Hyperbilirubinemia, Neonatal
Conditions
Keywords
Hyperbilirubinemia, neonatal, Massage Therapy, Bilirubin, Stool frequency, Length of Hospital Stay
Brief summary
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
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
Interventions
OTHERGentle Body message
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.
OTHERRoutine NICU Care
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.
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
1 Days to 28 Days
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bilirubin level | After 3 days | The researchers recorded the neonates' Bilirubin level from the laboratory results |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of the consumed milk | After 3 days | 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 |
| Frequency of stool | After 3 days | The researchers counted number of neonates' stool passage per day |
| daily weight | After 3 days | The researchers measured the neonates' weight daily using the same scale |
| Length of hospital stay | After 10 days | the researchers obtained the neonates' length of hospital stay from admission to discharge |
Countries
Egypt
Outcome results
None listed