Effects of maternal singing during kangaroo care on maternal anxiety, wellbeing, and mother-infant relationship after preterm birth: a mixed methods study

Autor: Kaija Mikkola, Jaakko Erkkilä, Kaisamari Kostilainen, Minna Huotilainen
Přispěvatelé: Brain, Music and Learning, Department of Psychology and Logopedics, HUS Children and Adolescents, Children's Hospital, Department of Education, Behavioural Sciences, Cognitive Brain Research Unit, CICERO Learning, Mind and Matter
Rok vydání: 2020
Předmět:
030506 rehabilitation
Neonatal intensive care unit
Mother infant
musiikkiterapia
MUSIC-THERAPY
vanhempi-lapsisuhde
PARENTS
Emotional distress
Medicine
Early interaction
WEIGHT INFANTS
PREMATURE-INFANTS
maternal singing
early interaction
Kangaroo care
NEWBORNS
05 social sciences
EXPERIENCES
humanities
3. Good health
emotional connection
keskoset
ennenaikainen synnytys
Pshychiatric Mental Health
Maternal anxiety
Singing
0305 other medical science
Clinical psychology
NICU
Music therapy
515 Psychology
050105 experimental psychology
preterm infant
03 medical and health sciences
Arts and Humanities (miscellaneous)
tunteet
ahdistus
0501 psychology and cognitive sciences
EXPOSURE
varhainen vuorovaikutus
maternal anxiety
business.industry
VOICE
preterm birth
laulaminen
Complementary and alternative medicine
Anthropology
Physical separation
äitiys
FATHERS
business
Zdroj: Nordic Journal of Music Therapy. 30:357-376
ISSN: 1944-8260
0809-8131
Popis: Introduction: Preterm birth may disturb the typical development of the mother– infant relationship, when physical separation and emotional distress in the neonatal intensive care unit may increase maternal anxiety and create challenges for early interaction. This cluster-randomized controlled trial examined the effects of maternal singing during kangaroo care on mothers’ anxiety, wellbeing, and the early mother– infant relationship after preterm birth. Method: In the singing intervention group, a certified music therapist guided the mothers (n = 24) to sing or hum during daily kangaroo care during 33–40 gestational weeks (GW). In the control group, the mothers (n = 12) conducted daily kangaroo care without specific encouragement to sing. Using a convergent mixed methods design, the quantitative outcomes included the State-Trait Anxiety Inventory (STAI) at 35 GW and 40 GW to assess the change in maternal-state anxiety levels and parent diaries to examine intervention length. Post-intervention, the singing intervention mothers completed a self-report questionnaire consisting of quantitative and qualitative questions about their singing experiences. Results: The mothers in the singing intervention group showed a statistically significant decrease in STAI anxiety levels compared to the control group mothers. According to the self-report questionnaire results, maternal singing relaxed both mothers and infants and supported their relationship by promoting emotional closeness and creating early interaction moments. Discussion: Maternal singing can be used during neonatal hospitalization to support maternal wellbeing and early mother–infant relationship after preterm birth. However, mothers may need information, support, and privacy for singing. peerReviewed
Databáze: OpenAIRE