Why do we massage? The benefits include:
- Improved weight gain
 - Improved respiratory function
 - Decreased length of stay
 - Improved parent/infant interaction
 - Improved sleep patterns
 - Improved long-range behavioral and developmental testing scores
 - Improved joint mobility
 - Improved gastrointestinal function (regular bowel movement)
 
What kinds of oils should I use?
- In the NICU, you can use either Aquaphor or A&D Ointment
 - At home, you can also use cold-pressed oils (coconut, sesame, safflower, grape seed oils)
 - Aquaphor and cold-pressed oils can be absorbed by the body without clogging pores
 - Do NOT use baby oil (mineral oil) because it can clog pores
 - Do NOT use oils on the face
 
How do I prepare myself to give my baby a massage?
- Relax your own mind and body. Take some deep breaths, relax your shoulders. It is important that the parent/caregiver is relaxed to provide a positive interaction/massage.
 - Be well fed
 - Wear comfortable clothes
 - As appropriate, pump before you begin the massage
 - Have your oil setup
 
How do I start?
- Axillary temperature should be 36.5 C before massage is started
 - Warm your hands by rubbing them together and place them on the baby
 - Containment helps to “organize” the infant. This is done by firmly resting the hands on the head and trunk
 - Resting hands is a holding technique- it may be on the legs, arms, top of head, and/or back
 - Let your hands become heavy as this helps you and your baby slow down and enjoy the moment
 - “Just be” with your baby for one full minute. Feel his/her breathing under your fingertips.
 
What signs will tell me that my baby needs a break?
- Grimace
 - Arching
 - Bracing (looking for boundaries)
 - Crying/Gagging
 - Pulling away from touch
 - Apnea
 - Bradycardia
 - Hiccups
 - Jittery
 - Fisting
 - Frowning
 - Vomiting
 - Finger Splaying
 - Color Changes
 - Yawning
 
How will I know if my baby is enjoying the massage?
- Sucking
 - Mouth open
 - Relaxed posture (flexed or extended)
 - Eye Contact/Focus
 - Brow Raised
 - Open hands
 - Relaxed feet/toes
 




