Carolyn G. Scrafford|Luke C. Mullany|Joanne Katz|Subarna K. Khatry|Steven C. LeClerq|Gary L. Darmstadt|James M. Tielsch
Incidence of and risk factors for neonatal jaundice among newborns in southern <scp>N</scp>epal
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Bill & Melinda Gates Foundation|George Washington University
quantify incidence risk factors neonatal jaundice among infants referred care rural lowresource populationbased cohort southern nepalstudy participants 18985 newborn infants born sarlahi district southern nepal may 2003 january 2006 participated clusterrandomised placebocontrolled communitybased trial evaluate effect newborn chlorhexidine cleansing neonatal mortality morbidity jaundice assessed based visual assessment infant study worker referral care adjusted relative risks rr estimated identify risk factors referral neonatal jaundice using poisson regressionthe incidence referral neonatal jaundice 293 per 1000 live births 95 confidence interval 269 317 male sex high birth weight breastfeeding patterns warm air temperature primiparity skilled birth attendance place delivery prolonged labour oil massage paternal education ethnicity significant risk factors pvalues 001 multivariable adjustment sex birth weight difficulty feeding prolonged labour primiparity oil massage ambient air temperature ethnicity remained important factors among infants difficulty feeding exclusive breastfeeding risk factor neonatal jaundice whereas exclusive breastfeeding protective among infants report difficulty feedingseveral known risk factors neonatal jaundice lowresource setting confirmed study unique observed associations jaundice ambient air temperature oil massage may explained opportunity phototherapy based cultural practices study population future research investigate role infants difficulty feeding potential modifier association exclusive breastfeeding jaundice