Factors Related To Nutritional Status At Discharge In Neonatal Unit, National General Hospital Dr. Cipto Mangunkusumo, Indonesia

Background. Adequate nutrition is an important factor for optimum growth and development in children. Extrauterine growth restriction (EUGR) has to be avoided in neonatal unit at discharge. Aims. To describe nutritional status in neonatal at discharge and its associated factors. Methods A cross sectional study was performed in Neonatal Unit in National General Hospital Dr. Cipto Mangunkusumo, Jakarta, Indonesia. Data was collected from medical record of discharged patients from August to October 2016. Inclusion criteria was preterm babies with gestational age (GA) 28-34 weeks. Subjects with multiple congenital abnormality were excluded and also if the medical records were incomplete. Fenton growth chart was used to monitor weight. Results A total of 32 subjects participated in this study. Mean GA was 32.38 + 1.41 weeks, birth weight 1600.16 + 300.24 g, weight increment 12.13 + 8.14 g/kg/day. Median of length of stay 29.88 (7 – 110) days. All subjects were appropriate for gestational age. There were 6/32 subjects diagnosed as EUGR. Only 1 subject had increased weight compare to initial birth percentile, 15/32 patient stay on birth percentile, 15/32 patient decrease from birth percentile. There were no correlations between onset of initial enteral feeding, sepsis condition, days of oxygen therapy, length of stay with nutritional status at discharge (p>0.05). But, time to achieve full feed was correlated with nutritional status at discharge (p<0.047). Conclusions Although EUGR is only seen in 6/32 subjects, it is still challenging. Early full feeding has to be achieved in order to have good nutritional status at discharge.