Missed jaundice in black infants.

Infants with severe neonatal jaundice in Lagos, Nigeria: incidence, correlates and hearing screening outcomes

“…Attendance of antenatal clinic by the vast majority of mothers regardless of where they delivered provides an important channel for educating mothers on the importance of timely detection and appropriate management of NNJ. Our experience has shown that the degree of skin pigmentation in black newborns during the first two weeks when this condition is problematic does not make its detection difficult even for mothers, contrary to some other reports (Olowe et al. 1983).…”

“…History of jaundice in the first week of life necessitating hospital admission for phototherapy (‘baby put under light without clothes’) and/or for EBT (‘baby’s blood was changed’) was elicited from mothers. NNJ can be reliably identified by mothers in this population because of the familiar discolouration of the sclera and mucous membranes which prompt consultation with a health worker or traditional healer besides the local therapies like ‘black plantain’ and ‘black soap’ commonly associated with NNJ (Olowe et al. 1983; Oyebola 1983; Madlon‐Kay 1997).…”

Universal infant hearing screening programme in a community with predominant non-hospital births: a three-year experience

“…History of severe neonatal jaundice in the first week of life necessitating hospital admission for phototherapy and/or for exchange blood transfusion was also documented. Jaundice can be reliably identified by mothers in this population because of the familiar discolouration of the sclera and mucous membranes, as well as the traditional therapies commonly associated with this condition 24 25…”

Sensorineural hearing loss in infants with neonatal jaundice in Lagos: a community-based study

“…NNJ can be reliably identified by mothers in this population because of the familiar discoloration of the sclera and mucous membranes prompting consultation with a health worker or traditional healer. [21][22][23] Evidence elsewhere also suggests that mothers can reliably recognise NNJ. 24 The medical records of infants treated at the children's hospital where most of the cases of severe NNJ in this community were referred were also examined.…”