{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T03:43:04Z","timestamp":1775274184456,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["843002805"],"award-info":[{"award-number":["843002805"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003061","name":"Erasmus Medisch Centrum","doi-asserted-by":"publisher","award":["2016-16107"],"award-info":[{"award-number":["2016-16107"]}],"id":[{"id":"10.13039\/501100003061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Neonatal hyperbilirubinaemia is a physiologic phenomenon, but, when severe, may cause lifelong disability. Maternity care assistants (MCAs) play an important role in timely recognition of severe neonatal jaundice. We assessed knowledge and skills of MCAs regarding neonatal hyperbilirubinaemia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>All Dutch MCAs (<jats:italic>n<\/jats:italic>\u00a0=\u20099065) were invited to fill out a questionnaire assessing knowledge, expertise, and handling of neonatal jaundice. Additionally, we developed an e-learning and provided training sessions to a subgroup of MCAs (<jats:italic>n<\/jats:italic>\u00a0=\u200999), and assessed their knowledge on neonatal hyperbilirubinaemia before and after the training.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>One thousand four hundred sixty-five unique online questionnaires were completed (response 16.2%). The median number of correctly answered knowledge questions was 5 (out of six; IQR 1). Knowledge was significantly better when respondents had had in-service training on neonatal hyperbilirubinaemia in the previous year (<jats:italic>p<\/jats:italic>\u00a0=\u20090.024). Although 82% of respondents felt highly skilled or skilled to assess jaundice, accuracy of estimation of total serum bilirubin levels by assessing skin colour was generally poor and prone to underestimation. Among\u00a0participants\u00a0attending a\u00a0training session, those who completed the e-learning beforehand\u00a0had higher pre-training scores (5 (IQR 1) vs. 4 (IQR 2); <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001). The median post-training score was higher than pre-training (6 (IQR 1) vs. 5 (IQR 2); <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Background knowledge of MCAs regarding neonatal hyperbilirubinaemia was adequate, but can be improved by further training. Estimation of total serum bilirubin levels based on skin colour was often inadequate. Approaches to improve timely recognition of jaundiced neonates are needed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-020-03463-0","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T11:05:11Z","timestamp":1611054311000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Assessing knowledge and skills of maternity care professionals regarding neonatal hyperbilirubinaemia: a nationwide survey"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9406-793X","authenticated-orcid":false,"given":"Berthe A. M.","family":"van der Geest","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imke M.","family":"Theeuwen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irwin K. M.","family":"Reiss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A. P.","family":"Steegers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasper V.","family":"Been","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"3463_CR1","unstructured":"National Collaborating Centre for Women\u2019s and Children's Health. Neonatal jaundice: National Institute for Health and Clinical Excellence; 2010. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pubmedhealth\/PMH0016565\/pdf\/PubMedHealth_PMH0016565.pdf."},{"issue":"1","key":"3463_CR2","doi-asserted-by":"publisher","first-page":"e000105","DOI":"10.1136\/bmjpo-2017-000105","volume":"1","author":"TM Slusher","year":"2017","unstructured":"Slusher TM, Zamora TG, Appiah D, Stanke JU, Strand MA, Lee BW, Richardson SB, Keating EM, Siddappa AM, Olusanya BO. Burden of severe neonatal jaundice: a systematic review and meta-analysis. BMJ Paediatr Open. 2017;1(1):e000105.","journal-title":"BMJ Paediatr Open"},{"issue":"3","key":"3463_CR3","first-page":"199","volume":"13","author":"JB Le Pichon","year":"2017","unstructured":"Le Pichon JB, Riordan SM, Watchko J, Shapiro SM. The neurological sequelae of neonatal hyperbilirubinemia: definitions, diagnosis and treatment of the kernicterus spectrum disorders (KSDs). 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[First results maternity care reserach] Eerste resultaten Kraamzorgonderzoek: [Knowledge centre of maternity care] Kenniscentrum Kraamzorg; 2018. Available from: https:\/\/www.kckz.nl\/overige-berichten\/eerste-resultaten-kraamzorgonderzoek\/."},{"key":"3463_CR27","doi-asserted-by":"crossref","unstructured":"Sedgwick P, Greenwood N. Understanding the Hawthorne effect. BMJ. 2015;351:h4672.","DOI":"10.1136\/bmj.h4672"},{"key":"3463_CR28","unstructured":"[Dutch Government] Nederlandse Overheid. [Medical Research Involving Human Subjects Act] Wet Medisch Wetenschappelijk Onderzoek met mensen: [Dutch Government] Nederlandse Overheid; 1998. Available from: https:\/\/wetten.overheid.nl\/BWBR0009408\/2020-01-01."}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-020-03463-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12884-020-03463-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-020-03463-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T11:07:45Z","timestamp":1611054465000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-020-03463-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,19]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["3463"],"URL":"https:\/\/doi.org\/10.1186\/s12884-020-03463-0","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,19]]},"assertion":[{"value":"10 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 November 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"As this study was not subject to the Medical Research Involving Human Subjects Act (<i>Wet medisch- wetenschappelijk onderzoek met mensen<\/i>, identification number BWBR0009408; also known by its Dutch abbreviation <i>WMO<\/i>), according to Dutch law formal ethical assessment by an accredited Medical Research Ethics Committee was not required []. At the start of the survey, participants were informed about the research purpose. Completion of the survey was voluntary, therefore filling out the survey was considered as consent for participation. Photographs of the neonates that were used in the online survey were taken after obtaining written informed consent from the parents. Parents were aware that the photographs of their neonates were distributed via a questionnaire for maternity care professionals and that the photographs were used for research purposes.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"63"}}