Khadijeh Moghaddam - MSc Student of Pediatric Nursing, School of Nursing and Midwifery, Mashhad, Iran
tahereh sadeghi - Assistant Professor of Nursing Department of Pediatrics, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center Mashhad University of Medical Sciences, Mashhad, Iran
ali Khakshour - Associate Professor of Pediatrics, Department of Pediatrics, School of Medicine, Mashhad, Iran Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
ali Khorsand Vakilzadeh - Research Associate Professor of Acupuncture, Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Imam Reza Hospital, Mashhad University of Medical Science, Mashhad, Iran
Ahmad Shah Farhat - Ahmad Shah Farhat: Professor of Pediatrics Department of Pediatrics, School of Medicine Neonatal Research Center Mashhad University of Medical Sciences, Mashhad, Iran

Background: Infantile colic is observed in healthy infants less than three months of age. Excessive crying in these infants leads to fatigue and maternal anxiety.Aim: The present study aimed to compare the effect of abdominal massage and Hugo point acupressure on the symptoms of infantile colic.Method: In this clinical trial study, ۱۴۴ infants were selected via convenience sampling and randomly assigned to three groups of abdominal massage, Hugo point acupressure, and control. The infants in two groups of abdominal massage and Hugo point acupressure received the interventions three times in the evening, while the control group only underwent the routine training. The duration of colicky crying and sleep duration per ۲۴ hours was recorded for four weeks. At the end of four weeks, the Infant Colic Scale (ICS) was completed in three groups. Three groups were compared using the Wilcoxon test.Results: The mean difference scores after the intervention in comparison with that before the intervention were obtained at -۶.۶۲±۴.۸۴, -۳.۵۵±۳.۱۲, and -۳.۹۲±۴.۰۲ in Hugo point acupressure, abdominal massage, and control groups, respectively. This difference was statistically significant (P<.۰۵). The three groups of Hugo point acupressure, abdominal massage, and control significantly differ in terms of mean scores of sleep time in four weeks (P<۰۰۱). There was a significant difference between the mean scores of crying duration in the second, third, and fourth weeks (P <۰.۰۰۱).Implications for Practice: Hugo point acupressure had a more significant effect on the alleviation of colic pain, as compared to abdominal massage and changing position. Furthermore, acupressure shortened the duration of crying and prolonged sleep. The development of acupressure training programs for mothers is recommended as a simple method for the treatment of infantile colic.

Acupressure, Infantile colic, Massage