increasing trend of Caesarean section, including elective procedure, and its risk. A review was conducted using online database, surveillance reports, and national surveys to identify studies with topics of prevalence, trend, indications, and risks of Caesarean delivery. Overall, there is an increase of Caesarean section in global, Asia, and Indonesia setting. We found an increase of 8% from 2013 to 2018 based on population survey, and increase of elective Caesarean surgery, particularly in tertiary care. We listed the possible health risks in short term, long term among mothers and child. Advanced maternal age, higher socio-economic status, higher educational level, residing in urban area, and ownership of health insurance were found to be factors associated with maternal choice on Caesarean delivery. The information presented is important to raise awareness among policy makers aimed to develop a national strategy in reducing the rate of Caesarean delivery.
Perspective of Caesarean section delivery and its health risks on children among Indonesian pediatricians Ray Wagiu Basrowi; Tonny Sundjaya; Nova Lidia Sitorus; Bertri Maulidya Masita
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0008

Abstract

An increasing trend of C-section delivery In Indonesia was found from 2% in 1986 to 16% in 2012. This delivery method was introduced to save women and their newborn baby’s life. On the other side, it can increase short and long-term health risks for children. This study aims to assess and give an overview of the perspective on pediatrician as medical specialist in managing children of the C-section delivery history. A survey was conducted on 89 Indonesian Pediatricians using an online questionnaire. It was found that most pediatrician chose combination partial hydrolyze milk combined with synbiotic (a combination of prebiotic and probiotic) combination as nutrition intervention to decrease the allergy risk on children with C-section delivery mode, and there is a need to emphasize information about short and long-term health effects of C-section, especially in causing gut dysbiosis and its mechanism, information on non-medical causes of gut dysbiosis to increase awareness of recommending right symbiotic to decrease allergy risk in children with C-section history.
Caesarean delivery mode and its impact on children’s growth and cognitive development Rini Sekartini; Levina Chandra Khoe
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0004

Abstract

There is an increasing concern on the potential risk of Caesarean birth on child health outcomes. This study aims to present the current available evidences on the effect of Caesarean section on child’s growth and development. Literature searching were done on several online databases to identify articles which discussed the effect of Caesarean birth on child’s body weight, length, nutritional status, cognitive development, memory, learning ability, and intelligence quotient. Several studies showed positive association between Caesarean and risk of overweight and obesity in childhood, adolescence, and adulthood. While, there has not been sufficient evidences to confirm the association between C-section and child’s cognitive outcomes.
The impact of Caesarean delivery mode towards brain and neurodevelopment among children Tjhin Wiguna; Levina Chandra Khoe
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0005

Abstract

In regards to the rising rate of Caesarean birth globally, there is concern about the risk of Caesarean birth in children. However, the effect of Caesarean delivery towards the child brain and neurodevelopment is not well understood. We reviewed articles from online database with topics related to the relation between caesarean delivery mode and brain development/neurodevelopment/behaviour and emotional development. Several studies discussed how birth mode could affect brain structural connectivity through neural and hormone changes. Some studies also assessed possible effect on child’s psychological development.  The result showed differences in child’s brain development between caesarean and natural delivery in the early life, but not in the long run. Additionally, no significant association between birth mode and emotional problem.
Caesarean section and gut microbiota in children Ariani Dewi Widodo; Mohammad Juffrie
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0002

Abstract

Over the last two decades, the C-section rate has increased worldwide. It is understood that colonization patterns of intestinal microbiota in infant delivery in C-section vary from those that were delivered vaginally. These different microbial pattern and diversity will impact and respond to immune and dysbiosis-related diseases. This article examined the effect of C-section on gut microbiota in children.Recent Findings: Newborns are influenced by various factors, including mode of delivery, feeding, nutrition, hospitalization, antibiotic and host gene. Several studies have shown that infants with C-section have lower Bifidobacterium while others have shown lower abundance of Enterobactericeae and Bacteroides in infants with C-section compared to infants born vaginally. Although the mode of delivery is only one factor that influences infant microbiota composition, studies conclude that reduced microbial exposure during the C-section is important because it can affect dysbiosis several years after birth. Good microbiota is a key source of microbial-driven immune regulation, changes in normal patterns of bacterial colonization can alter the immune development outcome and may predispose to certain immune-related disorders later in life.Summary: The composition and concentrations of intestinal microbiota between vaginally and C-section born infants are significantly different. Among C-section infants, gut microbiota is associated with lower diversity and therefore induces dysbiosis, which can affect immune development and may predispose to some immune disorders, i.e. allergies in particular. Nutritional approach with pre-, probiotics, and/or synbiotics can have a promising effect early in life in preventing gut dysbiosis.
Immune development of children born from Caesarean section Zakiudin Munasir; Levina Chandra Khoe
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0003

Abstract

Several studies results have shown that mode of delivery affects the health of children, and recent studies showed that elective cesarean section (CS) is associated with aberrant short-term immune responses in the newborn baby and an increased risk of developing immune disorders. This article focused on the effect and role of the C-section on the immune development in children. Begin at pregnancy, the infant's immune system is activated and develops years after birth. In this article we find that cesarean delivery mode will influence the offspring's immune system by disrupting the intestinal tract's bacterial colonization, different levels of birth adaptive stress, and altering gene expression epigenetic regulation. Some studies have found that gut microbiome composition plays a significant role in the development of immune system along with other factors such as diet/lifestyle, antibiotic use, formula feeding, vaccination with life vaccine, and pathogen exposure. In early life, disrupted colonization induced dysbiosis that was associated with lower Bifidobacteria and higher counts of C. difficile. These findings are related to infant immune disease and allergy. Dysbiosis following C-section has a huge effect of developing altered immune system, and this microbiome imbalance can be controlled by nutritional support such as maternal breast milk or the use of different combinations of prebiotics and probiotics (synbiotic) which could be beneficial for the immune and metabolic system.
Benefit of synbiotic intervention in Caesarean section born infants and children: A nutritional perspective Saptawati Bardosono; Dian Novita Chandra
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0006

Abstract

The benefit to have infants being delivered physiologically through vagina is amongst others to get maternal microbes transmission that will affect host immunity and metabolic development. However this mode of delivery is not always the choice to infants for several reasons. Therefore, it raises questions whether there is a need to give specific intervention to the caesarean section (C-section) born infants and children for their optimal growth and development, i.e. provision of nutrients with or without pre-, pro- or synbiotics. Nutritional intervention is certainly important to support growth and development of all children, especially those born by C-section. However, in addition, to anticipate perturbation in the gut microbiota there is a need to prepare the C-section born infant through translocation from the mother’s intestinal microbiota, early initiation of breastfeeding and/or synbiotic supplementation formula. The superiority of synbiotic compare to prebiotic or probiotic alone is that synbiotic thought to have synergistic beneficial effects on the immune and metabolic systems in which it compensates the delayed Bifidobacterium colonization in C-section delivered infants and modulates the production of acetate and the acidification of the gut. However we still need to find consistent evidence & recommendation in the world on synbiotic for children in general and specifically for the C-section born infant & children that may have an impact on healthy young children’s gut microbiota.
The Role of Obstetrician in Reducing the Risks of Childhood Allergy Related to Cesarean Birth: A Literature Review Rima Irwinda; Febriansyah Darus; Peby Maulina
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0007

Abstract

Women’s decision on birth mode should consider its risks and benefits, including long-term risks of caesarean among children. This study aims to present the current available evidences on the risks of caesarean towards childhood allergy and how an obstetrician could prevent this outcome through nutrition and education. We searched articles from several online databases about the link between caesarean, childhood allergy, and prenatal intervention. There were significant risks of childhood asthma and food allergy, but it was still unclear for allergic rhinitis and atopic dermatitis. Nutritional intervention could be done for pregnant women with consumption of probiotics and vitamin D supplementation. In addition, prenatal education is necessary to prepare better childhood outcomes.

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