{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T23:08:23Z","timestamp":1792883303615,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016195","name":"United Nations Development Programme","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016195","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the incidence, risk factors and outcomes of babies with neonatal jaundice in a network of referral\u2010level hospitals in Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional analysis of perinatal data collected over a 1\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Fifty\u2010four referral\u2010level hospitals (48 public and 6 private) across the six geopolitical zones of Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>A total of 77\u2009026 babies born at or admitted to the participating facilities (67\u2009697 hospital live births; plus 9329 out\u2010born babies), with information on jaundice between 1 September 2019 and 31 August 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were extracted and analysed to calculate incidence and sociodemographic and clinical risk factors for neonatal jaundice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Incidence and risk factors of neonatal jaundice in the 54\u2010referral hospitals in Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 77 026 babies born in or admitted to the participating facilities, 3228 had jaundice (41.92 per 1000 live births). Of the 67\u2009697 hospital live births, 845 babies had jaundice (12.48 per 1000 live births). The risk factors associated with neonatal jaundice were no formal education (adjusted odds ratio [aOR] 1.68, 95% CI 1.11\u20132.52) or post\u2010secondary education (aOR 1.17, 95% CI 0.99\u20131.38), previous caesarean section (aOR 1.68, 95% CI 1.40\u20132.03), booked antenatal care at &lt;13\u2009weeks or 13\u201326\u2009weeks of gestation (aOR 1.58, 95% CI 1.20\u20132.08; aOR 1.15, 95% CI 0.93\u20131.42, respectively), preterm birth (aOR 1.43, 95% CI 1.14\u20131.78) and labour more than 18\u2009hours (aOR 2.14, 95% CI 1.74\u20132.63).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hospital\u2010level and regional\u2010level strategies are needed to address newborn jaundice, which include a focus on management and discharge counselling on signs of jaundice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17865","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T04:54:37Z","timestamp":1717995277000},"page":"113-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Neonatal jaundice incidence, risk factors and outcomes in referral\u2010level facilities in Nigeria"],"prefix":"10.1111","volume":"131","author":[{"given":"Sunny","family":"Ochigbo","sequence":"first","affiliation":[{"name":"Department of Paediatrics University of Calabar Teaching Hospital  Calabar Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Ekpebe","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Delta State University Teaching Hospital  Abraka Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eno Etim","family":"Nyong","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Uyo Teaching Hospital  Uyo Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Okonkwo","family":"Ikechukwu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Benin Teaching Hospital  Benin City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarabia","family":"Ibeawuchi","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Faith Mediplex Hospital  Benin City Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Eigbedion","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Irrua Specialist Teaching Hospital  Irrua Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oyedeji Oladele","family":"Adeyemi","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Niger Delta University Teaching Hospital  Okolobiri Bayelsa State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniekan","family":"Abasiattai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Uyo Teaching Hospital  Uyo Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ngozi","family":"Orazulike","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Port Harcourt Teaching Hospital  Port Harcourt Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mabel","family":"Ekott","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Calabar Teaching Hospital  Calabar Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Omo\u2010Aghoja","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Delta State University Teaching Hospital  Abraka Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babatunde","family":"Ande","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Benin Teaching Hospital  Benin City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Uwagboe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faith Mediplex Hospital  Benin City Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Igbarumah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Saint Philomena Hospital  Benin City Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebenovbe","family":"Idemudia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Saint Philomena Hospital  Benin City Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Okagua","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Port Harcourt Teaching Hospital  Port Harcourt Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1099-0717","authenticated-orcid":false,"given":"Tina","family":"Lavin","sequence":"additional","affiliation":[{"name":"UNDP\/UNFPA\/UNICEF\/WHO\/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Department of Mother and Child Health Research Institute for Clinical Effectiveness and Health Policy (IECS)  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenia","family":"Settecase","sequence":"additional","affiliation":[{"name":"Department of Mother and Child Health Research Institute for Clinical Effectiveness and Health Policy (IECS)  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthonia","family":"Njoku","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Irrua Specialist Teaching Hospital  Irrua Edo State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isa Ayuba","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Niger Delta University Teaching Hospital  Okolobiri Bayelsa State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saturday","family":"Etuk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Calabar Teaching Hospital  Calabar Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2017.78.12.699"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305506"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2017-000105"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2011.02.014"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2018-000408"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.15520\/ijcrr.v12i01.877"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S298034"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1987.tb10507.x"},{"issue":"10","key":"e_1_2_12_10_1","first-page":"1065","article-title":"Recurrence risk of neonatal hyperbilirubinemia in siblings","volume":"142","author":"Khoury MJ","year":"1988","journal-title":"Am J Dis Child"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0117229"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/1119-3077.110147"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/1119-3077.146976"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhip.2020.100006"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02761140"},{"issue":"4","key":"e_1_2_12_16_1","first-page":"389","article-title":"Morbidity and mortality patterns of admissions into the special care baby unit of University of Abuja Teaching Hospital, Gwagwalada, Nigeria","volume":"12","author":"Okechukwu AA","year":"2009","journal-title":"Niger J Clin Pract"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-018-1174-z"},{"issue":"3","key":"e_1_2_12_18_1","first-page":"285","article-title":"Neonatal morbidity and mortality in Calabar, Nigeria: a hospital\u2010based study","volume":"11","author":"Udo JJ","year":"2008","journal-title":"Niger J Clin Pract"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.29011\/APNC-121.100021"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.26444\/jpccr\/111773"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.4103\/1119-3077.173703"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101411"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.93.6.977"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2009.02223.x"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/AIHB.AIHB_68_17"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X20985809"},{"issue":"4","key":"e_1_2_12_27_1","first-page":"505","article-title":"Jaundice in the healthy newborn infant: a new approach to an old problem","volume":"81","author":"Maisels MJ","year":"1988","journal-title":"Pediatrics"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-192"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1536-4801.1990.tb09941.x"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-706X(00)00072-3"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.4103\/NJGP.NJGP_27_17"},{"issue":"12","key":"e_1_2_12_32_1","first-page":"611","article-title":"Morbidity and mortality of neonates admitted in general paediatric wards at Kenyatta National Hospital","volume":"80","author":"Simiyu DE","year":"2003","journal-title":"East Afr Med J"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17865","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.17865","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17865","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T11:41:12Z","timestamp":1771242072000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.17865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,10]]},"references-count":31,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/1471-0528.17865"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.17865","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,10]]},"assertion":[{"value":"2023-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}