| Peer-Reviewed

Effect of Abdominal Massage on Feeding Intolerance of Premature Infants

Received: 3 May 2020     Accepted: 25 May 2020     Published: 3 June 2020
Views:       Downloads:
Abstract

Aim: To evaluate the improvement of feeding intolerance to premature infants by abdominal massage. Method: From January 2018 to January 2020, the basic data of 72 premature infants in the NICU of our hospital were collected by retrospective method, which was divided into an experimental group and control group, 36 cases ineach group. The infants in the experimental group received such intervention of abdominal massage with daily fixed time and fixed frequency, and the control group without abdominal massage. The gestational age, birth weight, sex was not statistically significant in the two groups. The outcome indexes of the two groups were evaluated including the length of stay, the weight beginning oral feeding, the weight reaching total oral feeding, the weight at discharge, transition time, time to recover to birth weight, the daily weight gain, gastric residue. Results: Data analysis by SPSS24.0 showed that the weight beginning oral feeding (P = 0.012), weight reaching total oral feeding (P = 0.014) and the mean times of gastric residue in the experimental group was statistically significant. But there was no significant difference in the length of stay, the weight at discharge, transition time, time to recover to birth weight, and the daily weight gain. Conclusion: Intervention of abdominal massage might promote the weight gain and improve the feeding intolerance in premature infants.

Published in American Journal of Nursing Science (Volume 9, Issue 4)
DOI 10.11648/j.ajns.20200904.14
Page(s) 196-199
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Premature Infants, Abdominal Massage, Feeding Intolerance

References
[1] Kamphorst K, Sietsma Y, Brouwer AJ, et al. Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review. Acta Paediatr, 2016, 105 (11): 1280-1287.
[2] Tekgunduz KS, Gurol A, Apay SE, et al. Effect of abdomen massage for prevention of feeding intolerance in preterm infants. Ital J Pediatr, 2014, 40: 89-89.
[3] Mohammadizadeh M, Ghazinour M, Iranpour R. Efficacy of prophylactic oral erythromycin to improve enteral feeding tolerance in preterm infants: a randomised controlled study. Singapore Med J, 2010, 51 (12): 952-956.
[4] Mena NP, Leon Del PJ, Sandino PD, et al. [Meconium evacuation to improve feeding tolerance in very low birth weight preterm infants (Emita Protocol)]. Rev Chil Pediatr, 2014, 85 (3): 304-311.
[5] Ibrahim T, Li Wei C, Bautista D, et al. Saline Enemas versus Glycerin Suppositories to Promote Enteral Feeding in Premature Infants: A Pilot Randomized Controlled Trial. Neonatology, 2017, 112 (4): 347-353.
[6] Lucchini R, Bizzarri B, Giampietro S, et al. Feeding intolerance in preterm infants. How to understand the warning signs. J Matern Fetal Neonatal Med, 2011, 24 Suppl 1: 72-74.
[7] Chen LL, Su YC, Su CH, et al. Acupressure and meridian massage: combined effects on increasing body weight in premature infants. J Clin Nurs, 2008, 17 (9): 1174-1181.
[8] Massaro AN, Hammad TA, Jazzo B, et al. Massage with kinesthetic stimulation improves weight gain in preterm infants. J Perinatol, 2009, 29 (5): 352-357.
[9] Diego MA, Field T, Hernandez-Reif M. Vagal activity, gastric motility, and weight gain in massaged preterm neonates. J Pediatr, 2005, 147 (1): 50-55.
[10] Carter BM, Howard C. A 6th Vital Sign--Potential Use of Nasogastric Tube for Intra-abdominal Pressure Monitoring Method to Detect Feeding Intolerance in Very Low Birth-Weight Preterm Infants (<1500 g). Adv Neonatal Care, 2015, 15 (3): 176-181.
[11] Diego MA, Field T, Hernandez-Reif M, et al. Preterm infant massage elicits consistent increases in vagal activity and gastric motility that are associated with greater weight gain. Acta Paediatr, 2007, 96 (11): 1588-1591.
[12] Li FN, Li XR, Xue WS, et al. Effect of Maternal Sound Stimulation on oral feeding among premature infants. Chinese Nursing Management, 2016, (04): 481-485.
[13] Patel AL, Engstrom JL, Meier PP, et al. Accuracy of methods for calculating postnatal growth velocity for extremely low birth weight infants. Pediatrics, 2005, 116 (6): 1466-1473.
[14] Xie YQ, Liu WQ. Effect of cluster nursing combined with abdominal massage on feeding premature infants with low birth weight. Fujian Med J, 2018, 40 (06): 154-155.
[15] Seiiedi-Biarag L, Mirghafourvand M. The effect of massage on feeding intolerance in preterm infants: a systematic review and meta-analysis study. Ital J Pediatr, 2020, 46 (1): 52-52.
Cite This Article
  • APA Style

    Xin Jin, Lilan He, Shiyi Zhang, Chuanrui Zhu. (2020). Effect of Abdominal Massage on Feeding Intolerance of Premature Infants. American Journal of Nursing Science, 9(4), 196-199. https://doi.org/10.11648/j.ajns.20200904.14

    Copy | Download

    ACS Style

    Xin Jin; Lilan He; Shiyi Zhang; Chuanrui Zhu. Effect of Abdominal Massage on Feeding Intolerance of Premature Infants. Am. J. Nurs. Sci. 2020, 9(4), 196-199. doi: 10.11648/j.ajns.20200904.14

    Copy | Download

    AMA Style

    Xin Jin, Lilan He, Shiyi Zhang, Chuanrui Zhu. Effect of Abdominal Massage on Feeding Intolerance of Premature Infants. Am J Nurs Sci. 2020;9(4):196-199. doi: 10.11648/j.ajns.20200904.14

    Copy | Download

  • @article{10.11648/j.ajns.20200904.14,
      author = {Xin Jin and Lilan He and Shiyi Zhang and Chuanrui Zhu},
      title = {Effect of Abdominal Massage on Feeding Intolerance of Premature Infants},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {4},
      pages = {196-199},
      doi = {10.11648/j.ajns.20200904.14},
      url = {https://doi.org/10.11648/j.ajns.20200904.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200904.14},
      abstract = {Aim: To evaluate the improvement of feeding intolerance to premature infants by abdominal massage. Method: From January 2018 to January 2020, the basic data of 72 premature infants in the NICU of our hospital were collected by retrospective method, which was divided into an experimental group and control group, 36 cases ineach group. The infants in the experimental group received such intervention of abdominal massage with daily fixed time and fixed frequency, and the control group without abdominal massage. The gestational age, birth weight, sex was not statistically significant in the two groups. The outcome indexes of the two groups were evaluated including the length of stay, the weight beginning oral feeding, the weight reaching total oral feeding, the weight at discharge, transition time, time to recover to birth weight, the daily weight gain, gastric residue. Results: Data analysis by SPSS24.0 showed that the weight beginning oral feeding (P = 0.012), weight reaching total oral feeding (P = 0.014) and the mean times of gastric residue in the experimental group was statistically significant. But there was no significant difference in the length of stay, the weight at discharge, transition time, time to recover to birth weight, and the daily weight gain. Conclusion: Intervention of abdominal massage might promote the weight gain and improve the feeding intolerance in premature infants.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Effect of Abdominal Massage on Feeding Intolerance of Premature Infants
    AU  - Xin Jin
    AU  - Lilan He
    AU  - Shiyi Zhang
    AU  - Chuanrui Zhu
    Y1  - 2020/06/03
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200904.14
    DO  - 10.11648/j.ajns.20200904.14
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 196
    EP  - 199
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200904.14
    AB  - Aim: To evaluate the improvement of feeding intolerance to premature infants by abdominal massage. Method: From January 2018 to January 2020, the basic data of 72 premature infants in the NICU of our hospital were collected by retrospective method, which was divided into an experimental group and control group, 36 cases ineach group. The infants in the experimental group received such intervention of abdominal massage with daily fixed time and fixed frequency, and the control group without abdominal massage. The gestational age, birth weight, sex was not statistically significant in the two groups. The outcome indexes of the two groups were evaluated including the length of stay, the weight beginning oral feeding, the weight reaching total oral feeding, the weight at discharge, transition time, time to recover to birth weight, the daily weight gain, gastric residue. Results: Data analysis by SPSS24.0 showed that the weight beginning oral feeding (P = 0.012), weight reaching total oral feeding (P = 0.014) and the mean times of gastric residue in the experimental group was statistically significant. But there was no significant difference in the length of stay, the weight at discharge, transition time, time to recover to birth weight, and the daily weight gain. Conclusion: Intervention of abdominal massage might promote the weight gain and improve the feeding intolerance in premature infants.
    VL  - 9
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Nursing Department, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Nursing Department, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Nursing Department, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Nursing Department, The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Sections