<p>Objectives: Preterm birth and NICU hospitalization may threaten infant development and parental wellbeing. Family-centered music therapy has shown positive effects on preterm infant’s self-regulation and maternal mental health. In Brazil, NICU music therapy has been developing in the last two decades, but there is still a lack of research, involving preterm infants and mothers in the NICU. This study aimed to investigate maternal perceptions of the contributions of the Music Therapy Intervention for the Mother-Preterm Infant Dyad – MUSIP for the preterm infant, the mother, and their relationship. Methods: This is a descriptive and qualitative study. Participants were 16 mothers and their preterm babies admitted to a Brazilian NICU. Mother-infant dyads took part individually in the MUSIP, during skin-to-skin contact, with the aim of supporting maternal singing with the infant. The intervention was carried out by a music therapist, using mothers’ preferred songs, infant-directed singing and songwriting. Before discharge, mothers were interviewed, and their responses were analyzed through thematic analysis. Results: Maternal reports revealed that MUSIP: (1) empowered mothers, relaxing and enabling them to use singing as an active care; (2) fostered infant’s development, through relaxation and engagement during music therapy; and (3) improved the dyad’s connection, facilitating maternal responsiveness and mother-infant interaction. Conclusions for Practice: Music therapy is a beneficial early intervention in the NICU, which may be integrated in the multidisciplinary Brazilian Health Care System to foster positive mother-infant interaction. Supporting maternal singing in the NICU is a cost-effective intervention with potential long-term impacts for the dyad’s wellbeing.</p>

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“I Try to Create Our Own Time Here”: Maternal Perceptions of Music Therapy in a Brazilian Neonatal Intensive Care Unit

  • Ambra Palazzi,
  • Rita Meschini,
  • Yuri Garcia Baggio,
  • Cesar Augusto Piccinini

摘要

Objectives: Preterm birth and NICU hospitalization may threaten infant development and parental wellbeing. Family-centered music therapy has shown positive effects on preterm infant’s self-regulation and maternal mental health. In Brazil, NICU music therapy has been developing in the last two decades, but there is still a lack of research, involving preterm infants and mothers in the NICU. This study aimed to investigate maternal perceptions of the contributions of the Music Therapy Intervention for the Mother-Preterm Infant Dyad – MUSIP for the preterm infant, the mother, and their relationship. Methods: This is a descriptive and qualitative study. Participants were 16 mothers and their preterm babies admitted to a Brazilian NICU. Mother-infant dyads took part individually in the MUSIP, during skin-to-skin contact, with the aim of supporting maternal singing with the infant. The intervention was carried out by a music therapist, using mothers’ preferred songs, infant-directed singing and songwriting. Before discharge, mothers were interviewed, and their responses were analyzed through thematic analysis. Results: Maternal reports revealed that MUSIP: (1) empowered mothers, relaxing and enabling them to use singing as an active care; (2) fostered infant’s development, through relaxation and engagement during music therapy; and (3) improved the dyad’s connection, facilitating maternal responsiveness and mother-infant interaction. Conclusions for Practice: Music therapy is a beneficial early intervention in the NICU, which may be integrated in the multidisciplinary Brazilian Health Care System to foster positive mother-infant interaction. Supporting maternal singing in the NICU is a cost-effective intervention with potential long-term impacts for the dyad’s wellbeing.