ABSTRACT

Introduction

Having a hospitalised preterm baby is a traumatic experience that may affect parenting and parent-infant interaction. Music therapy in a neonatal intensive care unit (NICU) has been shown to foster the well-being of preterm infants and their mothers, but evidence about its effects on mother-infant interaction is still scarce. This case study explored the contributions of the Music Therapy Intervention for the Mother-Preterm Infant Dyad – MUSIP, to mother-preterm infant interaction.

Method

Participants were a mother and her extremely preterm son, hospitalised in a Brazilian NICU. The dyad participated in nine sessions of MUSIP, aimed at supporting maternal singing with the baby. In the NICU and then at home (4 months after discharge), the mother was interviewed and the mother-infant interaction was observed during two interactional contexts, breastfeeding and free interaction with singing.

Results

The video analysis showed that, during singing and right after singing, the dyad displayed more social behaviours and more synchronous co-occurrences. The thematic analysis of maternal interviews showed that MUSIP contributed to the mother’s and the infant’s empowerment and to mother-infant bonding.

Discussion

MUSIP empowered maternal competence to interact with the baby and facilitated synchrony, which may act as a protective factor for the infant’s development, for maternal well-being, and for mother-infant bonding.

中文翻译：

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重症监护病房音乐疗法和母亲早产儿同步性：巴西南部的纵向案例研究

摘要

介绍

住院早产婴儿是一种创伤性经历，可能会影响父母的养育和父母与婴儿的互动。新生儿重症监护病房（NICU）的音乐疗法已被证明可以促进早产儿及其母亲的健康，但仍缺乏有关其对母婴互动影响的证据。本案例研究探讨了音乐疗法干预对早产儿二元组-MUSIP的贡献。

方法

参与者是一位母亲和她的极早儿子，在巴西重症监护病房住院。该组参加了MUSIP的九届会议，旨在支持母亲与婴儿一起唱歌。在新生儿重症监护室（NICU），然后在家里（出院后四个月），对母亲进行了采访，并在两个互动情境中进行了母婴互动，即母乳喂养和唱歌时自由互动。

结果

视频分析表明，在唱歌过程中和唱歌之后，双胞胎表现出更多的社交行为和更多的同步共现。对孕产妇访谈的主题分析表明，MUSIP有助于增强母亲和婴儿的权能以及促进母婴之间的联系。

讨论区

MUSIP增强了母亲与婴儿互动的能力，并促进了同步，这可能是婴儿发育，孕产妇福祉以及母婴结合的保护因素。