Chair, lmral
Indonesian Pediatric Society

Published : 2 Documents

Found 2 Documents

Acceptance of The Kangaroo Care Method by Mothers in Rural Area

Paediatrica Indonesiana Vol 38 No 9-10 (1998): September 1998
Publisher : Indonesian Pediatric Society

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We evaluate the acceptance of Kangaroo Care Method (KCM) among ruralmother giving birth to LBW infants in the rural health centers of 3 provinces in Indonesia, from June 1 through November 30, 1997. All mothers giving birth to LBW infants (birth weight 1500-2500 grams) seen by the rural team on the first day with no morbidity requiring hospitalisation were included in this study. One hundred and sixteen mothers fulfilled the criteria, most of them (62.1%) were between 20-29 years of age. Birthweight between 2000-2500 grams was found in 86.2%, of infants, and 67.3% are fullterm small for date babies. Most respondents accepted the KCM because they were interested in a new and practical method showed by the midwife; 11.8% accepted it because it resembled the local habit. All the mothers in the three locations had a positive perception on the benefit of KCM; 90% found that their babies were more calm, 92.7%, said that their babies slept more and 85.4% said that their babies breastfed more often. As for their feelings, everyone said that they felt happy. As many as 86.4% of mothers practiced the use of KCM during the 28 days, but only 40% of them used them for a total of more than 5 hours a day. More than 80% of the mothers had support from the family and more than 60% had a substitute for the KCM. We conclude that KCM was feasible and acceptable among the rural community.

Feeding difficulties in children with cerebral palsy

Paediatrica Indonesiana Vol 48 No 4 (2008): July 2008
Publisher : Indonesian Pediatric Society

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Background Children with cerebral palsy (CP) often have feedingdifficulties due to their disability. This results in inadequate calorieintake which finally leads to malnutrition. Several studies foundthat 30-90% of children with CP have feeding difficulties associ-ated with malnutrition. There has been no sufficient publisheddata about this problem in Indonesia.Objective To determine the prevalence of feeding difficulties andmalnutrition in children with CP.Methods A cross-sectional study was done from January toSeptember 2005 in the pediatric outpatient clinic of Dr. CiptoMangunkusumo Hospital (CMH). Children with CP underwentnutritional and feeding difficulties assessment. Nutritional sta-tus was determined by the ratio of body weight to body heightstandardized to CDC-NCHS 2000 growth curve and wereclassified based on Waterlow. Calorie intake was evaluated bydietary analysis and defined as adequate if it reached 13.9 kcal/em BH ± 10%. Feeding difficulties assessment included historytaking, physical examination and observation of feeding skill inthe outpatient clinic.Results Fifty-five children with CP were included in this study,most of them were spastic type, mainly spastic diplegic and spasticquadriplegic cerebral palsy (SQCP). Malnutrition was found in76% subjects, most were SQCP. Feeding difficulties were found in76% subjects, half of them were SQCP, 38% with spastic diplegic.Thirty- eight percents of the parents whose children had feedingdifficulties was not aware of these problems in their children.Parallel with data above, 78% subjects received inadequatecalorie intake.Conclusions The prevalence of undernourished and severemalnutrition in children with CP is 66% and 11% respectively.Malnutrition in CP patients tends to be related with inad-equate calorie intake due to feeding difficulties that is found in78% subjects especially those with SQCP