Early initiation of breastfeeding at Dustira Hospital
Abstract
Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.
Objective To assess the success rate and time needed for latching on in EIB implementation.
Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.
Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).
Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.
References
Sfeir R, Bonnard A, Khen-Dunlop N, Auber F, Gelas T, Michaud L, et al. Esophageal atresia: data from a national cohort. J Pediatr Surg. 2013;48:1664-9.
Sugito K, Koshinaga T, Hoshino M, Inoue M, Goto H, Ikeda T, et al. Study of 24 cases with congenital esophageal atresia: what are the risk factors? Pediatr Int. 2006;48:616-21.
Lilja HE, Wester T. Outcome in neonates with esophageal atresia treated over the last 20 years. Pediatr Surg Int. 2008;24:531-6.
Petrosyan M, Estrada J, Hunter C, Woo R, Stein J, Ford HR, et al. Esophageal atresia/tracheoesophageal fistula in very low-birth-weight neonates: improved outcomes with staged repair. J Pediatr Surg. 2009;44:2278-81.
Deurloo JA, de Vos R, Ekkelkamp S, Heij HA, Aronson DC. Prognostic factors for mortality of oesophageal atresia patients: Waterston revived. Eur J Pediatr. 2004;163:624-5.
Deurloo JA, Smit BJ, Ekkelkamp S, Aronson DC. Oesophageal atresia in premature infants: an analysis of morbidity and mortality over a period of 20 years. Acta Paediatr. 2004;93:394-9.
Chandler N, Colombani PM. The esophagus. In: Holcomb III GW, Murphy JP, Ostlie DJ, editors. Aschraft’s pediatric surgery. 5th ed. Philadelphia: Elsevier-Inc; 2010. p. 330-44.
Harmon CM, Coran AG. Congenital anomalies of esophagus. In: Grossfeld JL, O’Neil Jr. JA, Fonkalsrud EW, Coran AG, editors. Pediatric Surgery. 6th ed - Vol 1. Philadelphia: Mosby, Inc; 2006. p. 1051-81.
Spitz L. Oesophageal atresia. Orphanet J Rare Dis. 2007;2:24.
Spitz L. Esophageal atresia. Lessons I have learned in a 40-year experience. J Pediatr Surg. 2006;41:1635-40.
Deurloo JA, Ekkelkamp S, Schoorl M, Heij HA, Aronson DC. Esophageal atresia: historical evolution of management and results in 371 patients. Ann Thorac Surg. 2002;73:267-72.
Antonoff M, Marquez T, Saltzman D. Physiology of the newborn. In: Holcomb III GW, Murphy JP, Ostlie DJ, editors. Ashcraft’s Pediatric Surgery. 5th ed. Philadelphia: Elsevier, Inc; 2010. p. 3-31.
Davari HA, Hosseinpour M, Nasiri GM, Kiani G. Mortality in esophageal atresia: assessment of probable risk factors (10 years’ experience). J Res Med Sci. 2012;17:540-2.
Luchtman-Jones L, Wilson DB. The blood and hematopoietic system. In: Martin RJ, Fanaroff AA, Walsh MC, editors. Neonatal-perinatal medicine-diseases of the fetus and infant. 9th ed – Vol 2. St. Louis-Missouri: Elsevier, Inc; 2011. p. 1303-60.
Hutchinson RJ. Surgical implications of hematologic disease. In: Grossfeld JL, O’Neil Jr. JA, Fonkalsrud EW, Coran AG, editors. Pediatric Surgery. 6th ed - Vol 1. Philadelphia: Mosby, Inc; 2006. p. 178-91.
Neville KA, Wicklund BM, Woods GM. Coagulopathies and sickle cell disease. In: Holcomb III GW, Murphy JP, Ostlie DJ, editors. Ashcraft’s pediatric surgery. 5th ed. Philadelphia: Elsevier-Inc; 2010. p. 61-73.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Accepted 2015-12-02
Published 2015-06-30