The Effect of Field Massage on Bilirubin Levels in Neonates with Hyperbilirubinemia
Hyperbilirubinemia is one of the most common clinical phenomena. It is found in 80% of premature infants and 60% of term infants in the first week of life. Most hyperbilirubinemia does not require special therapy, but because of the potential toxic effects, all neonates should be monitored to detect the possibility of severe hyperbilirubinemia. Based on data from the Directorate of Family Health, in 2019, out of 29,322 under-5 deaths, 69% of deaths occurred in the neonatal period. One of the causes of mortality in neonates is bilirubin encephalopathy/kernicterus. Bilirubin encephalopathy is the most severe complication of neonatal jaundice. In addition to encephalopathy, other risks include sequelae in the form of cerebral palsy, high-pitched deafness, paralysis and dental dysplasia, which greatly affect the quality of life. Several studies have been conducted to find alternative supporting therapies that can be used to effectively reduce bilirubin levels in addition to providing phototherapy, one of which is the provision of field massages. Field massage is thought to increase the excretion of bilirubin in infants during phototherapy. The purpose of this literature review was to determine the effect of field massage on reducing bilirubin levels in neonates with hyperbilirubinemia. This was a traditional narrative literature review which grouped similar extracted data according to the results measured to answer the objectives. According to the results, giving field massages two times a day for three days for 15 minutes each time was able to significantly reduce bilirubin levels.
Keywords: field massage, hyperbilirubinemia, neonates
 Lei M, Liu T, Li Y, Liu Y, Meng L, Jin C. Effects of massage on newborn infants with jaundice: A meta-analysis. International journal of nursing sciences. 2018;5(1):89–97.
 Boskabadi H, Alfi N, Abrishami M, Moradi A, Kiani MA, Zakerihamidi M. Effects of body massage on response to phototherapy in neonatal hyperbilirubinemia: A randomized clinical trial. International Journal of Pediatrics. 2020;8(5):11347–53.
 Ahmadpour-Kacho M, YZHSRAB. Effect of phototherapy on serum magnesium level in term neonates with hyperbilirubinemia. medical journal of mashhad university of medical sciences. 2014;57:751–5.
 Novianti N, Mediani HS, Nurhidayah I. Effect of field massage as adjuvant therapy on serum bilirubin levels neonatal hyperbilirubinemia. 2017;5:315–27.
 Pediatrics OF, Infant N, Weeks M. Weeks of gestation - Background. Pediatrics. 2004;114(1):297–316.
 Dehghani K, Nouroozi E, Mandegari Z, Salmani N, Shakiba M. Comparison of the effectiveness of bath and massage in bilirubin levels in neonates. Iranian Journal of Neonatology. 2019;10(3):45–50.
 Kenari R lori, Aziznejadroshan P, Mojaveri MH, Hajian-Tilaki K. Comparing the effect of kangaroo mother care and field massage on serum bilirubin level of term neonates with hyperbilirubinemia under phototherapy in the neonatal ward. Caspian journal of internal medicine. 2020;11(1):34–40.
 Eghbalian F, Rafienezhad H, Farmal J. The lowering of bilirubin levels in patients with neonatal jaundice using massage therapy: A randomized, double-blind clinical trial. Infant Behavior and Development. 2017;49( Jan):31–6.
 Dalili H, Sheikhi S, Shariat M, Haghnazarian E. Effects of baby massage on neonatal jaundice in healthy Iranian infants: A pilot study. Infant Behavior and Development. 2016;42:22–6.
 Abdelhamid ZN. Effect of field massage on bilirubin level and stool passage frequency among neonates with hyperbilirubinemia under phototherapy. Egyptian Journal of Health Care. 2019;10(2):45–55.
 El-Magd ANA, Dabashi SAE, El-Guindy SR, Szeh ESM. Effect of massage on health status of neonates with hyperbilirubinemia. Impact Journals. 2017;5(5):33–44.