The Effect of Massage on Serum Bilirubin Levels in Preterm Neonates affected with Hyperbilirubinemia

INTERVENTION: Intervention 1: Neonates of control group will receive routine ward care. Intervention 2: Neonates of treatment group will receive massage intervention. The intervention consists of massage 20 minutes, twice daily, for 4 days. Massage will be done one hour after the morning feeding and one hour after noon feeding. Massage starting on the face, mothers use two thumbs gently rubbing the preorbital and cheek regions; and then moving on the chest, two hands of performer from the lower margin of chest slide to opposite upper edge alternately; then to the abdomen, corresponding to the conformation of colon, the performer push a half circle gently, next is on the limbs, the performer use hand by hand with moderate pressure external side of the upper and lower limbs; and finally the back, the performer slide two hand from vertebra to two sides by neck to buttock. Neonates of control group will receive routine ward care. Neonates of treatment group will receive massage intervention. The intervention consists of massage 20 minutes, twice daily, for 4 days. Massage will be done one hour after the morning feeding and one hour after noon feeding. Massage starting on the face, mothers use two thumbs gently rubbing the preorbital and cheek regions; and then moving on the chest, two hands of performer from the lower margin of chest slide to opposite upper edge alternately; then to the abdomen, corresponding to the conformation of colon, the performer push a half circle gently, next is on the limbs, the performer use hand by hand with moderate pressure external side of the upper and lower limbs; and finally the back, the performer slide two hand from vertebra to two sides by neck to buttock. CONDITION: Hyperbilirubinemia. ; Neonatal jaundice, unspecified Neonatal jaundice, unspecified PRIMARY OUTCOME: Bilirubin level. Timepoint: daily. Method of measurement: transcutaneous bilirubin test. SECONDARY OUTCOME: Jaundice. Timepoint: End of the study. Method of measurement: Clinical Signs. INCLUSION CRITERIA: INCLUSION CRITERIA: Parental satisfaction to participate their child in the study; Absence of jaundice in the first day; gestational age < 37 weeks; being breastfed; Absence of infection and any disease during the study. Exclusion criteria: the desire of the parents to be omitted from the study; diseases or infections occurring in the course of the study; Discharge before completing the treatment period; Treatment be started with phototherapy.