Comparing the effectiveness of mother’s live lullaby and recorded lullaby on physiological responses and sleep of preterm infants: a clinical trial study

Abstract

Objectives Environmental stimuli in neonatal intensive care units can disrupt the physiological stability and sleep of infants. It is essential to perform nursing interventions to reduce the adverse effects of such stimuli. This study aimed to compare the effect of recorded lullabies and mothers’ live lullabies on physiological responses and sleep duration of preterm infants. Methods This study was a randomized clinical trial. The participants were 90 preterm infants selected using convenience sampling. In the intervention groups, music (recorded lullabies and mother’s live lullabies) was played for 14 days, 20 min a day, while the control group did not receive any intervention. The data were collected using physiological criteria and infant sleep checklists before, during, and after the intervention. The data were analyzed using SPSS software (Version 21.0). Results The mean scores of physiological parameters (O2 saturation and heart rate) were not significantly different in the three groups before, during, and after the intervention (p>0.05). However, there was an improvement in O2-saturation and a decrease in the heart rate in two intervention groups. The mean duration of the infants’ overnight sleep was not statistically significant between the groups before the intervention (p>0.05). However, there was a statistically significant difference in the intervention groups after the intervention, (p<0.05), and the infants’ overnight sleep was longer in the recorded-lullaby group than the other two groups. Conclusions Although performing interventions, including recorded lullaby and mother’s live lullaby did not differ significantly with that of the control group in physiological criteria, it can be clinically important. In addition, recorded-lullaby increased the infants’ overnight sleeping. Thus, it is suggested that further studies be conducted to confirm the effect of recorded lullaby and mother’s live lullaby interventions on physiological parameters and sleep duration of hospitalized infants.

Comparison of Effects of Mothers' and Mozart's Lullabies on Physiological Responses, Feeding Volume, and Body Weight of Premature Infants in NICU

“…Overall, MT is known to stabilize physiological parameters by relieving environmental and psychological stress and soothing sympathetic nervous system activity ( 43 , 45 ). Nevertheless, several previous studies have reported inconsistent results, such as not significantly improving physiological parameters after MT ( 25 , 33 ), or improving only some of the various physiological measurement variables measured ( 23 , 27 , 28 ). In contrast, this study showed that all four physiological variables–heart rate, blood pressure, respiratory rate, and oxygen saturation– were consistently stabilized after the intervention.…”

“…Moreover, a mother's lullaby promotes emotional stability and infant development, and helps to forge a bond with the mother ( 31 , 32 ). However, the effect of mother's lullaby on the physiological homeostasis of premature infants is still controversy ( 33 ), and studies on the effect of the lullaby on the feeding volume and body weight of the infants are lacking. Both feeding vloume and body weight are associated with growth and ultimately the development of premature infants ( 34 – 36 ).…”

The effect of a training program on maternal role adaptation and self-esteem of mothers with preterm infants: a quasi-experimental study

“…The birth of premature infants disrupts family activities and plans. It leads to inadequacy in the mother in caring for the baby and reduces the mother's self-esteem [ 37 ]. Aklechi and Mehri (2012) showed that low self-esteem causes feelings of inadequacy, loneliness, and decreased performance [ 38 ].…”

Musicoterapia Na Assistência Ao Prematuro Internado Na Unidade De Terapia Intensiva Neonatal: Uma Revisão Integrativa

“…Portanto, a prematuridade é um problema de saúde pública mundial (LIAO et al, 2018). O nascimento prematuro é a principal causa de mortalidade infantil no primeiro mês de vida, apresentando baixas taxas de sobrevivência em regiões de baixa renda (YUE et al, 2021;NAMJOO et al, 2022).…”

“…Quando o parto ocorre com menos de 37 semanas completas, já é caracterizado como parto prematuro. As subcategorias têm como base a idade gestacional: prematuro extremo (menos de 28 semanas), muito prematuro (28-32 semanas) e prematuro moderado a tardio (32-37 semanas) (YUE et al, 2021;NAMJOO et al, 2022). Esses bebês podem apresentar diferentes formas de deficiência a longo prazo, incluindo dificuldades de aprendizagem, problemas visuais e auditivos, problemas socioemocionais e comportamentais (ALMEIDA et al, 2020;YUE et al, 2021;KEHL et al, 2021).…”