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Table 1 Characteristics of included studies

From: The effect of massage on feeding intolerance in preterm infants: a systematic review and meta-analysis study

Author

Design

Country

Sample size

Gestational age

Intervention

Comparison

Follow up

Outcomes

Outcome

measures

Results

Tekgündüz et al., 2014 [16]

Quasi-experimental

Turkey

27

28 to 32 weeks

Abdominal massage 2 times daily for 5 days

(each time = 15 min)

Routine Care

Last day

GRV, frequency of vomiting, abdominal circumference

Syringe, observation, meter

There was statistically significant difference between first day and last day in massage group.

Shaeri et al., 2017 [19]

RCT

Iran

64

29 to 33 weeks

Abdominal massage performed by a researcher 2 times daily for 5 days (each time = 15 min)

Routine Care

Last day

GRV, frequency of vomiting, abdominal circumference

Syringe, observation, meter

GRV, frequency of vomiting and abdominal circumference significantly reduced in the massage group, as compared the control group.

Mohamed & Ahmed, 2018 [15]

Quasi-experimental

Egypt

60

28 to 36 weeks

Abdominal massage performed 2 times daily for 5 days (each time = 15 min)

Routine Care

5th days of intervention

GRV, frequency of vomiting, abdominal circumference

Novel neonatal feeding intolerance tool.

There was statistically significant difference between first day and last day in massage group.

Ghasemi et al., 2019 [20]

RCT

Iran

28

Mean age was 32.4 weeks in intervention and 33 weeks in control groups

Abdominal massage performed by a trained physiotherapist 2 times daily for 5 days (each time = 15 min)

Routine Care

5th days of intervention

GRV

Syringe

GRV Significantly reduced in the massage group, as compared with the control group

Choi et al., 2015 [17]

Pilot study

South Korea

20

30 to 34 weeks

Massage (based on written protocol) performed 2 times daily for 14 days (each time = 15 min)

Routine Care

14th days of intervention

The number of gastric residual, abdominal circumference

GRV measured by

a Syringe and the number of gastric residual recorded.

Frequency of gastric residual Significantly reduced in the massage group, as compared control group.

Fazli et al., 2017 [18]

RCT

Iran

34

30 to 34 weeks

Abdominal massage performed 2 times daily for 7 days (each time = 15 min)

Routine Care

“During the intervention days”

The number of gastric residual, frequency of vomiting

Vomiting and

gastric residual recoded using nurses’ reports

Frequency of vomiting was significantly low in the massage group, but there was no significantly difference between two groups in terms of vomiting.

Karbandi et al., 2013 [13]

RCT

Iran

60

28 to 37 weeks

Passive massage movements performed daily in tree times for 5 days (each time = 15 min)

Routine Care

Last day

Feeding intolerance

Observations conducted by a researcher or nurses and recorded.

Feeding intolerance was significantly low in the massage group.

Fouda et al., 2018 [14]

Quasi-experimental

Egypt

60

<  37 week

Abdominal massage: 2 times daily for 7 days (each time = 15 min.

Routine Care

During 7 days

GRV, Vomiting.

Nutritional Assessment of Premature Neonate tool

In the end of 7th days, none of infants in both intervention groups had gastric residual and vomiting compared to the control group.