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Potential Loss among Infant Feeding Options Azniah Syam; Musni Musni; Andi Nurzakiah Amin; Imelda Iskandar
Jurnal Ners Vol. 16 No. 1 (2021): APRIL 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v16i1.23285

Abstract

Introduction: The conceptual relationship between economics and breastfeeding is still mathematically invaluable, while the family's economic burden increases along with babies born. Indicating potential loss when a family chooses other than breastmilk is a progressive way to manage campaign messages about exclusive breastmilk and prolonged breastfeeding. Descriptive studies are needed to magnify all of these indicators and transform them into measuring instruments generalized to assess family expenditures related to infant feeding.Methods: This study uses a quantitative descriptive design, questionnaire draft upon qualitative open questions containing all micro indicators impacted financially during the baby’s first year. Data collection was carried out in Makassar based on telephone surveys with 330 preliminary samples. After structural analysis and data reduction, the expenditure indicators were divided into medical and non-medical expenses.Results: The study show there is a difference in the average amount of family expenses of those who provide formula milk compared to breastmilk. This outcome is 21.1 times higher in non-medical components and 2.5 times higher in the medical component. One of the highest contributions in medical expenses is the cost of a recurrent visit to a pediatrician due to a history of illness such as allergies, respiratory infections, and diarrhea.Conclusion: This empirical fact stated the strong affirmation of how families should consider wisely to choose the best feeding pattern for babies aged 0-12 months.
Kearifan Lokal Olahan Dangke Terhadap Pencegahan Stunting Mardiana Ahmad; Imelda Iskandar; Muhammad Yamin; Nur Aliya Arsyad; Rika Riyandani
MATAPPA: Jurnal Pengabdian Kepada Masyarakat Volume 5 Nomor 1 Tahun 2022
Publisher : STKIP Andi Matappa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31100/matappa.v5i1.1684

Abstract

Stunting merupakan masalah kekurangan gizi yang disebabkan karena kurangnya asupan gizi dalam jangka waktu lama yang mengakibatkan gangguan pertumbuhan pada anak yaitu tinggi badan anak lebih rendah atau pendek dari standar usianya, perkembangan otak yang akan mempengaruhi kemampuan dan prestasi dalam pendidikan, produktivitas dan kreativitas. Kabupaten Enrekang merupakan daerah dengan prevalensi stunting tertinggi yaitu sebesar 24,7% pada tahun 2018. Salah satu upaya pencegahan stunting yang dapat dilakukan yaitu pemanfaatan komiditi lokal seperti olahan dangke yang memiliki kandungan gizi yang baik. Tujuan pengabdiannya kepada masyarakat yaitu untuk memberikan informasi terkait manfaat olahan dangke yang dapat meningkatkan kesehatan ibu dan Anak di Kabupaten Enrekang. Pelaksanaan kegiatan pengabdian selama dua hari dengan sasaran ibu hamil, Ibu menyusui, kader, Bidan serta masyarakat pembuat Dangke. Metode yang dilakukan yaitu penyuluhan yang dilaksanakan di dua tempat yaitu di Desa Lebang dan Puskesmas Kabere yang dihadiri 30 orang kader. Hasil kegiatan dari pengabdian ini memiliki dampak yang sangat positif antara Pemerintah Daerah Kabupaten Enrekang dan Prodi Ilmu Kebidanan Sekolah Pascasarjana Universtas Hasanuddin yaitu memecahkan masalah terkait pencegahan stunting di Kabupaten Enrekang dengan menggunakan pangan lokal sebagai komiditi utama. Untuk kegiatan penyuluhan yang diharapkan dilakukan pada tingkat pengetahuan para peserta meningkat dan adanya perubahan perilaku dari informasi yang didapatkan.
PROFIL INDEKS MASSA TUBUH DAN LAKTASI PADA IBU MULTIPARA Imelda Iskandar
Nursing Inside Community Vol. 4 No. 2 (2022): Nursing Inside Community
Publisher : STIKES Nani Hasanuddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Ibu menyusui merupakan golongan yang termasuk kedalam kelompok rentan gizi. Air susu ibu (ASI) merupakan makanan utama bayi diperoleh dari ibu. Status gizi ibu menyusui dapat diukur melalui pengukuran antropometri yang terdiri dari mengukur berat badan, tinggi badan, lingkar lengan atas serta indeks massa tubuh (IMT). Penelitian ini bertujuan untuk mengetahui hubungan Indeks Massa Tubuh (IMT) dengan pemberian ASI pada ibu menyusui multipara di Puskesmas Kassi-Kassi Makassar Periode Juni s.d September 2021. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan rancangan Cross sectional Study, analisa data dengan Uji Chi Square dan pengambilan sampel dengan total sampling sebanyak 39 responden dengan kriteria inklusi; ibu menyusui multipara, memberikan ASI selama > 3 bulan. Hasil penelitian menunjukkan bahwa sebagian besar ibu menyusui memiliki IMT normal 27 responden (69.2 %), kelompok ibu yang memberikan ASI Kombinasi sebanyak 10 responden (25,6%), dan kelompok ibu yang memberikan ASI eksklusif sebanyak 17 responden (43,6%). Hasil analisis bivariat antara variabel IMT dengan pemberian ASI dengan menggunakan uji statistik chi square diperoleh nilai p Value (0,322) yang berarti tidak ada hubungan antara IMT dengan Pemberian ASI pada Ibu Menyusui Multipara. Kesimpulan dari penelitian ini adalah tidak ada hubungan antara IMT ibu menyusui dengan pemberian ASI. Disarankan agar petugas kesehatan terutama bidan mampu mengurangi permasalahan gizi pada ibu menyusui dan mengedukasi ibu akan pentingnya memberikan ASI pada bayi secara eksklusif. Hal ini tidak hanya berdampak baik pada anak tapi juga lebih efektif dalam menjaga status gizi ibu menyusui dalam kondisi normal.
Edukasi Tentang Asi Dan Manajemen Laktasi Kota Makassar Imelda Iskandar; Sumarni Sumarni; Julia Novita
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 2 No. 2 (2020): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v2i2.716

Abstract

The nutritional problems faced in Indonesia today remain the same, namely that many children suffer from malnutrition. The national movement to increase breastfeeding is one of the government's efforts to improve the health status of mothers and children. However, the achievement of exclusive breastfeeding has not been achieved, one of the reasons is the breastfeeding factor. Meanwhile, the point in the success of providing exclusive breastfeeding and continuing it for up to 2 years is related to a mother's understanding of lactation management. So this service activity is carried out to teach mothers who are young pregnant, late pregnant and have just given birth to a 1 month old baby to participate so that their knowledge increases. The method in this activity is a pre-test before providing information related to breastfeeding and lactation management, then continuing with the post-test to see the success of the activity. The mothers' enthusiasm was seen to be very high and resulted in a strong determination to be able to provide exclusive breast milk to their babies. The success rate of this activity was 80%, judged from the responses and questions from the participants.
Pemberdayaan Ibu Hamil Dengan Pemberian Asi Eksklusif Di Puskesmas Kassi-Kassi Kota Makassar Imelda Iskandar; Sendy Pratiwi Rahmadhani; Satiani Dalle; Rika Asriani
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 3 (2021): Agustus : Jurnal Pengabdian Kepada Masyarakat
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v1i3.2057

Abstract

Exclusive breastfeeding for babies in the first hour after birth and skin-to-skin contact between mother and baby are important factors in the beginning of the breastfeeding process where the baby will stay warm and the baby will get colostrum. However, the number of mothers who have breastfed their children in Indonesia is already high, namely 90%, but those who breastfeed exclusively for 6 months is still low at 20%. nutritional problems for toddlers and low achievement of exclusive breastfeeding as well as deaths under the age of 5, one of the causes of which is the lack of knowledge of mothers about the importance of giving exclusive breast milk, so it is necessary to carry out services aimed at increasing mothers' knowledge about exclusive breastfeeding in the Kassi-Kassi Health Center Working Area, Makassar City. The methods used in this activity are location survey, problem determination, formation of WhatsApp group classes, counseling and evaluation. The results of this activity. After carrying out online educational activities about exclusive breastfeeding, it was found that the activity increased pregnant women's knowledge about exclusive breastfeeding.
Early Pregnancy Examination Education as an Effort for Delivery Complications Imelda Iskandar; Dewiyanti; Suradi Efendi; Nour Sriyanah
IJCS: International Journal of Community Service Vol. 1 No. 2 (2022): IJCS: International Journal of Community Service
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (874.789 KB) | DOI: 10.55299/ijcs.v1i2.185

Abstract

Antenatal care is defined as health services provided to pregnant women by family members or midwives during the entire pregnancy. Care during pregnancy is important for the proper growth and development of the baby. Prenatal care helps reduce or prevent adverse outcomes during pregnancy. Poor antenatal care causes low birth weight babies, premature babies, neonatal deaths, birth complications etc. It is also effective in reducing maternal morbidity that occurs due to poor health, an unhygienic environment, poor nutrition and lack of medical facilities. Maternal Mortality Rate (MMR) is the number of maternal deaths that occur during pregnancy, childbirth, postpartum caused by emergency complications, either directly or indirectly . Factors that cause maternal death can be broadly grouped into direct and indirect causes. One of the efforts to accelerate the reduction of maternal and newborn mortality is through increasing access and quality of antenatal care, delivery assistance, prevention of complications and family planning by midwives, better known as the Childbirth Planning and Complications Prevention Program (P4K) programmed by the Indonesian Ministry of Health. The method of this community service is the counseling method in the form of direct presentation of lecture material to pregnant women and distributing questionnaires to assess the level of knowledge of mothers related to early pregnancy checks in an effort to prevent childbirth complications that occur in pregnant women. The importance of disseminating information related to antenatal care for the prevention of complications during delivery is very important for pregnant women to reduce maternal and infant mortality.
Pemanfaatan Potensi Porang Organik (Amorphophallus Muelleri Blume) sebagai Nutrisi Alternatif MPASI Iskandar, Imelda; Basri, Basri; Syam, Azniah
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Supp Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1950

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Kekurangan energi kronis dalam kehamilan mempunyai dampak desruptive yang luar biasa, gangguan anovulasi hipothalamus, gangguan persalinan, gangguan laktasi, gangguan pertumbuhan dan perkembangan anak sampai pada stunting. Kekurangan energi kronis dapat dicegah dengan pemulihan keseimbangan energi dan asupan yang berkualitas. Modifikasi diet seimbang dengan pemanfaatan pangan lokal melalui sentuhan tehnologi adalah strategi yang ditawarkan dalam penelitian ini. Penelitian ini bertujuan untuk menciptakan produk pangan lokal, yang teruji secara klinis dapat mencegah timbulnya malnutrisi pada semua kelompok usia, yang di fokuskan pada tahapan pertama yakni balita. Sumber gizi utama diperoleh dari ASI eksklusif yang kemudian di selingi dengan pemberian makanan pendamping dan Nutrisi Alternatif yang berkualitas dengan jumlah yang tepat. Nutrisi Alternatif pada penelitian ini salah satunya adalah umbi porang. Dipilihnya umbi porang sebagai sumber utama Nutrisi Alternatif karena porang merupakan komoditas melimpah di Indonesia. Mengolah umbi porang menjadi Nutrisi Alternatif merupakan upaya fortifikasi pangan lokal, umbi porang memiliki kandungan bermanfaat, seperti glukomannan yang menghasilkan prebiotik oligosakarida. Prebiotik ini berfungsi meningkatkan kekebalan tubuh dan menurunkan risiko diare pada anak sehingga tubuh anak dapat dengan maksimal menyerap gizi dari makanan yang dikonsumsi dan dapat menjadi solusi dalam pencegahan KEK.
The Impact of Chronic Hypertension, Kidney Disorders, and Employment Status on Preeclampsia in Makassar Iskandar, Imelda; Syam, Azniah; Fitrianingtyas, Dwi Elineng; Tajriani, Tajriani
Jurnal Kesehatan Manarang Vol 10 No 3 (2024): December 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i3.1720

Abstract

Preeclampsia is a serious pregnancy complication characterized by hypertension and organ dysfunction, especially the kidneys, which usually appear after 20 weeks of gestation. In Indonesia, preeclampsia is one of the leading causes of maternal and fetal morbidity and mortality. The high maternal mortality rate in this country requires a deeper understanding of the risk factors for preeclampsia in order to formulate more effective and targeted prevention strategies. This study aims to identify the main risk factors for preeclampsia in pregnant women in the Pampang Health Center working area, Makassar City, and to evaluate the influence of these factors on the incidence of preeclampsia. This study used a cross-sectional design involving 200 pregnant women, consisting of 100 women with preeclampsia and 100 without preeclampsia. Taken systematically from medical records for the period 2021 – 2023. Data were collected from medical records and confirmed through interviews if necessary. Data analysis used the Chi-square test with p <0.05. The main findings show that a history of preeclampsia, chronic hypertension, renal impairment, autoimmune conditions, and maternal employment status are significant risk factors for preeclampsia. Working mothers with chronic hypertension had a higher risk of preeclampsia (81.8%) compared to non-working mothers (30.1%). This study highlights the importance of intensive monitoring for mothers with high-risk factors. Working mothers are more susceptible to stress and hypertension, increasing the risk of preeclampsia. A history of autoimmune and renal impairment also shows a strong association with preeclampsia. History of preeclampsia, chronic hypertension, renal impairment, autoimmune conditions, and maternal employment status are significant risk factors for preeclampsia. Recommendations include intensive monitoring, education and support for pregnant women, especially those who work, and further longitudinal studies for a clearer causal relationship. Objective medical validation is needed for subjective variables to improve data accuracy.
PENGEMBANGAN KAPASITAS MITRA KOMUNITAS PENDUKUNG ASI LACTALOVER MAKASSAR DALAM BIDANG PENGASUHAN ANAK MELALUI KEGIATAN MENDONGENG UNTUK MASA DEPAN Azniah Syam; Imelda Iskandar; Andi Nurzakiah Amin
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 2 No. 3: Agustus 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v2i3.2953

Abstract

Mendongeng bagi anak memiliki banyak manfaat, termasuk dalam hal perkembangan kognitif. Seni interaktif menggunakan kata-kata dan tindakan untuk mengungkapkan elemen dan gambar dari sebuah cerita sambil mendorong imajinasi pendengar. Mendongeng bagi anak memiliki banyak manfaat, termasuk perkembangan kognitif, melalui seni interaktif menggunakan kata-kata dan tindakan untuk mengungkapkan elemen dan gambar dari sebuah cerita sambil mendorong imajinasi pendengar. Lactalover Makassar adalah kelompok pendukung menyusui yang berdiri sejak tahun 2017, juga mengembangkan berbagai tema pendidikan seperti parenting, psikologi tumbuh kembang, program gizi anak, kewirausahaan bagi ibu rumah tangga. Kegiatan ini bertujuan untuk meningkatkan kapasitas mitra dalam pengasuhan anak melalui kegiatan mendongeng. Dilaksanakan pada tanggal 26 Juni 2022, di Kota Makassar, menggunakan metode partisipatif aktif, melalui kegiatan mendongeng selama 75 menit, oleh fasilitator. Berdasarkan antusiasme peserta dan feedback yang diberikan mengenai sejauh mana pesan moral melalui karakter dalam cerita tersampaikan cukup dipahami oleh anak-anak. Kegiatan mendongeng untuk masa depan adalah representasi bagaimana mengelola imajinasi anak secara interaktif dengan menguatkan respon neurobiologis tubuhnya dari berbagai indera visual, auditori, sensori, dan motorik. Setidaknya, dengan menyisihkan 15 hingga 20 menit per hari untuk mendongeng kepada anak-anak, terutama oleh orang tua, akan memperkuat hubungan emosional dan menjembatani kesenjangan dalam komunikasi keluarga yang banyak digantikan oleh media digital
Paparan Pestisida melalui ASI: Implikasi terhadap Kesehatan Bayi dan Risiko Stunting Iskandar, Imelda; Syam, Azniah; Ahmad, Mardiana; Sudirman, Jumrah; Nur, Armiyati; Agustin, Dinah Inrawati
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 1 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i1.1455

Abstract

The widespread use of chemical fertilizers and pesticides in modern agriculture has significantly increased crop yields. However, growing concerns about the potential health implications of these agricultural chemicals have prompted extensive research. This systematic review aims to investigate the extent to which exposure to these substances during pregnancy and breastfeeding can contaminate breast milk. We aim to assess the potential adverse effects of pesticide and fertilizer exposure in breast milk on infant health and development, focusing on contaminant prevalence, potential health risks, and the effectiveness of interventions to reduce exposure. This systematic review was conducted using the online databases PubMed, Scopus, and Google Scholar, covering the period from 2017 to 2024. Medical Subject Headings (MESH) and target keywords such as “Pesticides,” “Chemical Fertilizers,” “Breast Milk,” “Contamination,” “Maternal Health,” “Infant Health,” and “Stunting” were used in the search. All English-language publications were reviewed and included. This review included intervention studies such as randomized clinical trials and quasi-experimental studies. The search yielded 130 studies, and after screening, 10 studies were included in this review. The studies consistently showed pesticide exposure in breast milk, particularly in areas of intensive agriculture. A study in Latin America found that 100% of breast milk samples contained residues of dichlorodiphenyltrichloroethane (DDT). Research in Mexico reported that 76% of breast milk samples contained pesticide derivatives. A study in Saudi Arabia detected 16 types of organochlorine pesticides (OCPs). In Indonesia, all breast milk samples from female farmers contained p,p'-DDE residues above 0.001 mg/kg. All articles included in this review are observational studies, specifically cross-sectional and case-control studies, investigating the presence of pesticides and persistent organic pollutants (POPs) in breast milk. Various studies consistently show pesticide contamination in breast milk, raising serious concerns about its impact on infant health from an early age. Pesticide exposure through breast milk can have negative effects on growth and development, particularly on the nervous, endocrine, and reproductive systems. In Indonesia, pesticide exposure in agricultural environments has been identified as a significant risk factor for stunting in children. Keywords: Chemical Fertilizers; Pesticides; Breast Milk; Stunting