Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Effects of dadih and zinc supplementation during pregnancy on pregnancy outcome in West Sumatera, Indonesia
Helmizar Helmizar

Last modified: 2018-08-20

Abstract


Background: Malnultrition during pregnancy correlation with maternal mortality, neonatal deaths, and pregnancy outcomes. The consequences of malnutrition during pregnancy will affect the short-term and long-term health of the mother and infants. The objective of this study was to evaluate the effect of dadih and zinc supplementation during pregnancy on maternal weigh gain and the outcome of infants in West Sumatra Province.

Materials and methods: We conducted randomized control trial in which of 138 pregnant mothers start the two trimester randomly assigned three groups 1). Control Groups, 2). Dadih Groups, and 3), Dadih and zinc Groups. The mothers on dadih group received a tube dadih (100 gram) six times a week and one packed zinc tablet weekly and they have to consume at  07-11 in the morning 20 mg daily for six month of intervention. Mother’s weight gain was measured every month. After six month of intervention, zinc serum, secretary immunoglobulin A (sIgA) and birth weight were measure to all groups and monitor impact of the intervention on antropometric’s and morbidity of infants.

 Results: The average maternal weight gain was 8.9 + 3.7 kilogram,  the lowest found in the control group and highest found in combination dadih with zinc supplementation groups was 9.2+3.8 kilogram.  After 6 months intervention, we found that about 66.7 percent of infants birth weight > 3000 grams found and only 2.1 percent infants birth weight < 2500 grams for dadih group and about 60.0 percent had infant birth weight > 3000 grams and 4.4 percents infants with low birth found in control groups. Most mothers gave birth to a baby with body length of 48-50 cm. In control groups.  about 62.2 percent of infants had birth length of 48-50 cm, in dadih groups 43.8 percent of infant had birth length 48-50 cm and >50 cm, and 40.0 percent of infant had birth length >50 cm.  The statistical analysis shows that there were no significant differences decrease of sIgA mothers and infants at the beginning and after six month of intervention between three groups (p>0.05).

 

Conclusion: There were no significant differences in birth weight and length at birth but have a strong enough effect in maintaining the total amount of sIgA in the gastrointestinal tract over a longer period of time for both pregnant mothers and infants. Acknowledgements: We acknowledgments to Indonesia Danone Institute Foundation who have support funding. We also thanks for government Bukittinggi and Agam district and all the participants, and all of team of the study.

Keywords :Dadih, zinc supplementation, pregnancy outcome, pregnant mothers, Indonesia