Effect of Abdominal Massage on Feeding Intolerance and Weight of Preterm Neonates

Document Type : Original Article

Authors

1 Assistant Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University

2 Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University

Abstract

Feeding intolerance (FI) is one of the most common problems that occur among preterm which
increase morbidity and mortality rate among them. Aim: To evaluate the effect of abdominal
massage on feeding intolerance and weight of preterm neonates. Design: quasi experimental design.
Setting: The study was conducted at Elgameyaa Elshreya Neonatal Intensive Care Unit at Shebin
EL Kom city and Elgameyaa Elshreya Neonatal Intensive Care Unit at Ashmoon city /Menoufia
Governorate. Sample: A purposive sample of 61preterm neonates were selected and randomly
assigned into two groups, massage group include thirty three preterm and control groups include
twenty-eight preterm neonate. Tool, one tool was used for data collection; it includes three parts,
Part 1:Structured questionnaire was developed to collect characteristics and medical data of the
preterm infants, Part 2: Feeding-intolerance criteria in the preterm infants, Part 3: Chart for daily
weight of preterm neonate. Results: There was a highly statistically significant difference in the
mean score of feeding intolerance between the 1st and 5th days, abdominal circumference
was( 28.49±2.39 and 26.65±2.422), frequency of defecation was (0.515±0.71 and 2.61±0.83),
frequency of vomiting (0.636±0.89and 0.06±0.35) and GVR(7.09±3.33 and 0.24±1.39) in the
massage group, respectively. Also, the mean preterm infant weight in the massage was
(1602.88±388.8 and 1640.06±393.96) on the 1st and 5th day respectively, with a highly statistically
significant difference. conclusion: The abdominal massage had a positive influence on feeding
tolerance indicators such as frequency of defecation, vomiting, abdominal distention, abdominal
circumference, and GRV. The study recommended: Utilizing abdominal massage as a nursing
care routine in enterally fed preterm neonates.

Keywords

Egyptian Journal of Health Care
Volume 13, Issue 4
December 2022
Pages 1725-1736

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