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All Journal AGRITEKNO, Jurnal Teknologi Pertanian Pediomaternal Nursing Journal Jurnal Info Kesehatan
Saidah, Qori Ila
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Nursing

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Journal : Pediomaternal Nursing Journal

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Addition of human milk fortifier in breast milk on increasing body weight of premature infants Handayani, Binti Dwi; Mayasari, Ayu Citra; Kapti, Rinik Eko; Agelan, Jose Luis Llopis; Saidah, Qori Ila
Pediomaternal Nursing Journal Vol. 11 No. 1 (2025): VOLUME 11 NO 1 MARCH 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i1.68279

Abstract

Introduction: Human Milk Fortifier (HMF) is an additional supplement for breast milk that can meet the nutritional needs of premature. One of the efforts to support the growth of premature babies is to fulfill their nutritional intake. Objective: This study aims to determine the effectiveness of giving HMF to breast milk on increasing the weight of premature babies in Neonatal Intensive Care Unit. Methods: The research design used a quasi-experiment design with a pre-test and post-test nonequivalent control group design. The samples are premature babies treated in the NICU in Surabaya. The sample technique used purposive sampling of 25 respondents as the treatment group (breast milk + HMF) and 20 respondents as the control group (breast milk only). The instrument uses a questionnaire and observation sheet. Data were analyzed using the repeated measures ANOVA test and the independent sample t-test. The repeated measures ANOVA test results indicate a statistically significant difference in weight gain over time (P-value <0.05), demonstrating that HMF supplementation contributes more effectively to weight gain compared to breast milk alone. Results: The study demonstrated a significant increase in body weight over time in both the treatment group and the control group, as measured by the Fenton chart (weight on days 7, 14, 21, and 28) with a P-value = 0.000. Notably, the treatment group (HMF+breast milk) exhibited a more pronounced weight gain by day 28 compared with control group (breast milk only), with a P-value = 0.015, indicating the superior efficacy of breast milk+HMF in promoting weight gain. Conclusion: Adding human milk fortifier to breast milk effectively increases weight in premature infants due to its high calorie content. It is particularly beneficial for infants requiring fluid restrictions. Keywords: fenton chart, human milk fortifier, premature baby's weight, quasi-experiment non-equivalent control group design
The low-birth-weight infants' nutritional status related factors based on maternal characteristics in agricultural areas Rahmawati, Ira; Amartha, Desta Cahya; Merina, Nuning Dwi; Llopis , José Luis; Saidah, Qori Ila
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.73831

Abstract

Introduction: Low birth weight (LBW) infants are vulnerable to health problems that impact growth and development. However, mothers as primary caregivers may not be able to provide care optimally. Factors associated with maternal characteristics need to be analyzed to determine pediatric nursing interventions to improve LBW infant care. This study aims to analyze factors associated with the nutritional status of Low-Birth-Weight Infants (1-12 months) based on maternal characteristics in agricultural areas of Jember Regency. Methods: The cross-sectional design study was conducted among infant and mother pairs by measuring nutritional status (Weight-for-Age) and distributing questionnaires on maternal characteristics such as age, education, parity, occupation, and responsive caregiving. Total sampling was collected in one of the agricultural areas of Jember that had a high LBW birthrate, resulting in 89 infant-mother pairs with a history of low-birth-weight births. Data collection on nutritional status and maternal demographics was obtained from the Maternal and Child Health Book, while responsive caregiving data was collected from questionnaires to mothers. The Spearman’s rank test analyzed the relationship between infant nutritional status and maternal characteristics. Results: The majority of infants had a normal nutritional status (88%). The characteristics of mothers are mostly aged in early adulthood (95.6%), multiparous (62.9%), elementary school educated (37.1%), not working (87.6%), and responsive caregiving as low as almost as high (50.6%; 49.4%). The results of the study showed that mothers' age, education level, and occupation status were not related to LBW infant nutritional status. However, maternal parity and responsive caregiving were related to the nutritional status (P-value = < .001). Conclusion: The pediatric nurse should play a crucial role as an infant care provider to enhance mothers’ empowerment in caring for LBW infants. The Responsive caregiving practice education could be an alternative pediatric nursing intervention to reduce LBW infant morbidity and mortality. Keywords: low birth weight; nutritional status; pediatric nursing
Co-Authors Agelan, Jose Luis Llopis Amartha, Desta Cahya Anggraeni, Hernindya Diajeng Ayu Ayu Citra Mayasari Azizah, Nurona Ceria Nurhayati Ethasari, Rossa K Handayani, Binti Dwi Ira Rahmawati Laili, Rizky D Lilik Supriati, Lilik Llopis , José Luis Merina, Nuning Dwi Ridhoyanti Hidayah, Ridhoyanti Rinik Eko Kapti, Rinik Eko Sholihatul Amaliya, Sholihatul Sulaiman, Muhammad Is’haq