Efek Suplementasi Vitamin A, Minyak Fortifikasi dan Edukasi Gizi Ibu Nifas terhadap Morbiditas Ibu dan Bayi
Abstract
Vitamin A deficiency can affect the morbidity of postpartum mother and their infant. The purpose of thisstudy was to determine the effect of high doses of vitamin A (2vitA and 1vitA), fortified oil (Forti A) and nutritioneducation (Education) on maternal and infant morbidity. This study was used quasi experimental design with total295 samples selected based on the inclusion criteria. Morbidity which mainly associated with ARI and diarrheawas measured every two weeks until the infant is 3 months old. The results showed that the average postpartummothers in this study were 27 years old and about 42% of postpartum mothers had completed their education upto high school level. The average frequency of maternal ARI in the Forti A group was lower compared to the 2vitA,1vitA and educational groups (0.04, 0.31, 0.95, and 0.29, respectively) (p<0.000). Likewise, it is also found in theduration of respiratory infection for each group of; 0.17, 0.99, 3.16, and 1.07 day, respectively (p<0.000). Oilfortification with vitamin A can reduce the incidence of morbidity.
References
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Randomized Trials. Bull world Heal Organ. 2010;88(9):697–702.
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to OPV Administered to the Newborn. Indian Pediatr. 1998;35(3):217–22.
13. World Health Organization. Guideline: Vitamin A Supplementation in Postpartum Women. Geneva (CH): WHO; 2011.
14. Kementerian Kesehatan. Laporan Hasil Riset Kesehatan Dasar 2013. Jakarta (ID) : Kementerian Kesehatan RI; 2013.
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16. Sandjaja, Jus’at I, Jahari AB, Ifrad, Htet MK, Tilden RL, et al. Vitamin A-Fortified Cooking Oil Reduces Vitamin A Deficiency in Infants, Young Children and Women: Results from a Programme Evaluation in Indonesia. Public Heal nutr. 2015;18(14):2511–22.
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18. Muslimatun S, Schmidt MK, West CE, Schultink W, Hautvast JGA., Karyadi D. Weekly Vitamin A and Iron Supplementation
During Pregnancy Increases Vitamin A Concentration of Breast Milk but Not Iron Status in Indonesian Lactating Women. J Nutr. 2001;131:2664–9.
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London (GB): CABI Publishing; 2002. p. 151.
20. Abdullah, Prawirohartono EP, Helmiyati S. Efek Suplementasi Vitamin A pada Ibu Nifas terhadap Pertumbuhan Bayi Umur 0-4 Bulan. J Gizi Klin Indones. 2013;9(3):97–103.
21. Liu N, Mao L, Sun X, Liu L, Yao P, Chen B. The Effecf of Health and Nutrition Education Intervention on Women’s Postpartum Beliefs
and Practices : a Randomized Controlled Trial. BMC Public Health. 2009;9(45):1–9.
22. Darboe MK, Thurnham DI, Morgan G, Adegbola RA, Secka O, Solon JA, et al. Effectiveness of an Early Supplementation Scheme
of High-Dose Vitamin A Versus Standard WHO Protocol in Gambian Mothers and Infants: a Randomised Controlled Trial. Lancet. 2007;368(9579):2088–96.
23. Idindili B, Masanja H, Urassa H, Bunini W, Jaarsveld P van, Aponte JJ, et al. Randomized Controlled Safety and Efficacy Trial of 2 Vitamin A Supplementation Schedules in Tanzanian Infants. Am J Clin Nutr. 2007;85(5):1312–9.
24. Fernandes TF dos S, Figueiroa JN, Arruda IKG de, Diniz A da S. Effect on Infant Illness of Maternal Supplementation with 400 000
IU vs 200 000 IU of Vitamin A. Pediatrics. 2012;129(4):e960–6.
25. Villamor E, Fawzi WW. Effects of Vitamin A Supplementation on Immune Responses and Correlation with Clinical Outcomes. Clin Microbiol Rev. 2005;18(3):446–64.
Read More
2. Imdad A, Ahmed Z, Bhutta Z. Vitamin Asupplementation for the Prevention of Morbidity and Mortality in Infants One to Six Months of
Age (Review). Cochrane Database Syst Rev.2016;9:CD007480.
3. Fujita M, Shell-Duncan B, Ndemwa P, Brindle E, Lo Y, Kombe Y, et al. Vitamin A Dynamics in Breastmilk and Liver Stores: a Life History
Perspective. Am J Hum Biol. 2011;23(5):664–73.
4. Christian P, Jr KPW, Khatry SK, Katz J, Shrestha SR, Pradhan EK, et al. Night Blindness of Pregnancy in Rural Nepal—Nutritional and Health Risks. Int J Epidemiol. 1998;27(2):231–7.
5. Bahl R, Bhandari N, Wahed MA, Kumar GT, Bhan MK, Group the WI-LVA. Vitamin A Supplementation of Women Postpartum and
of their Infants at Immunization Alters Breast Milk Retinol and Infant Vitamin A Status. J Nutr. 2002;132(11):3243–8.
6. Miller M, Humphrey J, Johnson E, Marinda E, Brookmeyer R, Katz J. Why do Children Become Vitamin A Deficient? J Nutr. 2002;132(9):2867S – 2880S.
7. Ahmed F, Azim A, Akhtaruzzaman M. Vitamin A Deficiency in Poor, Urban, Lactating Women in Bangladesh: Factors Influencing Vitamin A Status. Public Health Nutr. 2003;6(5):447–52.
8. Humphrey JH, Agoestina T, Wu L, Usman A, Nurachim M, Subardja D, et al. Impact of Neonatal Vitamin A Supplementation on
Infant Morbidity and Mortality. J Pediatr. 1996;128(4):489–96.
9. Roy S, Islam A, Molla A, Akramuzzaman S, Jahan F, Fuchs G. Impact of a Single Megadose of Vitamin A at Delivery on Breastmilk of Mothers and Morbidity of their Infants. Eur J Clin Nutr. 1997;51(5):302–7.
10. Klemm RDW, Labrique AB, Christian P, Rashid M, Shamim AA, Katz J, et al. Newborn Vitamin A Supplementation Reduced Infant Mortality in Rural Bangladesh. Pediatrics. 2008;122(1):e243–50.
11. Rotondi MA, Khobzi N. Vitamin A Supplementation and Neonatal Mortality in the Developing World: a Meta-Regression of Cluster-
Randomized Trials. Bull world Heal Organ. 2010;88(9):697–702.
12. Bhaskaram P, Balakrishna N. Effect of Administration of 200,000 IU of Vitamin A to Women within 24 hrs after Delivery on Response
to OPV Administered to the Newborn. Indian Pediatr. 1998;35(3):217–22.
13. World Health Organization. Guideline: Vitamin A Supplementation in Postpartum Women. Geneva (CH): WHO; 2011.
14. Kementerian Kesehatan. Laporan Hasil Riset Kesehatan Dasar 2013. Jakarta (ID) : Kementerian Kesehatan RI; 2013.
15. Dary O, Mora JO. Food Fortification to Reduce Vitamin A Deficiency: International Vitamin A Consultative Group Recommendations. J Nutr. 2002;132(9 Suppl):2927S – 2933S.
16. Sandjaja, Jus’at I, Jahari AB, Ifrad, Htet MK, Tilden RL, et al. Vitamin A-Fortified Cooking Oil Reduces Vitamin A Deficiency in Infants, Young Children and Women: Results from a Programme Evaluation in Indonesia. Public Heal nutr. 2015;18(14):2511–22.
17. Newman V. Vitamin A and Breastfeeding : a Comparison of Data Form Developed and Developing Countries. San Diego (US). Wellstart International; 1993.
18. Muslimatun S, Schmidt MK, West CE, Schultink W, Hautvast JGA., Karyadi D. Weekly Vitamin A and Iron Supplementation
During Pregnancy Increases Vitamin A Concentration of Breast Milk but Not Iron Status in Indonesian Lactating Women. J Nutr. 2001;131:2664–9.
19. Semba RD. Vitamin A, Infenction and Immune Function. In: Calder PC, Field CJ, Gill HS, editors. Nutrition and Immune Function.
London (GB): CABI Publishing; 2002. p. 151.
20. Abdullah, Prawirohartono EP, Helmiyati S. Efek Suplementasi Vitamin A pada Ibu Nifas terhadap Pertumbuhan Bayi Umur 0-4 Bulan. J Gizi Klin Indones. 2013;9(3):97–103.
21. Liu N, Mao L, Sun X, Liu L, Yao P, Chen B. The Effecf of Health and Nutrition Education Intervention on Women’s Postpartum Beliefs
and Practices : a Randomized Controlled Trial. BMC Public Health. 2009;9(45):1–9.
22. Darboe MK, Thurnham DI, Morgan G, Adegbola RA, Secka O, Solon JA, et al. Effectiveness of an Early Supplementation Scheme
of High-Dose Vitamin A Versus Standard WHO Protocol in Gambian Mothers and Infants: a Randomised Controlled Trial. Lancet. 2007;368(9579):2088–96.
23. Idindili B, Masanja H, Urassa H, Bunini W, Jaarsveld P van, Aponte JJ, et al. Randomized Controlled Safety and Efficacy Trial of 2 Vitamin A Supplementation Schedules in Tanzanian Infants. Am J Clin Nutr. 2007;85(5):1312–9.
24. Fernandes TF dos S, Figueiroa JN, Arruda IKG de, Diniz A da S. Effect on Infant Illness of Maternal Supplementation with 400 000
IU vs 200 000 IU of Vitamin A. Pediatrics. 2012;129(4):e960–6.
25. Villamor E, Fawzi WW. Effects of Vitamin A Supplementation on Immune Responses and Correlation with Clinical Outcomes. Clin Microbiol Rev. 2005;18(3):446–64.
Authors
Salam, A., Briawan, D., Martianto, D., Thaha, A. R., & Arundhana, A. I. (2018). Efek Suplementasi Vitamin A, Minyak Fortifikasi dan Edukasi Gizi Ibu Nifas terhadap Morbiditas Ibu dan Bayi. Media Kesehatan Masyarakat Indonesia, 14(3), 209-216. https://doi.org/10.30597/mkmi.v14i3.4348
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