Listening to Relaxing Music Improves Physiological Responses in Premature Infants

Caparrós-González, Rafael A.; Torre‐Luque, Alejandro de la; Díaz-Piedra, Carolina; Vico, Francisco J.

doi:10.1097/anc.0000000000000448

Cited by 37 publications

(72 citation statements)

References 54 publications

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“…Since stress during pregnancy has negative consequences for the fetus and newborn infant, the main challenge is to ensure early identification and prevention of high stress levels [ 52 – 54 ]. Although there is evidence that postnatal care can help neonates at risk [ 55 , 56 ], prenatal assessment of stress levels and maintenance of optimal levels remain important. Collecting data on cortisol levels and psychological well-being may help early detection of problems that could affect the intrauterine relationship between mother and fetus, which is fundamental for the future health of both.…”

Section: Discussionmentioning

confidence: 99%

Newborn infants’ hair cortisol levels reflect chronic maternal stress during pregnancy

et al. 2018

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Cortisol obtained from hair samples represents a retrospective biomarker of chronic stress experienced by the subject in previous months. Although hair cortisol levels have been used to study the relationship between maternal and neonatal stress levels in primates, this has not yet been performed in humans using a longitudinal design and focusing specifically on this association. Therefore, the objective of this study was to determine whether a relationship existed between maternal psychological stress and hair cortisol levels during pregnancy and postpartum, and neonatal hair cortisol levels. The sample consisted of 80 pregnant women and their 80 newborn infants. We conducted a longitudinal assessment of hair cortisol levels, psychological stress, anxiety, and depression in the three trimesters of pregnancy and postpartum. After childbirth, neonatal hair cortisol levels were also measured. We found that maternal hair cortisol levels in the first trimester negatively predicted neonatal hair cortisol levels. Perceived stress in the third trimester of pregnancy also predicted lower neonatal cortisol, whereas pregnancy-specific stress in the same trimester had a positive relation with neonatal cortisol. Cortisol is essential for embryonic and fetal development; consequently, if fetal synthesis of cortisol is affected by high maternal cortisol levels, such development could be impaired.

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Section: Discussionmentioning

confidence: 99%

Newborn infants’ hair cortisol levels reflect chronic maternal stress during pregnancy

et al. 2018

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“…Music therapy began 30-60 minutes after feeding, nursing, as well as during or after heel stick procedures, at 9-10 AM, 10 AM -7 PM, 2-3 PM, 8-9 PM, 9-10 PM, or either morning or afternoon. [11][12][13][14][18][19][20][21][22][23][24][25][26][27] Three studies used recorded maternal voice reading a book or singing a song. The recordings were delivered using a tape player or speaker placed inside the incubator, except for one study that did not explain the music delivery method.…”

Section: Resultsmentioning

confidence: 99%

“…Music therapy was shown to significantly decrease the heart rate 12,14,17,18,20,23,26,27 and respiratory rate, 13,18,22,23,26,27 and increase oxygen saturation. 12,19,20,22 Participants in all studies started from 28 weeks' gestational age.…”

Section: Discussionmentioning

confidence: 99%

Preterm infant physiological responses to music therapy: a systematic review

Liwang

Nadobudskaya

Lestari

et al. 2018

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Background Prematurity is still the leading cause of mortality and morbidity in neonates. The premature change of the environment causes stress, which leads to hemodynamic instability. Music therapy may have a positive impact on hemodynamic parameters of preterm infants in the NICU. Objective To evaluate preterm infants’ physiological responses to music therapy in NICU setting. Methods A systematic review was performed in 12 electronic databases from March 2000–April 2018. Our review included all English language publications on parallel or crossover RCTs of music therapy versus standard care or placebo in preterm infants. The outcomes were physiological indicators [heart rate (HR), respiratory rate (RR), and oxygen saturation (SaO2)]. Risk of bias was assessed using the Revised Cochrane risk of bias tool for randomized trials (RoB 2.0). Results The search yielded 20 articles on 1,148 preterm infants of gestational age 28 and 37 weeks, who received recorded music, recorded maternal/male voice or lullaby, or live music interventions in the NICU with intensity of 30–76 dB. Recorded music improved all outcomes in 6, 6, and 4 of 16 studies for HR, RR, and SaO2, respectively. Seven studies used classical music as melodic elements. However, eight studies showed no significant results on all outcomes. Conclusion Despite the finding that music interventions demonstrate promising results in some studies, the variation in quality of the studies, age groups, outcome measures, as well as type and timing of the interventions across the studies make it difficult to draw overall conclusions about the effects of music in preterm infants.

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“…Neonatal Intensive Care Unit is an environment with various stressors including light and noises that may induce stress and provide both positive and negative impacts (Hunt, 2011;Rabold, 2013). One of common issues affecting neonates admitted in NICU is alteration in physiological responses such as altered respiratory and pulse rate (Caparros-Gonzales et al, 2017). Noises produced by medical devices may lead to apnea, affect oxygen consumption rate, and pulse instability (Brown, 2009;Wachman & Lahav, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Stressors in care environment generate negative effects on neonates who require supportive intervention; audio stimulation is among the feasible options of intervention. Music stimulation is able to provide relaxing effect which lead to stability of physiological functions including respiratory rate, pulse, and oxygen saturation (Caparros-Gonzales et al, 2017;Loewy, Stewart, Dassler, Telsey, & Homel, 2013), as well as relieve stress responses (Caparros-Gonzales et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Impact of Qur’an Recitation Therapy on Physiologic Responses in Neonates Admitted in Nicu: A Systematic Review

Devi

Rustina

2019

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Neonates who are admitted in NICU are exposed to tumultuous care environment originating from medical devices and procedures which may affect their physiological responses.This study aimed to identify the impact of Quran recitation therapy on physiological responses in neonates who were admitted in NICU. A systematic review was conducted by searching literatures of three databases including Science Direct, Scopus (2010-2018), and Google Scholar (2015-2018). The key words included “infants”, “holy Qur’an recitation”, and “Qur’an recitation” with inclusion criteria of literatures published in English language, Quasi-experimental study design, randomized controlled trials, neonates admitted in NICU as study sample, and impact of Quran recitation on physiological responses (oxygen saturation, respiratory rate, and pulse). The searching process resulted in 5 articles which met the inclusion criteria. The intervention of Quran recitation in those studies was performed once per day with duration of 10-25 minutes. The recited chapters included Al-Isra, Yusuf, Ar-Rahman, and Yasin. The intervention was provided through headphone with sound volume ranging from 45 to 65 dB. Four out of five studies reported significant difference. Qur’an recitation therapy had a significant effect on physiological responses in neonates admitted in NICU, including lower pulse and respiratory rate as well as higher oxygen saturation. The therapy may be provided as complementary and supportive intervention in order to improve stability of physiological responses in neonates admitted in NICU. Key words: Qur’an therapy; Physiological Responses; Neonates; NICU

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Listening to Relaxing Music Improves Physiological Responses in Premature Infants

Abstract: Nurses can apply the relaxing music intervention presented in this study to ameliorate the impact of the stressful environment on premature infants.

Cited by 37 publications

References 54 publications

Newborn infants’ hair cortisol levels reflect chronic maternal stress during pregnancy

Newborn infants’ hair cortisol levels reflect chronic maternal stress during pregnancy

Preterm infant physiological responses to music therapy: a systematic review

Impact of Qur’an Recitation Therapy on Physiologic Responses in Neonates Admitted in Nicu: A Systematic Review

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