Neonatal Jaundice: A Survey of Perinatal Correlates among Mothers of Infants Attending Immunization Clinic in Surulere Local Government Area.
Nigerian Medical Practitioner
Neonatal jaundice (NNJ) is a major public health problem worldwide and is present in 50-60% of full-term and 80% of preterm newborns. It contributes to the high neonatal morbidity and mortality in sub-Saharan Africa, Asia, and Latin America. Various studies in Lagos have reported higher rates compared to other parts of Nigeria and the developing world. This study set out to determined the perinatal correlates of neonatal jaundice among mothers of infants attending immunization clinics in Surulere local government area of Lagos state. Methodology: This was a cross-sectional descriptive study among mothers attending selected immunization clinics in Surulere local government area. Multistage sampling was used to select four immunization clinics from three wards in the LGA. Using a structured interviewer-administered questionnaire, data were obtained from 394 mothers on their socio-demographic characteristics, ANC and birth history, history of neonatal jaundice, and how it was managed. The multistage sampling method was used. Data obtained was analyzed IBM SPSS and presented as frequencies and percentages Associations were tested statistically using Chi-square at a significance level of p<0.05. Results: The mean age of mothers was 29.3+5 years. The majority (86.3%) of mothers received ANC and delivered in hospitals, 86.3% and 83.3% respectively. Almost half (47.0%) had booked in the first trimester, 36.5% reported febrile illness during pregnancy. Post-birth, 92 mothers (23.4%) were discharged within 6 hours of delivery and 52.2% of these mothers were discharged within 1 hour of delivery. Less than a third (28.7%) initiated breastfeeding within 1 hour, 37.3% within 6 hours and 24.4% did not initiate breastfeeding for >12 hours. Seventy-nine mothers noticed NNJ; 31.6% in <24 hours, 39.2% in 24-72 hours and 29.1% after 72 hours. Almost all mothers (97.7%) were still breastfeeding and 63.4% reported exclusively breastfeeding their babies. Only illness during pregnancy was significantly associated with NNJ. Other gaps were identified in ANC, delivery and post-natal practices. Conclusion: The proportion of babies in whom the mothers reported neonatal jaundice was 19.5%. There were no significant association of NNJ with sociodemographic characteristics, ANC, or delivery practices. However, illness during pregnancy was positively associated with NNJ. The authors recommend stronger implementation of guidelines to safe delivery and infant feeding practices.
neonatal jaundice , perinatal correlates , mothers , Immunization clinics , ANC practices , delivery practices , Infant feeding , Research Subject Categories::MEDICINE::Social medicine::Public health medicine research areas::Community medicine
Roberts, A.A., Alabede, A.F.R, & Olatona, F.A. Neonatal Jaundice: A Survey of Perinatal Correlates among Mothers of Infants Attending Immunization Clinic in Surulere Local Government Area. Nig Med Pract. 2014; 66:16-20.