ASI Eksklusif dan Bayi Prematur

(Doc. Tree life of breastfeeding)

DR. Dr. Risa Etika, SpA(K)

Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo
World Prematurity Day 2020 Aksi Bersama Dukung Masa Depan Bayi Premature Dengan ASI Eksklusif
Surabaya, 17 November 2020 1
 Risa Etika, MD Ped ,PhD
Consultant of Neonatology 2008

Comittee Member of Neonatology Working Group, IPS

2014-2017

Comittee Member of Indonesian Pediatric Society (IPS),

East Java Branch
2011 – 2014, 2014 – 2017, 2017 – 2020

Chief of BP2ASI Indonesian Pediatric Society, East Java Branch

2018 – Now

Chief of Neonatology Div – Dept of Paediatric Medical Faculty Universitas

Airlangga
Dr Soetomo Academic Hospital Surabaya Indonesia
2013 – Now

Indonesian Society of Perinatology (PERINASIA), East Java Branch

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1997 – Now
Doc. RSUD Dr Soetomo Surabaya Doc. Fakultas Kedokteran Universitas Airlangga Surabaya
“ FACTA NON VERBA”

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 3
4
(Doc. Neonatology Div – Dept of Child Health Dr Soetomo Hospital Surabaya) 5
 MDGs 2015 & Sustainable DGs

• Survey Demografi Kesehatan Indonesia (SDKI) 2012 : Angka

kematian balita (AKABA) 40/1000 KH, Angka kematian bayi
(AKB) 32/1000 KH serta angka kematian Ibu (AKI)
359/100.000 kehamilan, sedangkan target MDGs AKB 23/1000
KH serta AKI 102/100.000 kehamilan

• Penyebab utama kematian neonatal pada minggu pertama

(0-6 hari) adalah asfiksia (36 %), BBLR / Prematuritas (32%)
serta sepsis (12%) sedangkan penyebab kematian neonatal
(7-28hari) adalah sepsis (22%), kelainan kongenital (19%)
dan pneumonia (17 %)

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Risa Etika
…MDGs 2015 & Sustainable DGs

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Risa Etika
…MDGs 2015 & Sustainable DGs

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Risa Etika
Mutiara Bernas

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Risa Etika
 Sejarah Hari Prematur Sedunia
World Prematurity Day 2020

Celebrated since 2009, World Prematurity Day is an opportunity to call attention to the
heavy burden of death and disability and the pain and suffering that preterm birth
causes. It is also a chance to talk about solutions. The multitude of events organized
around the globe on World Prematurity Day remains the heart of the effort. Each year,
an increasing number of countries have observed World Prematurity Day by organizing
national and local events, including public art installations, parliamentary hearings,
health professional meetings, marches or purple lightening.

This Year’s Theme

We invite you to use the global World Prematurity Day 2020 theme:

“World Prematurity Day 2020, Together for babies born too soon – Caring for the
future”. This year’s messaging focus lies on:

Supporting families
Supporting healthcare professionals
Strengthening healthcare systems 10
Risa Etika
ASI, ASI, ASI

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Risa Etika
 Surabaya Quintuplet :
A Breastfeeding Success Story

(Doc. Pribadi Orang Tua Bayi Kembar Lima 2015) 12

 …Surabaya Quintuplet :
A Breastfeeding Success Story

NEST

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 13
Risa Etika
 …Surabaya Quintuplet :
A Breastfeeding Success Story

INCUBATOR COVER

KMC

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(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya)
Risa Etika
 …Surabaya Quintuplet :
A Breastfeeding Success Story

(Doc. Pribadi Orang Tua Bayi Kembar Lima 2015, Kembar Lima berusia 1-5 tahun, 2020) 15
Risa Etika
 ASI Eksklusif dan Bayi Prematur

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 16
Risa Etika
 …ASI Eksklusif dan Bayi Prematur

IDAI JATIM Magang HMB (Human Milk Bank) di Vietnam

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 17
Risa Etika
 …ASI Eksklusif dan Bayi Prematur

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 18
Risa Etika
 …ASI Eksklusif dan Bayi Prematur

IDAI JATIM Magang HMB (Human Milk Bank) di Vietnam

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 19
Risa Etika
 …ASI Eksklusif dan Bayi Prematur

IDAI JATIM Magang HMB (Human Milk Bank) di Vietnam

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 20
Risa Etika
 IDAI JATIM Magang HMB (Human Milk Bank) di Vietnam

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 21
(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 22
(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 23
(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 24
(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 25
 …ASI Eksklusif dan Bayi Prematur
Pusat Latih Perawatan Metode Kanguru
di RSUD Dr Soetomo sejak tahun 2008)

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 26
 …ASI Eksklusif dan Bayi Prematur

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 27
 …ASI Eksklusif dan Bayi Prematur

(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya) 28
 Bahaya Susu Formula Untuk Bayi Prematur

Nutritional problem of preterm infant

Greater Organ
morbidity immaturity

• Gavage
NEC feeding
•  Motility &
absorption

Greater nutritional Smaller

requirement and IWL nutritional
reserve 29
Risa Etika
 Take Home Messages

• Neonatal Intact Survival

• Breast crawl (Exclusive breastfeeding), KMC
• www.youtube.com // video breastcrawl and KMC Soetomo Hospital Surabaya

• www.youtube.com // KMC MOV – RSUD Dr Soetomo Surabaya

Co-ass medical students & Neonatology Consultant KFC Practice in Soetomo Hospital
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(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya)
Risa Etika
 ...Take Home Messages
• Textbook Neonatal Resuscitation, AHA & AAP 6th Ed, 2011
• Learner Manual. The STABLE Program Post Resuscitation / Pre Transport
Stabilization care of sick infants guidelines for neonatal health care providers, AAP
6th Ed, 2011
• Manual of Neonatal Care, Cloherty, 7th Ed, 2013
• Breastfeeding Sick Babies, IPS, 2014
• Panduan Praktis Perawatan Metode Kanguru di RSDS, Risa Etika dkk, 2015

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(Doc. Divisi Neonatologi Dept./ SMF Ilmu Kesehatan Anak FKUA RSUD Dr Soetomo Surabaya)
Risa Etika
Terima Kasih

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