FIVE YEARS EXPERIENCE TOWARDS EXCLUSIVE MOTHER’S OWN MILK AND DIRECT BREASTFEEDING IN LEVEL 2 NEONATAL CARE KENDANGSARI HOSPITAL SURABAYA
Diana Amilia Susilo,Sonya Selly Hermawati,Dini Adityarini,Setyadewi Lusyati
Kendangsari Mother and Child Hospital RSAB Harapan Kita Jakarta
Background : Breast-milk and breastfeeding is essentially crucial for sick and preterm infants. The best is Mother’s Own Milk (MOM) continued with direct breastfeeding to achieve longer exclusive breastfeeding duration and optimal growth and neuro-developmental outcome. Kendangsari Hospital Surabaya has supported breastfeeding and baby-friendly environment for vulnerable infants, however no evaluation has been done.
Material : A descriptive study on medical records of inborn infants hospitalized for >48 hours in the Level 2 Neonatal Care Kendangsari Hospital Surabaya (1 January 2013 – 31 December 2017). Data was collected for primary breastfeeding outcome and secondary in-hospital morbidity and growth outcome. Follow-up data of weight in preterm subgroup was plotted on Fenton 2013 growth chart.
Results : From 203 infants included in the study, 142 (69.9%) were preterm (4.9% extremely, 21.7% moderately, 43.3% late). Median length-of-stay was 9 days (range: 2 -43 days). Exclusive breast-milk feeding was 94.6%, MOM was 91.6%. Donor breast-milk was given in 3.4% infants, and 2.9% received Human Milk Fortifier. Direct breastfeeding at discharge was 99%, and zero bottle-feeding. First breast-milk was given at mean 25.5 hours of age (range: 1-96 hours). Median days to full-feed was 7 days (range: 0-31 days), and median first time skin-to-skin and/or nursing was at 5 days (range: 0-29 days). There was zero incidence of NEC, while 5.4% infants had sepsis (1% proven, 4.4% clinical). From the preterm sub-group there was 33.8% lack of weight and/or feeding follow-up data. About 18.3% of preterm (who were exclusively breastfed) weighted on
Keywords: Mother's Own Milk Direct Breastfeeding Sick and Preterm Infants Kendangsari Hospital
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