Maternal Empowerment – an underutilized strategy to prevent kernicterus?

Wennberg, Richard P.; Watchko, Jon F.; Shapiro, Steven M.

doi:10.2174/1573396313666170828112038

Cited by 13 publications

(21 citation statements)

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“…Our study also found that education level was significantly associated with knowledge about neonatal jaundice, which was consistent with the results of an earlier review. 26 Due to differences in scoring algorithms or items investigating attitudes and practices, [23][24][25] it was difficult to compare attitudes and behaviours reported in our study with those from other countries. The majority (80.6%) of participants in this study had received prior health education on neonatal jaundice, which suggested that their knowledge about neonatal jaundice would be high.…”

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 90%

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Maternal knowledge, attitudes and practices related to neonatal jaundice and associated factors in Shenzhen, China: a facility-based cross-sectional study

et al. 2022

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ObjectiveThis study aimed to assess knowledge, attitudes and practices related to neonatal jaundice among mothers in Shenzhen, China, and analyse associated factors.DesignA cross-sectional study.SettingThis study was conducted in Shenzhen Hospital, Southern Medical University, a university-affiliated, tertiary level A, public hospital in China. On average, 4000 mothers are discharged from this hospital after childbirth each year, most of whom can access a mobile phone and the internet.ParticipantsParticipants were 403 mothers discharged from the study hospital within 48–72 hours after vaginal delivery or 96–120 hours after caesarean delivery between April and June 2021. Participants were recruited using convenience sampling.Primary outcomeMothers’ knowledge, attitudes and practices related to neonatal jaundice, modelled using binary logistic regression.Secondary outcomesFactors associated with mothers’ knowledge, attitudes and practices related to neonatal jaundice.ResultsThe questionnaire was reliable (Cronbach’s alpha=0.802) and valid (scale-level content validity index=0.958). The valid response rate was 96.4%. Only 46.4% of participating mothers had good knowledge about neonatal jaundice and 41.7% indicated they would seek information about neonatal jaundice. A binary logistic regression analysis showed good knowledge about jaundice was associated with a high education level (ie, master’s degree or above; OR=5.977, 95% CI: 1.994 to 17.916, p=0.001), prior education on neonatal jaundice (OR=3.617, 95% CI: 1.637 to 7.993, p=0.001) and male babies (OR=1.714, 95% CI: 1.122 to 2.617, p=0.013). A positive attitude toward jaundice was associated with being cared for by a ‘yuesao’ (maternity matron specialised in caring for mothers and newborns) (OR=1.969, 95% CI: 1.264 to 3.066, p=0.003) and good knowledge about jaundice (OR=1.804, 95% CI: 1.194 to 2.726, p=0.005). Finally, good practices related to neonatal jaundice were associated with prior education on neonatal jaundice (OR=2.260, 95% CI: 1.105 to 4.625, p=0.026) and good knowledge about jaundice (OR=3.112, 95% CI: 2.040 to 4.749, p<0.001).ConclusionMany mothers have poor knowledge about jaundice, especially regarding causes, danger signs and breast milk jaundice. Maternal information-seeking behaviour about neonatal jaundice needs to be improved. Medical staff should incorporate information about the causes/danger signs of jaundice and breast milk jaundice in maternal health education. It is also necessary to strengthen health education for mothers, especially those with low education and no yuesao, and provide reliable websites where mothers can obtain information about neonatal jaundice.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 90%

Maternal knowledge, attitudes and practices related to neonatal jaundice and associated factors in Shenzhen, China: a facility-based cross-sectional study

et al. 2022

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“…Empowering mothers to seek timely and appropriate referral is a critical first step in the prevention of potentially hazardous jaundice. 73 Among mothers who deliver outside hospitals and lack the services of community health visitors after delivery this is even more pertinent. Simple-to-use and cost-effective tools to assist mothers to detect jaundice in their newborns in home-settings well before the early symptoms of ABE are currently under development in LMICs.…”

Section: Primary Preventionmentioning

confidence: 99%

Neonatal hyperbilirubinaemia: a global perspective

Olusanya

Kaplan

Hansen

2018

The Lancet Child & Adolescent Health

202

195

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Hyperbilirubinaemia, presenting as jaundice, is a ubiquitous and frequently benign condition in newborn babies but is a leading cause of hospitalisation in the first week of life. In some infants jaundice can become severe, progressing to acute bilirubin encephalopathy and kernicterus with a substantial risk of neonatal mortality and long-term neurodevelopmental impairments. Severe hyperbilirubinaemia and its sequelae continue to occur in industrialised countries with functioning medical systems and a disproportionately high burden also persists in low-income and middle-income countries due primarily to delays in delivering effective treatments that are routinely available in high-income countries. In this Review we summarise up-to-date evidence on the epidemiology of neonatal jaundice including its global burden based on estimates of its prevalence, and both fatal and non-fatal health outcomes. We also discuss the management of severe hyperbilirubinaemia including the prevention of kernicterus, and highlight future directions for research.

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“…Para enfrentar as situações de doença, ela tende a buscar apoio não só dos serviços de saúde ou da medicina oficial, mas também a chamada medicina popular. Empoderar as mães permite que participem mais plenamente nas decisões de cuidados e enfrentem obstáculos que possam a vir encontram neste processo 17 .…”

Section: Métodounclassified

O discurso das mães de bebês em tratamento para icterícia neonatal

Zaleski

Raissa²,

Moro

et al. 2018

REFACS

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Esta investigação tem como objetivo verificar o conhecimento popular e o conhecimento científico das mães de bebês com icterícia em tratamento com fototerapia. Tratou-se de uma pesquisa de campo, com observação direta e abordagem qualitativa, baseada no Discurso do Sujeito Coletivo (DSC), realizada em meados de 2011. A pesquisa foi realizada em uma maternidade estadual na cidade de Mafra em Santa Catarina, com mães de bebês em fototerapia para o tratamento da icterícia. Evidenciaram-se 7 ideias centrais e 11 DSCs. Os resultados revelaram que as mães entrevistadas não reconheceram a icterícia neonatal como um agravo, assim como a fototerapia como medida de tratamento. Evidenciou-se que as mães trazem consigo crenças e conhecimentos populares sobre a icterícia, os quais precisam ser respeitados e valorizados para o fortalecimento do vínculo e do cuidado.

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Maternal Empowerment – an underutilized strategy to prevent kernicterus?

Abstract: Empowering parents allow them to participate more fully in care decisions and to confront obstacles to care when provider services fail.

Cited by 13 publications

References 0 publications

Maternal knowledge, attitudes and practices related to neonatal jaundice and associated factors in Shenzhen, China: a facility-based cross-sectional study

Maternal knowledge, attitudes and practices related to neonatal jaundice and associated factors in Shenzhen, China: a facility-based cross-sectional study

Neonatal hyperbilirubinaemia: a global perspective

O discurso das mães de bebês em tratamento para icterícia neonatal

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