Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia

https://doi.org/10.22146/jkr.35436

Utami Dewi(1*), Siswanto Agus Wilopo(2), Tunjung Wibowo(3)

(1) Universitas Hangtuah, Pekanbaru
(2) Department of Biostatistics, Epidermiology, and Population Health
(3) Department of Pediatrics, Faculty of Medicine, University of Gadjah Mada
(*) Corresponding Author

Abstract


Background: It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.

Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.

Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with KaplanMeier, Log regression and Cox regression.

Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).

Conclusion: Pre-lacteal feeds showed a significant result with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and ≥ 35 years, low economic status, and birth assistant with non professional.

Keywords: infant’s survival, pre-lacteal feeds, infant


Keywords


infant’s survival; pre-lacteal feeds; infant

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DOI: https://doi.org/10.22146/jkr.35436

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