Ekawaty Lutfia Haksari

• Universitas Gadjah Mada

Background Small for gestational (SGA) infants during the neonatal period have risks of mortality and sequelae for survival. Two - third of neonatal mortality occurs in the first weeks of life. Prevalence of SGA depends on the newbon curve used. Objectives of the study were to know the conditions that posed the risk of early neonatal and neonatal m...

Latar belakang. Air susu ibu (ASI) merupakan nutrisi yang penting untuk bayi kurang bulan. Pemberian ASI pada bayi kurang bulan mempunyai banyak kendala yang akan memengaruhi keberhasilan pemberian ASI. Tujuan. Mengetahui durasi pemberian ASI pada bayi yang lahir kurang bulan dan faktor-faktor yang memengaruhiMetode. Rancang bangun penelitian adala...

Bronchopulmonary dysplasia (BPD) is a complication of preterm and low birth weight infants. The incidence of BPD has not decreased over the past 20 years. Complications of BPD include rehospitalization, chronic lung disease, cardiovascular disease, and impaired growth and development which will affect the patient's quality of life. There are unfort...

Background Neonatal sepsis is a global health problem contributing significantly to neonatal morbidity and mortality. It is difficult to clinically distinguish neonates with and without sepsis. Interleukin-6 (IL-6) concentration in neonates has high sensitivity and specificity to predict neonatal sepsis in infants at risk. Objective To determine t...

Background Respiratory distress in newborns, which may lead to risks of morbidity and death, is one of the reasons for a referral to the more advanced health facilities. Respiratory distress analysis in small for gestational age (SGA) infants remains controversial. SGA infants are a big problem for and burden the low-medium income countries. Freque...

Objectives To study early neonatal and neonatal mortality of small for gestational age (SGA) infants using the updated newborn curveMethodsA retrospective cohort study on all live births was conducted in Sleman and Sardjito hospital, Yogyakarta. Analysis was made with Kaplan-Meier, multivariate with Cox Hazard, and Population Attributable Risk (PAR...

Background: the anxiety is an unclear situation having by someone. Someone who has this condition will have unpredictable feeling and feeling helpless. Moreover, someone with anxiety disorder tends to be easy to get emotional due to her mood. This condition occurs due to physical tension as well as their worries about the future they will face. Aim...

Latar belakang. Anorectal malformation (ARM) atau imperforate anus atau malformasi anorektal (MAR) atau atresia ani merupakan kelainan bawaan yang sering ditemui. Kematian neonatus MAR yang tidak segera terdiagnosis masih terjadi. Kesakitan neonatus MAR pasca operasi dikaitkan dengan infeksi saluran kencing dan gangguan pertumbuhan, serta dapat ter...

Background: Mental health is a good emotional and psychological state. Globally 10-20% of children and adolescents experience mental health disorders. Risk factors for mental health problems in children are the mental and physical health of poor/poor parents, problems in childcare and lack of support from neighbors/ neighborhoods. Children who have...

Respiratory distress contributes significantly to mortality, and morbidity in preterm infants. The incidence of nasal continuous positive airway pressure (CPAP) failure is remarkably high. There are limited data available regarding nasal CPAP failure in Indonesia, and this study is expected to be a reference in taking preventive measures to reduce...

Neonates with congenital Polycystic Kidney Disease (PKD) are often associated with multiple organ abnormalities and result in poor prognosis. Renal Replacement Therapy (RRT) sometimes required to treat PKD patients with declined renal function. Peritoneal dialysis (PD) widely used as RRT due to several advantages. However, PD installment in neonate...

Introduction: The mortality rate due to omphalocele cases remains high. The presence of other congenital anomalies is believed to be one of the factors causing death in patients with omphalocele. The objective of the study was to determine the influence of other congenital anomalies leading to mortality. Methods: We conducted a retrospective cohort...

Young patients, especially infants with Mucopolysaccharidosis (MPS) have increased risk of recurrent upper and lower respiratory tract infections. A complete schedule of immunisations is crucial to protect children from life-threatening infections. However, in most cases, they often miss scheduled vaccinations due to many factors. This case report...

Anak usia dini merupakan masa-masa kritis bagi perkembangan nya sebagaimana terjadi pesatnya perkembangan otak sebagai dasar dari pembangunan keterampilan dan kecerdasan berkelanjutan untuk masa depan anak yang terjadi sebelum usia 6 tahun yang dipengaruhi oleh rangsangan dan pengasuhan. Perkembangan anak yang tumbuh di negara berpenghasilan meneng...

The incidence of infants with low birthweight (LBW), prematurity, and small for gestational age (SGA) in Indonesia remains high, and the morbidity and mortality in these infants are significant. To study these groups of infants in Indonesia, the author searched PubMed/Medline, the Cochrane Library, Google, Indonesian reports, local publications, an...

ABSTRAK Nekrosis lemak subkutan pada bayi lelaki baru lahir merupakan panikulitis yang jarang terjadi. Kelainan ini dijumpai pada bayi baru lahir (BBL) cukup bulan atau lebih bulan, ditandai dengan nodus atau plak subkutan di area kulit yang terbatas/terlokalisasi. Kutis marmorata fisiologis ditandai oleh "patch" eritematosa yang tersusun retikuler...

Background Preterm, very low birth weight (VLBW) infants experience intrauterine nutritional deficits and perinatal comorbidities that may impair early growth parameters. Early growth failure has detrimental effects on later growth and neurodevelopment in childhood. Objective To analyze predictors of early growth failure in preterm, VLBW infants a...

Background Rubella infection in pregnancy can cause congenital rubella syndrome (CRS), and one common defect of CRS is hearing loss. However, hearing screening is not routinely performed in Indonesia. While the number of reported cases of CRS in Indonesia is increasing, it is still difficult to identify all CRS cases. This study aims to identify CR...

We reported a case of a two day old newborn who was referred to our hospital due to larvae findings on her left ear. This full-term baby was born to a multigravida mother by spontaneous delivery. She was born active with spontaneous crying. At her first 16h of life, a batch of larvae was found on her left ear. Ear irigation with normal saline resul...

Latar belakang. Bayi yang lahir dari ibu diabetes melitus (IDM) memiliki risiko lebih tinggi mengalami berbagai morbiditas pada masa neonatus. Metabolisme bilirubin merupakan salah satu sistem yang mungkin terganggu. Tujuan. Mengetahui faktor risiko hiperbilirubinemia pada bayi IDM dan hubungannya dengan faktor risiko hiperbilirubinemia yang lain....

Background The birth weight reference curve to estimate the newborns at risk in need of assessment and monitoring has been established. The previous reference curves from Indonesia, approximately 8 years ago, were based on the data collected from teaching hospitals only with limited gestational ages. The aims of the study were to update the referen...

Latar belakang. Bayi berat lahir sangat rendah (BBLSR) masih merupakan tantangan dalam upaya menurunkan angka kematian neonatal. Beberapa faktor risiko telah terbukti meningkatkan risiko kematian BBLSR, seperti berat lahir dan umur kehamilan. Besarnya variasi tingkat perawatan di neonatal intensive care unit(NICU) juga akan berkontribusi terhada...

Background An estimated 6 of 1,000 children with live birthssuffer from permanent hearing loss at birth or the neonatal period.At least 90% of cases occur in developing countries. Hearing lossshould be diagnosed as early as possible so that intervention canbe done before the age of 6 months.Objective To determine risk factors for hearing loss inneo...

Latar belakang. Kemajuan di bidang pelayanan obstetri berhasil menurunkan kejadian trauma lahir. Namun, trauma lahir masih merupakan salah satu penyebab morbiditas dan mortalitas pada neonatal. Banyak faktor risiko yang berperan dalam trauma lahir. Tujuan. Mengetahui faktor risiko trauma lahir. Metode. Penelitian kasus-kontrol di bangsal Perinatal...

Latar belakang. Patent duktus arteriosus (PDA) merupakan salah satu penyakit jantung bawaan asianotik yang paling banyak dijumpai pada anak. PDA dapat memengaruhi pertumbuhan anak dan menyebabkan malnutrisi pada anak dan malnutrisi yang terjadi merupakan faktor risiko mortalitas dan morbiditas pada anak. Tujuan. Mengetahui pertambahan berat badan s...

Background Neonatal sepsis remains a crucial problem with highmorbidity and mortality. Not less than four million neonates dieevery year, 99% of which occur in developing countries withinfection as the main cause (36%) of death. The prognosticfactors of bacterial neonatal sepsis vary. However the death ratein neonatal sepsis with neutropenia is sus...

Background Hypoxemia in neonates with clinical respiratory distress has a high mortality. Downes score is used as an alternative to evaluate clinical respiratory distress if blood gas analysis instrument or pulse oxymetry is not available. Objective To evaluate the validity of Downes score for assessing hypoxemia in neonates with clinical respirato...

Objective To assess the validity of pulse oximetry for detecting hypoxemia and hyperoxemia in neonates and children. Methods This was a diagnostic test study conducted in Neonatal Intensive Care Unit (NICU). The subjects of the study were neonates of 0-28 days and children aged one month to 14 years in Pediatric Intensive Care Unit (PICU) of Sardji...

Background Neonatal sepsis remains the leading cause of neonatal deaths. Therefore, efforts should be made to reduce its mortality. Lactate clearance can be used as a marker of onset of hypoxia and microcirculation disorders, as well as to predict patient outcomes. Objective To assess the use of lactate clearance to predict mortality from neonatal...

Background Albumin transfusion for the treatment of neonatal hypoalbuminemia may reduce morbidity. In conditions with disrupted endothelial integrity (e.g., sepsis and critical illness), the administered albumin may leak into the interstitial space, hence, serum albumin levels may fall below expected levels after transfusion. To date, few studies h...

Backgrourui Developmental delay may be due to a variety of factors occurring during the prenatal, perinatal, or postnatal periods, one of which is hyperbilirubinemia. Objective To evaluate the impact ofhyperbilirubinemia on infant developmental delay. Methods A prospective cohort study was conducted from March to July 2011. Subjects were low birth...

Background Developmental delay may be due to a variety of factors occurring during the prenatal, perinatal, or postnatal periods, one of which is hyperbilirubinemia. Objective To evaluate the impact of hyperbilirubinemia on infant developmental delay. Methods A prospective cohort study was conducted from March to July 2011. Subjects were low birt...

Background Neonatal sepsis is a leading cause of neonatal morbidity and mortality. There are no pathognomonic signs or symptoms to diagnose neonatal sepsis. Blood culture is the standard tool for sepsis diagnosis, but it is not available in most district hospitals. In 2004, the Indonesian Pediatric Society (IPS) developed a medical standard of care...

Univariate analysis of relative abundance of seven predominant bacterial groups. Univariate analysis of relative abundance of seven predominant bacterial groups were performed for location, mode of delivery, total breastfeeding up to 6 month, eczema, prenatal antibiotics and postnatal antibiotics. Statistical significance were bold formatted (p val...

Studies have suggested that demographic and lifestyle factors could shape the composition of fecal microbiota in early life. This study evaluated infant stool microbiota signatures in two Asian populations, Singapore (n = 42) and Indonesia (n = 32) with contrasting socioeconomic development, and examined the putative influences of demographic facto...

Background Late preterm babies are at risk for delayed cognitive outcome, but little attention has been paid on this issue. There has been a general assumption that this group of babies will have the same development as full-term babies. Objective To compare the cognitive development between late preterm babies and full-term babies. Methods A prosp...

Background Low birth weight infants are ongoing problems sincethey are likely to have high risks of morbidity, mortality andfeeding problems. American Academy of Pediatrics recommendsbreastfeeding practice for infants with low birth weight, yet someproblems have occured.Objective To determine risk factors for non-optimal breastfeedingpractices in l...

Background Asthma is a common chronic respiratory disease.The risk factors of asthma are allergic factors, familial atopy,race, gender, and smoking during pregnancy. Other risk factorsare gastroesophageal reflux and micro-aspiration which causebronchospasm and bronchial hyperreactivity due to repeatedairway irritation.Objective To determine the ass...

Background Early discharging healthy term newborns results in a difficulty to recognize hyperbilirubinemia. Objective The aim of this study was to determine the value of the first 24-hour total and unbound bilirubin levels in predicting hyper- bilirubinemia in healthy term newborns. Methods The first 24-hour and the 5 th day total and unbound bilir...

A randomized controlled trial was carried out for 1 y in three tertiary and teaching hospitals, in Addis Ababa (Ethiopia), Yogyakarta (Indonesia) and Merida (Mexico), to study the effectiveness, feasibility, acceptability and cost of kangaroo mother care (KMC) when compared to conventional methods of care (CMC). About 29% of 649 low birthweight inf...