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All Journal Paediatrica Indonesiana Majalah Kedokteran Nusantara The Journal Of Medical School Jurnal Keperawatan Priority Cermin Dunia Kedokteran Enrichment: Journal of Multidisciplinary Research and Development
Pertin Sianturi
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Humanities Dentistry Economics, Econometrics & Finance Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : Paediatrica Indonesiana

 1 
Comparison of blood glucose levels in breastfed vs. formula-fed low birth weight infants Eli Tua Pangaribuan; Bugis M. Lubis; Pertin Sianturi; Emil Azlin; Guslihan D. Tjipta
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.771 KB) | DOI: 10.14238/pi49.1.2009.15-9

Abstract

Background  Low  birth weight infants are defined  as  babies withbirth weight less  than  2500 grams.  Low  birth weight infants tendto suffer from hypoglycemia compared to full term infants.  Theincidence  of  hypoglycemia in newborns varies between 1.3 and  3per 1000 live births. Blood glucose levels in formula-fed infantsare lower  than  those in breastfed infants.Objective  To  compare blood glucose levels in breastfed  andformula-fed low birth weight infants.Methods  A cross sectional study was conducted between February2007  and  June 2007  at  Pirngadi and H. Adam Malik GeneralHospital in Medan,  North  Sumatra, Indonesia. All low birthweight babies were classified into two groups: the breastfed  andformula-fed. Each group consisted  of  32 infants. Capillary bloodwas collected using heel pricks  at  1,  48,  and  72 hours after birth,and plasma glucose was evaluated using the Glucotrend2 bloodglucose test.Results  The  breastfed low birth weight infants had significantlyhigher blood glucose levels (P=0.002)  than  formula-fed low birthweight infants. Mode of delivery  was  related to blood glucose level.Infant delivered  by  caesarean section had significantly differentblood glucose levels  at  1 hour  (P=0.005)  and  72  hours afterbirth (P=0.027).  The  full-term infants had significantly higherblood glucose level (P=0.007)  than  the small for gestational ageinfants.Conclusions  Generally,  low  birth weight infants have hypoglycemiaafter first hour  of  delivery. Breastfed low birth weight infants havehigher blood glucose levels  than  formula-fed low birth weightinfants.
Comparison of blood glucose level between breast--fed and formula--fed term babies Omar Sazali Aldy; Bugis M Lubis; Pertin Sianturi; Emil Azlin; Guslihan D. Tjipta
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/pi48.4.2008.209-13

Abstract

Background Hypoglycemia is common in newborns in the firstfew hours after birth. This may also occur in term babies. Dataof hypoglycemia in breastfed and formula-fed infants have beenlimited.Objective To compare blood glucose levels between breast-fed andformula-fed healthy term babies at 1, 24 and 48 hours of life.Methods A cross sectional study was performed on 32 neonatesbetween January and March 2007 in the Dr. Pirngadi Hospital.The subjects was classified into two groups, the breastfed andformula-fed groups. Blood glucose level was examined at 1, 24,and 48 hours after birth and level ofless than 2.6 mmol/1 definedthe presence of hypoglycemia.Results There was statistically significant difference in meanblood glucose level at 1 hour of life between breastfed [59.25(SD 3.38) mg/dl] and formula-fed infants [55.96 (SD 8.60) mg/dl], (P=0.049), while no significant difference was found after24 hours of life, i.e., 62.59 (SD 3.57) mg/dl vs. 61.21 (SD 6.87)mg/dl, P=0.319 and also after 48 hours of life, i.e., 67.34 (SD5.18) mg/dl vs. 66.75 (SD 7.76) mg/dl, P=0.720.Conclusion The blood glucose level at one hour after birth wassignificantly different in breastfed compared to formula-fed infants,while no statistically significant difference was found at 24 hoursand 48 hours after birth. The mean blood glucose at 24 hours oflife was lower than that of 48 hours after birth
Prophylactic efficacy of 400 vs. 200 mg/kg /day calcium gluconate to prevent neonatal hypocalcemia Apsera, Liza; Sianturi, Pertin; Nafianti, Selvi
Paediatrica Indonesiana Vol. 63 No. 5 (2023): September 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.5.2023.346-52

Abstract

Background Serum calcium is at its lowest level within 24–48 hours after birth, rendering the neonate vulnerable to hypocalcemia. In our center, despite prophylactic administration of 200 mg/kg/day calcium gluconate, the prevalence of neonatal hypocalcemia remains high. Aim To determine the prophylactic efficacy of 400 vs. 200 mg/kg/day calcium gluconate in preventing neonatal hypocalcemia. Methods A randomized clinical trial with a pre- and post-test experimental design was done on neonates who fasted or received only minimal enteral feeding. Subjects were randomized to receive either 400 mg/kg/day (intervention group) or 200 mg/kg/day (control group) of intravenous calcium gluconate. We compared serum ionized calcium levels on the first day of admission before calcium gluconate administration and on the third day of hospitalization between the intervention and control groups. Results The median ionized calcium levels in the intervention vs. control group before calcium gluconate administration was 1.16 (range 0.4-2.4) mmol/L vs. 1.15 (range 0.6-4.5) mmol/L , respectively (P=0.561). After three days of calcium gluconate administration, the median ionized calcium level was 1.19 (range 0.7-1.45) mmol/L vs. 1.19 (range 0.68-4.6) mmol/L in the intervention vs. control group, respectively (P=0.828). The difference in pre- vs. post-administration ionized calcium levels was significant within the intervention group (P=0.032), but not within the control group (P=0.128). Conclusion Prophylactic intravenous calcium gluconate at 400 mg/kg/day was not more effective in preventing neonatal hypocalcemia than 200 mg/kg/day.
Co-Authors Amir Syarifuddin Apsera, Liza Batubara, Ratna Suwita Beby Syofiani, Beby Bistok Saing Bugis M Lubis Bugis M. Lubis Bugis Mardina Lubis Bugis Mardina Lubis, Bugis Mardina Dasa Tjipta, Guslihan Destariani, Cynthea Prima Dimyati, Yazid Eli Tua Pangaribuan Emil Azlin Fathia Meirina, Fathia Febriyanti Marito Lubis, Nikmah Febriyanti Mobilina Fera Wahyuni Guslihan D. Tjipta Guslihan Dasa Tjipta Guslihan Dasa Tjipta, Guslihan Dasa Halim, Yeni Handayani Ardy, Nurul Mardina Lubis, Bugis Mayasri, Fadhliani Mayasri, Fadhliani Putri Muchtar Kusuma Hayatullah Omar Sazali Aldy Rina Amelia Rini Savitri Daulay, Rini Savitri Saing, Johannes Harlan Selvi Nafianti, Selvi Sitanggang, Fitri Parinda Syamsidah dr Syamsidah Lubis, Syamsidah Syofiani Hasibuan, Beby Tengku Ellya Fazilla Tiangsa Sembiring, Tiangsa Tri Faranita, Tri Wahyuni, Fera Winra Pratita, Winra Wisman Dalimunthe, Wisman