Hyper Bilirubinemia, Jaundice, Neonatal, Phototherapy
Conditions
Keywords
Infant massage, Newborn, Phototherapy, Jaundice, Hyperbilirubinemia, Bilirubin
Brief summary
Hyperbilirubinemia is a common condition in term newborns and is often treated with phototherapy. It is thought that abdominal massage may increase bowel movements, thereby increasing the frequency of defecation and supporting bilirubin excretion. This randomized controlled trial aimed to evaluate the effect of abdominal massage, applied once or twice daily using the Vimala technique, on transcutaneous bilirubin levels and defecation frequency in hyperbilirubinemia-affected term newborns receiving phototherapy in the neonatal intensive care unit. The study was conducted in the neonatal intensive care unit of a university hospital between February 29, 2020, and August 17, 2023. A total of 35 newborns meeting the inclusion criteria were randomly divided into three groups. Group Massage-1 received 10 minutes of abdominal massage once daily before feeding for three days (n=12). Group Massage-2 received massage twice daily for the same duration (n=10). The control group received routine care (n=13).
Interventions
OTHERMassage once a day for 3 days.
The Vimala Massage Application, before massaging, hands were washed and lubricated. The massage began with a patting motion on the newborn's abdomen, followed by clockwise circular movements and semicircles. The massage was then performed in the shapes of an I, inverted L, and U along the abdomen. Finally, a walking movement was performed with the fingertips from the right to the left side of the abdomen. Each movement was repeated six times.
OTHERMassage twice a day for 3 days.
The Vimala Massage Application, before massaging, hands were washed and lubricated. The massage began with a patting motion on the newborn's abdomen, followed by clockwise circular movements and semicircles. The massage was then performed in the shapes of an I, inverted L, and U along the abdomen. Finally, a walking movement was performed with the fingertips from the right to the left side of the abdomen. Each movement was repeated six times.
Sponsors
Kutahya Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
Newborns meeting the sampling criteria were assigned to experimental and control groups using a simple random number table. The study was single-blind because the researchers knew which group the newborns in the sample were in. However, the statistical analysis was double-blind because the statistics for the data were performed by a different person.
Eligibility
Sex/Gender
ALL
Age
2 Days to 10 Days
Healthy volunteers
No
Inclusion criteria
* Term newborns (37-42 weeks gestation) * 2-10 days postpartum * Diagnosed with hyperbilirubinemia * Receiving phototherapy * Fully orally fed.
Exclusion criteria
* Newborns with ABO incompatibility or Rh incompatibility. * Diagnosed with direct hyperbilirubinemia. * Genetic/metabolic diseases * Infections within 24 hours * With a need for fluid replacement * Having skin anomalies * Having abdominal disorders and surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A transcutaneous bilirubin levels | 6 hours after phototherapy |
| Defecation | Diapers were changed a total of 8 times a day. Defecation outcome was assessed in 24-hour intervals for 3 days. |
Countries
Turkey (Türkiye)
Outcome results
None listed