Document Type : original article
Authors
1 Department of midwifery, Health science college, Debre tabor university
2 Department of midwifery,Health science college,Debre Tabor university
3 Department midwifery,Health science college,Debre tabor university
4 Department of obstetric and gynecology,Health science college,Debre Tabor university
Abstract
Abstract
Background: Jaundice in neonate is one of the most common clinical problems. Neonatal jaundice is a yellowish discoloration of the white part of a newborn baby's eyes and skin caused by high bilirubin levels. This study was aimed to assess the magnitude of neonatal jaundice and its predictors among neonates admitted in neonatal intensive care units.
Methods and materials: Multi-level facility-based cross-sectional study was conducted from December 2020 to April 2021 with 394 participants. Simple random sampling techniques were used to select hospitals, and samples were allocated proportionally to each hospital based on the number of women who gave birth. Both interview and chart review were used for data collection purposes by using a structured and pretest questionnaire. Data were entered in Epi-info version-7 software and exported to SPSS version 23 for editing, cleaning, and analysis. Bivariable and multivariable logistic regression analyses were used to identify predictors of neonatal jaundice. Variables with a p-value of 0.2 in the bivariable analysis were entered into a multivariable model at a 95 % confidence level to identify predictors of neonatal jaundice while controlling for potential confounding factors. The significance of the association was determined using a P-value < 0.05.
Result: This study involved 394 mothers with their infants, with a response rate of 100 %. The magnitude of neonatal jaundice was 20.8% [95%CI: (6.32-27.64]. Being male neonate [AOR=1.52, 95CI (1.32-8.54)], Prolonged labor [AOR=2.31; 95% CI (1.05-11.05)], primiparous mothers [AOR=1.99; 95% CI (1.08-10.64)], neonatal sepsis [AOR=1.15; 95%CI (1.00-13.2)], and instrumental delivery [AOR=1.78;95%CI(2.15-17.11)]were predictors neonatal jaundice. It is recommended to follow laboring mothers with partograph to prevent prolonged labor.
Keywords
)