Inadequate food diversity and food taboo associated with maternal iron deficiency among pregnant women living in slum settlements in Makassar City, Indonesia.

BACKGROUND: Anemia in pregnancy is a major public health problem, especially in developing countries. The most common cause is nutritional deficiencies, especially iron deficiency. Adequate nutritional intake from food is essential during pregnancy. Therefore, this study aimed to investigate the relationship between food access and intake patterns with the incidence of iron deficiency among pregnant women living in the slum settlement in Makassar City. MATERIALS AND METHODS: This research is a sub-study of the Indonesian Birth Cohort Study based in Makassar City. This sub-study used a cross-sectional design and recruited 173 pregnant women in their second and third trimesters using total sampling. All data were collected using a structured questionnaire and recorded using KoboToolbox software. Serum ferritin levels were examined for iron status using the ELISA method at the Microbiology Laboratory Unit at Hasanuddin University Teaching Hospital. The statistical data were analyzed using STATA version 14 with Chi-square analysis and logistic regression. RESULTS: The prevalence of iron deficiency in pregnant women living in slum settlements in Makassar City was 78%. Logistic regression analysis showed that inadequate food diversity (AOR: 2.58; 95% CI: 1.17-5.69; P = 0.019) and food taboos (AOR: 2.81; 95% CI: 1.26-6.26; P = 0.011) were significantly associated with the incidence. CONCLUSIONS: Most pregnant women living in slum settlements in Makassar City experienced iron deficiency. Pregnant women who experience iron shortages have been connected to food taboos and dietary diversity.

Prevent postpartum blues with the implementation of breastfeeding father education model to increase the frequency of breastfeeding in mothers: A systematic review.

OBJECTIVE: To find out if the breastfeeding father education model can increase exclusive breastfeeding in mothers to prevent the occurrence of postpartum blues. METHODS: This study uses literature review design, articles collected using search engines such as PubMed, Elsevier, Scinapse, Plos One, and Google Scholar. We identified journals based on the PRISMA 2015 Guidelines with a total of n=5690 and obtained the number of journals reviewed n=33. RESULTS: The father's support is believed to have influenced the mother's decision to start and maintain breastfeeding. Father education is proven to increase breastfeeding with a value of p (0.001)<0.05. In addition, support from husbands is also classified as sufficient (54%) in lowering anxiety levels in mothers with spearman's test results p=0.48 or <0.05. CONCLUSIONS: Providing an education model of breastfeeding father can increase the exclusive breastfeeding by the mother to prevent the occurrence of postpartum blues.

The influence of fluoride in drinking water on the incidence of fluorosis and intelligence of elementary school students in Palu City.

OBJECTIVE: This research aims to know the influence of fluoride in drinking water towards Fluorosis and the Intelligence Level of Elementary School Students in Palu City. METHOD: This cross-sectional study was performed through descriptive analysis on 100 students aged 6-12 years old selected by stratified random sampling from two different areas with different levels of fluoride in drinking water in Palu City. The samples were collected from two different elementary schools which were SDN 2 Talise and SDN Inpres 1 Birobuli. The examination was performed by a dentist using Dean's Fluorosis Index and philology, who measured students' IQ using Raven's Coloured Progressive Matrices. RESULTS: High level of F in drinking water affects the fluorosis status of students (p=0.001), in which among 40 students (40%) who experienced fluorosis, 38 (38%) of them are from the area whose F level is high. The high level of F also affected the children's IQ, obtaining a p-value of 0.001, showing that there were no students with low IQ found in the area with low F level. For the status of Fluorosis and IQ, p=0.001 was obtained. Among the 60 students who did not experience fluorosis, 96.6% of them had a high IQ level. CONCLUSION: The recent research found that fluorosis was found more often in the area of which F level was high, where the IQ level of the students was found to be lower compared to the students who loved in the area with low F level.

Prevent postpartum blues with the implementation of breastfeeding father education model to increase the frequency of breastfeeding in mothers: A systematic review

Objective: To find out if the breastfeeding father education model can increase exclusive breastfeeding in mothers to prevent the occurrence of postpartum blues. Methods: This study uses literature review design, articles collected using search engines such as PubMed, Elsevier, Scinapse, Plos One, and Google Scholar. We identified journals based on the PRISMA 2015 Guidelines with a total of n = 5690 and obtained the number of journals reviewed n = 33. Results: The father's support is believed to have influenced the mother's decision to start and maintain breastfeeding. Father education is proven to increase breastfeeding with a value of p (0.001) < 0.05. In addition, support from husbands is also classified as sufficient (54%) in lowering anxiety levels in mothers with spearman's test results p = 0.48 or <0.05. Conclusions: Providing an education model of breastfeeding father can increase the exclusive breastfeeding by the mother to prevent the occurrence of postpartum blues. (AU)

The influence of fluoride in drinking water on the incidence of fluorosis and intelligence of elementary school students in Palu City

Objective: This research aims to know the influence of fluoride in drinking water towards Fluorosis and the Intelligence Level of Elementary School Students in Palu City. Method: This cross-sectional study was performed through descriptive analysis on 100 students aged 6–12 years old selected by stratified random sampling from two different areas with different levels of fluoride in drinking water in Palu City. The samples were collected from two different elementary schools which were SDN 2 Talise and SDN Inpres 1 Birobuli. The examination was performed by a dentist using Dean's Fluorosis Index and philology, who measured students’ IQ using Raven's Coloured Progressive Matrices. Results: High level of F in drinking water affects the fluorosis status of students (p = 0.001), in which among 40 students (40%) who experienced fluorosis, 38 (38%) of them are from the area whose F level is high. The high level of F also affected the children's IQ, obtaining a p-value of 0.001, showing that there were no students with low IQ found in the area with low F level. For the status of Fluorosis and IQ, p = 0.001 was obtained. Among the 60 students who did not experience fluorosis, 96.6% of them had a high IQ level. Conclusion: The recent research found that fluorosis was found more often in the area of which F level was high, where the IQ level of the students was found to be lower compared to the students who loved in the area with low F level. (AU)