Maternal and neonatal factors associated with neonatal jaundice in Jordan: a case-control study

Author:

Mohammad Khitam Ibrahem Shlash1,Al–Shdefat Maram1,Halasa Suhaila2,Joseph Rachel3,Alafi Mohammad1,ALBashtawy Mohammed4,Alkhawaldeh Abdullah4,Abdalrahim Asem4,Malak Malakeh5,Creedy Debra6,Gamble Jenny78

Affiliation:

1. Jordan University of Science & Technology, Jordan

2. The University of Jordan, Jordan

3. School of Nursing, Liberty University, USA

4. Community Health Nursing Department, Princess Salma Faculty of Nursing, Al Al-Bayt University, Jordan

5. Community Health Nursing Department, Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan

6. Maternal, Newborn and Families Research Collaborative, Menzies Institute of Health Queensland, Griffith University, Australia

7. Centre for Care Excellence, School of Nursing, Midwifery and Allied Health, Coventry University and University Hospitals of Coventry and Warwickshire

8. Griffith University, Australia

Abstract

Background/Aims Neonatal jaundice is a common cause of hospitalisation. This study aimed to identify maternal and neonatal factors associated with neonatal jaundice among hospitalised neonates in north Jordan. Methods This was a case control study involving 312 mothers and their neonates (106 cases, 206 controls), recruited from two governmental hospitals in north Jordan. A structured interview was used to collect data. Neonatal medical records were accessed for clinical data. Results Maternal factors associated with higher risk of jaundice included having higher education, being employed and having had a caesarean section. Neonatal factors associated with higher risk of jaundice included being preterm, receiving <5 feeds per day and having ABO incompatibility. Conclusions Using evidence-based guidelines for the assessment and management of risk factors helps to reduce the prevalence of jaundice requiring hospitalisation among neonates. Raising mothers' awareness of neonatal jaundice through interventions and education sessions during antenatal care, in particular for high-risk mothers, is also likely to help reduce its prevalence.

Publisher

Mark Allen Group

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