Maternal singing reduced pain indexes in 2-month-old infants and increased proximity during vaccinations.

Autor: Monaci MG; Department of Social Sciences, University of Valle D'Aosta, Aosta, Italy., Caruzzo CM; Department of Social Sciences, University of Valle D'Aosta, Aosta, Italy., Raso R; Department of Social Sciences, University of Valle D'Aosta, Aosta, Italy., Spagnuolo C; Maternal and Child Department, Parini Hospital, Aosta, Italy., Benedetti MC; Maternal and Child Department, Parini Hospital, Aosta, Italy., Grandjean D; Swiss Center of Affective Sciences, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland., Filippa M; Swiss Center of Affective Sciences, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Jul; Vol. 113 (7), pp. 1664-1671. Date of Electronic Publication: 2024 Jan 24.
DOI: 10.1111/apa.17121
Abstrakt: Aim: Immunisation is a global health priority, but methods of non-pharmacological pain relief are not widely used in routine clinical practice. In this study, we set out to investigate the effects of maternal singing during the routine vaccination of infants.
Methods: We recruited 67 mother-infant pairs at Health Centres in the Aosta Region of Italy. Infants aged 2-4 months were randomly allocated to a singing intervention group or to a control group whose injections were administered following standard practice. Pre- and post-immunisation pain was blindly assessed using the Modified Behavioural Pain Scale, and mother-infant proximity indexes were assigned based on muted video-tracks.
Results: When assessed for pain, the infants in the maternal singing group were assigned significantly lower movement indexes (p = 0.032) and marginally significantly lower cry indexes (p = 0.076). A higher frequency of mother-to-infant gaze (p < 0.005) was observed in the singing group dyads. Finally, the intervention group mothers' self-perceived ease in singing was correlated with their previous singing experience and with lower anxiety following the vaccination procedure (p < 0.05).
Conclusion: Maternal singing during immunisation procedures benefits both mothers and babies. The practice of singing is a biologically rooted and adaptive form of intuitive parental communication that should be encouraged, especially in at-risk populations.
(© 2024 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
Databáze: MEDLINE
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