LAJU PERTUMBUHAN JANGKA PENDEK DAN KADAR FEKAL IgA SEKRETORIK PADA BAYI KURANG BULAN YANG MENDAPATKAN ASI ATAU ASI YANG DIFORTIFIKASI DENGAN HMF
Extrauterine growth restriction (EUGR) is a common problem and related to neurodevelopmental outcome. Independent risk factor of EUGR is necrotizing enterocolitis (NEC). Concentration secretory IgA (sIgA) as main immunity system decreased by age. Human milk fortification may resolved EUGR and org...
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| Format: | Theses and Dissertations NonPeerReviewed |
| Language: | English English |
| Published: |
2017
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| Subjects: | |
| Online Access: | http://repository.unair.ac.id/65815/1/abstrak.pdf http://repository.unair.ac.id/65815/2/TA.%20NURITA%20dr.compressed.pdf http://repository.unair.ac.id/65815/ |
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| Institution: | Universitas Airlangga |
| Language: | English English |
| Summary: | Extrauterine growth restriction (EUGR) is a common problem and related to
neurodevelopmental outcome. Independent risk factor of EUGR is necrotizing
enterocolitis (NEC). Concentration secretory IgA (sIgA) as main immunity system
decreased by age. Human milk fortification may resolved EUGR and organ imaturity of
preterm baby.
Aim : Analyzed difference gain velocity and sIgA fecal between preterm baby received
human milk and human milk fortified.
Methode : Prospective analytic observational study between December 2015-July 2016
at Soetomo hospital Surabaya. Inclusion criteria consisted of gestational age ≤ 34 weeks
and birth weight 1000 till less than 2000 g. Multiple congenital anomaly and enteral
nutrition avoidance as exclusion criteria. Indication human milk fortification were stabile
periode, no suckling reflex and gain weight velocity (GWV) <10 g/kgbw/d. Preterm baby
were recruited and followed in 14 days. Chi-square, Mann whitney and t-test independent
sample used to analyzed discrepancies GWV, gain length velocity (GLV), gain head
circumferrence velocity (GHC) and sIgA fecal.
Result : Human milk fortification (22(12,86-51,76) g/kgbw/day) showed significance
difference to GWV than human milk (14,28(-12,86-(+32,86)) g/kgbw/d) group
(p=0,020). GLV(p=0,257), GHC (p=0,215) and sIgA fecal (p=0,418) revealed no
difference. Side effects (feeding intolerance and NEC) not found during observation.
Conclusions : Human milk fortification showed higher GWV than human milk group.
Follow up still needed to evaluated anthropometric parameter. |
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