Neonatal Jaundice: Perception of Pregnant Women Attending Antenatal Clinic at a Tertiary Hospital in Southwest, Nigeria

Olatunde, Ogundare Ezra; Christianah, Omoyajowo Adefunke; Olarinre, Babatola Adefunke; Bidemi, Ajite Adebukola; Temidayo, Adeniyi Adewuyi; Adebukola, Fatunla Odunayo; Tolulope, Agaja Oyinkansola; Bamidele, T A; Oludare, Oluwayemi Isaac; Simeon, Olatunya Oladele

doi:10.1177/2333794x20982434

Cited by 3 publications

(2 citation statements)

References 23 publications

(72 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies on NNJ in Nigeria reported a poor knowledge about its causes, management and complications among pregnant women. [17][18][19][20][21][22] Interestingly in our study, we found less than four antenatal visits as a significant risk factor for neonates to become jaundiced. The risk is 13 times more among cases which indicate the indirect impact of less visits and parental awareness which eventually lead to delay in admission for phototherapy.…”

Section: Resultsmentioning

confidence: 79%

Risk Factors and Outcome of Neonatal Hyperbilirubinemia: A Case Control Study in a Tertiary Level Paediatric Hospital

Afroze

Parvin

Nahar

et al. 2022

Dhaka Shishu (Child) Hosp. J.

View full text Add to dashboard Cite

Introduction: Neonatal jaundice is one of the most common morbidities observed during the neonatal period. Several risk factors are responsible for this condition. Objective: This study was aimed to determine the possible risk factors and immediate outcome for jaundice in newborns. Methods: This case control study was performed over a period of 18 months (March 2019 -August 2020) in the Special Care Newborn Unit (SCANU) of Dr. M R Khan Shishu Hospital & Institute of Child Health (ICH). Risk factors for jaundice were evaluated by comparing cases with jaundice and controls having no jaundice. Results: A total of 230 neonates with jaundice and 250 neonates having no jaundice were enrolled. Maternal age between 31-40 years, less than 4 antenatal visits, primi, presence of maternal diabetes, babies born via caesarian section, small for gestational age, prematurity and intra-uterine growth restriction were significantly associated with jaundice in neonates (p value < 0.05). Multi-variate analysis revealed, babies with mothers having <4 antenatal visits were found to have 13 times more risk of developing jaundice than their matched controls (p= 0.00, CI= 0.78-14.9). Mean duration of phototherapy was longer for babies having jaundice due to blood group incompatibilities (4.82 ± 1.94). Most of the patients (91%) were discharged to home. Conclusion: Less than four antenatal visit is a significant risk factor for neonates to develop significant jaundice requiring treatment. Babies with blood group incompatibilities tend to require longer duration of phototherapy wherever most of the babies discharged to home with good recovery. DS (Child) H J 2021; 37(2): 109-115

show abstract

Section: Resultsmentioning

confidence: 79%

Risk Factors and Outcome of Neonatal Hyperbilirubinemia: A Case Control Study in a Tertiary Level Paediatric Hospital

Afroze

Parvin

Nahar

et al. 2022

Dhaka Shishu (Child) Hosp. J.

View full text Add to dashboard Cite

show abstract

“… 13 Furthermore, studies conducted in similar settings (e.g., Nigeria and Ghana) on knowledge, attitudes, and practices toward NH among expectant mothers and caregivers have shown that limited knowledge and poor attitude can lead to delays in seeking care as well as delays in treatment. 14 – 17 In this study, we evaluated the prevalence of NH in a cohort of in-hospital births in a semi-rural area of Kinshasa (DRC) and the association between NH and neonatal and maternal risk factors. We also investigated expectant mothers’ knowledge and practices regarding this condition.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Factors of Neonatal Hyperbilirubinemia in a Semi-Rural Area of the Democratic Republic of Congo: A Cohort Study

Fanello,

Lee,

Bancone

et al. 2023

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Neonatal hyperbilirubinemia (NH) is a frequent condition that, if left untreated, can lead to neurological disability and death. We assessed the prevalence of NH and associated neonatal and maternal risk factors in 362 mothers and 365 newborns in a semi-rural area of the Democratic Republic of Congo. In addition, we explored the knowledge and practices of mothers regarding this condition. We collected demographic data, anthropometric data, and obstetric and medical anamneses. We examined newborns at birth and at 24, 48, and 72 hours and measured bilirubin at birth in umbilical cord and capillary blood and thereafter in capillary blood. Hemoglobin, hematocrit, ABO group, Rhesus factor, glucose-6-phosphate dehydrogenase (G6PD) deficiency, Hemoglobin S (HbS), and malaria were assessed in mothers and newborns. Among 296 newborns (all time points available), 5.7% developed NH (95% CI: 3.4–9.0) between 24 and 72 hours according to National Institute for Health and Care Excellence (NICE) UK guidelines. There was a significantly higher risk in newborns with G6PD deficiency (homo- and hemizygous adjusted Odd Ratio [aOR]: 21.0, 95% CI: 4.1–105.9), preterm births (aOR: 6.1, 95% CI: 1.4–26.9), newborns with excessive birth weight loss (aOR: 5.8, 95% CI: 1.4–23.2), and hyperbilirubinemia at birth (aOR: 14.8, 95% CI: 2.7–79.6). Newborns with feto-maternal ABO incompatibility and G6PD deficiency had significantly higher bilirubin at birth than others. More than 60% of mothers had adequate knowledge of NH, but compliance with phototherapy in the absence of symptoms was low. Although risk factors for NH are common in this area, prevalence was not high, suggesting a need for better case definition. Implementation of point-of-care devices for diagnosis and awareness programs on risk prevention could help reduce neonatal morbidity and mortality associated with hyperbilirubinemia in these areas.

show abstract

The Interaction of Health Education on Knowledge of Signs, Causes, Complications of Neonatal Jaundice and its Management among Pregnant Women

D. A.,

E. A.,

et al. 2024

African Journal of Health, Nursing and Midwifery

View full text Add to dashboard Cite

Background: Previous studies in Nigeria reveal a significant knowledge gap about neonatal jaundice (NNJ) among pregnant women, despite improvements in antenatal care (Adeleye et al., 2020; Adediran et al., 2021). Targeted health education is crucial for enhancing awareness and improving early detection and management of NNJ. Therefore, the objective of this research is to evaluate the effectiveness of the interaction of health education in enhancing the knowledge of pregnant women in Kwara State, Nigeria, regarding the signs, causes, complications, and management of neonatal jaundice. Methodology: This study utilized a quasi-experimental design to investigate the causal relationship between health education and knowledge of neonatal jaundice (NNJ) management among pregnant women in Ilorin, Kwara State. The population included pregnant women in their third trimester attending antenatal clinics, with specific inclusion and exclusion criteria. A total sample of 128 participants was divided into intervention and control groups. Data were collected using a structured questionnaire, ensuring reliability through test-retest methods. Analysis employed SPSS, using descriptive and inferential statistics, with significance set at p<0.05, providing valuable insights into maternal health practices. Results: The analysis indicated no statistically significant difference in baseline knowledge mean scores between the two groups (t(126) = 0.864, p = 0.39). However, following the intervention, the experimental group demonstrated significantly higher knowledge scores compared to the control group (t(126) = 9.05; p = 0.0001). Correlation analysis revealed a significant relationship between mothers' management of neonatal jaundice (NNJ) and knowledge of its causes (r = -0.393; p = 0.001), but no significant correlations with knowledge of signs (r = -0.131; p = 0.302) or complications (r = -0.190; p = 0.133) of NNJ post-intervention. At the pre-intervention phase, the standardized coefficient (R) for knowledge on neonatal jaundice (NNJ) management was 0.077 (p = 0.545), indicating a weak relationship. The R-square value of 0.006 (0.6%) suggested minimal impact on management. Post-intervention, R increased to 0.290 (p = 0.02), with an R-square of 0.084 (8.4%), showing that increased knowledge significantly improved NNJ management. Conclusion: In conclusion, the study shows that educational interventions significantly increased neonatal jaundice knowledge among the intervention group. Maternal knowledge positively influences NNJ management, highlighting the need for ongoing health education and public awareness campaigns to improve neonatal health outcomes in Kwara State, Nigeria.

show abstract

Neonatal Jaundice: Perception of Pregnant Women Attending Antenatal Clinic at a Tertiary Hospital in Southwest, Nigeria

Cited by 3 publications

References 23 publications

Risk Factors and Outcome of Neonatal Hyperbilirubinemia: A Case Control Study in a Tertiary Level Paediatric Hospital

Risk Factors and Outcome of Neonatal Hyperbilirubinemia: A Case Control Study in a Tertiary Level Paediatric Hospital

Prevalence and Risk Factors of Neonatal Hyperbilirubinemia in a Semi-Rural Area of the Democratic Republic of Congo: A Cohort Study

The Interaction of Health Education on Knowledge of Signs, Causes, Complications of Neonatal Jaundice and its Management among Pregnant Women

Contact Info

Product

Resources

About