Tuesday, 26 August 2014

MPASI pada Bayi

Sejak 2001 hingga Sekarang, Rekomendasi Pemberian #ASI eksklusif 6 bulan / waktu mulai MPASI (Makanan Pendamping ASI) saat bayi berusia 6 bulan / 180 hari = Belum BERUBAH

Sebelumnya saya mengucapkan Mohon maaf lahir batin, terutama bila ada kata2 / tulisan saya yang kurang berkenan. Terimakasih atas ucapan yang dikirimkan via Inbox dll, maaf bila tidak dibalas satu persatu. Taqabbal Allahu minna wa minkum.

Dalam sebulan terakhir ini saya membaca & ditanya beberapa Ibu menyusui yang menyatakan kebingungannya karena tenaga kesehatan yang menangani bayi-bayi mereka baik itu dokter anak maupun bidan menyarankan pemberian MPASI sejak usia 4 bulan, dan kata-nya rekomendasi IDAI sudah berubah (saya tidak ada niat untuk mendiskreditkan para tenaga kesehatan). Kemudian ada yang minta saya sumber2 asli yang menyatakan rekomendasi MPASI diberikan saat bayi berusia 6 bulan.

Baiklah , silahkan simak kutipan2 ini, semua sumber kecuali dari web IDAI tidak saya terjemahkan bahasa Inggrisnya karena saya post benar2 original filenya. Gak complaint ya.. pakai fasilitas google translate aja kalau tidak bisa bahasa Inggris.

1. Rekomendasi WHO (World Health Organization)

Duration of Exclusive Breastfeeding & Age of Introduction of Complementary Foods

A. Guideline: Practice exclusive breastfeeding from birth to 6 months of age, and introduce complementary foods at 6 months of age (180 days) while continuing to breastfeed.

B. Scientific rationale:

In May, 2001 the 54th World Health Assembly urged Member States to
promote exclusive breastfeeding for six months as a global public health recommendation (World Health Assembly, 2001). This recommendation followed a report by a WHO Expert Consultation on the Optimal Duration of Exclusive Breastfeeding (WHO, 2001), which considered the results of a systematic review of the evidence (Kramer and Kakuma, 2002) and concluded that exclusive breastfeeding for six months confers several benefits on the infant and the
mother. Chief among these is the protective effect against infant gastrointestinal infections, which is observed not only in developing country settings but also in industrialized countries (Kramer et al., 2001).

Sumber : Guiding Principles For Complementary Feeding of The Breastfed Child - WHO 2010

2. Rekomendasi UNICEF (United Nations of Children's Fund)

Breast milk provides all the food and water that your baby needs during the first 6 months.

• Do not give anything else, not even water, during your baby’s first 6 months.
• Even during very hot weather, breast milk will satisfy your baby’s thirst.
• Giving your baby anything else will cause him/her to suckle less and will reduce the amount of
breast milk that you produce.
• Water, other liquids and foods can make the baby sick.

Sumber : Key Message Booklet UNICEF September 2012

3. Rekomendasi AAP (American Academy of Pediatrics)

How long should I breastfeed my baby?

The AAP recommends that babies be exclusively breastfed for about the first 6 months of life. This means your baby needs no additional foods (except Vitamin D) or fluids unless medically indicated. Babies should continue to breastfeed for a year and for as long as is mutually desired by the mother and baby. Breastfeeding should be supported by your physician for as long as it is the right choice for you and your baby.

4. Rekomendasi Australian Government National Health & Medical Research Council

In Australia, it is recommended that infants be exclusively breastfed until
around 6 months of age when solid foods are introduced. It is further
recommended that breastfeeding be continued until 12 months of age
and beyond, for as long as the mother and child desire.

5. Rekomendasi IDAI (Ikatan Dokter Anak Indonesia)

IKATAN DOKTER ANAK INDONESIA

REKOMENDASI No.: 002/Rek/PP IDAI/XI/2010

tentang Air Susu Ibu dan Menyusui

ASI eksklusif didefinisikan sebagai pemberian ASI tanpa suplementasi makanan maupun minuman lain, baik berupa air putih, jus, ataupun susu selain ASI. Pemberian vitamin, mineral, dan obat-obatan diperbolehkan selama pemberian ASI eksklusif

Pemberian ASI eksklusif selama 6 bulan pertama cukup untuk mencapai tumbuh kembang optimal.

Bonus :

6. Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals - WHO

Recommended infant and young child feeding practices WHO and UNICEF’s global recommendations for optimal infant feeding as set out in the Global Strategy
are:

Exclusive breastfeeding for 6 months (180 days)

Silahkan baca tulisan2 saya yang lain soal Bahaya Pemberian MPASI Dini (& Menundanya) di Notes & Timeline Photos saya salah satunya :

https://www.facebook.com/notes/fatimah-berliana-monika-purba/bahaya-pemberian-mpasi-makanan-pendamping-asipasi-dini-menundanya-lewat-dari-6-b/10203307416352044

Jadi.. masih galau kalau bayi sehat, cukup bulan, tumbang/pertumbuhan perkembangan baik disuruh2 MPASI usia 4 bulan?

Happy Breastfeeding  Salam #ASI
Keep Praying .. #PrayForGaza #PrayForSyria #PrayForRohingya & all other places in this world where Moslems fight for their rights
 — with Lusiana Atmoko and 5 others at Sydney.
Photo: Sejak 2001 hingga Sekarang, Rekomendasi Pemberian #ASI eksklusif 6 bulan / waktu mulai MPASI (Makanan Pendamping ASI) saat bayi berusia 6 bulan / 180 hari = Belum BERUBAH

Sebelumnya saya mengucapkan Mohon maaf lahir batin, terutama bila ada kata2 / tulisan saya yang kurang berkenan. Terimakasih atas ucapan yang dikirimkan via Inbox dll, maaf bila tidak dibalas satu persatu. Taqabbal Allahu minna wa minkum.

Dalam sebulan terakhir ini saya membaca & ditanya beberapa Ibu menyusui yang menyatakan kebingungannya karena tenaga kesehatan yang menangani bayi-bayi mereka baik itu dokter anak maupun bidan menyarankan pemberian MPASI sejak usia 4 bulan, dan kata-nya rekomendasi IDAI sudah berubah (saya tidak ada niat untuk mendiskreditkan para tenaga kesehatan). Kemudian ada yang minta saya sumber2 asli yang menyatakan rekomendasi MPASI diberikan saat bayi berusia 6 bulan. 

Baiklah , silahkan simak kutipan2 ini, semua sumber kecuali dari web IDAI tidak saya terjemahkan bahasa Inggrisnya karena saya post benar2 original filenya. Gak complaint ya.. pakai fasilitas google translate aja kalau tidak bisa bahasa Inggris.

1. Rekomendasi WHO (World Health Organization)
 
Duration of Exclusive Breastfeeding & Age of Introduction of Complementary Foods

A. Guideline: Practice exclusive breastfeeding from birth to 6 months of age, and introduce complementary foods at 6 months of age (180 days) while continuing to breastfeed.

B. Scientific rationale: 

In May, 2001 the 54th World Health Assembly urged Member States to
promote exclusive breastfeeding for six months as a global public health recommendation (World Health Assembly, 2001). This recommendation followed a report by a WHO Expert Consultation on the Optimal Duration of Exclusive Breastfeeding (WHO, 2001), which considered the results of a systematic review of the evidence (Kramer and Kakuma, 2002) and concluded that exclusive breastfeeding for six months confers several benefits on the infant and the
mother. Chief among these is the protective effect against infant gastrointestinal infections, which is observed not only in developing country settings but also in industrialized countries (Kramer et al., 2001).

Sumber : Guiding Principles For Complementary Feeding of The Breastfed Child - WHO 2010

2. Rekomendasi UNICEF (United Nations of Children's Fund)

Breast milk provides all the food and water that your baby needs during the first 6 months.

• Do not give anything else, not even water, during your baby’s first 6 months.
• Even during very hot weather, breast milk will satisfy your baby’s thirst.
• Giving your baby anything else will cause him/her to suckle less and will reduce the amount of
breast milk that you produce.
• Water, other liquids and foods can make the baby sick.

Sumber : Key Message Booklet UNICEF September 2012

3. Rekomendasi AAP (American Academy of Pediatrics)

How long should I breastfeed my baby?

The AAP recommends that babies be exclusively breastfed for about the first 6 months of life. This means your baby needs no additional foods (except Vitamin D) or fluids unless medically indicated. Babies should continue to breastfeed for a year and for as long as is mutually desired by the mother and baby. Breastfeeding should be supported by your physician for as long as it is the right choice for you and your baby.

4. Rekomendasi Australian Government National Health & Medical Research Council

In Australia, it is recommended that infants be exclusively breastfed until 
around 6 months of age when solid foods are introduced. It is further 
recommended that breastfeeding be continued until 12 months of age 
and beyond, for as long as the mother and child desire. 

5. Rekomendasi IDAI (Ikatan Dokter Anak Indonesia)

IKATAN DOKTER ANAK INDONESIA  

REKOMENDASI No.: 002/Rek/PP IDAI/XI/2010

tentang Air Susu Ibu dan Menyusui

ASI eksklusif didefinisikan sebagai pemberian ASI tanpa suplementasi makanan maupun minuman lain, baik berupa air putih, jus, ataupun susu selain ASI. Pemberian vitamin, mineral, dan obat-obatan diperbolehkan selama pemberian ASI eksklusif

Pemberian ASI eksklusif selama 6 bulan pertama cukup untuk mencapai tumbuh kembang optimal.

Bonus :

6. Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals - WHO

Recommended infant and young child feeding practices WHO and UNICEF’s global recommendations for optimal infant feeding as set out in the Global Strategy
are:

Exclusive breastfeeding for 6 months (180 days)

Silahkan baca tulisan2 saya yang lain soal Bahaya Pemberian MPASI Dini (& Menundanya) di Notes & Timeline Photos saya salah satunya  :

https://www.facebook.com/notes/fatimah-berliana-monika-purba/bahaya-pemberian-mpasi-makanan-pendamping-asipasi-dini-menundanya-lewat-dari-6-b/10203307416352044

Jadi.. masih galau kalau bayi sehat, cukup bulan, tumbang/pertumbuhan perkembangan baik disuruh2 MPASI usia 4 bulan?

Happy Breastfeeding :) Salam #ASI
Keep Praying .. #PrayForGaza #PrayForSyria #PrayForRohingya & all other places in this world where Moslems fight for their rights
source : https://www.facebook.com/fbmonika?fref=ts , timeline mbak Fatimah Berliana Monika Purba di fb, semoga menjadi amal baik yg manfaatnya tak berkesudahan.

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