Traditionally, mothers provide banana to their neonates as well as discharge their colostrum prior to breastfeeding, increasing the risk of perinatal morbidity and mortality. Health education modules, based on ethnographic study, to discourage these detrimental practices were developed for use by community leaders. Two thousand six hundred and seventy neonates were followed from birth to 28 days. Overall, neonatal banana feeding decreased 18.3% and colostrum feeding increased 32.8%. Religious leaders, who had strong community influence, had the highest health module execution. Moreover, their influence on the community was important. Overall, the use of ethnographic study data to identify specific cues to action of individuals in a community, such as community religious leaders, is an effective and appropriate method for reducing the detrimental customs of both early solid-food feeding of banana and colostrum discharge prior to breast-feeding, positively affecting community perinatal morbidity and mortality.
Objective To assess the relationship between banana given as early solid food feeding and symptoms of intestinal obstruction (SIO) such as vomiting and abdominal distention among neonates.Methods A longitudinal cohort study was done in 1993 at a rural community of West Lombok District on Lombok Island, West Nusa Tenggara Province, Indonesia. There were 3420 neonates who were followed up by interviewing their mothers until 28 days after delivery. The main outcome measure was the occurrence of SIO.Results Compared to infants who were not given solid food, the relative risk (RR) of SIO for infants given food other than banana as early solid food feeding was 1.87 (95%CI 0.48;8.24), while for infants given banana only as early solid food feeding, the RR was 9.15 (95%CI 1.96;42.58). After the adjustments of birth weight, colostrum, and breast feeding, the odds ratio of SIO for infants given banana was 2.99 (95%CI 2.65;5.14).
Conclusion
Objective To assess the relationship between withholding colostrum and symptoms of intestinal obstruction (SIO) or neonatal necrotizing enterocolitis (NNEC).Methods This was a longitudinal cohort study in four subdistricts in West Lombok involving mothers and live newborns. Mothers were interviewed about prenatal care, delivery process, and practice of colostrum feedings. Neonates were followed everyday for 28 days by field assistants for signs of intestinal obstruction or NNEC. We used X 2 test to analyze the association between the absence of colostrum feeding and the occurence of SIO and student t test to compare the average of colostrum feeding between the SIO and the non-SIO group.Results 3420 live newborns between 1993-1994 were observed. 1900 mothers gave colostrum while 1520 did not. The incidence of SIO was 1.8%. There was a significant association between the absence of colostrum feeding and the occurence of the SIO (RR 1.816; p=0.028). No infants with NNEC were given colostrum.
Conclusion
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