Analysis of Body Weight in Low Birth Weight Infant Based on Breastfeeding and Formula Milk for Two Weeks Nursing in Santa Elisabeth Hospital Medan Analysis of body

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Analysis of Body Weight in Low Birth Weight Infant
Based on Breastfeeding and Formula Milk for Two Weeks
Nursing in Santa Elisabeth Hospital Medan
Evawany Aritonanga*, Trivo Rajagukgukb, Ernawati Nasutionc
a,c
b

Lecturer in Public Health Faculty in University of North Sumatera

Graduate Studies Program Faculty of Public Health in University of North Sumatera
a

Email: evawany@gmail.com

Abstract
Low Birth Weight (LBW) is infant born with less than 2500 grams without looking at pregnancy gestation.
Breastfeeding is the best nutrition for the infants. However, for some reasons mothers opt to add or replace
breastmilk. As an alternative for breastfeeding, there is formula milk with different specifications adapted to the
infants' needs or condition. This research aims to analysis the difference in body weight of LBW infants fed by
breastfeeding or formula milk in the first two weeks of care at Santa Elizabeth Hospital Medan. This research is
using cross-sectional design. Samples are 56 LBW infants without infectious disease and nursing for two weeks
in Santa Elizabeth Hospital Medan. This research is conducted using secondary data of medical record
documentation in the perinatology room. Data analysis was performed using Independent Samples T-Test. The
results shows that there is significant difference between the increase in weight of breast-fed babies who were
given with the increase in weight babies fed milk formula with p value 0,00.

-----------------------------------------------------------------------* Corresponding author.
E-mail address: evawany@gmail.com.

308

International Journal of Sciences: Basic and Applied Research (IJSBAR)(2015) Volume 23, No 1, pp 308-317

Researchers suggest that in order to further improve the service to the handling of the problem of low birth
weight, especially in the provision of nutrition for infants of low birth weight hospital institutions, nurses who
worked in chambers of perinatology should be support and motivate mothers to breastfeed their infants and
consider the condition of an infant during the maintenance.
Keywords: low birth weight; breastfeeding; formula milk; body weight.
1.

Introduction

Low birth weight (LBW) prevalence according to WHO [1] in 2011 is 15% of all births in the world with a
range of 3.3% -38%, which is more common in developing countries or low socioeconomic countries. The
prevalence of LBW in Indonesia varies from one region to another. The incidence of LBW in Indonesia is quite
high at 10.5%, still above the 9.6% Thailand and Vietnam 5.2%. One of the circumstances that led to high infant
mortality rate was low birth weight. Infant mortality under 1 year in LBW babies 17 times greater than the
babies of normal weight. In addition, most of LBW baby less than 2000 grams died in the neonatal period [2].
National Economic Survey in Indonesia in 2005 [3], stated that 38.85% of neonatal deaths are caused by LBW.
These LBW infants have greater morbidity and mortality than infants with age appropriate growth [4].
Infant feeding is crucial to the growth and development of infants. Breast milk is the main food for the baby to
meet the nutritional needs of infants [5]. Nutritional content of breast milk is appropriate to support the growth
and development of a healthy baby. Only breast milk known as exclusive breastfeeding is recommended as baby
food from birth until the age of 6 months without any other food. Formula is an alternative that is given if the
mother cannot breast feed. The problems in low birth weight infants who cannot given breast milk are breast
milk has not come out, the baby's body small and weak that it cannot suck the mother nipple, or because infants
require intensive medical care because of the low weight. Baby's weight is one indicator of infant growth is
determined by the intake of baby food. Some studies [6, 7, 8] stated there was no difference in the nutritional
status of infants breast-fed and infants formula milk, but little study to analyzed the difference in body weight of
low birth weight infants who are breastfed and low birth weight infants who received milk formula.
Based on data from medical records Santa Elisabeth hospital Medan is known that in 2011 there were 22 low
birth weight infant, in 2012 there were 42 low birth weight infant, in 2013 there were 46 low birth weight infant,
and in 2014 there were 28 low birth weight infant which concluded that low birth weight remains high every
year. Low birth weight infants are usually hospitalized for two weeks in the hospital to monitor the health and
growth of the body in order to survive. This study aimed to analyze the differences in weight gain low birth
weight infants fed breast milk by weight low birth weight infants fed formula.
2.

Material And Method

2.1 Study Area and Research Design
This study is an observational survey with cross sectional design to analyzed the differences of body weight
between LBW infant giving breast milk and LBW infant giving formula milk. The study began in September

309

International Journal of Sciences: Basic and Applied Research (IJSBAR)(2015) Volume 23, No 1, pp 308-317

2014 to April 2015.
2.2 Population and Sample
The populations in this study were all LBW infants in Santa Elisabeth Hospital Medan from the year 2011-2014
is 138 infants. Samples are section of the population with the inclusion criteria: no infectious disease, were
treated for 2 weeks in the hospital, given breast milk or formula. The samples are 56 babies divided in 32 babies
given formula milk and 24 infants given breast milk.
2.3 Data Collection Methods
This study used secondary data from medical record documentation studies in neonatus room. Data captured
includes the date of infant birth, sex, gestational age, body length, birth weight and body weight after two weeks
were given nutrition (breast milk or formula milk) were obtained from medical records.
2.4 Data Analysis
Analysis of data to determine the difference in average weight gain LBW infants given breast milk or formula
milk using test Independent Sample T-Test. Data presented in the form of a frequency distribution table.
3. Results
3.1

The Characteristics of Sample

Santa Elisabeth Hospital Medan is located at Jalan H. Misbah 7 Medan. This hospital has been equipped with
various infrastructures consisting of Poly General, Specialist, Emergency Room (ER) and Intensive Care Unit
(ICU), and Neonates Intensive Care Unit (NICU). Each unit is equipped with facilities according to the needs of
the service. Based on research conducted at the Hospital Santa Elisabeth Medan, showed that the majority of
LBW babies are female, 31 infant (55.4%) and men 25 infant (44.6%).
The average gestation either LBW infants fed breast milk or formula is 33 weeks, that means have a normal
gestational age. The youngest gestational age was 24 weeks and the oldest was 40 weeks. The average age of
mothers was 32 years. The youngest maternal age was 22 years old and the oldest was 42 years old.
From Table 2 it seen that in breast-fed babies mostly who were born with low birth weight (66.7%) came from
mothers with preterm gestational age (