Surabaya Quintuplet: A Breastfeeding Succes Story

• Main Author: Risa Etika, -
• Format: Book Section PeerReviewed
• Language: English; English
• Published: Ikatan Dokter Anak Indonesia, Surabaya 2016
• Subjects: R Medicine (General); RJ Pediatrics
• Online Access: https://repository.unair.ac.id/116297/1/C44-Artikel.pdf; https://repository.unair.ac.id/116297/2/C44-Peer%20Review.pdf; https://repository.unair.ac.id/116297/
• Institution: Universitas Airlangga

Dr. Soetomo Hospital Surabaya is a type A referral Hospital, owned by the Government of east Java Province. It is also a Teaching Hospital of Airlangga University-School of Medicine and is the center of Kangaroo Mother Care (KMC) Training Program. The quintuplet were delivered at Dr. Soetomo Hospital by an elective C-section, with gestational age of 32 weeks. One baby weighed 1250 grams, another one 1100 grams, another 1000 grams, another 1350 grams, and the last one weighed 1300 grams. They were delivered from a 32 year-old mother, who underwent an insemination program because her first child was stillborn and she has suffered from secondary infertility for 5 years. All of the babies were born with RDS (Respiratory Distress Syndrome) grade I and II, and PDA (Patent Ductus Arteriosus), and immediately 5 teams performed the resuscitation process, followed by the action of The First Golden Hour STABLE (Sugar, Temperature, Airway, Blood Pressure, Laboratory work, and Emotional Support). All of them were infused with dextrose 10 percent, amino acid and lipid, and breastmilk trophic feeding from the beginning. They were cared inside the incubators and followed by Skin-to-Skin Contact by KMC, treated with CPAP (Continuous Positive Airway Pressure) and ventilator. Maintaining on blood pressure were done, infections were being anticipated, and as the mother already had education about breastfeeding since pregnancy during the ANC (Ante Natal Care), after the delivery the mother's breastmilk were quickly and sufficiently available by regular pumping. After being cared for 96 days and 113 days, in the hospital, the quintuplet condition were stable. They were good at drinking the breastmilk, the weight gradually increasing, and breastmilk production was more than sufficient. The quintuplet were sent home and their growth are being monitored. They had immunization, tests for the health of the etes and ears. They also underwent The Congenital Hypothyroid Screening Program. Now, at 11 month-old, the quintuplet have the Complementary Food. Their growth are optimum and had achieved the goal of Neonatal Survival Intact for the realization of sustainable DG's.