Association between the absence of colostrum feeding and symptoms of intestinal obstruction or neonatal necrotizing enterocolitis

Main Article Content

Hananto Wiryo
M. Hakimi
A. Samik Wahab
Pitono Soeparto


Objective To assess the relationship between withholding colos-
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
given colostrum.
Conclusion The absence of colostrum feeding is an important
risk factor for the occurence of SIO and NNEC in neonates

Article Details

How to Cite
Wiryo H, Hakimi M, Wahab A, Soeparto P. Association between the absence of colostrum feeding and symptoms of intestinal obstruction or neonatal necrotizing enterocolitis. PI [Internet]. 10Oct.2016 [cited 9Jul.2020];44(1):7-1. Available from:
Author Biographies

Hananto Wiryo

Departments of Pediatrics, Mataram General Hospital/Division
of Nutrition and Medical School, Udayana University, Denpasar, Indo-

M. Hakimi

Department of Obstetric and Gynecology, Medical School,
Gadjah Mada University, Yogyakarta, Indonesia

A. Samik Wahab

Department of Pediatrics, Medical School, Gadjah Mada University, Yogyakarta

Pitono Soeparto

Department of Pediatrics, Medical School, Airlangga University, Surabaya, Indonesia
Received 2016-09-28
Accepted 2016-09-28
Published 2016-10-10


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