Effectiveness of Infant Massage on Strengthening Bonding and Improving Sleep Quality

Ainurrizma Tri Hartanti, Harsono Salimo, Vitri Widyaningsih


Background: Baby massage is the oldest and most popular touch therapy known to mankind, which is also the art of health care and treatment that has been practiced for centuries. This study aims to determine the effect of infant massage on bonding attachments between mother and baby and the quality of infant sleep.

Subjects and Method: This was experimental study with Randomized Controlled Trial (RCT) design conducted in five health centers in Ponorogo Regency, East Java in March to April 2019. The total sample was 120 mothers and infants aged 3 to 6 months divided between massage groups (treatment) and not massage (control) based on The dependent variable of this study was bonding attachment and sleep quality. The independent variable in this study was infant massage. Data collection was using questionnaires and checklists. This study used the Mann-Whitney test

Result: Infant massage effectively increased bonding attachment (effect size = 6.19; p <0.001), increased infant sleep duration (effect size= 2.79, p <0.001), decreases the number of baby awakened (effect size = -2.78; p <0.001), decreased duration awakened (effect size= -0.80; p= 0.001),

Conclusion: Baby massage effectively increased bonding attachment and sleep duration, and effectively decreased the number of awakenings and the duration of awakening.

Keywords: baby massage, bonding attachment, sleep quality

Correspondence: Ainurrizma Tri Hartanti, Public Health Postgraduate Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: Mobile: 085784939555

Indonesian Journal of Medicine (2019), 4(2): 165-175

Full Text:



Bennett C, Underdown A, Barlow J (2013). Massage for promoting mental and physical health in typically developing infants under the age of six months (Review). The cochrane collaboration.

Chen J, Sadakata M, Ishida M, Sekizuka N, Sayama M (2011). Baby massage ameliorates neonatal jaundice in fullterm newborn infants. The tohoku journal of experimental medicine. 223(2): 97–102.

Choi H, Kim SJ, Oh J, Lee MN, Kim S, Kang KA (2015). The effects of massage therapy on physical growth and gastrointestinal function in premature infants. Journal of Child Health Care. 20(3), 394–404. doi:10.1177/1367493515598647

Chung FF, Wan GH, Kuo SC, Lin KC, & Liu HE (2018). Mother-infant interaction quality and sense of parenting com petence at six months postpartum for first time mothers in Taiwan: a multiple time series design. Biomed Central Pregnancy and Childbirth.18(1).

Çinar İÖ, Öztürk A (2013). The effect of planned baby care education given to primiparous mothers on maternal attachment and self confidence levels. Health care for women international. 35(3): 320–333.

Cooke A (2015). Infant massage: The practice and evidence base to support it. British journal of midwifery. 23(3): 166–170.

Dalili H, Sheikhi S, Shariat M, Haghnazarian E (2016). Effects of baby massage on neonatal jaundice in healthy Iranian infants: A pilot study. Infant Behavior and Development. 42, 22–26.

Dewi U, Aminin F, Gunnara H (2014). Pengaruh Pemijatan terhadap Kualitas Tidur Bayi Usia 3-4 Bulan Di Posyandu Gelatik dan Nuri Kelurahan Tanjungunggat Wilayah Kerja Puskesmas Sei Jang Kota Tanjungpinang Tahun 2014. Jurnal Ners dan Kebidanan. 3(1).doi: 10.26699/jnk.v1i3.ART.p230-235

Ethicasari (2012). Perbandingan efektifitas antara metode bounding (dekapan) dan stimulus kutaneus dalam mengurangi rasa nyeri suntikan intramuskuler pada bayi (Comparison of the effectiveness of the bounding method and cutaneous stimulus in reducing the pain of intramuscular injections in infants). D3 Kebidanan, 1(1).

Field T (2018). Infant massage therapy research review. Clinical Research in Pediatrics. 1(2).

Field T (2017). New born massage therapy. International journal of pediatrics and neonatal health. 1(2): 54-64. doi:10.-25141/2572-4355-2017-2.0054

Field T (2017). Infant sleep problems and interventions: A review. Infant behavior and development. 47: 40–53.

Gnazzo A, Guerriero V, Folco SD, Zavattini GC, Campora GD (2015). Skin to skin interactions. Does the infant massage improve the couple functioning?. Frontiers in psychology. 6.

Gürol A, Polat S (2012). The effects of baby massage on attachment between mother and their infants. Asian nursing research. 6(1): 35–41. doi:10.1016/j.anr.2012.02.006

Hikmah E (2010). Pengaruh terapi sentuhan terhadap suhu dan frekuensi nadi bayi prematur yang dirawat di ruang perinatologi rsud kabupaten tangerang (The effect of touch therapy on the temperature and frequency of pulse in preterm infants treated in the perinatology room of Tangerang Hospital). Tesis. Depok: fakultas ilmu keperawatan kekhususan keperawatan anak universitas indonesia. http-://

Holditch Davis D, White Traut R, Levy J, Williams KL, Ryan D, Vonderheid S (2013). Maternal satisfaction with administering infant interventions in the neonatal intensive care unit. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 42: 641–654.

Ifalahma D, Sulistiyanti A (2016). Efektivitas pijat bayi terhadap kualitas tidur bayi di kelurahan kadipiro banjarsari surakarta (Effectiveness of baby massage on the quality of infant sleep in Kadipiro Banjarsari Surakarta). Infokes. 6(2).

Kementrian Kesehatan Republik Indonesia (2017). 300 Bayi baduta ikut pijat massal (300 Babies Join Mass Massage).

Korja R, Latva R, Lehtonen L (2012). The effects of preterm birth on mother infant interaction and attachment during the infant’s first two years. Acta Obstetricia et Gynecologica Scandinavica. 91(2): 164–173.

Kulkarni A, Kaushik JS, Gupta P, Sharma H, Agrawal RK (2010). Massage and touch therapy in neonates: The cur-rent evidence. Indian Pediatrics. 47, 771–776. doi: 10.1007/s1331201001142

Kusumastuti N, Tamtomo D, Salimo H (2016). Effect of massage on sleep quality and motor development in infant aged 3-6 months. Journal of maternal and child health. 1(3):161-169.

Lai MM, D’Acunto G, Guzzetta A, Boyd RN, Rose SE, Fripp J, Colditz PB et al. (2016). PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants. Biomed Central Pediatrics. 16(1).

Lee HK (2017). The effects of infant massage on weight, height, and mother infant interaction. Journal of korean academy of nursing. 36(8): 1331.

Lin CH, Yang HC, Cheng CS, Yen CE (2015). Effects of infant massage on jaundiced neonates undergoing phototherapy. Italian Journal of Pediatrics. 41(1). doi:10.1186/s13052-015-0202-y

Lindensmith R (2018). Interventions to improve maternal infant relationships in mothers with postpartum mood disorders. The American Journal of Maternal/Child Nursing. 43(6): 334–340. doi:10.1097/NMC.0000000000000471

Martini ED (2014). Pengaruh pijat bayi terhadap kuantitas tidur bayi usia 3-6 bulan di desa munungrejo kecamatan ngimbang kabupaten lamongan (The effect of infant massage on the quantity of sleep for infants aged 3-6 months in the village of Munungrejo,in the district of Lamongan Regency). SURYA. 2(18). ge-nap-109-115-Jurnal-Diah-eko-Vol-2-No.-XVIII-Juni-2014.pdf

Mindell JA, Lee CI, Leichman ES, Rotella KN (2018). Massage based bedtime routine: impact on sleep and mood in infants and mothers. Sleep Medicine, 41. 51–57. doi:10.1016/j.sleep.2017.09.010

Pados BF, McGlothen-Bell K (2019). Bene-fits of Infant Massage for Infants and Parents in the NICU. Nursing for Wo-men’s Health. doi:10.1016/j.nwh.2019.03.004

Parfitt Y, Pike A, Ayers S (2013). The impact of parents’ mental health on parent baby interaction: A prospective study. Infant Behavior and Development. 36(4): 599–608.

Permata A (2017). Pengaruh pijat bayi ter-hadap peningkatan lama tidur malam pada bayi 3 - 6 bulan (Effect of infant massage on increasing nighttime sleep in infants 3-6 months old). Jurnal Kesehatan Al Irsyad (Jka). 10(2)

Porreca A, Parolin M, Bozza G, Freato S, Simonelli A (2017). Infant massage and quality of early mother infant interactions: are there associations with maternal psychological wellbeing, marital quality, and social support?. Fron-tiers in Psychology 7.

Prasetyono DS (2013). Buku Pintar Pijat Bayi (Smart Baby Massage Book). Yogjakarta: Bukubiru.

Roesli U (2016). Pedoman pijat bayi edisi revisi (Revised baby massage guidelines). Jakarta: Trubus Agriwidya.

Salehi K, Taleghani F, Kohan S (2019). Effect of attachment based interventions on prenatal attachment: a protocol for systematic review. Reproduc-tive health. 16(1).

Sari AD, Misrawati, Agrina (2013). Pengaruh pijat bayi baru lahir terhadap bounding attachment (Effect of new born massage on bounding attachments).

Serrano MSC, Doren FM, Wilson L (2010). Teaching chilean mothers to massage their fullterm infants. The journal of perinatal & neonatal nursing. 24(2): 172–181. doi:10.1097/jpn.0b013e3181d-b5377

Shoghi M, Sohrabi S, Rasouli M (2018). The effects of massage by mothers on mother infantattachment. Alternative th-erapies in health and medicine. 24(3): 34-39.

Vicente S, Verissimo M, Diniz E (2017). In-fant massage improves attitudes to ward childbearing, maternal satisfac-tion and pleasure in parenting. Infant behavior and development. 49: 114–119.

Wahyuni T, Anjani RG (2016). Hubungan usia dan pendidikan ibu post partum dengan bounding attachment di ruang mawar rumah sakit umum daerah abdul wahab sjahranie samarinda (Relationship between age and education of post partum mothers with bounding attachment in the rose room of Abdul Wahab General Hospital Sjahranie samarinda) .

Zhang X, Wang J (2019). Massage intervention for preterm infants by their mothers: A randomized controlled trial. Journal for Specialists in Pediatric Nursing.


  • There are currently no refbacks.