PERBEDAAN FREKUENSI DEFEKASI DAN KONSISTENSI TINJA BAYI SEHAT USIA 0 – 4 BULAN YANG MENDAPAT ASI EKSKLUSIF, NON EKSKLUSIF DAN SUSU FORMULA THE DIFFERENCES OF DEFECATION FREQUENCY AND STOOL CONSISTENCY IN 0-4 MONTH OLD HEALTHY BABIES WITH EXCLUSIVELY BREASTFED, NON EXCLUSIVE BREASTFED AND FORMULA FED

Abstract

Background:Infancy is the period with large variations in bowel movements. There were no data for normal defecation pattern for breastfed or formula fed infant. Objective: To analyze the differences of defecation frequency and stool consistency between excusively, non exclusively breastfed, and formula fed 0 – 4 month-old healthy infant. Method: Observational longitudinal study, prospective, time series. Seventy three infants were evaluated. Defecation frequencies and stool consistency were recorded at day 1st,3rd and 7th, 1,2,3 Result: There are significant differences of defecation frecuency on the third day(p=0,05), seventh day(p=0,00), thirth month on the three goups (p=0,01). No significant difference on the first day(p=0.293), first month(p=0.03), and second month(p=0.19). Significant decline of defecation frequency was obserbved in exclusively breastfed group from 1 and 4 month after birth. Data were analysed using Chi square, Kruskal Wallis and Friedman tests. st to 4th Conclussion: The mean of defecation frequency of exclusively breast fed babies more frequently than non exclusive and formula fed babies. The range of defecation frequency is 1-12 /day, the most frequent at the first week and then significantly decline.After the first month, exclusively breast fed babies have infrequent frequency (every 3 to 10 day). The range of defecation frequency of non exclusive breast fed and formula-fed babies are 1- 6/day and 1-5/day respectively. Stool consistency of exclusively breastfed group at the first day in was soft, follow with watery stool and never have a hard stool. In the non exclusive breast fed and formula fed group the main stool consistency were soft. Hard stool mostly found in the formula fed group. There was significant difference of defecation frecuency on the third, seventh day and thirth month. There are significant difference of stool consistency on the follow up period in all group. There are association between defecation frequency and fecal consistency on the tird , seventh day third and fourth month. month (p=0.00). Significant difference of feces consistency on the first day(p=0.028), third day(p=0.005), seventh day(p=0.00), first month to fourth month (p=0.00) each. There was association between defecation frequency and feces consistency on the tird day(p=0.041), seventh day(p=0.00), third month(p=0.013)and fourth mont(p=0.049). Key word: defecation frequency, stool consistency, breastfed, formula, baby