Prevalence and perceptions of infant massage in India: study from Maharashtra and Madhya Pradesh states
Authors
Sarika Chaturvedi
Dr D Y Patil Vidyapeeth (DPU), Sant Tukaram Nagar, Pimpri, Pune, 411018 India
Bharat Randive
Centre for Clinical Global Health Education, Johns Hopkins University, Baltimore, MD USA
Ashish Pathak
Department of Paediatrics, R D Gardi Medical College, Ujjain, MP India
Sharad Agarkhedkar
Department of Pediatrics, Dr D Y Patil Medical College Hospital and Research Centre, Pimpri, Pune, 411018 India
Girish Tillu
Centre for Complementary and Integrative Health, Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, 411007 India
Gary Darmstadt
Department of Pediatrics, Stanford University School of Medicine, Stanford, CA USA
Bhushan Patwardhan
Centre for Complementary and Integrative Health, Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, 411007 India
Keywords:
Oil massage, Emollient therapy, Traditional practices, Infant care, Ayurveda
Abstract
Knowledge of the prevailing infant care practices and their effects is important to inform practice and public programs. Infant massage is a traditional practice in India but remains less studied. This study was conducted to study the prevalence and perceptions of infant massage practices in two states of India.
Methods
A total of 1497 caretakers of children under 18 months of age were interviewed in a cross-sectional study at immunisation units of medical schools in Maharashtra (MH) and Madhya Pradesh (MP) states and through home visits in villages in MH during March through August 2018.
Results
Infant massage was a prevalent practice (93.8% [95%CI: 92.4,94.9]) in both study states – 97.9%[95%CI:96.9,98.8] in MH and 85.3%[95%CI: 81.9,88.3] in MP – and the prevalence did not vary between male (94.5%) and female (93.5%) infants (p = 0.44). Massage was mostly initiated in the first week of life (82%); it is widely viewed as a traditional practice. It was common to massage the baby once daily (77%), before bathing (77%), and after feeding (57%). Massage was mostly conducted using oils (97%). In MH, preferred oils were a sesame oil-based proprietary traditional medicine oil (36%) and coconut oil (18%) while olive (29%) and mustard (20%) oils were most popular in MP. Commonly reported application techniques included gentle massage with minimal pressure, pressing (30%) and manually stretching certain joints (60%). Commonly reported perceived benefits of infant massage included increased bone strength, better sleep and growth, while no harm was perceived (95%).
Conclusion
Infant oil massage is a highly prevalent traditional practice in MH and MP. Clear guidance on the use of massage, choice of oil, and techniques for application is required to optimize benefits and minimize risks of this popular traditional practice.
Supplementary Information
The online version contains supplementary material available at 10.1186/s12887-020-02416-y.
Keywords: Oil massage, Emollient therapy, Traditional practices, Infant care, Ayurveda
Author Biography
Ashish Pathak, Department of Paediatrics, R D Gardi Medical College, Ujjain, MP India
Global Health (IHCAR) / Dept of Public Health Sciences, Karolinska Institutet, 171 77 Stockholm, Sweden
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