Soy Formula as An Alternative for Infants with Cow’s Milk Allergy: Perspective from Pediatricians and Midwives in Indonesia
DOI:
https://doi.org/10.46799/jisn.v1i1.4Keywords:
food allergy, soy formula, infants, pediatrician, child healthAbstract
The prevalence of food allergy in children is increasing globally, with cow's milk allergy being
the most common in infants and increasing from 2% to 3% in developed countries. However, data on
cow's milk allergy in infants is limited in Indonesia. This study used a mixed methods approach using an
online survey and in-depth interviews. The survey was conducted from September 2021 to March 2022.
Qualitative analysis, all interviews were recorded and transcribed. Data were analyzed using simple
thematic analysis. The results showed that a total of 93 pediatricians and 104 midwives participated in
the survey. However, among the 93 pediatricians, only 56 (60.2%) completed the survey. Meanwhile, 11
midwives (10.6%) were excluded because they had no experience in handling CMA cases. The majority
of CMA cases occurred in children under two years old, and most were treated by pediatricians. In terms
of diagnostic tests, 51.8% of pediatricians recommended all specific IgE tests, prick tests, and provocation
tests to diagnose allergies. More than 80% (46/56) of pediatricians chose to avoid all types of cow's milk
products in the mother and child's diet as the main treatment. Meanwhile, only 22.1% of midwives did
the same. Milk choice will differ depending on the severity of CMA. Soy milk formula is preferred by
midwives for patients with low-level and moderate to severe allergies. Meanwhile, pediatricians
recommend extensive hydrolysate formula for low severity patients and amino acid-based formula for
moderate to severe.
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Copyright (c) 2023 Levina Chandra Khoe, Nova Sitorus
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