Neonatal Jaundice Awareness, Perception and Knowledge Among Pregnant Women Attending Antenatal Clinic in Selected Private Hospitals in Port Harcourt, Nigeria
DOI:
https://doi.org/10.17140/phoj.11.01.427Keywords:
Neonatal jaundice, awareness, perception, knowledge, pregnant womenAbstract
Neonatal jaundice remains one of the most common neonatal conditions contributing to neonatal morbidity, mortality and preventable neurological complications. Maternal awareness, knowledge and perception play critical roles in early recognition and presentation to the hospital, enabling prompt management.
Aim: This study assessed the awareness and perception of neonatal jaundice among pregnant women attending antenatal clinics in three private hospitals in Port Harcourt, Nigeria.
Methods: A descriptive cross-sectional multi-hospital-based study was conducted among 350 pregnant women attending antenatal clinics. Data were collected using a structured questionnaire assessing socio-demographic characteristics, awareness, knowledge, and perception of neonatal jaundice. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 25. Descriptive statistics, chi-square test, and binary logistic regression analysis were employed, with statistical significance set at p < 0.05.
Results: The findings revealed that 85.1% of respondents had heard about neonatal jaundice, with health workers identified as the major source of information (61.7%). Most respondents correctly identified yellow discoloration of the eyes and skin as a sign of neonatal jaundice (69.4%). Overall, 43.7% of respondents demonstrated good knowledge of neonatal jaundice, while 22.3% had poor knowledge. Tertiary education (p <0.001), multiparity (p = 0.046), and information obtained from health workers (p = 0.009) were found to be significant predictors of good knowledge.
Conclusion: Although awareness of neonatal jaundice was high among the pregnant women, important knowledge gaps and misconceptions still exist. Strengthening antenatal health education on neonatal jaundice is recommended to improve early recognition and appropriate healthcare-seeking behaviour.
References
Huang, K., Gao, B., Zhang, L., & Xiao, M. (2025). Global burden of hemolytic disease and neonatal jaundice from 1990 to 2021 with projections to 2050: a systematic analysis of the GBD 2021 data. BMC Pediatrics, 26(1), 82. https://doi.org/10.1186/s12887-025-06367-0
Karimzadeh, P., Fallahi, M., Kazemian, M., Taslimi Taleghani, N., Nouripour, S., & Radfar, M. (2020). Bilirubin induced encephalopathy. Iranian Jour-nal of Child Neurology, 14(1), 7–19.
Reddy, D. K., & Pandey, S. (2026). Kernicterus. In StatPearls. StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559120/
Zuo Shuang, Li Jing, & Hua Zi-Yu. (2023). Global disease burden of neonatal jaundice from 1990 to 2019. Chinese Journal of Con-temporary Pediatrics, 25(10), 1008–1015. https://doi.org/10.7499/j.issn.1008-8830.2303063
Greco, C., Arnolda, G., Boo, N. Y., Iskander, I. F., Okolo, A. A., Rohsiswatmo, R., Shapiro, S. M., Watchko, J., Wennberg, R. P., Tiribelli, C., & Coda Zabetta, C. D. (2016). Neonatal jaundice in low-and middle-income countries: lessons and fu-ture directions from the 2015 Don Ostrow Tri-este Yellow Retreat. Neonatology, 110(3), 172–180. https://doi.org/10.1159/000445708
Diala, U. M., Usman, F., Appiah, D., Hassan, L., Ogundele, T., Abdullahi, F., Satrom, K. M., Bakker, C. J., Lee, B. W., & Slusher, T. M. (2023). Global prevalence of severe neonatal jaundice among hospital admissions: a systematic review and meta-analysis. Journal of Clinical Medicine, 12(11), 3738. https://doi.org/10.3390/jcm12113738
Olusanya, B. O., Osibanjo, F. B., Mabogunje, C. A., Slusher, T. M., & Olowe, S. A. (2016). The burden and management of neonatal jaundice in Nigeria: a scoping review of the literature. Nigerian Journal of Clinical Practice, 19(1), 1–17. DOI: 10.4103/1119- 3077.173703
Ochigbo, S., Ekpebe, P., Nyong, E. E., Ikechukwu, O., Ibeawuchi, A., Eigbedion, A., et al. (2024). Neonatal jaundice incidence, risk factors and outcomes in 54 referral-level facilities in Nigeria. BJOG, 131(Suppl. 3), 113–124. https://doi.org/10.1111/1471-0528.17865
Olusanya, B. O., Osibanjo, F. B., Mabogunje, C. A., Slusher, T. M., & Olowe, S. A. (2016). The burden and management of neonatal jaundice in Nigeria: a scoping review of the literature. Nigerian Journal of Clinical Practice, 19(1), 1–17. https://doi.org/10.4103/1119-3077.173703
Ekwochi, U., Osuorah, C. D. I., & Ndu, I. K. (2018). Determinants of delay in presentation and clinico-laboratory features of newborns admitted for neonatal jaundice in a tertiary hospital in south-east Nigeria. Journal of Medicine in the Tropics, 20(2), 128–134. DOI: 10.4103/jomt.jomt_21_18
Olatunde, O. E., Adebami, O. J., Adeniran, K. A., & Fadugbagbe, A. O. (2020). Neonatal jaundice: per-ception of pregnant women attending antenatal clinic in a tertiary hospital in Southwest Nigeria. SAGE Open Medicine, 8, 2050312120983086.
Ezeaka, V. C., Ugwu, R. O., Mukhtar-Yola, M., Ekure, E. N., & Olusanya, B. O. (2016). Mothers’ percep-tion of neonatal jaundice in Lagos, Nigeria. South African Journal of Child Health, 10(4), 227–230.
Goodman, O. O., Kehinde, O. A., Odugbemi, B. A., & Femi-Adebayo, T. T. (2015). Neonatal jaun-dice: knowledge, attitude and practices of moth-ers in Mosan-Okunola community, Lagos, Nigeria. Nigerian Postgraduate Medical Journal, 22(3), 158– 163.
West, B. A., Aitafo, J. E., & Altraide, B. O. (2021). Neonatal jaundice: knowledge, attitude and practice among pregnant women attend-ing the antenatal clinic of Rivers State Univer-sity Teaching Hospital, Nigeria. International Jour-nal of Tropical Disease & Health, 42(23), 1–11. https://doi.org/10.9734/ijtdh/2021/v42i2330559
Eneh, A. U., & Ugwu, R. O. (2009). Perception of neonatal jaundice among women attending chil-dren outpatient and immunization clinics of the UPTH Port Harcourt. Nigerian Journal of Clinical Practice, 12(2), 187–191.
Ogunlesi, T. A., & Abdul, A. R. (2015). Maternal knowledge and care-seeking behaviours for new-born jaundice in Sagamu, Southwest Nigeria. Nigerian Journal of Clinical Practice, 18(1), 33–40.
Olatunde, O. E., Christianah, O. A., Olarinre, B. A., et al. (2020). Neonatal jaundice: percep-tion of pregnant women attending antenatal clinic at a tertiary hospital in Southwest, Nige-ria. Global Pediatric Health, 7, 2333794X20982434. https://doi.org/10.1177/2333794X20982434
Amegan-Aho, K. H., Segbefia, C. I., Glover, N. D. O., Ansa, G. A., & Afaa, T. J. (2019). Neonatal jaundice: awareness, perception and preventive practices in expectant moth-ers. Ghana Medical Journal, 53(4), 267–272. https://doi.org/10.4314/gmj.v53i4.3
Lores, P., Beñarán, V., Dodino, A., Gonçalves, G., Pigazzini, A., & Freire, T. (2025). Un-derstanding the maternal perception of neonatal jaundice: insights from a hos-pital in Uruguay. Midwifery, 150, 104607. https://doi.org/10.1016/j.midw.2025.104607
Boateng, K. H. T., Sarah, B. A., & Asirifi, S. K. A. (2024). Awareness and knowledge level of puerperal mothers on neonatal jaundice: a qualitative study in Northern Ghana. Asian Journal of Pediatric Research, 14(6), 45–60. https://doi.org/10.9734/ajpr/2024/v14i6354
Suglo Zakaria, A., Boampong, O. L., Kyiu, C., et al. (2025). Maternal knowledge, attitudes, and de-terminants of practices in neonatal jaundice care at Tamale Teaching Hospital. Journal of Neonatal Nursing.
Badran, E., Abu Nasrieh, D., Masa’deh, R., et al. (2025). Beyond the yellow: predictors of mother’s knowledge and attitude toward neonatal jaun-dice. DOI: 10.13140/RG.2.2.10925.76006
Ezeaka, C. V., Ugwu, R. O., Mukhtar-Yola, M., Ekure, E. N., & Olusanya, B. O. (2014). Pattern and pre-dictors of maternal care-seeking practices for se-vere neonatal jaundice in Nigeria: a multi-centre survey. BMC Health Services Research, 14, 192. https://doi.org/10.1186/1472-6963-14-192
Demis, A., Getie, A., Wondmieneh, A., Alemnew, B., & Gedefaw, G. (2021). Knowledge on neona-tal jaundice and its associated factors among mothers in northern Ethiopia: a facility-based cross-sectional study. BMJ Open, 11(3), e044390. https://doi.org/10.1136/bmjopen-2020-044390
Iliyasu, Z., Borodo, M. M., Abubakar, I. S., & Gal-adanci, H. S. (2020). Care-seeking behaviour for neonatal jaundice in rural northern Nigeria. Nige-rian Journal of Clinical Practice, 23(9), 1234–1241.
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