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Historical Perspectives: Low Birthweight and Preterm Infants in Indonesia

Ekawaty Lutfia Haksari1

  • 1Neonatology Division, Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada /Sardjito General Hospital, Yogyakarta, Indonesia.

Neoreviews
|October 3, 2019
PubMed

Insights

High rates of low birthweight (LBW), prematurity, and small for gestational age (SGA) infants in Indonesia necessitate improved care. Local growth charts and interventions like kangaroo mother care are crucial for reducing infant morbidity and mortality.

Area of Science:

  • Neonatal Medicine
  • Public Health
  • Pediatrics

Background:

  • Indonesia faces a significant challenge with high incidence rates of low birthweight (LBW), prematurity, and small for gestational age (SGA) infants.
  • These conditions are associated with considerable morbidity and mortality, impacting public health outcomes.

Purpose of the Study:

  • To review the current situation of LBW, preterm, and SGA infants in Indonesia.
  • To describe the development and utility of local Indonesian growth charts for SGA definition.
  • To identify risk factors and effective interventions for improving outcomes in these vulnerable infant populations.

Main Methods:

  • A comprehensive literature search was conducted across PubMed/Medline, Cochrane Library, Google, and local Indonesian resources.
  • The review encompassed studies published in English and Indonesian from 1987 to February 2019.
  • Analysis focused on local growth charts, risk factors, interventions, and morbidities specific to Indonesian infants.

Main Results:

  • Local reference growth charts are essential for accurately defining SGA prevalence in Indonesia.
  • Key risk factors contributing to LBW, prematurity, and SGA were identified.
  • Interventions such as kangaroo mother care, early enteral feeding, and increased breastfeeding show promise.

Conclusions:

  • Developing and utilizing local growth charts is vital for identifying SGA infants in Indonesia.
  • Targeted interventions and optimized hospital discharge planning are critical.
  • Enhanced hospital care and post-discharge follow-up are essential to reduce morbidity and mortality in LBW, preterm, and SGA infants.

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