Midwives’ Experiences of Early Identification and Management of Neonatal Jaundice in the Offinso Municipality

Abstract

Neonatal jaundice (NNJ) is a common condition requiring early identification and effective management by midwives. In the world of neonates being fragile, vulnerable and a non-verbal population, the foundation of their care by midwives is dependent strictly on observations to identify subtle cues and deviations. This study investigated midwives' experiences in identifying and managing NNJ early at the St Patrick’s hospital in Maase- Offinso. An exploratory descriptive design purposively sampled seventeen (17) midwives who were engaged in interviews and focus group discussion using a semi-structured interview guide and a focus group discussion guide after ethics approval was obtained. A Thematic content analysis was conducted, yielding four (4) major themes: Attitude, Subjective norms, Intentions and Behavior, three emerging themes: Perceived Consequences, Separation Anxiety and Perceived risk of NICU admission, and Support Services for NICU Mothers and further had twenty (20) subthemes. The key findings revealed that midwives' attitudes, intention and behavior were influenced by their knowledge, emotions, and significant others. Despite their motivation to provide quality care, midwives faced challenges in communicating with parents, collaborating with healthcare teams, and optimizing resources. Recommendations, include formulating screening tools, high-risk neonate follow-up, and discharge policies, as well as providing support services for mothers at the NICU. The study highlights the need for a comprehensive approach to addressing NNJ management. Future directions include integrating families especially grandmothers and also male involvement in the care of the neonates at the facility level as social influences and collective care in the communities affected the early identification and management of NNJ. This will enhance the degree of care given to neonates with NNJ and improve health outcomes.