Paul M
Department of Child Health, Medical School University of Indonesia, Jakarta, Indonesia.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1997 Sep-Oct;38(5):338-44.
Breastfeeding promotion program was started by the paediatricians and others in 1977, and is becoming a strong activity since 1990 it was declared by the President of the Republic of Indonesia as a National Movement. One year later the First Lady stated the importance of every Indonesian mother to breast-feed her baby, and thereafter many hospitals created the so called "Baby Friendly Hospital". In this occasion we only limit with eminent topics, i.e., "Exclusive Breast-feeding" in Indonesia, and "Breastfeeding amongst Working Mothers." In fact, until now the percentage of mothers who breastfeed exclusively is very low. Although the ever breastfed babies in Indonesia is 97% (Kodyat, 1996) but the data of the "Exclusive Breastfeeding" of Indonesia is just like Pakistan and Thailand, i.e. nearly 2 months, whereas the Philippines and Ceylon showed a figure of 4 months, and India 5 months. The Home Health Survey (SKRT) data in 1992 showed that 63.7% of the babies were exclusively breast-fed until 3 months. Three quarter of the quality of the exclusive breastmilk is quite good, enough or excellent, whereas the other one quarter is poor and this should be interfered by increasing the quality of the breastmilk and/or adding other formula, to prevent the baby of getting "failure to thrive" (Suharyono, 1996). Working mothers use to do "Early Weaning Practices" with very high mixed feeding practices (Matulessy et al, 1996). Mothers have to go to work because they have to support their family income, but unfortunately most of them ignore their main task of care their children.
the experience in Indonesia proves that a very hard work should still be continued on the effort of promoting breastfeeding, especially regarding the two issues, i.e. "Exclusive breastfeeding" (we do hope at least until 4 months) and the other issue is regarding the "Working Mothers".
促进母乳喂养计划由儿科医生及其他人员于1977年启动,自1990年印度尼西亚共和国总统宣布其为全国性运动以来,该计划正成为一项重要活动。一年后,第一夫人强调了每位印度尼西亚母亲母乳喂养婴儿的重要性,此后许多医院设立了所谓的“爱婴医院”。在此,我们仅局限于突出的话题,即印度尼西亚的“纯母乳喂养”以及“职业母亲的母乳喂养情况”。事实上,直至如今,纯母乳喂养母亲的比例依然很低。尽管印度尼西亚曾经母乳喂养婴儿的比例为97%(科迪亚,1996年),但印度尼西亚“纯母乳喂养”的数据与巴基斯坦和泰国相近,即接近2个月,而菲律宾和锡兰的数据为4个月,印度为5个月。1992年的家庭健康调查(SKRT)数据显示,63.7%的婴儿纯母乳喂养至3个月。四分之三的纯母乳质量相当好、充足或极佳,而另外四分之一质量较差,这需要通过提高母乳质量和/或添加其他配方奶来干预,以防止婴儿出现“发育迟缓”(苏哈里约诺,1996年)。职业母亲常常采用“过早断奶做法”,混合喂养的比例非常高(马图莱西等人,1996年)。母亲们不得不去工作,因为她们必须维持家庭收入,但不幸的是,她们中的大多数忽视了照顾孩子这项主要任务。
印度尼西亚的经验证明,在促进母乳喂养的努力方面仍需继续付出巨大努力,尤其是在“纯母乳喂养”(我们希望至少持续到4个月)以及“职业母亲”这两个问题上。