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  • Title: Low birth weight babies under village conditions: feeding pattern, growth and motor development.
    Author: Kardjati S, Kusin JA, De With C, Renqvist UH.
    Journal: Paediatr Indones; 1991; 31(3-4):84-98. PubMed ID: 1956693.
    Abstract:
    Feeding, growth and motor development of low birth weight babies (LBW) were assessed among infants born from September 1982 through December 1984 in 3 villages in Madura. Mean birth weight of Madurese infants ranged from 2850-2950 g and the incidence of LBW from 9.5-12.2%. A larger percentage of the very small LBW babies (birth weight 2.0-2.2 kg) received breastmilk as the sole food in the first 6 months. Yet, force-feeding was also practiced for LBW babies. Infants remained in their growth channel according to birth weight, however, relative to the NCHS centiles at birth, LBW infants grew better in the first 6 months than normal birth weight (NBW) infants. Growth deteriorated conspicuously in the second half of infancy, irrespective of birth weight. There was no difference in motor development between LBW and NBW infants. Once they had survived, LBW infants appeared to do as well as NBW under village conditions. Researchers followed at least 561 single births born between September 1982-December 1984 in 3 villages in Madura, Indonesia from birth to 12 months to assess infant feeding, growth, and motor development of full term, low birth weight (LBW) infants. Mean birth weight varied from 2850-2950 g and the incidence of LBW from 9.5-12.2%. No special interventions were employed with the LBW infants. Only about 15% of the infants were exclusively breast fed in the 1st 12 months, but not all of the 15% were the same infants. Most infants who returned to exclusive breast feeding refused other food. Some infants received their 1st supplementary food by the end of the 1st week. Apparently this did not adversely affect the infants health, however. Mothers of infants 2300 g tended to exclusively breast feed more and longer than all other mothers. All infants stayed in their growth category by birth weight cohort. In fact, LBW infants grew better than normal birth weight (NBW) infants according to the NCHS centiles at birth during the 1st 6 months. The fact that the LBW infants were wasted may have explained the catch up in growth with NBW infants during the 1st 6 months. During 6-12 months, however, the weight and length of both LBW and NBW infants faltered. The deflection from the reference level at birth was greater for NBW infants, however. Further the motor development of both NBW and LBW infants progressed at basically the same rate. In conclusion, surviving LBW infants grew quite well and their motor skills developed satisfactorily under village conditions in rural Madura, Indonesia.
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