Kegagalan Pemberian Air Susu Ibu Secara Eksklusif Dan Riwayat Bayi Berat Badan Lahir Rendah Menyebabkan Stunting Pada Balita Usia 6-24 Bulan
DOI:
https://doi.org/10.37824/jkqh.v12i2.2024.655Keywords:
Stunting, ASI eksklusif, berat badan lahir rendahAbstract
Pendahuluan: Kegagalan menyusui dini pada bayi baru lahir usia 0-6 bulan, dan riwayat bayi berat badan lahir rendah dapat menyebabkan stunting. Kondisi ini diperlukan kajian problem solve yang tepat untuk mencegah kejadian stunting. Tujuan: Menganalisis hubungan kegagalan pemberian ASI secara eksklusif dan riwayat anak lahir dengan berat badan lahir rendah dengan kejadian stunting. Metode: Penelitian ini menggunakan rancangan kuantitatif observasional analitik dengan pendekatan survei cross-sectional study. Populasi yaitu balita usia 6-24 bulan. Sampel sebanyak 841 anak, sampel sebanyak 231 anak yang ditentukan secara simple random sampling. Tujuan: mengkaji hubungan antara pemberian Air Susu Ibu (ASI) secara eksklusif dan Riwayat bayi Berat Badan Lahir Rendah (BBLR) dengan kejadian stunting. Hasil: Uji Chi-square pada data balita yang tidak mendapat ASI secara ekslusif dengan nilai p-value sig. 0,002 < dari nilai alpha=0,05. Odd Ratio (OR)= 0,30. Artinya terdapat hubungan signifikan dan berkorelasi positif, bahwa anak yang tidak mendapat ASI eksklusif berisiko terjadi stunting. Anak riwayat berat badan lahir rendah(BBLR) diperoleh nilai p-value sig. 0,001 < dari nilai alpha=0,05. Odd Ratio (OR)= 0,25. Artinya terdapat hubungan yang signifikan dan korelasi positif, pada anak dengan riwayat berat badan lahir rendah berisiko stunting. Simpulan: Terdapat hubungan yang signifikan dan korelasi positif, pada anak yang tidak mendapatkan air susu ibu (ASI) secara eksklusif dan anak dengan riwayat kelahiran berat badan lahir rendah (BBLR), dapat menyebabkan stunting. Rekomendasi: Kepada petugas kesehatan untuk melakukan komunikasi informasi dan edukasi yang baik kepada ibu hamil agar lebih aktif melakukan antenatal care, bersalin difasyankes dan melakukan inisiasi menyusui dini.
References
S. Katz, Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, vol. 27, no. 2. 2011. doi: 10.1097/pec.0b013e31820a261e.
Kemenkes RI, Profil Kesehatan Indonesia. 2022. [Online]. Available: http://www.kemkes/go.id
E. Hariana, “FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN Kegagalan Pemberian Asi Ekslusif Di Kecamatan Kalis Kabupaten kapuas Hulu,” Mhs. Dan Penelit. Kesehat., 2018.
U. Salamah and P. H. Prasetya, “Faktor-Faktor Yang Mempengaruhi Kegagalan Ibu Dalam Pemberian Asi Eksklusif,” J. Kebidanan Malahayati, vol. 5, no. 3, pp. 199–204, 2019, doi: 10.33024/jkm.v5i3.1418.
A. Rahmanti and S. Septediningrum, “Faktor – Faktor Yang Berhubungan Dengan Kegagalan Pemberian Asi Ekslusif Pada Ibu Bekerja,” J. Fisioter. Dan Ilmu Kesehat. Sisthana, vol. 4, no. 1, pp. 7–12, 2022, doi: 10.55606/jufdikes.v4i1.2.
A. Mahendra Yogantara, “Kegagalan Pemberian Asi Eksklusif Pada Bayi Usia 0-6 Bulan Di Wilayah Puskesmas Manggis I Karangasem,” Intisari Sains Medis, vol. 3, no. 1, pp. 70–75, 2015, doi: 10.15562/ism.v3i1.69.
I. Idawati, R. Mirdahni, S. Andriani, and Y. Yuliana, “Analisis Penyebab Kegagalan Pemberian Asi Eksklusif pada Bayi di RSUD Tgk. Chik Ditiro Kabupaten Pidie,” Sang Pencerah J. Ilm. Univ. Muhammadiyah But., vol. 7, no. 4, pp. 593–608, 2021, doi: 10.35326/pencerah.v7i4.1573.
Dewi, A. P. Watiningsih, P. S. Megaputri, L. A. Dwijayanti, and I. G. A. D. W. Ni Ketut Jayanti, “Prediktor Kegagalan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Sawan I Kabupaten Buleleng,” J. Ilm. Bidan, vol. V, no. 1, pp. 1–10, 2020.
F. Amelia, “Hubungan Pekerjaan Ibu, Jenis Kelamin, dan Pemberian Asi Eklusif Terhadap Kejadian Stunting Pada Balita 6-59 Bulan di Bangka Selatan,” J. Kesehat. Poltekkes Kemenkes Ri Pangkalpinang, vol. 8, no. 1, p. 1, 2020, doi: 10.32922/jkp.v8i1.92.
H. Sulistyoningsih, “The Relationship between Parity and Exclusive Breastfeeding with Stunting in Toddlers (Literature Review),” Proc. Natl. Semin. Heal. “The Role Heal. Work. Reducing Stunting,” pp. 1–8, 2020.
R. J. Gansaonré, L. Moore, J. Kobiané, A. Sié, and S. Haddad, “Birthweight, gestational age, and early school trajectory,” BMC Public Health, vol. 23, no. 1, p. 1032, May 2023, doi: 10.1186/s12889-023-15913-3.
S. P. Martin-Herz et al., “Growth and neurodevelopmental outcomes of preterm and low birth weight infants in rural Kenya: A cross-sectional study,” BMJ Open, vol. 13, no. 8, pp. 1–12, 2023, doi: 10.1136/bmjopen-2022-064678.
F. B. Namiiro et al., “Nutritional status of young children born with low birthweight in a low resource setting: an observational study,” BMC Pediatr., vol. 23, no. 1, pp. 1–11, 2023, doi: 10.1186/s12887-023-04356-9.
S. Etti, Z. Fikarwin, and M. Herta, “Strengthening Food Security Reduces The Anemic Status of Pregnant Women and Encourages Breastfeeding Immediately after Delivery in the Coastal Area of Central Tapanuli,” Current Research in Nutrition and Food Science, vol. 11, no. 1. pp. 445–455, 2023. doi: 10.12944/CRNFSJ.11.1.34.
A. D. Laksono, R. D. Wulandari, N. Amaliah, and R. W. Wisnuwardani, “Stunting among children under two years in Indonesia: Does maternal education matter?,” PLoS One, vol. 17, no. 7 July, pp. 1–11, 2022, doi: 10.1371/journal.pone.0271509.
U. K. Mbae-Mugambi, A. C. Onyango, and D. O. Okeyo, “Food price perception, food and beverage marketing and the nutritional status of children 6–24 months in Obunga slums, Kisumu Kenya: a cross-sectional study,” BMC Nutr., vol. 9, no. 1, pp. 1–12, 2023, doi: 10.1186/s40795-023-00772-3.
S. Rekha, P. Shirisha, V. R. Muraleedharan, G. Vaidyanathan, and U. Dash, “Wealth inequalities in nutritional status among the tribal under-5 children in India: A temporal trend analysis using NFHS data of Jharkhand and Odisha states - 2006-21,” Dialogues Heal., vol. 2, no. January, p. 100135, 2023, doi: 10.1016/j.dialog.2023.100135.
A. L. Cermeño, N. Palma, and R. Pistola, “Stunting and wasting in a growing economy: biological living standards in Portugal during the twentieth century,” Econ. Hum. Biol., vol. 51, no. June, 2023, doi: 10.1016/j.ehb.2023.101267.
L. N. Masilela and P. Modjadji, “Child Nutrition Outcomes and Maternal Nutrition-Related Knowledge in Rural Localities of Mbombela, South Africa,” Children, vol. 10, no. 8, pp. 1–17, 2023, doi: 10.3390/children10081294.
S. S. Halli, R. A. Biradar, and J. B. Prasad, “Low Birth Weight, the Differentiating Risk Factor for Stunting among Preschool Children in India,” Int. J. Environ. Res. Public Health, vol. 19, no. 7, 2022, doi: 10.3390/ijerph19073751.
A. Jana, D. Dey, and R. Ghosh, “Contribution of low birth weight to childhood undernutrition in India: evidence from the national family health survey 2019–2021,” BMC Public Health, vol. 23, no. 1, pp. 1–14, 2023, doi: 10.1186/s12889-023-16160-2.
S. Adjei-Gyamfi et al., “Maternal risk factors for low birthweight and macrosomia: a cross-sectional study in Northern Region, Ghana,” J. Heal. Popul. Nutr., vol. 42, no. 1, pp. 1–16, 2023, doi: 10.1186/s41043-023-00431-0.
A. Jana, U. R. Saha, R. S. Reshmi, and T. Muhammad, “Relationship between low birth weight and infant mortality: evidence from National Family Health Survey 2019-21, India,” Arch. Public Heal., vol. 81, no. 1, pp. 1–14, 2023, doi: 10.1186/s13690-023-01037-y.
A. Jana, “Correlates of low birth weight and preterm birth in India,” PLoS One, vol. 18, no. 8 AUGUST, pp. 1–17, 2023, doi: 10.1371/journal.pone.0287919.
D. Susanti and R. Dewi, “View of Education on Prevention of Stunting Through Exclusive Breastfeeding in the Community,” Ahmar Metakarta J. Pengabdi. Masy., vol. 1, no. 2, pp. 107–114, 2022, [Online]. Available: https://journal.ahmareduc.or.id/index.php/AMJPM/article/view/85/44
G. W. Alvita, B. D. Winarsih, S. Hartini, and N. Faidah, “Peningkatan Pemahaman Masyarakat Pentingnya ASI dan MPASI yang Tepat dalam Pencegahan Stunting di Wilayah Kerja Puskesmas Rejosari di Desa Cranggang,” J. Pengabdi. Kesehat., vol. 4, no. 2, pp. 123–135, 2021, [Online]. Available: http://jpk.jurnal.stikescendekiautamakudus.ac.id
A. Prabasiwi, S. Fikawati, and A. Syafiq, “ASI Eksklusif dan Persepsi Ketidakcukupan ASI,” Kesmas Natl. Public Heal. J., vol. 9, no. 3, p. 282, 2015, doi: 10.21109/kesmas.v9i3.691.
I. Johan and N. Azizah, “The effect of oxytocin massage on breastmilk production postpartum mothers in Peterongan PHC area, Jombang, East Java, Indonesia,” Glob. Nurs. Challenges Free Trade Era 5, no. 1, pp. 1–9, 2016, [Online]. Available: http://eprints.ners.unair.ac.id/310/
B. Tello et al., “Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age,” Int. Breastfeed. J., vol. 17, no. 1, pp. 1–15, 2022, doi: 10.1186/s13006-022-00461-0.
Zakaria et al., “Linear growth of infants aged 0-6 months in breastfeeding mothers who consume Moringa oleifera leaf extract capsules: randomized controlled double-blind design,” Food Res., vol. 6, no. 5, pp. 135–143, 2022, doi: 10.26656/fr.2017.6(5).720.
B. Syeda, K. Agho, L. Wilson, G. K. Maheshwari, and M. Q. Raza, “Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan,” Int. J. Pediatr. Adolesc. Med., vol. 8, no. 1, pp. 10–17, 2021, doi: 10.1016/j.ijpam.2020.01.006.
S. Wulandari, M. Triharini, and S. D. Wahyuni, “The Effect of a Combination of Oxytocin Massage and Music Therapy on Breast Milk Production and Breastfeeding Self Efficacy in Primipara Post Partum Mothers,” Pediomaternal Nurs. J., vol. 6, no. 1, p. 49, 2020, doi: 10.20473/pmnj.v6i1.19181.
K. Dewi, “the Effect of Oxytocin Massage on Anxiety Changes in Breastfeeding Mother,” J. Psychiatry Psychol. Behav. Res., vol. 3, no. 2, pp. 22–24, 2022, doi: 10.21776/ub.jppbr.2022.003.02.5.
