IRCT138811043150N1 IRCT 2011-05-09 Vice chancellor for research, Gonabad University of Medical Sciences The Effect of Massage on Serum Bilirubin Levels in Term Neonates The Effect of Massage on Serum Bilirubin Levels in Term Neonates ffected with Hyperbilirubinemia 2009-05-31 anticipated 25 Complete https://irct.ir/trial/3200 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. 2 Hyperbilirubinemia. Intervention 1: intervention groups: tactile and kinesthetic stimulation will carry out by the mother under the supervision of the researcher in 15-minute sessions in 3 consecutive hours, daily for 4 days. Each session consisted of 3 standardized phases of 5 minutes each, in which the infants were keep in a prone position in the 1st and 3rd phase. The neonates will gently stroke with the soft, smooth surfaces of all the fingers of both hands. The tactile stimulation procedure included 12 strokes at a rate of approximately 5 seconds per stroking motion over each region of the neonate in the following sequence: • From the top of the head down the sides of the face to the neck, and vice versa • From the back of the neck to both ends of the shoulders, and vice versa • From the thighs down to the ankles, and vice versa • From the shoulders down the arms to the wrist, and vice versa In the middle phase, the neonate will make to lie in a supine position for kinesthetic stimulation that included 5 segments of 1 minute each which consist of 6 passive flexion/extension movements, each lasting 10sec. The stimulation will do on each arm, then each leg and lastly both legs together. The neonate will then return to a prone position to repeat the tactile stimulation phase. Massage intervention will carry out alongside phototherapy (without interruption) in the sample group at a fix hour between 7am and 7pm every day. Initially, phototherapy lamps will check and adjust at a height of 30cm above the neonates who weill keep in the cots with eyes close and reproductory organs will protect. After every 2 hours of therapy a rest period of 30min. will give in which the neonates will allow to breast feed with eyes open. Bilirubin will measure at 6a.m. everydaycontrol group: without intervention. Intervention 2: control group will administer routine ward care.