Neonatal jaundice and its management: Knowledge, attitude, and practice among expectant mothers attending antenatal clinic at University of Benin Teaching Hospital, Benin City, Nigeria (original) (raw)
Related papers
Neonatal Jaundice: awareness, perception and preventive practices in expectant mothers
Ghana Medical Journal
Background: Neonatal jaundice (NNJ) is a preventable cause of neonatal morbidity and mortality. Improving mothers' knowledge will help with early recognition of NNJ, prompt and appropriate intervention. This study highlights the knowledge, attitude and practice regarding neonatal jaundice among expectant mothers attending the antenatal clinics of Korle-Bu Teaching Hospital and Mamprobi Polyclinic in Accra. Methods: This was a cross-sectional study involving 175 expectant mothers. Interviewer based questionnaire was used to obtain data on knowledge, attitude and practice concerning NNJ. The study was conducted between 1 st and 17 th November 2013 at two antenatal clinics in Accra. Results: Out of the 175 respondents, 135 (77.1%) had heard about NNJ but only 37 (27.4%) of them heard it from the hospital. Among those who had heard about NNJ, 98 (72.6%) knew at least one symptom of NNJ; 125 (92.6%) did not know the causes of jaundice or had the wrong information and there was no significant association with their level of education (X 2 =6.757, p=0.15). Only 7(5.2%) knew one or more correct forms of treatment of NNJ; 67(49.6%) knew one or more danger signs and 86(63.5%) knew one or more complications. Conclusion: Majority of expectant mothers attending antenatal clinics at a Teaching Hospital and a Polyclinic in Accra, Ghana are aware of NNJ but have poor knowledge about the causes, danger signs and treatment of NNJ, irrespective of their level of education or their parity.
Global Pediatric Health
Background: Severe neonatal jaundice (NNJ) remains a leading cause of preventable brain damage, mental handicap, physical disabilities, and early death among infants. Methods: Using a descriptive cross-sectional study design, information was gathered using a structured, pretested questionnaire from 518 pregnant women who attended the antenatal clinic at a tertiary Hospital in Southwest Nigeria. Results: Most (77%) of the respondents have heard about NNJ prior the survey. Most respondents (69.5%) demonstrated poor knowledge of the causes of NNJ. The majority, 98.4% had good attitude toward treatment of NNJ. Most respondents (72.1%) demonstrated poor knowledge of the correct treatment of NNJ. A quarter of the respondents knew no danger sign of NNJ. Conclusion: There is serious knowledge gap among the respondents about the causes, treatment, dangers signs and complications of NNJ. There is need for increased awareness campaign using every available means of reaching women of reproducti...
What Do Expectant Mothers Know about Neonatal Jaundice
The international electronic journal of health education, 2006
Neonatal jaundice (NNJ) is a common disorder worldwide and many affected babies become brain-damaged due to delay in seeking medical consultation. In order to assess the awareness and knowledge of expectant mothers about NNJ, women who registered for antenatal care at a tertiary health facility in the South-western part of Nigeria were consecutively recruited and interviewed by means of a questionnaire. There were 189 participants whose mean age was 30.1±5.2 years. Median parity was 2. Twenty-five (13.2%) of them completed primary education while 88 (46.6%) attended a tertiary institution. All the 189 participants have heard of NNJ, mainly from co-workers - 77 (40.7%) and hospital staff - 73 (38.6%). One hundred and seven respondents (56.6%) knew how to check a baby for NNJ correctly while only 12.2% knew some causes. Ninety-five (49.7%) did not know any danger sign of NNJ and 58 (30.7%) erroneously believed in the efficacy of drugs. Similarly 28 (14.8%) respondents wrongly believed...
International Journal of TROPICAL DISEASE & Health
Aim: This study was undertaken to assess the knowledge, attitude and practice towards neonatal jaundice among pregnant women. Study Design: A cross-sectional questionnaire-based study. Place and Duration of Study: The study was carried out in the antenatal clinic of the Rivers State University Teaching Hospital from 1st March to 30th June 2021. Results: Majority of the pregnant women were within the age group 26-34years 92(61.7%), resided in urban areas 117(78.5%) and from South-south geo-political zone 91(61.1%). They were mostly multiparous 65(43.6%) with tertiary level of education 100(67.1%). More than half 82(55.0%) of the pregnant women had heard of neonatal jaundice. Majority 131(89.3%) did not know the causes of neonatal jaundice, did not know the area of the body jaundice appeared first 143(96.0%), did not know the complications of neonatal jaundice 106(71.1%), did not know danger signs of neonatal jaundice 141(94.6%) and none knew any preventive method. Majority of the pre...
Mothers’ perception toward neonatal jaundice in Kafr El‑batanoon village, Menoufia, Egypt
Objectives The aim of this study was to evaluate the knowledge, attitude, and practice of the mothers toward neonatal jaundice (NNJ). Background NNJ is a significant cause of neonatal morbidity worldwide and accounts for 75% of hospital readmissions in the first week of life. Severe NNJ can lead to irreversible brain damage or even death in otherwise healthy newborns. Because of early discharge of mothers from the hospitals, the responsibility of mothers in recognizing jaundice has increased. Mothers therefore play a vital role in the early identification and prevention of complication. Materials and methods This cross‑sectional study was carried out on 265 mothers who attended Kafr El‑batanoon primary health care for antenatal care or for their babies’ vaccinations. The mothers were interviewed using a predesigned questionnaire to assess their knowledge, practice, and attitude toward NNJ. Data were analyzed using SPSS version 13. Results The results showed that only 18.9% of mothers had good knowledge about NNJ. Mother’s knowledge was significantly influenced by their level of education, age, parity, and previous history. About 48.0% of participants had good attitude toward NNJ and its management. However, 95.8% of mothers expressed their willingness to seek medical advice if their babies develop NNJ; only 25.3% had a good practice and stated that they would seek medical attention within the first 24 h of jaundice, which was significantly influenced by their age, parity, occupation, and history. Conclusion Participants attending Kafr El‑batanoon Unit had adequate idea about recognition of NNJ. However, their knowledge of causes, danger signs of complications, complications, and treatment were poor, with common misconceptions. Their attitude toward the management of NNJ was apparently positive, whereas practice was poor. Knowledge and practice of mothers were significantly influenced by their age, parity, and history of NNJ in previous babies. Therefore, it is recommended that healthcare providers should give more health education on NNJ to the mothers during antenatal care visits.
The Nigerian postgraduate medical journal
A community-based survey was conducted amongst mothers aged 15-49 years living in Mosan-Okunola, Lagos, Nigeria to determine the knowledge of, attitudes to, preventive and treatment practices towards neonatal jaundice (NNJ). The mothers were selected using a multi-stage sampling technique. A pre-tested interviewer-administered structured questionnaire was used to obtain data. The knowledge of the mothers was scored and scores lower than 50% were graded as poor, 50-74% as fair and ≥75% as good. The practice was also categorised as appropriate if one correct option was identified and was categorised as inappropriate where an incorrect option(s) was identified singly or in combination with a correct option. Three hundred and fifty-eight mothers were recruited. The mean age was 34.8 ± 9.05 years. Two hundred and seventy (75.4%) mothers had ever heard about the condition. Two hundred and forty-seven (91.4%) mothers correctly identified the condition and infection was the only most common...
Indian Journal of Child Health, 2017
N eonatal jaundice (NNJ) is one of the most common morbidity in the 1 st week of life, occurring in 60% and 80% of term and preterm newborn, respectively, and is also the most common cause of readmission after discharge from birth hospitalization [1,2]. Unconjugated hyperbilirubinemia in most of the newborns reflects a normal transitional phenomenon and results from several physiologic processes. In some infants, serum bilirubin levels may increase excessively leading to acute and chronic bilirubin encephalopathy causing irreversible brain damage. Thus, NNJ is an important preventable cause of neurological handicap and early death of affected infants [3]. While the incidence of severe hyperbilirubinemia has decreased in developed countries, this is not reflected in resource-limited countries leading to medical, economic and social burden on the patient, family and society at large [4,5]. Limited and wrong parental knowledge, beliefs passed along years to mothers, perceptions and parental attitude toward the condition may possibly explain delay in seeking medical advice immediately [5]. Severe jaundice and a higher incidence of kernicterus in outworn babies or home-delivered babies highlight the importance of mother to be knowledgeable of jaundice [5,6]. Furthermore, with increasing trend of early discharge and short post-natal hospital stay, responsibility of mothers to recognize jaundice becomes more important [7,8]. Therefore, the primary caregiver, i.e., mother must be able to recognize the jaundice and bring affected babies to the hospital for prompt care and management. Due to paucity of data regarding knowledge, attitude, and practice (KAP) of mothers regarding NNJ from Uttarakhand state, the present study was designed to assess the knowledge regarding NNJ and to identify barriers in mother's health-seeking behavior. MATERIALS AND METHODS This cross-sectional descriptive, prospective interviewbased study was conducted over a period of 4 months from March 1, 2017, to June 30, 2017, at, a tertiary health care center in Uttarakhand state in Northern India. The study participants were 350 perinatal mothers admitted in obstetric ward in first 72 h of their postpartum period. The mother who was sick, admitted in intensive care unit (ICU), those whose babies were admitted in neonatal ICU (NICU) or were stillborn and mothers ABSTRACT Background: Neonatal jaundice (NNJ), a preventable cause of brain damage, is the most common cause of admission in the 1 st week of life in neonatal intensive care unit. Objective: To determine the knowledge attitude and practices of postnatal mothers toward NNJ in tertiary care hospital. Materials and Methods: In this descriptive analytical study, 350 mothers who underwent delivery in our institute were interviewed within first 72 h of delivery using a structured questionnaire. Data were entered in Microsoft Excel 13 and analyzed with SPSS 23. Results: Mean knowledge score was 6.48±3.93 (0-21). 73% of the mothers knew the site of recognition in NNJ. However, inadequate knowledge regarding causes, danger signs of severity, complications and treatment were seen among respondents. At least one correct answer for cause, danger sign and complication of NNJ was reported by 28%, 54%, and 33% mothers, respectively. Only 8% mothers attributed it as a risk factor for death in the baby. Phototherapy and exchange transfusion as treatment modality was answered by 15% mothers only. Their knowledge score was significantly associated with parity, education level, residence, religion and previously affected babies but not with age. Regarding attitude, 20% mothers were willing to take the baby to the hospital within 24 h on recognition of jaundice, and almost 91% of those seeking medical advice were ready to follow it. Conclusion: Although awareness of NNJ was seen in the majority of mothers, there was a paucity of knowledge regarding causes, danger signs, and effective treatment available. Cultural beliefs and traditional infant care practices do have a significant impact on mothers. Special educational programs and involvement of electronic media are needed to increase the awareness of mothers regarding NNJ.
Asian Journal of Pediatric Research
Neonatal jaundice is defined as the yellowish discoloration of the skin and sclera due to accumulation of unconjugated bilirubin. This is common in newborns and if not detected and treated early can lead to severe morbidity and mortality. Aim: The aim of the study was to analyze the knowledge, attitude and practices of mothers in Bingham University Teaching Hospital on Neonatal Jaundice. Method: This was a descriptive cross-sectional study which was carried out among mothers coming for ante and post-natal clinics in Bingham University Teaching Hospital from March to June 2019, using consecutive sampling of mothers that came for ante and post-natal services that consented to the study. The knowledge, attitude and practice of Neonatal Jaundice (NNJ) was assessed using a pretested questionnaire which was analyzed using SPSS version 22. Results: The results showed that 80% of mothers >40 years are able to define jaundice correctly compared to the 30% in mothers <26 years. Thirty-s...
2014
Background: Nigeria 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. Methods: A 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.
BMC public health, 2006
Neonatal jaundice (NNJ) is still a leading cause of preventable brain damage, physical and mental handicap, and early death among infants in many communities. Greater awareness is needed among all health workers. The objective of the study was to assess the knowledge of primary health care workers about the description, causes, effective treatment, and sequelae of NNJ. The setting was a local government area i.e. an administrative district within the south-western part of Nigeria. Community health workers in this area were interviewed by means of a self-administered questionnaire which focused on awareness and knowledge of neonatal jaundice and its causes, treatment and complications. Sixty-six community health workers participated in the survey and male-to-female ratio was 1:5. Their work experience averaged 13.5 (SD 12.7) years. Only 51.5% of the respondents gave a correct definition of NNJ. 75.8 % knew how to examine for this condition while 84.9 % knew at least two of its major ...