Care of the Neonate and Management of Neonatal Jaundice as Practised by Yoruba Traditional Healers of Nigeria

Oyebola, D.D.O.

doi:10.1093/tropej/29.1.18

Cited by 20 publications

(11 citation statements)

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“…Since the majority of mothers used herbal drugs during pregnancy, some would have sought alternative/traditional treatment, unaware of the associated developmental problems as in the case of child 7. 22,23 Although the role of multiple gestations in the development of severe NNJ and the associated SNHL is not widely reported, the risk may be multifactorial. For example, since exclusive breast-feeding is widely promoted in this community, insufficient milk from poorly established lactation may have a more pronounced effect on the severity of NNJ, in addition to the potential effects of complications of multiple pregnancies such as polycythaemia and sepsis from prolonged labour.…”

Section: Discussionmentioning

confidence: 99%

“…NNJ can be reliably identified by mothers in this population because of the familiar discoloration of the sclera and mucous membranes prompting consultation with a health worker or traditional healer. [21][22][23] Evidence elsewhere also suggests that mothers can reliably recognise NNJ. 24 The medical records of infants treated at the children's hospital where most of the cases of severe NNJ in this community were referred were also examined.…”

Section: Study Populationmentioning

confidence: 99%

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Sensorineural hearing loss in infants with neonatal jaundice in Lagos: a community-based study

Olusanya

Somefun

2009

Annals of Tropical Paediatrics

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Section: Discussionmentioning

confidence: 99%

Section: Study Populationmentioning

confidence: 99%

Sensorineural hearing loss in infants with neonatal jaundice in Lagos: a community-based study

Olusanya

Somefun

2009

Annals of Tropical Paediatrics

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“…NNJ can be reliably identified by mothers in this population because of the familiar discolouration of the sclera and mucous membranes which prompt consultation with a health worker or traditional healer besides the local therapies like ‘black plantain’ and ‘black soap’ commonly associated with NNJ (Olowe et al. 1983; Oyebola 1983; Madlon‐Kay 1997). Explanatory variables were guided by both documented and plausible factors that could be reliably determined from parental reports such as maternal age, ethnicity, marital status, parity, religion, educational attainment, occupation, type of accommodation (rented or owned), quality of accommodation (with own or shared sanitation facilities), use of herbal preparations during pregnancy and social class (Olowe & Ransome‐Kuti 1980; Dawodu 1998; American Academy of Pediatrics (AAP) 2004; Keren et al.…”

Section: Methodsmentioning

confidence: 99%

Infants with severe neonatal jaundice in Lagos, Nigeria: incidence, correlates and hearing screening outcomes

Olusanya

Akande

Emokpae

et al. 2009

Tropical Med Int Health

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Summaryobjectives To establish the incidence, correlates and hearing screening outcomes of infants with severe neonatal jaundice in Nigeria.methods Community-based study in which all infants attending Bacille Calmette-Guérin immunisation clinics in inner-city Lagos were enrolled into a universal hearing screening programme during which correlates of severe neonatal jaundice (requiring phototherapy and ⁄ or exchange blood transfusion) were explored with multivariable logistic regression.results Of the 5262 infants enrolled, only 48.7% were born in hospitals although almost all mothers (97.9%) attended antenatal clinics. 6.7% had a history of neonatal jaundice of whom 5.5% (95% CI:4.9-6.2) received phototherapy and 1.9% (95% CI:1.5-2.3) had an exchange blood transfusion. Factors independently associated with severe neonatal jaundice were maternal religion, occupation, use of herbal preparations during pregnancy, infant's gender, weight at screening, multiple gestation and place of birth. All but two infants with severe neonatal jaundice were exclusively breast-fed. Of those who failed the hearing tests, 17.3% were treated with phototherapy and 11.3% had an exchange blood transfusion. At least 8.9% of infants requiring phototherapy and 17.3% of those requiring exchange blood transfusion were at risk of sensorineural hearing loss.conclusions Severe neonatal jaundice is a significant condition associated with modifiable risk factors in this population. Policy initiatives for prevention, early detection followed by appropriate and timely intervention are urgently needed to reduce the disease burden.

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“…Most tertiary institutions are still overwhelmed with exceptionally high rates of EBT daily [17]. The role of local cultural practices in the (mis)management of NNJ has also been widely reported [10,18]. However, only limited studies have examined factors associated with appropriate care-seeking disposition for NNJ among expectant mothers across distinct socio-cultural settings in Nigeria [19-21].…”

Section: Introductionmentioning

confidence: 99%

Pattern and predictors of maternal care-seeking practices for severe neonatal jaundice in Nigeria: a multi-centre survey

Ezeaka

Ugwu

Mukhtar-Yola

et al. 2014

BMC Health Serv Res

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BackgroundNigeria is frequently associated with disproportionately high rates of severe neonatal jaundice (NNJ) underpinned by widespread Glucose-6-phosphate dehydrogenase (G6PD) deficiency. Timely and appropriate treatment of NNJ is crucial for preventing the associated morbidity and neuro-developmental sequelae. Since mothers are likely to be the first mostly to observe the onset of severe illness in their newborns, we set out to identify the pattern and predictors of maternal care-seeking practices for NNJ in three culturally-distinct settings in Nigeria.MethodsA multi-centre study was conducted among women attending antenatal clinics in Abuja, Lagos and Port Harcourt from October 2011 to April 2012 using a pretested questionnaire. Predictors of awareness of NNJ, accurate recognition of NNJ, use of potentially harmful therapies and preference for future hospital treatment were determined with multivariate logistic regressions.ResultsOf the 488 participants drawn from the three locations, 431 (88.3%) reported awareness of NNJ, predominantly (57.8%) attributable to professional health workers. A total of 309 (63.3%) mothers with prior knowledge of NNJ claimed they could recognise NNJ, but 270 (87.4%) from this group accurately identified the features of NNJ. Multiparous mothers (Adjusted odds ratio, AOR:4.05; 95% CI:1.75-9.36), those with tertiary education (AOR:1.91; CI:1.01-3.61), and those residing in Lagos (AOR:2.96; CI:1.10-7.97) were more likely to have had prior knowledge of NNJ. Similarly, multiparous mothers (AOR:2.38; CI:1.27-4.46) and those with tertiary education (AOR:1.92; CI:1.21-3.05) were more likely to recognise an infant with jaundice accurately. Mothers educated by health workers were 40% less likely to resort to potentially harmful treatment for NNJ (AOR:0.60; CI:0.39-0.92) but more likely to seek hospital treatment in future for an infant suspected with jaundice (AOR:1.88; CI:1.20-2.95).ConclusionsWomen with tertiary education and multiparous mothers who attend routine antenatal clinics are more likely than less educated women, to be associated with appropriate care-seeking practices for infants with NNJ regardless of the socio-cultural setting. Systematic efforts by professional health workers are warranted, as part of routine antenatal care, to engage other groups of mothers especially those likely to indulge in self-use of potentially harmful therapies.

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Care of the Neonate and Management of Neonatal Jaundice as Practised by Yoruba Traditional Healers of Nigeria

Cited by 20 publications

References 0 publications

Sensorineural hearing loss in infants with neonatal jaundice in Lagos: a community-based study

Sensorineural hearing loss in infants with neonatal jaundice in Lagos: a community-based study

Infants with severe neonatal jaundice in Lagos, Nigeria: incidence, correlates and hearing screening outcomes

Pattern and predictors of maternal care-seeking practices for severe neonatal jaundice in Nigeria: a multi-centre survey

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