The Effect of Baby Massage on Decline Bilirubin Levels in Icteric Babies
DOI:
10.29303/jppipa.v10i11.8784Published:
2024-11-25Issue:
Vol. 10 No. 11 (2024): NovemberKeywords:
Hyperbilirubinemia, Jaundice Baby, MassageResearch Articles
Downloads
How to Cite
Downloads
Metrics
Abstract
Indirect hyperbilirubinemia is one of the conditions that most affects the health of newborns throughout the world, occurring in 60% of term newborns and 80% of premature newborns. Baby massage has emerged as an effective method in treating jaundice babies. This study aims to determine the effect of baby massage on reducing bilirubin in icteric babies. The method used was pre-test and post-test with a control group (quasi-experiment with control). The study population consisted of 120 icteric babies treated in hospitals in the Banten and West Java regions in June 2024, with a sample of 92 babies selected using purposive sampling. The results showed that in the intervention group, the average baby bilirubin level before massage was 16.4 mg/dL and after massage it was 11.9 mg/dL. In the control group, the average bilirubin level before massage was 17.7 mg/dL and after massage it was 10.6 mg/dL. There was a significant difference in the reduction of bilirubin levels in icteric babies who were given and not given breast milk in the intervention group (p-Value=0.008 and p-Value=0.000). The conclusion of this study is that baby massage has a significant effect on reducing bilirubin levels in icteric babies, both in the intervention and control groups (p-Value=0.000). Therefore, infant massage is recommended as part of the care of babies with neonatal hyperbilirubinemia, but it must still be done with caution.
References
Abdellatif, M., Vuong, N. L., Tawfik, G. M., Nhu Nguyen, D. P., Van Thanh, L., Elfaituri, M. K., Mohammed Mansour, M. I., Bich Thoa, L. T., Mohamed Zaki, M. M., Thuy Duong, P. D., El-Qushayri, A. E., Liang, Y., Liu, K., Hirayama, K., & Huy, N. T. (2020). Massage therapy for the treatment of neonatal jaundice: A systematic review and network meta-analysis. Journal of Neonatal Nursing, 26(1), 17–24. https://doi.org/10.1016/j.jnn.2019.09.002
Anjani, S. R., Widyaningsih, T. S., & Rohana, N. (2023). Peran Air Susu Ibu untuk Mengurangi Derajat Ikterik pada Bayi Hiperbilirubinemia Fisiologis di Ruang Peristi RSI Sultan Agung Semarang. Jurnal Persada Husada Indonesia, 10(36), 69–78. https://doi.org/10.56014/jphi.v10i36.364
Dalili, H., Sheikhi, S., Shariat, M., & Haghnazarian, E. (2016). Effects of baby massage on neonatal jaundice in healthy Iranian infants: A pilot study. Infant Behavior and Development, 42, 22–26. https://doi.org/10.1016/j.infbeh.2015.10.009
Desalew, A., Sintayehu, Y., Teferi, N., Amare, F., Geda, B., Worku, T., Abera, K., & Asefaw, A. (2020). Cause and predictors of neonatal mortality among neonates admitted to neonatal intensive care units of public hospitals in eastern Ethiopia: a facility-based prospective follow-up study. BMC Pediatrics, 20, 1–11. https://doi.org/10.1186/s12887-020-02051-7
Doğan, E., Kaya, H. D., & Günaydin, S. (2023). The effect of massage on the bilirubin level in term infants receiving phototherapy. EXPLORE, 19(2), 209–213. https://doi.org/10.1016/j.explore.2022.05.001
Eghbalian, F., Rafienezhad, H., & Farmal, J. (2017). The lowering of bilirubin levels in patients with neonatal jaundice using massage therapy: A randomized, double-blind clinical trial. Infant Behavior and Development, 49(May), 31–36. https://doi.org/10.1016/j.infbeh.2017.05.002
Field, T., Gonzalez, G., Diego, M., & Mindell, J. (2016). Mothers massaging their newborns with lotion versus no lotion enhances mothers’ and newborns’ sleep. Infant Behavior and Development, 45, 31–37. https://doi.org/10.1016/j.infbeh.2016.08.004
Heriyanti, A., Widiasih, R., & Murtiningsih. (2020). Efektifitas Terapi Caring Support Neobil terhadap Perubahan Kadar Bilirubin Serum Total Hyperbilirubinemia pada Neonatus Di Rumah Sakit Dustira Cimahi. Health Information: Jurnal Penelitian, 12(1), 30–37. https://doi.org/10.36990/hijp.vi.154
Husnah, H., Sakdiah, S., & Andayani, H. (2024). Dampak Inisiasi Menyusui Dini Terhadap Penurunan Angka Kematian Bayi. Jurnal Kedokteran Nanggroe Medika, 7(1), 34–42. https://doi.org/10.35324/jknamed.v7i1.280
Jiao, J. (2023). Effects of comfort care combined with blue-light phototherapy on neonatal jaundice and total bilirubin and high-sensitivity C-reactive protein levels. Journal of King Saud University - Science, 35(2), 102483. https://doi.org/10.1016/j.jksus.2022.102483
Khedmat, L., Mojtahedi, S. Y., & Moienafshar, A. (2021). Recent clinical evidences in the herbal therapy of neonatal jaundice in Iran: A review. Journal of Herbal Medicine, 29, 100457. https://doi.org/10.1016/j.hermed.2021.100457
Khotimah, H., & Subagio, S. U. (2021). Analysis of the Relationship between Gestational Age, Birth Weight, Type of Childbirth and Breastfeeding with Occurrence of Hyperbilirubinemia Analysis of Relationship between Gestational Age, Birth Weight, Type of Childbirth and Breastfeeding with Occurr. Health Journal, 8(2), 115–121. https://doi.org/10.33746/fhj.v8i02.146
Krisnanto, P. D., Retnaningsih, L. N., & Lestiawati, E. (2019). The Effectiveness of Baby Massage/Touch on Bilirubin Levels in Icteric Infants in the Infant Room RS Yogyakarta. Respati Yogyakarta Nursing Journal, 6(1), 548. https://doi.org/10.35842/jkry.v6i1.290
Olusanya, B. O., Kaplan, M., & Hansen, T. W. R. (2018). Neonatal hyperbilirubinaemia: a global perspective. The Lancet Child & Adolescent Health, 2(8), 610–620. https://doi.org/10.1016/S2352-4642(18)30139-1
Putriyanti, C. E., Retnani, C. T., Masruchi, M., & Purnamiasih, D. P. K. (2021). Kejadian Stunting Berhubungan dengan Faktor Ekonomi. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 11(2), 305–312. Retrieved from http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/1186
Radwan, I. M., Sakr, M. M. A., & Mohamed, S. A. (2023). Is Oral Agar Combined with Phototherapy Superior than Phototherapy in Treatment of Neonatal Indirect Hyperbilirubinemia. The Scientific Journal of Medical Scholar, 2(1), 25–28. https://doi.org/10.55675/sjms.v2i1.56
Setyowati, E. (2024). Hubungan Pemberian Air Susu Dengan Kejadian Ikterus Neonatorum Di Rumah Sakit Tk. Iii Slamet Riyadi Surakarta [Thesis: Universitas Kusuma Husada Surakarta]. Retrieved from https://eprints.ukh.ac.id/id/eprint/5911/1/ARTIKEL ENDANG SETYOWATI.pdf
Shahbazi, M., Khazaei, S., Moslehi, S., & Shahbazi, F. (2022). Effect of Massage Therapy for the Treatment of Neonatal Jaundice: A Systematic Review and Dose-Response Meta-analysis. International Journal of Pediatrics. https://doi.org/10.1155/2022/9161074
Siroosbakht, S., Aminian, A. R., & Rezakhaniha, B. (2020). Risk factors of early breastfeeding jaundice: How can gynecologists and nurses be effective in reducing it? Journal of Comprehensive Pediatrics, 11(3). https://doi.org/10.5812/compreped.103578
Solihah, I. A. (2020). The Relationship between Breastfeeding and the Classification of Neonatal Jaundice Based on Integrated Management of Young Babies at the Ibrahim Adji Community Health Center, Bandung City. JKA Scientific Journal (Aeromedika Health Journal), 6(1), 33–38. https://doi.org/10.58550/jka.v6i1.115
Song, E., Reja, D., Silverberg, N., & Rothe, M. J. (2015). Phototherapy: Kids are not just little people. Clinics in Dermatology, 33(6), 672–680. https://doi.org/10.1016/j.clindermatol.2015.09.009
Sukmawati, C., Mulyanti, S., Nurlina, F., & Badrudin, U. (2024). Penerapan Pijat Bayi Combain Fototerapi Untuk Menurunkan Derajat Ikterik Pada Bayi Usia 0-28 hari di Ruang Perinatologi RSUD Dr. Soekardjo Kota Tasikmalaya. Journal of Nursing Practice and Science, 3(1), 16–22. https://journal.umtas.ac.id/index.php/jnps/article/view/4546
Tefera, Y. G., & Ayele, A. A. (2021). Newborns and under-5 mortality in Ethiopia: the necessity to revitalize partnership in post-COVID-19 era to meet the SDG targets. Journal of Primary Care & Community Health, 12, 2150132721996889. https://doi.org/10.1177/2150132721996889
Wakil, A., Koneru, G., & Latt, N. L. (2025). Jaundice/cholestasis. In Hepatology (pp. 371–397). Elsevier. https://doi.org/10.1016/B978-0-443-26710-9.00013-4
Zhang, M., Wang, L., Wang, Y., & Tang, J. (2019). The influence of massage on neonatal hyperbilirubinemia: a meta-analysis of randomized controlled trials. Journal of Maternal-Fetal and Neonatal Medicine, 32(18), 3109–3114. https://doi.org/10.1080/14767058.2018.1455183
Author Biographies
Dyah Mayasari Fatwa, Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara
Lelasari, Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara
Cheryl Sylfia Fatin, Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara
Nidaul Hasanah, Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara
Lela Fauziah Khoerunnisa, Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara
License
Copyright (c) 2024 Dyah Mayasari Fatwa, Lelasari, Cheryl Sylfia Fatin, Nidaul Hasanah, Lela Fauziah Khoerunnisa

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).