Fiva Aprilia Kadi
Faculty of Medicine Universitas Padjajaran/Hasan Sadikin Hospital, Bandung

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Malnourished Under-Five Children Feeding Practices in Cipacing Village 2012 Herawati, Dewi Marhaeni Diah; Kadi, Fiva Aprilia; Fujianti, Shinta Tresna
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (669.202 KB)

Abstract

   Background: Maternal parenting, especially feeding practices, is very important in childhood period and may affect the child’s nutritional state. Proper nutrition affects the growth and development of children. The aim of this study is to describe parenting feeding practices in malnourished under-five children.Methods: A descriptive study on 43 mothers with malnourished under-five children aged 12−59 months was performed in Cipacing Village, Jatinangor, Sumedang during the periode of October−November 2012. Results: The composition of children based on their malnutrition status and description on good and poor parenting were presented in the result. Twenty two children (51.2%) were severely under nourished, 18 children (41.9%) were under nourished, and 3 children (7%) experienced overweight. Good maternal parenting was identified in child nurturing (86%), feeding frequency (93%), feeding style (62.8%), and situation of feeding (74.4%) while poor maternal parenting was observed in feeding time (55.8%) and types of food given (51.2%). Conclusions: Maternal parenting plays an important role in children nutrition status.Keywords: Children, feeding practice, malnutrition, maternal parentingDOI: 10.15850/amj.v2n1.435 
Hematology scoring model to predict sepsis in preterm neonates Suryani, Yani Dewi; Yuniati, Tetty; Kadi, Fiva Aprilia; Primadi, Aris
Paediatrica Indonesiana Vol. 64 No. 5 (2024): September 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.5.2024.389-97

Abstract

Background Neonatal sepsis is a major cause of neonatal morbidity and mortality, especially in developing countries. Atypical clinical symptoms lead to delays in diagnosis and treatment. Scoring a combination of routine hematology parameters may be able to predict the occurrence of sepsis in preterm neonates. Objective To formulate a new model for neonatal sepsis scoring from various complete blood count parameters to predict sepsis in preterm neonates. Methods This analytical cross sectional study using secondary data from the Registry of the Neonatology Division was conducted at the RSUP Dr. Hasan Sadikin, Bandung, West Java. Subjects were neonates diagnosed with sepsis, of gestational age 28–36 weeks, who were born at the RSUP Dr. Hasan Sadikin from January to December 2021. Laboratory results of patients who met the inclusion criteria were recorded. Subjects were divided into either proven sepsis and probable sepsis groups, based on blood culture results. Results Of 112 subjects, 35.7% had proven sepsis and 64.3% probable sepsis. In the proven sepsis group, 52.5% of subjects were male, median birth weight was 1,490 grams, median gestational age was 32 weeks, 90% were small for gestational age, and 60% were delivered normally. Multivariable analysis by multiple logistic regression revealed that the parameters associated with the incidence of neonatal sepsis were c-reactive protein (CRP) > 0.18 mg/dL (score 6), hematocrit <40% (score 4), platelet-to-lymphocyte ratio (PLR) < 19.623 (score 4); monocyte-lymphocyte ratio (MLR) < 0.461 (score 2); and mean platelet volume (MPV) value >10 (score 2). Score >8 had a sensitivity of 85% and specificity of 70.8%, with area under the ROC curve of 0.865 (P<0.001). Scoring accuracy was 75.8%, with a positive predictive value of 61.8%, a negative predictive value of 89.5%, and Kappa index of 51.5% with moderate agreement. Conclusion A hematological score >8 can be used as a predictor of sepsis in preterm neonates.
Umbilical Venous Catheter Position Evaluation in Hasan Sadikin General Hospital : Overview of the Time Required Suryaningrat, Filla Reviyani; Primadi, Aris; Kadi, Fiva Aprilia; Hudayari, Devatri; Ediwan, Natasha Amalda; Yuniati, Tetty
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 3 No. 2 (2024): APGHN Vol. 3 No. 2 May 2024
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.3.2.2024.8-14

Abstract

Background: An umbilical venous catheter (UVC) is one of the most frequently used access in neonates. In developed countries, bedside ultrasonography (USG) is used in assessing the position of the UVC catheter’s tip. However, this is difficult to be implemented in developing countries. In Indonesia, which categorized as a middle- income developing country, the evaluation of UVC mainly used chest radiographs. However, this procedure would take time. The delay in ascertaining UVC positioning through chest radiography among neonatologists in Indonesia remains unstudied, despite its potential on the clinical efficacy. Therefore, this study aimed to determine the time required for the installation of the UVC and the interval from the completion of UVC insertion until the release of the chest radiography result. Method: In this prospective observational cohort study, neonates requiring UVC access were examined in Dr. Hasan Sadikin Hospital in Bandung, West Java. Patients underwent anthropometric measurements and UVC installation. Duration required for UVC installation and the interval between the completion of UVC insertion and the release of the chest radiography result were documented. Descriptive data were shown in percentage, mean and standard deviation. Result: 127 neonates were studied. The average time taken for UVC insertion was 31 minutes and the average time taken from the completion of UVC insertion until the release of chest radiography results was 6 hours. Conclusion: The long wait for chest radiography results significantly delayed the administration of fluids, medications, and parenteral nutrition in this study. Therefore, we need alternative tools to evaluate the UVC location that can be used bedside right after the installation.
Kejadian Respiratory Distress Syndrome pada Bayi Lahir Prematur di Rumah Sakit Hasan Sadikin Bandung Kadi, Fiva Aprilia; Paramita, Ajeng Anggia; Rakhmilla, Lulu Eva
Sari Pediatri Vol 26, No 1 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.1.2024.9-15

Abstract

Latar belakang. Respiratory Distress Syndrome adalah masalah serius yang menyebabkan morbiditas dan mortalitas tinggi pada bayi prematur. Beberapa faktor risiko, antara lain, jenis kelamin laki-laki, ibu dengan diabetes melitus, ketuban pecah dini, hipertensi, usia ibu <20 tahun, persalinan sesar, berat lahir <2500 gram, dan paritas.Tujuan. Penelitian ini bertujuan untuk mengidentifikasi kejadian Respiratory Distress Syndrome pada bayi prematur.Metode. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Subjek dipilih secara consecutive sampling dari data rekam medis. Kriteria inklusi adalah bayi berusia kurang dari 37 minggu dan kriteria eksklusi bayi kembar, bayi dengan sepsis, serta data rekam medis yang tidak lengkap. Dari 872 data didapatkan sampel 361 bayi yang memenuhi kriteria. Analisis data menggunakan uji univariat, bivariat (Chi-square), dan multivariat (regresi logistik).Hasil. Analisis bivariat menunjukkan bahwa usia ibu ?20 tahun, usia kehamilan <28 minggu, berat lahir <2500 gram, dan jenis kelamin laki-laki memiliki hubungan signifikan. Analisis multivariat menunjukkan dua faktor risiko signifikan: (1) Usia ibu <20 tahun memiliki pengaruh lebih besar dalam pencegahan dibandingkan dengan usia ibu ?20 tahun (p=0,000; OR IK95%: 0,089-0,402), dan (2) Berat lahir bayi <2500 gram meningkatkan risiko lebih dari tiga kali lipat untuk mengalami Respiratory Distress Syndrome dibandingkan dengan berat lahir ?2500 gram (p=0,024; OR IK95%: 1,162-8,872).Kesimpulan. Faktor risiko kejadian Respiratory Distress Syndrome pada bayi prematur sangat erat kaitannya dengan kondisi ibu dan bayi, seperti usia ibu, berat lahir, usia kehamilan, dan jenis kelamin. Dalam penelitian ini tidak ditunjukkan hubungan signifikan akibat faktor lain, seperti Diabetes Melitus, hipertensi, PROM, paritas, dan jenis persalinan.