Music Therapy in the Medical Care of Infants

Author(s):  
Helen Shoemark ◽  
Trish Dearn

This chapter describes the ways in which music therapy can be provided to preterm infants or full-term who require medical care for complex issues that require hospitalization after birth. The history of Newborn Music Therapy research includes the application of music to change pain, non-nutritive sucking, feeding, with kangaroo care, and in developmental care. The modalities include recorded music and singing, and live singing and gentle instrument playing. Underpinning the application of music in the Neonatal Intensive Care Unit (NICU) are considerations of the ambient sound levels of the NICU, the age of the infant, the physical context, timing of session. The significance of the parents’ experience in family-centerd music therapy in hospital is highlighted, as is the pivotal role of the music therapist to stimulate and facilitate music as part of healthy infant development.

2008 ◽  
Vol 10 (3) ◽  
pp. 226-240 ◽  
Author(s):  
Madalynn Neu ◽  
Mark L. Laudenslager ◽  
JoAnn Robinson

Purpose: The purpose of this study was to examine coregulation between mothers and preterm infants in hypothalamic-pituitary-adrenocortical (HPA) system activity, as indicated by salivary cortisol levels, while mothers held their infants. The research questions were (a) does mother—infant coregulation in HPA activity occur during holding? and (b) if mother— infant coregulation in HPA activity exists during holding, do type of holding, antenatal steroids, sound level, and maternal touch influence this coregulation? Sample: The sample consisted of 20 mother— infant dyads with infants at a mean postconceptional age of 34.7 weeks (+0.7) and average postnatal age of 15 days (+9) at the time of cortisol sampling. Design: The design was exploratory using convenience sampling. Maternal and infant cortisol levels were obtained at Time 1 (baseline) and Time 2 (end of holding); at each time, the absolute differences in levels between mother and infant were determined. Coregulation was operationalized as less difference between maternal-infant cortisol levels immediately after holding (Time 2) as compared to before holding (Time 1). Results: The two variables with the highest correlation with the Time 1/Time 2 difference score included antenatal steroids and ambient sound level, which were entered into a linear regression equation as predictor variables. A coregulatory relationship in cortisol levels existed between mothers and infants during holding, which was moderated by sound levels. Nurses in the neonatal intensive care unit (NICU) can facilitate the mother—infant relationship, as reflected in coregulatory measures, by promoting a quiet environment, particularly around mothers who are holding their infants.


2020 ◽  
Vol 1 (4) ◽  
pp. 224-231
Author(s):  
Elena P. Bombardirova ◽  
Milana A. Basargina ◽  
Natalia A. Kharitonova ◽  
Mariya D. Mitish

A review of the literature presents the history of the use of music therapy in the treatment of a variety of diseases, both in adult clinical practice and in neonatology and pediatrics; there are described various musical and therapeutic programs considered as a part of complex, specially developed, methods of non-drug rehabilitation, with the presentation of indications and contraindications for this type of therapy in newborns and infants; possible neurophysiological justifications for the use of melodic and rhythmic support of infants with perinatal pathology are presented, as well as the prospects of using music therapy in the practice of nursing newborns, including premature babies, suffering from combined perinatal pathology, in the structure of restorative treatment (habilitation) of children, as an auxiliary method that mildly potentiates the effects of the main methods: physical and medicinal. Currently, in the leading perinatal centers of the country, the opportunity is being created for babies to listen to music as part of multi-sensory developmental care. Specially processed short fragments of instrumental and vocal works by V. Mozart are used in recording, fragments of works of other classical composers, singing lullabies and folk songs performed by his mother. The reliable potentiating effect of musical therapy on adaptation responses of the immature nervous system is established, the connection of enrichment of the external environment with long-term outcomes of the perinatal lesion is discussed. The combination of tactile kangaroo stimulation with the vocal influence of the mother has been proved to have a greater effect than the use of musical fragments in recording, and a strictly individual approach is needed to use music therapy in premature immature infants to avoid undesirable consequences.


Transfers ◽  
2015 ◽  
Vol 5 (2) ◽  
pp. 102-120
Author(s):  
Michael Pesek

This article describes the little-known history of military labor and transport during the East African campaign of World War I. Based on sources from German, Belgian, and British archives and publications, it considers the issue of military transport and supply in the thick of war. Traditional histories of World War I tend to be those of battles, but what follows is a history of roads and footpaths. More than a million Africans served as porters for the troops. Many paid with their lives. The organization of military labor was a huge task for the colonial and military bureaucracies for which they were hardly prepared. However, the need to organize military transport eventually initiated a process of modernization of the colonial state in the Belgian Congo and British East Africa. This process was not without backlash or failure. The Germans lost their well-developed military transport infrastructure during the Allied offensive of 1916. The British and Belgians went to war with the question of transport unresolved. They were unable to recruit enough Africans for military labor, a situation made worse by failures in the supplies by porters of food and medical care. One of the main factors that contributed to the success of German forces was the Allies' failure in the “war of legs.”


1990 ◽  
Vol 7 (1) ◽  
pp. 89-90
Author(s):  
Dennis Michael Warren

The late Dr. Fazlur Rahman, Harold H. Swift Distinguished Service Professor of Islamic Thought at the Oriental Institute of the University of Chicago, has written this book as number seven in the series on Health/Medicine and the Faith Traditions. This series has been sponsored as an interfaith program by The Park Ridge Center, an Institute for the study of health, faith, and ethics. Professor Rahman has stated that his study is "an attempt to portray the relationship of Islam as a system of faith and as a tradition to human health and health care: What value does Islam attach to human well-being-spiritual, mental, and physical-and what inspiration has it given Muslims to realize that value?" (xiii). Although he makes it quite clear that he has not attempted to write a history of medicine in Islam, readers will find considerable depth in his treatment of the historical development of medicine under the influence of Islamic traditions. The book begins with a general historical introduction to Islam, meant primarily for readers with limited background and understanding of Islam. Following the introduction are six chapters devoted to the concepts of wellness and illness in Islamic thought, the religious valuation of medicine in Islam, an overview of Prophetic Medicine, Islamic approaches to medical care and medical ethics, and the relationship of the concepts of birth, contraception, abortion, sexuality, and death to well-being in Islamic culture. The basis for Dr. Rahman's study rests on the explication of the concepts of well-being, illness, suffering, and destiny in the Islamic worldview. He describes Islam as a system of faith with strong traditions linking that faith with concepts of human health and systems for providing health care. He explains the value which Islam attaches to human spiritual, mental, and physical well-being. Aspects of spiritual medicine in the Islamic tradition are explained. The dietary Jaws and other orthodox restrictions are described as part of Prophetic Medicine. The religious valuation of medicine based on the Hadith is compared and contrasted with that found in the scientific medical tradition. The history of institutionalized medical care in the Islamic World is traced to awqaf, pious endowments used to support health services, hospices, mosques, and educational institutions. Dr. Rahman then describes the ...


2020 ◽  
Vol 13 (12) ◽  
pp. e236798
Author(s):  
Daniëlle Susan Bonouvrie ◽  
Evert-Jan Boerma ◽  
Francois M H van Dielen ◽  
Wouter K G Leclercq

A 26-year-old multigravida, 30+3 weeks pregnant woman, was referred to our tertiary referral centre with acute abdominal pain and vomiting suspected for internal herniation. She had a history of a primary banded Roux-en-Y gastric bypass (B-RYGB). The MRI scan showed a clustered small bowel package with possible mesenteric swirl diagnosed as internal herniation. A diagnostic laparoscopy was converted to laparotomy showing an internal herniation of the alimentary limb through the silicone ring. The internal herniation was reduced by cutting the silicone ring. Postoperative recovery, remaining pregnancy and labour were uneventful. During pregnancy after B-RYGB, small bowel obstruction can in rare cases occur due to internal herniation through the silicone ring. Education regarding this complication should be provided before bariatric surgery. Treatment of women, 24 to 32 weeks pregnant, in a specialised centre for bariatric complications with a neonatal intensive care unit is advised to improve maternal and neonatal outcome.


2019 ◽  
Vol 27 (2) ◽  
pp. 97-104
Author(s):  
Dilek Küçük Alemdar ◽  
Sevil İnal

Background: Preterm infants are vulnerable humans requiring much care and attention. They may be exposed to irregular noise, light, and odor in the neonatal intensive care unit for a period of several weeks or months. This study was carried out to determine the effect of individualized developmental care on physiological parameters, growth, and transition to oral feeding in preterm infants. Methods: The study was a randomized controlled trial. The sample comprised premature infants meeting the inclusion criteria. They were randomly assigned to four groups: the maternal voice group, the breast milk odor (BMO) group, the incubator cover (IC) group, and the control group. Results: No statistically significant difference was found between the groups in terms of weight, height, and head circumference at time of discharge. Mean SO2 values were statistically higher in the IC group than the other groups; however, the heart rate and respiratory rate were not statistically different in a significant sense between the groups. The briefest duration of transition to total oral feeding was seen in the BMO group. Conclusion: Individualized developmental care practices based on the results of these interventions are likely to support the care of preterm infants. Breast milk odor may ease the transition to breastfeeding.


2020 ◽  
Vol 22 (3) ◽  
pp. 258-266
Author(s):  
N. V. Milasheva ◽  
V. O. Samoilov

Abstract. The documentary materials from the funds of the Russian State Archive of the Navy, other archives, published letters and documents of Peter the Great, his Daily Note and other sources about the history of the first military hospitals (infirmaries) of Saint Petersburg are studied. At the same time, the history of the first military hospitals is reflected against the background of the difficult events of the Northern War of 17001721, with which the establishment of hospitals for the Russian army and the navy and the development of military medicine are inextricably linked. The organization of military medicine became aggravated immediately with the outbreak of hostilities, with the first wounded and sick. The fight against the plague epidemic and other infections during the war, the shortage of doctors, healers, infirmaries, hospitals and their own national staff greatly complicated the provision of medical care. Numerous documents and facts prove that the events before 1715 can be attributed to the first stage in the development of military medicine in Saint Petersburg. It was established that in 1704 the issue of establishing a military land hospital in the northern capital was already discussed (Peter I, A.D. Menshikov, N.L. Bidloo); hospital), and the senior physician of the Navy Yang Govi served in it with zeal In 1713, by the decree of the Great Sovereign Y. Govi, he was appointed head of the Admiralty Hospital, doctors, apprentices and medical students in it. By that time, Dr. R. Erskine actually assumed the office of archiatrist (until 1712). A detailed statement of Lieutenant General R.V. Bruce on the number of sick and wounded who received medical care in hospitals and hospitals in Saint Petersburg from 1713 to 1715. The decree of Peter I on the construction of a complex of General hospitals with anatomical theaters on the Vyborgskaya side (1715) according to Dr. Areskins drawing, and the establishment of a medical school (until 1719) are the next stage in the development of military medicine in Saint Petersburg, prepared by all previous events.


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