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All Journal Jurnal Gizi dan Pangan
Ahmad Shuhaimi, Farhanah
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Health Professions

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Development and Validation of Postnatal Diet, Lactation, and Emotion Management (LEDies) Module Rahmat, Nur Nazihah; Abdul Hamid, Syahrul Bariah; Ahmad Shuhaimi, Farhanah
Jurnal Gizi dan Pangan Vol. 19 No. Supp.2 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.Supp.2.261-268

Abstract

This study aims to develop and validate a module on managing diet, lactation, and emotion for postnatal mothers. This cross-sectional study involves three phases: needs assessment, module development, and module validation. About 37 mothers aged 18 to 49 years old with infants less than 6 months were recruited, and information on postnatal care practices, lactation knowledge, and emotion were obtained for module development. The guidelines from the Ministry of Health Malaysia and literature served as the foundation for the module that was developed following the requirements assessment utilizing the Health Belief Model (HBM). Content and face validity of the module is carried out to validate the developed module. The validation form used was adapted from Silveira de Castro (2007) which consists of seven criteria, two criteria related to content validity and another five criteria related to face validity. The content validity was assessed using a Content Validity Index (CVI). CVI was calculated using two different formulas: I-CVI and S-CVI. Meanwhile, a level of agreement was used in the data for the module's face. From the need assessment, most mothers with restricted seafood and nuts intake struggled to breastfeed and about 21.6% of them experienced postpartum depression. The developed module has been validated with both mean I-CVI and S-CVI more than 0.78 and 0.80, respectively. Meanwhile, five face validation components achieved 75% agreement, confirming the validity. In conclusion, the developed module named The LEDies has good validity and can serve as teaching material for postnatal mothers caring for themselves and their infants during the postpartum period.
Infant Feeding Practices among Mothers with a History of Gestational Diabetes Mellitus in Selangor Ramlee, Nur Syafika; Abdul Hamid, Syahrul Bariah; Ahmad Shuhaimi, Farhanah
Jurnal Gizi dan Pangan Vol. 19 No. Supp.2 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.Supp.2.278-287

Abstract

This study aims to determine infant feeding practices including breastfeeding initiation, exclusive breastfeeding, duration of breastfeeding and complementary feeding, feeding practices related factors among mothers with Gestational Diabetes Mellitus (GDM) history, and the association between Infant and Young Child Feeding indicators and GDM status. A cross-sectional study (n=130) was conducted from February to June 2023 in Meru and Bandar Botanic health clinics. Data on infant feeding practices were gathered from GDM mothers and children aged below two years. Findings showed that 43.8% (n=57) of the mothers had initiated breastfeeding within an hour, 57.7% (n=75) infants were exclusively breastfed, 30.0% (n=39) continued breastfeeding for one year and 81.9% (n=68) had an appropriate time of complementary feeding. Mothers who had caesarean-section delivery and GDM were more likely to initiate breastfeeding after an hour of delivery, p<0.05. Exclusive breastfeeding was highly practiced by older, multiparous, and higher education mothers. Unemployed mothers were more likely to continue breastfeeding for one year. GDM mothers were more inclined to delay breastfeeding initiation and introduced complementary feeding appropriately, p<0.05. This study's findings bridge the gap in providing information on infant feeding practices among mothers with a history of GDM and therefore might be beneficial for related personnel to figure out how to overcome this concerning issue in the future.
Obstetrical Characteristics and Glucose Profile of Singleton Primigravid Women with Gestational Diabetes Mellitus in Meru Mother and Child Health Clinic, Malaysia Ahmad Shuhaimi, Farhanah; Abdul Hamid, Syahrul Bariah
Jurnal Gizi dan Pangan Vol. 19 No. 3 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.3.167-176

Abstract

This study aims to explore the baseline obstetric characteristics of singleton, primigravid women with Gestational Diabetes Mellitus (GDM) from an experimental study. A total of 58 subjects with GDM, who were solely on diet control, were recruited from Meru Health Clinic in Selangor. The majority of the subjects (97%) were Malay. The mean age of the subjects was 27.59±3.2 years, with a pre-pregnancy weight of 68.86±17.8 kg, a height of 1.56±0.1 m, and Body Mass Index (BMI) of 28.08±6.7 kg/m2. Most subjects in this study (93%) were diagnosed with GDM at their first Oral Glucose Tolerance Test (OGTT), conducted at a mean gestational age of 18.93±2.8 weeks. The OGTT readings at diagnosis were 5.1±0.6 mmol/L for Fasting Blood Glucose (FBG) and 7.9±1.5 mmol/L for 2-Hour Postprandial (2HPP). The Blood Sugar Profile (BSP) levels were recorded as follows: fasting at 4.8±0.4 mmol/L, pre-lunch at 5.1±0.5 mmol/L, post-lunch at 5.3±0.5 mmol/L, and post-dinner at 5.3±1.5 mmol/L. Macronutrient intake was within the recommended guidelines. The subjects delivered at a mean gestational age of 38.8±1.1 weeks, with a mean birth weight of 2.99±0.4 kg. No incidences of macrosomia were recorded in this study. In conclusion, the subjects underwent early GDM screening, had well-controlled antenatal blood glucose levels, and experienced no adverse pregnancy outcomes.
Co-Authors Abdul Hamid, Syahrul Bariah Rahmat, Nur Nazihah Ramlee, Nur Syafika