DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20213321

A randomised comparative study of coconut oil massage for effect on weight change in low birth weight neonates

Mohini Mohini, Munna Lal Jaipal, Surender Singh Bisht, Amita Tyagi

Abstract


Background: Low birth weight (LBW) babies have more the risk of the neurological complications, physiological problems and mental retardation. Topical massage with natural oil is routinely practiced in India. The positive effects of massage are weight gain, improved sleep/wake pattern, decreased the stress, early discharge from the neonatal intensive care unit (NICU), improve the skin integrity and enhanced parent’s infant bonding.

Methods:This prospective interventional randomised comparative study was conducted among 64 LBW babies at Paediatric department of Swami Dayanand hospital (SDH), Delhi. Out of which 31 were in intervention group and 33 were in control group.  In the intervention group, mothers were encouraged to massage their babies with 10 ml of coconut oil for 15 min, twice a day until 10 days of life. Those allocated to the control group were received care as usual. Weight and head circumference was measured at enrolment and on day 11 in both the groups.

Results: Basic characteristics of neonates of intervention and control group were almost similar. Mean weight gain in intervention group was 352.26±101.05 g while it was 209.70±124.66 g in control group (p=0.0001). Similarly mean weight gain velocity was significantly higher in intervention group (32.02±19.19 g/day) as compared to control group (19.09±11.33 g/day, p=0.0001).

Conclusions:The present study supports significant increase in weight gain in LBW preterm and term neonates with coconut oil massage. Coconut oil is easily available in the market and it should be recommended to LBW babies for their better weight gain.


Keywords


Coconut oil, Head circumference, Low birth weight, Massage, Weight gain

Full Text:

PDF

References


UNICEF. “Low birth weight. A good start in life begins in the womb”, 2019. Available at: https//data.unicef.org/topic/nutrition/lowbirthweigh. Accessed on 20 July 2021.

Fernandez A, Patkar S, Chawla C, Taskar T, Prabhu SV. Oil application in preterm babies--a source of warmth and nutrition. Indian Pediatr. 1987;24(12):1111-6.

Roozbehani N, Narenji F. The effect of massage with Sesame oil on infant anthropometric measurements and their sleep pattern. J shahrekord Univ Med Sci. 2009;11(3):34-9.

Field T. Preterm infant massage therapy studies: An American approach. Semin Neonatol. 2002;7487-94.

Leonard J. Exploring neonatal touch. Wesley J Psychol. 2008;3:39-47.

Darmstadt GL, Saha SK. Traditional practice of oil massage of neonates in Bangladesh. J Heal Popul Nutr. 2002;1184-8.

Sankaranarayanan K, Mondkar JA, Chauhan MM, Mascarenhas BM, Mainkar AR, et al. Oil massage in neonates: an open randomized controlled study of coconut versus mineral oil. Indian Pediatr. 2005;42(9):877-84.

Dieter JN, Field T, Reif M, Emory EK, Redzepi M. Stable preterm infants gain more weight and sleep less after five days of massage therapy. J Pediatr Psychol. 2003;28(6):403-11.

Arora S, Ravindran D, Sarkar S. Effect of Coconut Oil Massage on Weight and Neurobehavioral Response in LBW Babies. Int J Pediatr Nursing. 2015;1(2):1-3.

Douret L, Oriot D, Blossier P, Py A, Kasolter M, Zwang J. The effect of multimodal stimulation and cutaneous application of vegetable oils on neonatal development in preterm infants: a randomized controlled trial. Child Care Health Dev. 2009;35(1):96-105.

Scafidi FA, Field TM, Schanberg SM, Bauer CR, Lahr N, Garcia R, et al. Effects of tactile/kinesthetic stimulation on the clinical course and sleep/wake behavior of preterm neonates. Infant Behav Dev. 1986;9(1):91-105.

Agarwal KN, Gupta A, Pushkarna R, Bhargava SK, Faridi MM, Prabhu MK. Effects of massage & use of oil on growth, blood flow & sleep pattern in infants. Indian J Med Res. 2000;112:212-7.