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All Journal Sari Pediatri Paediatrica Indonesiana Jurnal Plastik Rekonstruksi Medica Hospitalia ASEAN Journal of Community Engagement Jurnal Sosial dan Teknologi Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Luh Karunia Wahyuni, Luh Karunia
Departemen Ilmu Kesehatan Fakultas Kedokteran Universitas Indonesia Anak/Rumah Sakit Cipto Mangunkusumo, Jakarta
Humanities Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Journal : Paediatrica Indonesiana

 1 
Feeding difficulties in children with cerebral palsy Hikari Ambara Sjakti; Damayanti Rusli Syarif; Luh Karunia Wahyuni; lmral Chair
Paediatrica Indonesiana Vol 48 No 4 (2008): July 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi48.4.2008.224-9

Abstract

Background Children with cerebral palsy (CP) often have feedingdifficulties due to their disability. This results in inadequate calorieintake which finally leads to malnutrition. Several studies foundthat 30-90% of children with CP have feeding difficulties associ-ated with malnutrition. There has been no sufficient publisheddata about this problem in Indonesia.Objective To determine the prevalence of feeding difficulties andmalnutrition in children with CP.Methods A cross-sectional study was done from January toSeptember 2005 in the pediatric outpatient clinic of Dr. CiptoMangunkusumo Hospital (CMH). Children with CP underwentnutritional and feeding difficulties assessment. Nutritional sta-tus was determined by the ratio of body weight to body heightstandardized to CDC-NCHS 2000 growth curve and wereclassified based on Waterlow. Calorie intake was evaluated bydietary analysis and defined as adequate if it reached 13.9 kcal/em BH ± 10%. Feeding difficulties assessment included historytaking, physical examination and observation of feeding skill inthe outpatient clinic.Results Fifty-five children with CP were included in this study,most of them were spastic type, mainly spastic diplegic and spasticquadriplegic cerebral palsy (SQCP). Malnutrition was found in76% subjects, most were SQCP. Feeding difficulties were found in76% subjects, half of them were SQCP, 38% with spastic diplegic.Thirty- eight percents of the parents whose children had feedingdifficulties was not aware of these problems in their children.Parallel with data above, 78% subjects received inadequatecalorie intake.Conclusions The prevalence of undernourished and severemalnutrition in children with CP is 66% and 11% respectively.Malnutrition in CP patients tends to be related with inad-equate calorie intake due to feeding difficulties that is found in78% subjects especially those with SQCP
A comparison of objective and subjective measurements of non-nutritive sucking in preterm infants Luh Karunia Wahyuni; Irawan Mangunatmadja; Risma Kerina Kaban; Elvie Zulka Kautzia Rachmawati; Melinda Harini; Budiati Laksmitasari; Agatha Geraldyne; Inez Ayuwibowo Sangwidjojo; Dini Prima Utami; Victor Prasetyo Poernomo; Adrian Prasetya Sudjono
Paediatrica Indonesiana Vol 62 No 4 (2022): July 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.4.2022.274-81

Abstract

Background Of preterm infants born before 32 weeks of gestation, 40-70% have atypical and immature feeding skills, which could delay initiation of oral feeding. A formal objective measurement of non-nutritive sucking may increase the accuracy of determining the right time to initiate oral feeding, however, most hospital perinatology care units do not own a suction pressure measurement device to objectively measure non-nutritive sucking parameters. Objective To compare objective and subjective non-nutritive sucking (NNS) based on sucking pressure, number of suctions per burst, and time between bursts. Methods One hundred twenty preterm infants born at 28-34 weeks’ gestation were evaluated for objective and subjective NNS. Data were collected from August to November 2021 at five hospitals in Jakarta. Objective NNS was measured by a suction pressure measurement device, while subjective NNS was clinically examined. Number of suctions per burst, sucking pressure, and time between bursts were analysed by Spearman’s correlation test. Results A positive and significant correlation between objective and subjective NNS was found in all parameters (P<0.001). The highest correlation was found in time between bursts (r=0.74; P<0.001), followed by number of suctions per burst (r=0.60; P<0.001), and sucking pressure (r=0.58; P<0.001). Conclusion The correlation between objective and subjective NNS examination was moderate in preterm infants. Therefore, an objective NNS measurement is still required for optimizing the examination.
Non-nutritive sucking milestones of preterm infants in Indonesia: a descriptive study Luh Karunia Wahyuni; Irawan Mangunatmadja; Risma Kerina Kaban; Elvie Zulka Kautzia Rachmawati; Melinda Harini; Budiati Laksmitasari; Agatha Geraldyne; Inez Ayuwibowo Sangwidjojo; Dini Prima Utami; Victor Prasetyo Poernomo; Adrian Prasetya Sudjono
Paediatrica Indonesiana Vol 62 No 5 (2022): September 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.5.2022.311-7

Abstract

Background Non-nutritive sucking (NNS) maturity has been used as one of the markers of oral feeding readiness in infants. Prematurity may hinder the attainment of NNS milestones. Depending on gestational age (GA) at birth, preterm infants may display various degrees of immaturity, potentially affecting the strength, coordination, and efficiency of skills required for NNS. Objective To identify the progression of NNS patterns across gestational age groups of preterm infants in Indonesia by comparing NNS parameters between moderate-to-late preterm and very preterm infants. Methods NNS evaluation was conducted in 120 preterm infants born at 28-34 weeks gestational age in five tertiary hospitals in Jakarta, Indonesia. Three aspects of NNS (suction pressure, number of suctions per burst, and time between bursts) were documented and arranged to present a descriptive overview. A suction pressure measurement device was used to record, identify, and analyze NNS parameters. We hypothesize that maturity, as determined by GA, positively affected the attainment of NNS milestones. Results Moderate-to-late preterm infants (GA 32 to <37 weeks), compared to very preterm infants (GA 28 to <32 weeks), had higher mean NNS pressure (-79.8 vs. -72.7 mmHg, respectively, P=0.041) and shorter mean time between bursts (6.63 vs. 7.36 s, respectively, P=0.030). Mean number of suctions per burst were also significantly different between the two GA groups (8.90 vs. 8.99 sucks/burst, respectively, P=0.048). Conclusion Maturity, as reflected by GA, had a positive effect on the attainment of NNS milestones in preterm infants in Indonesia. Significant differences in the three NNS parameters: number of suctions per burst, time between bursts, and suction pressure were found between moderate-to-late preterm and very preterm infants.
Co-Authors Adrian Prasetya Sudjono Agatha Geraldyne Aldri Frinaldi Aria Kekalih Aryono Hendarto Bangun, Kristaninta Bani, Anna Puspitasari Boya Nugraha Budiati Laksmitasari Clements Clements Damayanti Rusli Syarif Dini Prima Utami Djoenaedi, Intania Edbert Wreksoatmojo Elfrida Ratnawati fitriana, ika Grace Wangge, Grace Harini, Melinda Hidemi, Octaviany Hikari Ambara Sjakti, Hikari Ambara Ika Fitriana Indri Wijayanti Inez Ayuwibowo Sangwidjojo Irawan Mangunatmadja Irawan Mangunatmadja Irawati, Yunia Kreshanti, Prasetyanugraheni Kurniawardhani, Dewinta Retno Lindrawati Tjuatja lmral Chair Melinda Harini Melinda Harini Melinda Harini Melinda Harini Mellisya Ramadhany Nugraha, Boya Octaviany Hidemi Peggy Sunarjo Primo Parmato Putra, Johanes Rachmawati, Elvie Zulka Kautzia Ramadhany, Mellisya Risma Kerina Kaban Risma Kerina Kaban Rizky Kusuma Wardhani Sari, Vania Aramita Satyanaya Widyaningrum Siti Handayani Skolastika Mitzy Benedicta Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Steven Setiono Sunarjo, Peggy Tedjasukmana, Deddy Tirza Z Tamin Tirza Z Tamin Tirza Z Tamin Victor Prasetyo Poernomo Wardhani, Rizky Kusuma Wardhani, Rizky Kusuma  Widjajalaksmi Kusumaningsih, Widjajalaksmi Wijayanti, Indri Yeni Dwi Lestari Yusuf, Prasandhya Astagiri