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Study aim
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Determine the effect of kangaroo mother care (KMC) with Field massage on serum bilirubin level in full term newborns with hyperbilirubinemia admitted for phototherapy
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Design
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A clinical trial with a control group and two intervention groups (massage and kangroo mother care), With parallel groupsfrom available samples without blindness, Randomized using random numbers table, Sample size 90 people,30 people in the control group, 30 people in the massage group and 30 people in the kangaroo care group.
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Settings and conduct
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90 term neonates with hyperbilirubinemia admite in emam khomeini and Aiatollah rohani hospital will be select and randomly divided into two intervention and one control groups. Conventional phototherapy was performed following the same procedure for all the neonates.
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Participants/Inclusion and exclusion criteria
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inclusion criteria:
Gestational age 37-42 weeks, Birth weight 2500-4000 g, No therapeutic treatment drugs for hyperbilirubinemia, Age over 48h of birth, Bilirubin 15-20 mgr/dl
exclusion criteria :
ABO and Rh incompatibility,Possitive coombs,hemolysis, Bile duct and digestive tract obstruction,lack of glucose-6-phosphate dehydrogenase,
Doubtful newborn to TORCH syndrom
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Intervention groups
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intervention group 1: kangaroo mother care (KMC): Along with phototherapy, KMC will be applied during breastfeeding at least five times over 24 h, for 3 consecutive days.
intervention group 2: Field massage: Along with phototherapy, receive a 15-minute massage three times a day (morning, noon and evening), for 3 consecutive days.
control group: The control group receives the routine care (phototherapy).
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Main outcome variables
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Evaluation of blood bilirubin reduction in patients in control and intervention groups