Effect of Massage Therapy on Neonates with Unconjugated Hyperbilirubinemia Undergoing Phototherapy- A Pilot Study

Abstract

This pilot study evaluated the effect of massage therapy on neonates with unconjugated hyperbilirubinemia undergoing phototherapy. A quantitative evaluative approach with a pre-test and post-test control group design was used. A total of 20 neonates were selected using purposive sampling, with 10 in the experimental group and 10 in the control group. Data were collected through observation, maternal interviews, and standardized tools including breastfeeding assessment and Kramer’s criteria. The findings showed a reduction in serum bilirubin levels in both groups after intervention. The experimental group demonstrated a significant decrease in bilirubin levels from pre-test to post-test (t=7.93, p<0.05). However, comparison between experimental and control groups showed no statistically significant difference. Improvements were observed in feeding patterns, weight gain, and sleep, particularly in the experimental group. Night-time sleep patterns showed some statistical significance. The study suggests that massage therapy may support neonatal recovery alongside phototherapy. Further research with larger samples and randomized design is recommended.