DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194968

Neonatal jaundice: assessing the knowledge and intending practice of clinical medical students of Bingham University Teaching Hospital, Jos Nigeria

Maryam Shehu, Hassan Shehu, Adenoyi A. Onuwe

Abstract


Background: Neonatal jaundice is one of the major causes of neonatal morbidity and mortality in Nigeria. There is the need therefore to equip our young upcoming doctors about the disease. Aim of this study was to assess the knowledge of clinical medical students of Bingham University Teaching hospital on Neonatal Jaundice (NNJ).

Methods: This was a cross-sectional study carried on clinical medical students of Bingham University Teaching Hospital, Jos. Ethical approval was obtained from the Ethical committee of the Hospital. A semi-structured questionnaire was used to obtain data from 400-600L students using convenience sampling method for all those that consented to the study.

Results: A total of 181 students were assessed with a M: F ratio of 1:1.2, age ranged of 18-30 years. About 98% of the students got the definition of jaundice correctly. There was no significant correlation between the definition of NNJ with age, sex educational level and tribe of the students. The major source of information was from their lectures and seminars accounting for 80% of sources. The assessment of the knowledge on the cause of NNJ was good with 145(80%) knowing that hematological/hereditary disease is a cause, 4(2.2%) did not know the cause of NNJ. The highest score for danger signs of NNJ was 98(54%) which was high pitch cry. About 60% of the students knew that blue light is the best colour of light for effective phototherapy, while 42(23%) did not know the answer. There was correlation between the intending practice and the educational level of the students p=0.016.

Conclusions: The knowledge of some of the causes and the treatment of NNJ among the BHUTH was good and others were poor, therefore, more teachings and exposures need to be done.


Keywords


Bingham University Teaching Hospital, Jaundice, Jos, knowledge, Neonatal, Students

Full Text:

PDF

References


Gartner LM, Herschel M. Jaundice and breastfeeding. Pediatr Clin North Am. 2001;48:389-99.

Maisels MJ, Gifford K. Normal secrum bilirubin levels in the newborn and the effect of breast-feeding. Pediatric. 1986;78:837-43.

Newman TB, Liljestrand P, Escobar GJ. Combining clinical risk factors with serum bilirubin levels to predict hyperbilirubinemia in neswborns. Arch Pediatr Adolesc Med. 159: 113-9.

American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297-316.

Olusanya BO, Emokpae AA, Zamora TG, Slusher TM. Addressing the burden of neonatal hyperbilirubinaemia in countries with significant glucose-6- phosphate dehydrogenase deficiency. Acta Paediatr. 2014;103:1102-9.

Stoll BJ, Kliegman RM. Jaundice and hyperbilirubinaemia in the newborn. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Paediatrics. Philadelphia: WB Saunders Company; 2005:513-519.

Watchko JF, Maisels JM. Neonatal Jaundice. Semin Neonatol. 2002;7:101-3.

Goodman OO, Kehinde OA, Odugbemi BA, Femi-Adebayo TT, Odusanya OO. Neonatal Jaundice: Knowledge, Attitude and practices of mothers in Mosan-Okunola community, Lagos, Nigeria. Niger Postgrad Med J. 2015;22:158-63.

Ogunfowora OB, Daniel O. practice of community health workers in Nigeria. BMC Publ Heal. 2006;6:19-25.

Melton K, Akinbi HT. Neonatal jaundice. Strategies to reduce bilirubin-induced complications. Postgrad Med. 1999;106:167-78.

Hansen TW. Treatment of neonatal jaundice. Tidsskr Nor Laege- foren. 2005,125:594-8.

Zupan J. Perinatal mortality in developing countries. N Engl J Med. 2005;352:2047-8.

Grantham-McGregor S, Cheung YB, Cueto S, et al. Developmental potential in the first 5 years for children in developing countries. Lancet. 2007;369:60-70.

Bhutani VK, Zipursky A, Blencowe H, Khanna R, Sgro M, Ebbesen F, et al. Neonatal hyperbilirubinemia and Rhesus disease of the newborn: Incidence and impairment estimates for 2010 at regional and global levels. Pediatr Res. 2013;74:86-100.

Aggarwal B, Agrawal A, Chaudhary P, Gupta G, Rana S, Gupta S. Indian J Child Health. 2017;4:603-8.

Orimadegun AE, Ojebiyi AO, Orimadegun A. Primary health workers’ knowledge and practices relating to neonatal jaundice in Ibadan. Afr J Prm Health Care Fam Med. 2017;9(1):a1081.

Onyearugha CN, George IO. Neonatal Jaundice: Evaluating the Knowledge and Practice of Expectant Mothers in Aba, Nigeria. J Health Sci Res. 2016;1:42-47.

Ezeaka VC, Paed F, Ekure EN, Bch MB, Paed F, Fajolu IB, et al. Mothers’ perception of neonatal jaundice in Lagos, Nigeria: An urgent need for greater awareness. S Afr J Child Heal. 2016;10:227-30.

Egube BA, Ofili AN, Isara AR, Onakewhor JU. Neonatal jaundice and its management: Knowledge, attitude and practice among expectant mothers attending antenatal clinic at University of Benin Teaching Hospital, Benin City, Nigeria. Niger J Clin Pract. 2013;16:188-94.

Mohamed E, Moawad I, Abdallah E, Abdallah A, Zakaria Y, Ali A. Perceptions, practices and traditional beliefs related to neonatal jaundice among Egyptian mothers. Medi. 2016;95:36-43.

Huq S, Hossain SM, Haque SMT, Tarafder MA. Knowledge Regarding Neonatal Jaundice Management among Mothers: A Descriptive Study Done in a Tertiary Level Hospital of Dhaka City. AKMMC J. 2017;8:121-7.

Said N, Ashikin N, Zuraidah SH, Ramadan M. Postnatal mother : Knowledge and attitude towards Neonatal Jaundice (NNJ). ELEVATE. 2018;1:53-8.

Saud H, Hussein A, Aziz AR. Assessment of Mothers’ Knowledge and Beliefs toward Care of Neonatal Jaundice in Pediatric Teaching Hospital in Holy Karbala City. Int J Sci Res Publ. 2016;6:585-93.

El K, Allahony DM, Hegazy NN, Kasemy ZA, Bahgat EM. Mothers’ perception toward neonatal jaundice in Kafr El‑batanoon village, Menoufia, Egypt. Menoufia Med J. 2016;29(3):743-53.

Khalesi N, Rakhshani F. Knowledge, attitude and behaviour of mothers on neonatal jaundice. J Pak Med Assoc. 2008;58:671-4.

Rodrigo BKN, Cooray G. The knowledge, attitude and behaviour on neonatal jaundice of postnatal mothers in Provincial General Hospital, Badulla. Sri Lanka J Child Heal. 2011;40:164-8

Alfouwais NM, Seada LS, Alahmadi RY, Alassiri AA. Assessment of Knowledge, Attitude and Practice of Saudi Parents towards Neonatal Jaundice (NNJ): A Cross-sectional Study. Egyptian J Hosp Med. 2018;70:1686-94.