Pengaruh status gizi ibu menyusui terhadap eksklusivitas pemberian ASI dan pertumbuhan bayi di RSUD Prof. Dr. WZ. Johannes Kupang

Beatrix Soi(1*), Madarina Julia(2), R Dwi Budiningsari(3)

(1) Politeknik Kesehatan Kupang NTT
(2) Bagian Anak RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
(3) Magister Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author


Background : Numerous research have been made to find out contributive factors of the exclusive breastfeeding.

Objective: The objective of this study was to find out whether mothers’ nutritional status had any influence on the exclusivity of breastfeeding and  on the growth of their babies up to 4 months.

Methods: This observational study was carried out with a prospective cohort design and lasted from November 2004 to May 2005. The subjects were 80 pairs of mother and baby treated at the Obstetric and Gynecology Unit (UPF) of Local Public Hospital (RSUD) Prof. Dr. W.Z. Johannes at Kupang – NTT. The subjects were divided into two groups namely Undernutrition status group marked by <23,5 cm mid arm-circumference, and control group comprised 46 mothers of well- nutrition  status who had bigger mid arm-circumference >23,5 cm. Observed babies were those of normal or spontaneous delivery, non twin with >2500 g birth weight. Follow up observations were made at family home and the data on breastfeeding characteristics were collected by interview, babies weight were measured by Secca baby scale with 0,01 kg level of accuracy mid arm-circumference was measured by means of LILA tape, and body length was measured using length-board. Tools measure with 0,1 cm level of accuracy. Some statistical tests were used namely Chi-Square; student’s t-test; and while Kaplan Meier log-rank test as needed.

Results: More than 50% of under-nutrition mothers were under 25 years old. Chi-Square test shows that significant difference between mother’s age was (p=0,04). More than 50% of the KEK group gave birth for the first time or ‘primipara’ (p=0,25). Kaplan Meier analysis showed that  there was no difference between survival median of breastfeeding be- tween the both group (p=0,53). t-test showed that there were significant differences of the babies body weight of the both KEK and non KEK mothers, namely pd”0,01, p=0.01, and p=0.03 in the first, second, third, and the fourth month respectively. In terms of the average babies body length, the t-test also showed significant differences between both groups with p=0.02 and p=0.01 in the third and the fourth month respectively.

Conclusion: I can be concluded that mother’ nutrition status did not have any influence on the exclusivity of breastfeeding, however, it did significantly influence babies growth from 0- 4 month.


nutrition status; lactating mother; exclusive breastfeeding; baby's growth

Full Text:



Lawrence RA. Breast-Feeding, a Guide for The Medical Profession. St.Louis, Toronto, London:The Mosby Company; 1980.

Gillespie S, Milla MC, Roger S, editors. Combatting Malnutrition. The World Bank; 2003.

World Health Organization. Evidence for the Ten Steps to Successful Breastfeeding. WHO/CHD/98.9; 1998.

Soetjiningsih, editors. Asi Petunjuk untuk Tenaga Kesehatan, Seri Gizi Klinis. Jakarta: EGC; 1997.

Irawati A, Widodo Y, tus Kini dan Harapan di Masa Depan. Prosiding Konas XII Persagi; 2002.

Badan Pusat Statistik Nasional. Survey Demografi dan Kesehatan Nasional, 2002-2003. 7.

Moore K, Chute G. Newborn Nutrition. Dalam: Simson KR, Creehan PA. Perinatal Nursing. Philadelphia; Lippincot;1996.

Jelliffe DB, Jelliffe EFP. Human Milk in the Modern World, Psychosocial, Nutritional and Economic Significant. Oxford, NewYork, Toronto: Oxford University Press; 1978. 9.

Pemda Propinsi Nusa Tenggara Timur. Profil Kesehatan Nusa Tenggara Timur 2002. Kupang: Dinas Kesehatan; 2003.

Dawson B, Trap RG. Basic & Clinical Statistic. Boston, Toronto, Singapore: Lange Medical Books; 2001.

Hediger ML, Overpeck MD, Ruan WJ, TroendleJF. Early Infant Feeding and Growth Status of US – born Infants and Children aged 4-71 Month, Analysis from the third National Health and Nutrition Examination Survey, 1988-1994. Am J Clin Nutr 2000;72:159-67.

Ahmed S, Parveen SD, Islam A. Infant Feeding Prac- tice in Rural Bangladesh: Policy Implications, J Trop Pediatr 1999; 45:37-41.

Righard L. Early Enhancement of Successful Breast- feeding. World Health Forum 1996;17:1006-11.

Tappero EP, Honeyfield ME. Physical Assesment of the New-born, NICU Link,CA; 1993.

Bhaskaram P. The Cycle of Malnutrition and Women’s Health. National Institute of Nutrition Hyderabad; 2001. p. 22:4.

Moore VM, Davies MJ, Wilson KJ, Worsley A, Robinson JS. Dietary Composition of Pregnant Women is Related to Size of the Baby at Birth. J Nutr 2004;134(7):1820-26.

Worthington-Roberts BS. Nutrition During Pregnancy and Lactation. Dalam: Mahan MK, & Arlin MT. Food, Nutrition & Diet Therapy. Philadelphia: WB.Saunders Company; 1992.

Suradi R. Spesifitas Biologi Air Susu Ibu. Sari Pediatri 2001;3(3):134-40.

Institut of Medicine. Nutritional During Lactation; Lactation Performance of Mothers with Contrasting Nutritional Status in Rural Kenya. Washington DC: Nation Acedemi Press;1991.

Bloss E, Wainaina F, Bailey RC. Prevalence and Predictor of Underweight, Stunting and Wasting among Children Aged 5 and Under in Western Kenya. J Trop Pediatr 2004;50:267-71.

Jua’at I, Jahari AB, Achadi, Endang L, Putra H, Soekirman. Penyimpangan positif Masalah KEK di Jakarta Utara dan di Pedesaan Kabuparen Bogor Jawa Barat. Dalam: Widia Karya Nasional Pangan dan GIZI VII. 2000.

Departemen Kesehatan Republik Indonesia. Surat Keputusan Menteri Kesehatan No. 913, tanggal 29 Juli 2002, tentang Angka Kecukupan Gizi yang dianjurkan bagi bangsa Indonesia. 2002.

Simondon KB, Simondon F, Costes R, Delaunay F, Diallo A. Breastfeeding is Assosiated with Improve Growth in Length, but not Weight, in Rural Senegales Tolders. Am J Clin Nutr 2003;77:937-42.

Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lonerdal B. Growth of Breastfed and Formula Fed Infants from 0 to 18 Months. The DARLING Study. Pediatrics 1992:89:1035-41.


Article Metrics

Abstract views : 9415 | views : 8091


  • There are currently no refbacks.

Copyright (c) 2016 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:

web stats View My Stats