Why is my baby hospitalized? Many moms in under-developed countries don't know the answer

Why is my baby hospitalized? Many moms in under-developed countries don't know the answer
This is one room in the mother-baby-unit at Komfo Anokye Teaching Hospital where the U-M study was done. Credit: University of Michigan Health System

Mothers in low-income countries may not understand why their babies are hospitalized after delivery, putting sick newborns at higher risk of health problems and death after being released from the hospital, a new study shows.

Forty percent of participating mothers in Ghana with sick infants had no understanding of why their child was in the hospital and another 28 percent had only partial understanding, according to the University of Michigan Health System study that appears in Paediatrics and International Child Health Journal. One-third of the women also reported blaming themselves for the child's illness.

"Sick newborns in low-income countries are at very high risk of adverse ," says lead author Katherine J. Gold, M.D., M.S.W., M.S., assistant professor of and of at the U-M Medical School.

"Mothers who lack a clear understanding of why their infant is in the hospital might have difficulty communicating preferences about care, understanding the type of care needed, and recognizing future warning signs of illness. This lack of understanding could put their baby at high risk."

Research shows that parents in low income countries often fail to recognize and seek treatment for 'red-flag' of serious illness in newborns, such as poor feeding, dehydration, lethargy, and jaundice. Parents who don't understand their child's health issues after delivery – which may range from to a serious infection – may have an especially difficult time recognizing symptoms the baby needs treatment once families are home.

Authors point to factors that may contribute to the communication gap between mothers and physicians or nurses, including heavy patient volumes, very sick patients, and inadequate numbers of trained in hospitals in . Ghana's doctor-to-patient ratio is about 1 to 10,000, compared to a ratio of 24 to 10,000 in the United States.

The workload and severity of illnesses may minimize the time physicians and nurses can spend communicating with and educating parents of hospitalized infants. Parents may not have enough education to know what to ask and in some countries, parent may feel uncomfortable asking questions directly to physicians.

"Such a setting is ripe for misunderstandings and confusion and may prevent parents from learning what to watch for when their baby goes home," Gold says.

"We need to do more work to understand the barriers of educating parents about their baby's illness to avoid preventable health problems and reduce the risk of mortality among newborns."

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More information: "How well do mothers in Ghana understand why their newborn is hospitalized?," Paediatrics and International Child Health, DOI 10.1179/2046905513Y.0000000063
Citation: Why is my baby hospitalized? Many moms in under-developed countries don't know the answer (2013, June 11) retrieved 15 September 2019 from https://medicalxpress.com/news/2013-06-baby-hospitalized-moms-under-developed-countries.html
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