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All Journal Sari Pediatri Paediatrica Indonesiana
Toto Wisnu Hendrarto
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Health Professions Medicine & Pharmacology

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Pengaruh Asupan Nutrisi pada Bayi Prematur dengan Pertumbuhan Ekstrauteri Terhambat di Rumah Sakit Anak Bunda Harapan Kita Toto Wisnu Hendrarto; Wida Ayu Nurahma; Marpauling Marpauling; Karina Karina
Sari Pediatri Vol 22, No 3 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.3.2020.169-75

Abstract

Latar belakang. Tantangan tatalaksana bayi prematur adalah terjadinya pertumbuhan ekstra uteri terhambat karena kecukupan nutrisi tidak sesuai dengan kebutuhan pertumbuhannya. Tujuan. Mengetahui distribusi terjadinya PEUT menurut asupan jenis nutrisinya. Metode. Penelitian deskriptif retrospektif dari rekam medik bayi prematur dirawat di Rumah Sakit Anak Bunda Harapan Kita pada Juli 2018 – Juli 2019. Hasil. Penelitian ini melibatkan 128 bayi prematur. Jenis asupan nutrisi yang diterima adalah ASI, ASI dengan fortifikasi human milk fortifier, ASI dengan susu formula prematur dan susu formula prematur saja. Bayi prematur yang mengalami PEUT berjumlah 55 (43%). Risiko terjadinya PEUT 1,08 dan 1,78 berturut-turut pada ASI dibandingkan dengan susu formula serta ASI dibandingkan dengan ASI ditambah HMF. Percepatan pertumbuhan tertinggi pada kelompok PEUT yang mendapat ASI dengan fortifikasi HMF (14 gram/kgBB/hari), terendah pada kelompok susu formula prematur (4,6 gram/kgBB/hari). Percepatan kenaikan berat badan hampir sama pada semua bayi prematur dalam kelompok pertumbuhan normal (11,5 – 13,7 gram/kgBB/hari). Kesimpulan. Air susu ibu adalah pilihan terbaik dalam pemberian introduksi nutrisi enteral pada periode kritis perawatan bayi prematur. Jenis nutrisi enteral pada periode pertumbuhan disesuaikan dengan kecukupan kebutuhan masing-masing bayi prematur.
Preterm infant physiological responses to music therapy: a systematic review Ferry Liwang; Dinarda Ulf Nadobudskaya; Indah Lestari; Toto Wisnu Hendrarto
Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.848 KB) | DOI: 10.14238/pi58.5.2018.242-51

Abstract

Background Prematurity is still the leading cause of mortality and morbidity in neonates. The premature change of the environment causes stress, which leads to hemodynamic instability. Music therapy may have a positive impact on hemodynamic parameters of preterm infants in the NICU. Objective To evaluate preterm infants’ physiological responses to music therapy in NICU setting. Methods A systematic review was performed in 12 electronic databases from March 2000–April 2018. Our review included all English language publications on parallel or crossover RCTs of music therapy versus standard care or placebo in preterm infants. The outcomes were physiological indicators [heart rate (HR), respiratory rate (RR), and oxygen saturation (SaO2)]. Risk of bias was assessed using the Revised Cochrane risk of bias tool for randomized trials (RoB 2.0). Results The search yielded 20 articles on 1,148 preterm infants of gestational age 28 and 37 weeks, who received recorded music, recorded maternal/male voice or lullaby, or live music interventions in the NICU with intensity of 30–76 dB. Recorded music improved all outcomes in 6, 6, and 4 of 16 studies for HR, RR, and SaO2, respectively. Seven studies used classical music as melodic elements. However, eight studies showed no significant results on all outcomes. Conclusion Despite the finding that music interventions demonstrate promising results in some studies, the variation in quality of the studies, age groups, outcome measures, as well as type and timing of the interventions across the studies make it difficult to draw overall conclusions about the effects of music in preterm infants.
Co-Authors Dinarda Ulf Nadobudskaya Ferry Liwang Indah Lestari Karina Karina Marpauling Marpauling Wida Ayu Nurahma