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All Journal Nexus Kedokteran Komunitas Journal of Maternal and Child Health
Rustam Siregar
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Medicine & Pharmacology Public Health

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Hubungan Tingkat Pendidikan Formal Ibu dengan Pengetahuan tentang Pemberian ASI Eksklusif di Puskesmas Ngoresan Anggasari, Narulita; Siregar, Rustam; Sumardyono, .
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.544 KB)

Abstract

Background: Exclusive breastfeeding is very important for the growth and development of infants. Thus, nursing mothers need to improve their knowledge about exclusive breastfeeding. The aims of this study were to investigate the relationship between the mothers formal education and counseling with mother’s knowledge of exclusive breastfeeding in Ngoresan primary health care. Methods: The population were mothers with children age 0-6 months in Ngoresan primary health care region.Thirty samples were taken by using purposive quota sampling technique. Those mothers were asked to fill out a questionnaire about exclusive breastfeeding (pretest), then they were given counseling of exclusive breastfeeding by researchers. Finally they filled out the same questionnaires again (posttest). We analized the correlation of formal education, age, economic status and job with knowledge of exclusive breastfeeding from the pretest and posttest, all done with p value<0.05 considered significant. Results: Spearman’s Rho test was used to analyze the relation of exclusive breastfeeding knowledge with formal education, age, economic status and job. It revealed  that higher mother’s formal education, more they know about exclusive breastfeeding (p=0.001). While age, economic status and job did not affect their knowledge of exclusive breastfeeding (p>0.05). Pretest and posttest analysis used Wilcoxon test (p=0.000). It suggested that educated mothers about exclusive breastfeeding can increase their knowledge of exclusive breastfeeding. Conclusion: Counseling and mother’s formal education have an important role in improving their knowledge of exclusive breastfeeding. Keywords: : knowledge, breastfeeding, counseling.  
Hubungan Tingkat Pendidikan Formal Ibu dengan Pengetahuan tentang Pemberian ASI Eksklusif di Puskesmas Ngoresan Narulita Anggasari; Rustam Siregar; . Sumardyono
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.544 KB)

Abstract

Background: Exclusive breastfeeding is very important for the growth and development of infants. Thus, nursing mothers need to improve their knowledge about exclusive breastfeeding. The aims of this study were to investigate the relationship between the mother's formal education and counseling with mothers knowledge of exclusive breastfeeding in Ngoresan primary health care. Methods: The population were mothers with children age 0-6 months in Ngoresan primary health care region.Thirty samples were taken by using purposive quota sampling technique. Those mothers were asked to fill out a questionnaire about exclusive breastfeeding (pretest), then they were given counseling of exclusive breastfeeding by researchers. Finally they filled out the same questionnaires again (posttest). We analized the correlation of formal education, age, economic status and job with knowledge of exclusive breastfeeding from the pretest and posttest, all done with p value<0.05 considered significant. Results: Spearmans Rho test was used to analyze the relation of exclusive breastfeeding knowledge with formal education, age, economic status and job. It revealed that higher mothers formal education, more they know about exclusive breastfeeding (p=0.001). While age, economic status and job did not affect their knowledge of exclusive breastfeeding (p>0.05). Pretest and posttest analysis used Wilcoxon test (p=0.000). It suggested that educated mothers about exclusive breastfeeding can increase their knowledge of exclusive breastfeeding. Conclusion: Counseling and mothers formal education have an important role in improving their knowledge of exclusive breastfeeding. Keywords: : knowledge, breastfeeding, counseling.
Delta Neutrophil Index and C-Reactive Protein as Predictors of Mortality in Early Onset Neonatal Sepsis at Dr. Moewardi Hospital Deaneva, Almira Muthia; Siregar, Rustam; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.02.08

Abstract

Background: Neonatal sepsis is an infection disease in newborns that still be a major problem in developing countries such as Indonesia. Early onset sepsis has higher mortality and morbidity. A simple and applicable biomarkers are needed to predict mortality in early onset neonatal sepsis. This study aimed to investigate whether Delta Neutrophil Index (DNI) and C-Reactive Protein (CRP) can be used as predictors of mortality in early onset neonatal sepsis. Subjects and Method: A cohort study that was conducted at neonatal HCU and NICU at Dr. Moewardi Hospital from March to June 2023. Total of 30 neonates aged 0-72 hours which met the inclusion criteria and became research subjects. The dependent variable was the mortality of neonatal sepsis. The independent variable were levels of DNI and CRP values.  The instruments were flowcytometry to measure levels of DNI and Enzyme Linked Immunoassay (ELISA) for determining CRP values. Data were analyzed using SPSS 25.0. Bivariate analysis was using Chi square and Fisher exact followed by multivariate analysis using logistic regression with p<0.05. Results: Thirty early onset septic neonates were included in study, of whom 17 children died and 13 children survived. Both DNI and CRP had significant correlation with mortality of neonatal sepsis (p<0.001). The DNI cut-off value of ≥ 5.4% (OR = 10.83; 95% CI 1.96 to 59.63; p = 0.004) can predict mortality in early onset neonatal sepsis. The CRP cut-off values of ≥5.75 mg/L (OR = 15.56;  95%CI 2.59 to 93.57; p = 0.001) could predict early onset neonatal sepsis mortality. Other factors such as gender, gestational age, birth weight and blood culture couldn’t be used as predictors of mortality in neonatal sepsis, with p value >0.05. Conclusion: DNI and CRP could be used as predictors of mortality in early onset neonatal sepsis.
The The Role of Lactate Level as Predictor of Mortality Critically Ill Children at Moewardi Hospital Zilmi, Reza Ervanda; Pudjiastuti, Pudjiastuti; Siregar, Rustam
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.08

Abstract

Background: The prevalence of mortality among critically ill children worldwide, particularly in Indonesia, remains alarmingly high. Numerous studies have indicated that elevated lactate levels serve as a significant predictor of mortality in this vulnerable population. The primary objective of this study is to elucidate the predictive value of lactate levels in determining mortality risk among critically ill children. Subjects and Method: A cohort prospective study was conducted in children aged between 1 month and 18 years old who met the criteria for critically ill children treated in the Pediatric High care unit (PHCU) of Dr. Moewardi General Hospital, Surakarta from January to June 2023. The dependent variable was the mortality. The independent variable was lactate level serum. The data were collected using questionnaire and observation sheet. The cut off point of lactate level was determined with  ROC curve. Results: Among thirty critically ill pediatric patients, 43.3% died, while 56.7% survived. The deceased predominantly comprised females, with a mean age of 5.62 years (SD= 4.14). The mean lactate levels of those who died in the first hour, 6 hours, and 24 hours (Mean= 2.94; SD= 0.90) with a cut-off value of ≥2.35 mmol/L, (Mean= 3.20; SD= 0.50) with a cut-off value of ≥ 2.35 mmol/L and (Mean= 3.65; SD= 0.53) with a cut-off value of ≥2.95 mmol/L, respectively. The 24th hours lactate levels (persistence hyperlactatemia) had the highest sensitivity (92.3%) and specificity (100%) for predicting mortality (p<0.001). Conclusion: In critically ill children, lactate level of ≥2.95 mmol/L is a good predictor of mortality.
Co-Authors . Sumardyono Deaneva, Almira Muthia Narulita Anggasari Pudjiastuti Pudjiastuti Sri Martuti Zilmi, Reza Ervanda