Bundling Gentle Body Massage Along With Regular Position Change Under Phototherapy

Study Overview
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Brief Summary
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This study aimed to investigate the effect of bundling gentle body massage along with regular position change on bilirubin level and clinical outcomes among full-term neonates with hyperbilirubinemia under phototherapy. Hypothesis Full-term neonates with hyperbilirubinemia who receive gentle body massage along with regular position change exhibit less bilirubin level and better clinical outcomes than those who don't.

Detailed Description
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A quasi-experimental study was carried out in the NICU of XX. Sixty full-term neonates were randomly assigned to two equal groups. The control group received the conventional NICU care of infants undergoing phototherapy. Phototherapy was given by single Blue LEDs emitting light in a narrow spectrum (450-470 nm). Initially, phototherapy lamps were checked and adjusted at the height of 30 cm from the neonates who were kept naked in the incubator/crib except for the reproductive organs with shielded eyes. The neonates were positioned supine under the phototherapy. The treatment was given continuously, except while feeding and nursing for 30 minutes every 3 hours. The neonates' skin was cleaned with warm water without applying any sorts of ointments oils or creams. They were also observed for signs of dehydration. The intervention group received all basic routine care in addition to regular position change from supine to laterals under the phototherapy every two hours. They also received gentle body massage

Official Title
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Effect of Massaging on Bilirubin Level Among Full Term Neonates With Hyperbilirubinemia Under Phototherapy.

Conditions
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Hyperbilirubinemia, Neonatal

Intervention / Treatment
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* Other: Gentle Body message
* Other: Routine NICU Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Full-term receive enteral feeding (breast, bottle, or mixed feeding, gavage) Newly admitted Exclusion Criteria: Required exchange transfusion Required mechanical ventilation Has acute phase of circulatory insufficiency Hemolytic disease Neurological disorders Congenital anomalies Neonatal sepsis Diarrhea

Ages Eligible for Study
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Minimum Age: 1 Day
Maximum Age: 28 Days

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: The intervention group<br>received all basic routine care in addition to regular position change and gentle body massage | Other: Gentle Body message<br>* The intervention group received gentle body massage twice/day and position change from supine to lateral every two hours under the phototherapy for three consecutive days in addition to routine NICU care.<br>|
| Active Comparator: The control group<br>received the conventional NICU care | Other: Routine NICU Care<br>* received the conventional NICU care of infants undergoing phototherapy. Phototherapy was given by single Blue LEDs emitting light in a narrow spectrum (450-470 nm). Initially, phototherapy lamps were checked and adjusted at the height of 30 cm from the neonates who were kept naked in the incubator/crib except for the reproductive organs with shielded eyes. The neonates were positioned supine under the phototherapy. The treatment was given continuously, except while feeding and nursing for 30 minutes every 3 hours. The neonates' skin was cleaned with warm water without applying any sorts of ointments oils or creams. They were also observed for signs of dehydration.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bilirubin level | The researchers recorded the neonates' Bilirubin level from the laboratory results | After 3 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of the consumed milk | The researchers calculated the percentage of the consumed milk by dividing the actual amount sucked by the neonate on the prescribed amount and multiplied by 100 | After 3 days | 
| Frequency of stool | The researchers counted number of neonates' stool passage per day | After 3 days | 
| daily weight | The researchers measured the neonates' weight daily using the same scale | After 3 days | 
| Length of hospital stay | the researchers obtained the neonates' length of hospital stay from admission to discharge | After 10 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hyperbilirubinemia, neonatal, Massage Therapy, Bilirubin, Stool frequency, Length of Hospital Stay