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The prevalence of hyaline membrane disease and the value of shake test and lamellar body concentration in preterm infants Dzulfikar DLH; Ali Usman; Melinda D Nataprawira; Aris Primadi
Paediatrica Indonesiana Vol 43 No 3 (2003): May 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.689 KB) | DOI: 10.14238/pi43.3.2003.77-81

Abstract

Background The morbidity and mortality of hyaline membrane dis-ease (HMD) are quite high due to delayed diagnosis and intervention.Commonly, HMD occurs in preterm infants with surfactant deficiencybecause of lung immaturity. Lung maturity test could be performedusing biochemical, biophysical, and amniotic fluid turbidity test.Objective To find out HMD prevalence and the value of shaketest and lamellar body concentration in diagnosing HMD in preterminfants.Methods This was a cross-sectional study carried out at HasanSadikin Hospital Bandung on preterm infants born during October-December 2001. The shake test was performed using gastric fluidand amniotic fluid while the lamellar body concentration was per-formed using amniotic fluid.Results During the 3-month period, 571 infants were born, of 64(11.2%) preterm infants, only 41 (64%) fulfilled the inclusion crite-ria; among those preterm infants, 14 (34%) suffered from respira-tory distress and 7 suffered from HMD (prevalence 17%). All HMDcases occurred in infants less than 32 weeks for gestational age.In 7 preterm infants with HMD, the shake test of gastric fluid ob-tained by lavage showed negative results in 3 and +1 in 4 infants;while the shake test of amniotic fluid revealed negative result in 5and +1 in 2 infants. Lamellar body concentration of amniotic fluidwas ≤18,000/ml in all HMD infants. Among three infants less than32 weeks for gestational age who did not suffer from HMD, +1shake test of gastric fluid was found in 2 infants and +2 in 1 infant;while shake test of amniotic fluid showed negative result in 1 infantand +1 in 2; the lamellar body concentration of amniotic fluid was≤18,000/ml in 2 infants and >18,000/ml in 1 infant.Conclusions We concluded that HMD occurred in 17% of preterminfants. The shake test of gastric and amniotic fluids revealed nega-tive or +1 results whereas lamellar body concentration had valueof less than or equal to 18,000/mL. More extensive studies arewarranted to assess the validity (sensitivity, specificity and predic-tive values) of these measurements
Pengaruh Konseling Menyusui Kepada Pasutri Terhadappengetahuan, Dukungan, Dan Keterampilan Teknik Menyusui Prihastuti; Endang Sutedja; Dzulfikar DLH; Astuti Eka; Lastri; Lenni Marliza
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 2 No. 1 (2014): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/1hxhp087

Abstract

Background: Percentage of exclusive breastfeeding in Jogja is low at 40.24 % , while the national target is 80 % . Many factors influence the success of exclusive breastfeeding, such as knowlwdge skills and techniques in breasfeeding and husband support. Efforts to increase the percentage is to provide breastfeeding counseling to couples. Husband’s support leads to successful breastfeeding techniques.Objective: The purpose of this study was to determine the effect of breastfeeding on couples counseling to the knowledge, support, and technical skills as well as the correlation of the couples knowledge of breastfeeding in a group of couples.Method: This research is a quasi experiment that assesses “ Effect of Breastfeeding Counseling In A married couple on Knowledge, skills technical Support to Breastfeeding In Public Health Centers of Yogyakarta “, by pretest-posttest control group. Sampling with consecutive sampling techniques in health centers Jetis, Tegalrejo, and Mergangsan, samples are husband and postpartum primiparous mothers who breastfeed their babies which is 60, randomization techniques are used to divide the block into a treatment group and a control group of 30 samples each. Knowledge variables were measured with questionnaires before and after counseling. The variable of husband support in the questionnaire after counseling, while the variable of breastfeeding skills is observed with breasfeeding the checklist before and after counseling. Analysis of the data uses the Wilcoxon, Man Whitney and Spearman Rank.Result: The results showed the score of knowledge and skills in a group of couples and groups prior to the intervention itself not significant (p> 0.05). The median value of knowledge for couples groups is 56.2, skills is 27, 27. The median value of the group itself to the knowledge is 55,0 27.27. The results of the knowledge, and skills after the intervention showed significant differences (p< 0.05). Couples groups is knowledge median value is 92.5, the value of the skills is 100, while the value of the group’s own knowledge 88,7 and skills is 72.72. Median value of knowledge on husband support to couples is (88,8), higher than own group median value (72.2), there is a significant difference (p < 0.05) . There is a husband and wife correlation knowledge which is significant (p <0.05)Conclusion: There is an effect of breastfeeding on couples counseling to the increase of knowledge, support, and technical skills of breastfeeding in Yogyakarta city health centers. Knowledge, support, and technical skills about breastfeeding in a group of couples is higher than the group itself. Husband’s good knowledge can increase wife’s knowledge about proper breastfeeding techniques.Keywords: Breastfeeding counseling, knowledge, support and skills
Pengaruh Konseling Menyusui Kepada Pasutri Terhadappengetahuan, Dukungan, Dan Keterampilan Teknik Menyusui Prihastuti; Endang Sutedja; Dzulfikar DLH; Astuti Eka; Lastri; Lenni Marliza
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 2 No. 1 (2014): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/1hxhp087

Abstract

Background: Percentage of exclusive breastfeeding in Jogja is low at 40.24 % , while the national target is 80 % . Many factors influence the success of exclusive breastfeeding, such as knowlwdge skills and techniques in breasfeeding and husband support. Efforts to increase the percentage is to provide breastfeeding counseling to couples. Husband’s support leads to successful breastfeeding techniques.Objective: The purpose of this study was to determine the effect of breastfeeding on couples counseling to the knowledge, support, and technical skills as well as the correlation of the couples knowledge of breastfeeding in a group of couples.Method: This research is a quasi experiment that assesses “ Effect of Breastfeeding Counseling In A married couple on Knowledge, skills technical Support to Breastfeeding In Public Health Centers of Yogyakarta “, by pretest-posttest control group. Sampling with consecutive sampling techniques in health centers Jetis, Tegalrejo, and Mergangsan, samples are husband and postpartum primiparous mothers who breastfeed their babies which is 60, randomization techniques are used to divide the block into a treatment group and a control group of 30 samples each. Knowledge variables were measured with questionnaires before and after counseling. The variable of husband support in the questionnaire after counseling, while the variable of breastfeeding skills is observed with breasfeeding the checklist before and after counseling. Analysis of the data uses the Wilcoxon, Man Whitney and Spearman Rank.Result: The results showed the score of knowledge and skills in a group of couples and groups prior to the intervention itself not significant (p> 0.05). The median value of knowledge for couples groups is 56.2, skills is 27, 27. The median value of the group itself to the knowledge is 55,0 27.27. The results of the knowledge, and skills after the intervention showed significant differences (p< 0.05). Couples groups is knowledge median value is 92.5, the value of the skills is 100, while the value of the group’s own knowledge 88,7 and skills is 72.72. Median value of knowledge on husband support to couples is (88,8), higher than own group median value (72.2), there is a significant difference (p < 0.05) . There is a husband and wife correlation knowledge which is significant (p <0.05)Conclusion: There is an effect of breastfeeding on couples counseling to the increase of knowledge, support, and technical skills of breastfeeding in Yogyakarta city health centers. Knowledge, support, and technical skills about breastfeeding in a group of couples is higher than the group itself. Husband’s good knowledge can increase wife’s knowledge about proper breastfeeding techniques.Keywords: Breastfeeding counseling, knowledge, support and skills