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Maternal Ability to Correctly Detect Significant Jaundice in Indian Neonates.
Alok Yadav1, Amit Devgan2, Subhash Chandra Shaw2
1Department of Pediatrics, Command Hospital, Kolkata, West Bengal, India.
Summary
Mothers have a low ability to detect significant newborn jaundice, with poor sensitivity and positive predictive value. Early detection of neonatal jaundice remains a challenge for accurate assessment in the Indian population.
Area of Science:
- Neonatal care
- Pediatrics
- Public health
Background:
- Maternal perception of newborn jaundice is not well understood.
- Accurate detection of neonatal jaundice is crucial for timely intervention.
Purpose of the Study:
- To evaluate mothers' ability to identify significant jaundice in their newborns.
- To assess the accuracy of maternal jaundice detection in the Indian context.
Main Methods:
- A cross-sectional study involving 505 newborns in a tertiary care hospital in India.
- Mothers and pediatricians independently assessed neonates for jaundice daily.
- Total serum bilirubin levels were measured to confirm significant jaundice.
Main Results:
- Maternal detection sensitivity was 51.47% and specificity was 88.33%.
- Positive predictive value (PPV) was 39.29% and negative predictive value (NPV) was 92.12%.
- Mothers demonstrated low accuracy in identifying significant neonatal jaundice.
Conclusions:
- Mothers in the Indian population exhibit poor sensitivity and PPV for detecting significant neonatal jaundice.
- This highlights a gap in maternal awareness and assessment skills regarding neonatal jaundice.
- Further educational interventions may be needed to improve maternal recognition of neonatal jaundice.
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