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Protocol for Infant Massage in Home Settings: An e-Delphi Approach for Consensus Guidance Integrating Traditional Wisdom with Modern Medicine
Journal of Tropical Pediatrics ( IF 2 ) Pub Date : 2021-05-02 , DOI: 10.1093/tropej/fmab043
Sarika Chaturvedi 1 , Girish Tillu 2 , Anil Kale 3 , Aruna Pendse 4 , Ashwini Kulkarni 5 , Deepali Ambike 6 , Madhumita Krishnan 7 , Manoj Gaikwad 8 , Monica Mulay 9 , Murlidhar Prabhudesai 10 , Nilangi Nanal 11 , Neelima Tillu 12 , Pramod Jog 13 , Samina Jamadar 5 , Sandeep Kadam 14 , Sarvesh Kumar Singh 15 , Satyalakshmi Komarajju 16 , Sharad Agarkhedkar 13 , Sudhir Malwade 13 , Bhushan Patwardhan 2
Affiliation  

Infant massage is a highly prevalent traditional practice in India and other parts of Asia. Clear guidance on safe and effective uses of infant massage is lacking especially in the contemporary times when the traditional knowledge is on the verge of extinction and preparations may differ from in the past. This paper presents a consensus guidance in the form of a standardized protocol for routine massage of infants in home settings. Furthermore, a feasible method to develop an integrative protocol involving traditional and modern medicine experts is described. A modified e-Delphi method was used to develop the protocol. A group of seventeen experts, including academicians and practitioners from disciplines as modern paediatrics, Ayurveda paediatrics, Physiotherapy and Naturopathy participated in three rounds of a Delphi study to evolve the consensus guidance. The present protocol for massage of infants born beyond 34 weeks of gestation and weighing above 1.8 kg is recommended for use by care givers. This provides guidance on the preparation for infant massage such as when to begin massaging the infant, checking fitness of the infant for massage, the appropriate time, environment, person and substance for infant massage and a detailed description of the procedure for infant massage. Paediatricians, obstetricians and other child care practitioners can use this protocol to guide care givers on how to peform infant massage.

中文翻译:

家庭环境中的婴儿按摩协议:一种将传统智慧与现代医学相结合的共识指导的 e-Delphi 方法

婴儿按摩在印度和亚洲其他地区是一种非常流行的传统做法。缺乏关于安全有效地使用婴儿按摩的明确指导,尤其是在传统知识濒临灭绝且准备工作可能与过去有所不同的当代。本文以标准化协议的形式提供了一份共识指南,用于在家中对婴儿进行常规按摩。此外,还介绍了一种开发涉及传统和现代医学专家的综合协议的可行方法。改进的 e-Delphi 方法用于开发该协议。由现代儿科学、阿育吠陀儿科学、物理疗法和自然疗法参与了三轮德尔福研究,以制定共识指导。建议护理人员使用本协议对孕 34 周以上出生且体重超过 1.8 公斤的婴儿进行按摩。这提供了婴儿按摩准备的指导,例如何时开始按摩婴儿、检查婴儿是否适合按摩、婴儿按摩的适当时间、环境、人和物质以及婴儿按摩程序的详细说明。儿科医生、产科医生和其他儿童护理从业者可以使用该协议来指导护理人员如何进行婴儿按摩。这提供了婴儿按摩准备的指导,例如何时开始按摩婴儿、检查婴儿是否适合按摩、婴儿按摩的适当时间、环境、人和物质以及婴儿按摩程序的详细说明。儿科医生、产科医生和其他儿童护理从业者可以使用该协议来指导护理人员如何进行婴儿按摩。这提供了婴儿按摩准备的指导,例如何时开始按摩婴儿、检查婴儿是否适合按摩、婴儿按摩的适当时间、环境、人和物质以及婴儿按摩程序的详细说明。儿科医生、产科医生和其他儿童护理从业者可以使用该协议来指导护理人员如何进行婴儿按摩。
更新日期:2021-05-02
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