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trum and symptoms of intestinal obstruction (SIO) or neonatal ne-
crotizing enterocolitis (NNEC).
Methods This was a longitudinal cohort study in four subdistricts
in West Lombok involving mothers and live newborns. Mothers
were interviewed about prenatal care, delivery process, and prac-
tice of colostrum feedings. Neonates were followed everyday for
28 days by field assistants for signs of intestinal obstruction or
NNEC. We used X 2 test to analyze the association between the
absence of colostrum feeding and the occurence of SIO and stu-
dent t test to compare the average of colostrum feeding between
the SIO and the non-SIO group.
Results 3420 live newborns between 1993-1994 were observed.
1900 mothers gave colostrum while 1520 did not. The incidence of
SIO was 1.8%. There was a significant association between the
absence of colostrum feeding and the occurence of the SIO (RR
1.816; 95%CI 1.08-3.06; p=0.028). No infants with NNEC were
Conclusion The absence of colostrum feeding is an important
risk factor for the occurence of SIO and NNEC in neonates
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