DIALOGUE OF COUNSELING OF MIDWIFE AND PATIENT WITH COMPLAINTS OF

DIFFICULTY EATING IN CHILDREN (4 YEARS)

A client with a complaint of difficulty eating in a 4-year-old toddler comes to the Midwife's
clinic for a consultation.

Mrs "Y" : Good morning ma'am.. (Knocking on the door)

Midwife H : Good morning too Ma'am, please come in, please have a seat.

Mrs "Y" : Yes, thank you ma'am.

Midwife : How are you, Mother?

Mrs "Y" : Ohh I'm healthy, there's something I want to ask the Midwife related to my
dughter is unruly to eat.

Midwife : Ok Ma'am, before we talk further, first introduce your name I’m Midwife
Priscilla, and I am on duty during the day at this clinic. And I'm sorry mother,
may I know your name?

Mrs "Y" : My name is Mrs. Yuni.

Midwife : I'm sorry mom, if I may know, why is it hard for your child to eat?

Mrs "Y" : So this is it, my son is 4 years old but it's hard to control his eating, she prefer
snacks, ice cream, and snacks rather than eating rice, vegetables along with the
side dishes.

Midwife : So all this time, have you given other alternatives, such as combine rice with the
side dishes or with a variety of foods what does your child like?

Mrs “Y” : I have never tried it Ma'am, I once made fried rice with a combination of
various colorful vegetables, but still my son just doesn't want to eat ma'am.
Midwife : Children with difficulty eating is a problem that is often complained by parent.
Not infrequently mothers become depressed and stressed in life face his son.
Every mother is always worried about the nutritional adequacy of her child.

Mrs. "Y" : Yes Ma'am, I often worry about my child regarding nutrition and how about the
growth and development later when my child hard to eat.

Midwife : There are many factors that cause your child to have difficulty eating. That is
factor physical and psychological factors of children. Physical factors include
the presence of disturbances in digestive organs and the presence of infection in
the child's body. While psychological factors include psychological disorders of
children such as lack of attention, unpleasant dining atmosphere never eat with
parents because they are often left behind, or because they are forced to food
she doesn't like.

Mrs. "Y" : Then how do you deal with my child who has difficulty eating?

Midwife : There are so many ways to deal with a child who has difficulty eating like the
one who is eating experienced by the mother's child.

1. Try serving small portions of food.

2. Serve with various variants.
3. Present in an attractive way.
4. Make the dining atmosphere with a wearing atmosphere.
5. Eat regularly.
6. Give a healthy snack..
7. Avoid coercive and threatening styles in persuading children.
8. Involve your child in preparing meals.
9. Avoid the lure of dessert as a gift
10. Limit the provision of drinks in between meals.

The feeding schedule for children aged 4-6 years is similar to that of adults. It is recommended
that children aged 4 years eat with other family members. At mealtimes, they are taught how to
eat well and types of food with high nutritional value, slowly but surely.

Mrs. "Y" : Can this method work, ma'am?

Midwife : Mom, try the suggestions I gave earlier, give me some food with various
variations, ma'am, if you can change the menu every day, no need high value,
enough with simple foods like vegetables, a little meat, and others.
Mrs. “Y” : Ok, Ma'am, how important is nutrition for my child? Will it be affect their
growth and development?

Midwife : So, nutrition in children greatly affects a person's growth and development the
child. Due to the maturation process of organ function maturation body
including the development of mental abilities and children's behavior. So, for the
growth of these organs, children need nutritional intake nutritious, such as
protein, vitamins, minerals and others.

Mrs "Y" : Alright Mrs. Midwife I will try it first, thank you for his advice, hopefully in that
way my child will eat delicious food healthy and highly nutritious.

Midwife : Yes, ma'am, I hope the methods I have given will work, and I hope Mother's
child can start eating healthy foods that can trigger growth and development.

Mrs "Y" : Alright ma'am, thank you again, I beg you to say goodbye, ma'am.

Midwife : Yes, Mrs. Yuni, you are welcome.