MATERNAL AND CHILD HEALTH STATUS RELATED TO NUTRITIONAL STATUS AND DEVELOPMENT OF CHILDREN DURING LACTATION PERIOD: A CROSS-SECTIONAL STUDY AMONG MOTHERS WITH CHILDREN AGE 0 – 6 MONTHS IN AGRICULTURAL AREAS OF INDONESIA
Nutritional status and development of children during lactation period
Maternal and child health status (MCHS) plays an essential role in the exclusive breastfeeding practice (EBP), which in turn helps to determine the nutritional status and development of children (NSC & CD) aged 0-6 months. This study aimed to determine the prevalence and factors influencing EBP, NSC, and CD to MCHS in Jember, East Java, Indonesia. A family-based survey was conducted among 470 mothers with children aged 0-6 months, by using a stratified random sampling method. Furthermore, a self-administered questionnaire was used to measure the characteristics of children and mothers, MCHS, EBP, NSC (z score with weight per age= WAZ and height per age= HAZ), and CD (pre-screening developmental questionnaire=PSDQ). The prevalence of EBP was 74.7% (95% CI= 65.5 – 81.2%), with influential factors being education, family income, children's age, and distress to limitations. Also, the Z-score of WAZ and HAZ were 2.99±0.22 and 3.01±0.22, respectively (3% of underweight and 1.7% of stunting). The factors influencing WAZ were children's age, birth weight, approach, and attentional shifting. However, the factors that only influenced the HAZ was the children's age. Also, among children three months old, the score of PSDQ was 8.30±1.33 (0.8% of deviation and 56.5% of suspect development), and their influenced factors were mother's work, infant's age, and the weight of birth. Among those that were 6 months old, the PSDQ score was 8.83±1.42 (7% of deviation and 24.3% of suspect development), and their influenced factors were mainly relationship. The analysis of the result further showed that the EBP, NSC, and CD, are related to MCHS, in rural agricultural areas. Therefore, the relationship of the parent-child should function appropriately, in order to support infant growth and development during lactation.
Sinno D, Tamim H, Faytrouni F, Mikati MA, Charafeddine L. Factors affecting child development assessed by the Ages and Stages Questionnaire (ASQ) in an Arabic speaking population. Early Hum Dev. 2018;120:61–6.
General Assembly, United Nations. Transforming our world: The 2030 agenda for sustainable development. 2015. Available from: https//sustainabledevelopment.un.org/content/documents/7891Transforming%20Our%20World pdf. Access 20 December 2019.
Onah S, Ignatius D, Osuorah C, Ebenebe J, Ezechukwu C, Ekwochi U, et al. Infant feeding practices and maternal socio-demographic factors that influence practice of exclusive breastfeeding among mothers in Nnewi South-East Nigeria : a cross-sectional and analytical study. Int Breastfeed J. 2014;9(6):1–10.
Emmott EH, Mace R. Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One. 2015;10(7):1–12.
Susanto T. Buku Ajar Keperawatan Keluarga: Aplikasi Teori pada Praktik Asuhan Keperawatan Keluarga. 1st ed. 2012. Jakarta: Trans Info Media.
Kavitha S, Kokilavani N, Ramamoorthi U. A Comparison of Knowledge Among Primipara and Multipara Mothers on Exclusive Breastfeeding Residing at Selected Areas of Kancheepuram District. Int J Innov Sci Res Technol. 2018;3(4):107–10.
Ministry of Health. Data dan Informasi - Profil Kesehatan Indonesia (Data and Information - Indonesia Health Profil) [Internet]. Jakarta; 2018. Available from: http://www.pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Data-dan-Informasi_Profil-Kesehatan-Indonesia-2017.pdf. Access on 20 December 2019.
Smith ER, Hurt L, Chowdhury R, Sinha B, Fawzi W, Edmond KM. Delayed Breastfeeding Initiation and Infant Survival: A Systematic Review and Meta- Analysis , on Behalf of the Neovita Study Group. PLOS ONE. 2017;12(7):1–16.
Ministry of Health Indonesia. Peraturan Menteri Kesehatan No. 39 Tahun 2016. Pedoman Penyelenggaraan Program Indonesia Sehat Dengan Pendekatan Keluarga Indonesia; 2016 p. 2016.
Ministry of Health Indonesia. Pedoman Umum Program Indonesia Sehat Dengan Pendekatan Keluarga. 1st ed. Jakarta: Ministry of Health Indonesia; 2016. 1–81 p.
Patel M, Prajapti S. A comparative analytic study of knowledge , attitude and practice of breast feeding in primi and multipara women at a tertiary care centre in Gujarat , India. Int J Res Med Sci. 2016;4(10):4403–7.
Girish S, Gandhimathi M. Primipara Mother's Breastfeeding Knowledge, Attitude and Practice of Breasfeeding. Int J Adv Nurs Sci Pract. 2015;2(1):41–8.
Gupta SA, Sharma M, Ekka A, Verma N. Effect of health education on breastfeeding initiation techniques among postnatal mothers admitted in a tertiary care centre of Raipur city , Chhattisgarh. Int J Community Med Public Heal. 2018;5(10):4340–4.
Susanto T, Syahrul, Sulistyorini L, Rondhianto, Yudisianto A. Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia. Korean J Pediatr. 2017;60(10).
Lau Y, Htun P, Lim PI, Ho-Lim S, Klainin-Yobas P. Maternal, infant characteristics, breastfeeding techniques, and initiation: Structural equation modeling approaches. PLoS One. 2015;10(11):1–18.
Hegazi MA, Allebdi M, Almohammadi M, Alna A. Factors associated with exclusive breastfeeding in relation to knowledge , attitude and practice of breastfeeding mothers in Rabigh community , Western Saudi Arabia. World J Pediatr. 2019;15(6):601-609.
Tang L, Lee AH, Binns CW. Factors associated with breastfeeding duration: A prospective cohort study in Sichuan Province, China. World J Pediatr. 2015;11(3):232-238.
Rosenblum KL, Muzik M, Morelen DM, Alfafara EA, Miller NM, Waddell RM, et al. A community-based randomized controlled trial of Mom Power parenting intervention for mothers with interpersonal trauma histories and their young children. Arch Womens Ment Heal. 2017;20(5):673-686.
Susanto T. Public Health Nurse Services For Maternal-Child Immigrant Healthcare: A Literature Review. Cent Eur J Nurs Midwifery. 2018;9(2):848–54.
Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding Cochrane. Cochrane Database Syst Rev. 2012;(1):CD003517.
Little EE, Legare CH, Carver LJ. Mother – Infant Physical Contact Predicts Responsive Feeding among U.S. Breastfeeding Mothers. Nutrients. 2018;10(1251):1–16.
Modinga KJ, Birchb LL, Stiftera CA. Infant temperament and feeding history predict infants' responses to novel foods. Appetite. 2014;83:218–25.
Krol KM, Grossmann T. Psychological effects of breastfeeding on children and mothers. Bundesgesundheitsblatt. 2018;8(June):977–85.
Esterik P Van, Butler S. Breastfeeding and the Well-being of Families [Internet]. WABA Activity Sheet 5. 2019. p. 1–5. Available from: https://www.waba.org.my/resources/activitysheet/acsh5.htm. Access on 14 July 2019.
Marston L. Introductory Statistics for Health and Nursing Using SPSS. 2010. London: SAGE.
Susanto T, Yunanto RA, Rasny H, Susumaningrum LA, Nur KRM. Promoting Children Growth and Development: A community- based cluster randomized controlled trial in rural areas of Indonesia. Public Heal Nurs. 2019;36(4):514–24.
Ware JE, Kosinski M, Keller SD, QualityMetric I, New England Medical Center H, Health Assessment L. SF-12 : how to score the SF-12 physical and mental health summary scales. 2nd ed. Boston: The Health Institute, New England Medical Center; 1995. 1–35 p.
Duncan BL, Miller SD, Sparks JA, Claud DA, Reynolds LR, Brown J, et al. The Session Rating Scale: Preliminary Psychometric Properties of a "Working" Alliance Measure Barry. J Br Ther. 2003;3(1):1–12.
Gartstein MA, Rothbart MK. Studying infant temperament via the Revised Infant Behavior Questionnaire. Infant Behav Dev. 2003;26(1):64–86.
Mohamed MJ, Ochola S, Owino VO. Comparison of Knowledge, Attitudes and Practices on Exclusive Breastfeeding Between Primiparous and Multiparous Mothers Attending Wajir District Hospital, Wajir County, Kenya. Int Breasfeeding J [Internet]. 2012;13(11):1–10.
Dhamayanti M. Kuesioner Praskrining Perkembangan (KPSP) Anak. Sari Pediatr. 2006;8(1):9–15.
Susanto T, Adi RY, Rasny H, Latifa Susumaningrum A, Nur KRM. Promoting Children Growth and Development : A community ‐ based cluster randomized controlled trial in rural areas of Indonesia. Public Health Nurs. 2019;(April):1–11.
Maastrup R, Hansen BM, Kronborg H, Bojesen SN, Hallum K, Frandsen A, et al. Breastfeeding progression in preterm infants is influenced by factors in infants, mothers and clinical practice: The results of a national cohort study with high breastfeeding initiation rates. PLoS One. 2014;9(9).
Hure AJ, Powers JR, Chojenta CL, Byles JE, Loxton D. Poor Adherence to National and International Breastfeeding Duration Targets in an Australian Longitudinal Cohort. PLoS One. 2013;8(1).
Sanders MR, Morawska A, Haslam DM, Filus A, Fletcher R. Parenting and Family Adjustment Scales ( PAFAS ): Validation of a Brief Parent-Report Measure for Use in Assessment of Parenting Skills and Family Relationships. Child Psychiatry Hum Dev. 2014;45:255–72.
David CL. The Outcome Rating Scales (ORS) & Session Rating Scales (SRS): Feedback Informed Treatment in Child and Adolescent Mental Health Services (CAMHS) Prepared. :1–27.
Susanto T, Bachtiar S, Turwantoko T. Performance of Public Health Nurses and Coverage of the Nursing Care Program by Community Health Centers in Jember, Indonesia. Int J Community Based Nurs Midwifery. 2019;7(2):161–8.