Effect of lactation management training on feeding pattern from birth to 6 months of age

  • Rulina Suradi Faculty of Medicine University of Indonesia
  • Sujana Jatiputra Faculty of Public Health University of Indonesia
  • Anthony Tan National Family Planning Coordinating Board
  • Gulardi H. Wiknjosastro Faculty of Medicine University of Indonesia
  • Lukman Tarigan Faculty of Public Health University of Indonesia
Keywords: feeding pattern, management training,

Abstract

This quasi-experimental study involved 13 health centers (Puskemas) in Jakarta. Six hundred and four pregnant women were recruited.  They were divided in to two groups. Subjects in Group 1 were given 3 Limes extra-training In breastfeeding management, i.e. at recruitment then during hospitalization for delivery and lastly at one month follow-up. Subjects in Group 2 was only given #roullnc #informaton at the health ccnu'cs where Lhcy did their antenatal care. Duta were collected at recruitment (in the last uimcstcr of pregnancy), 0.1 birth, and every month thereafter for six months. At recruitment there were no sib1J1ificanl diITcrcncc the two groups regarding age of the mOlher, parity, number of living chddren, and age of the last livrng chlld. At bIrth 96.2% of Group 1 mothers started breaslfeeding soon after birth and only 80.5% of Group 2 mothers did so. Prelacleru feedmgs were given to 20.5% of babies of Group 2 and only 5.5% of babies of Group 1; the difTerence statistically significant. The kind of prelacteal feed also dIffered between the two groups. Water was the most frequent  preioctcai feed given by Group I mothers while in Group 2 mothers it was milk formula. At the nge of 6 months there was no difference between the two groups in the proportion of breastfeeding (99.2% in Group 1 versus 98,7% in Group 2 mothers). The proportion of exclusive breast feeding at the age of 4 months was 60.7% in Group 1 and 36.70/0 in Group 2. We conclude ulal extra training to pregnant and ncw mothers may change their attitude and skill in feeding their infants.

References

1. Ahn CH, Mclean Jr WC. Growth of the exclusively breast-fed infant. Am J Clin Nutr 1980:33: 183-92.
2. Rogan WJ, Gladen Be. Breastfeeding and cognitive development. Early Hum Dev 1993; 31:191-3.
3. Lawrence RA. Breastfeeding: a guide for the medical profession. St Louis; Mosby, 1989.
4. Badan Koordinasi Keluarga Berencana Nasional, Departemen Kesehatan RepubJik Indonesia, Jaringan Epidemiologi Nasional dan University Research Corporation (1990).
Menyusui dan keluarga berencana. Pedoman Petugas KB- Kesehatan.
5. Iskandar MB, Costello C, Nasution Y. Initiation and duration of breastfeeding in Indonesia. Asia-Pasific Popul J 1990. vo15 No. 1.
6. Joesoef MR, Annest JL, Utomo B. A recent increase of breastfeeding duration in Jakarta, Indonesia. Am J Publ Hlth 1989; 79:36-8.
7. WHO :Demographic Health SUIVey (1986-1989).
8. Musadad DA. Data air susu ibu dalam SKRT 1992 dan SDKl 1991. (Analisis dan pengembangannya. Dipresentasikan pada rapat sub PokJa Kurikulum dan Diklat PP-ASI Kantor Menteri UPW, 30 Juni 1993.
9. Hofvander Y, Barvazian PA. WHO collaborative study on breastfeeding. Acta Paediatr Scand l 978; 67:556.
10. Castle MA, WinikofT B, Trastotenojo MS, Muis F. Infant feeding in Semarang in feeding infants in foUl societi es, eds Beverly WinikofT et al. Greenwood Press, New York; Westport, Connecticut; London; 1988:98-120.
11. Suradi R, Wisnumurti DA: The evaluation of the breastfeeding promotion policy in Dr. Cipto Mangunkusumo General Hospital, Jakarta. Pediatr Indones 1995; 35:61-70.
12. Effect of lactation training on feeding pattern 1 2. Neifert MR, Seacat JM. Contemporary breastfeeding managemant. Clin Pemato
1 985,12:319-42.
13. Salaniya EM, Easton PM, Cater JI. Duration of breastfeeding after early initiation and frequent feeding. Lancet 1 978; 2: 1 141-3.
14. Herera AJ. Supplemented versus unsupplemented breastfeeding. Perinatol Neonato 1984; 8:70-71.
15. Schutzman DJ., Hervada AR, Branca PA. Effects of water supplementation of fullterm newborns on anival of milk in the nursing mother. Clin Pediatr 1986; 25:78-80.
16. UNICEF: Situasi Anak di Dunia 1993.
17. Tuchinda P. Infant feeding in Asian countries. Tanphaichit et al eds: Human Nutrition Better Nutrition Life; 1:67-71. Aksomsmai Press, Bangkok 1984.
18. ESPGAN committee on nutrition guidelines on infant nutrition ll: Recommendation for the composition of follow-up formula and beikost. Acta Pediatr Scand 1 981. Suppl 287: 20-5.
19. Wharton BA. The weaning. A cinderella of human nutrition. The Hongkong J Pedia: 1988; Suppl,1:34-42.
Published
1999-06-30
How to Cite
1.
Suradi R, Jatiputra S, Tan A, Wiknjosastro G, Tarigan L. Effect of lactation management training on feeding pattern from birth to 6 months of age. PI [Internet]. 30Jun.1999 [cited 25Apr.2024];39(5-6):117-6. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1687
Received 2017-11-16
Published 1999-06-30