None listed
Conditions
Interventions
Intervention1: Music Medicine Group: 30 minutes of Music Medicine using Raga Kalyani and Hindolam played on the 7-stringed, fretted acoustic instrument, the Saraswati Veena played by co-principal in
Sponsors
Dr Bishnupriya Mukherjee
Eligibility
Inclusion criteria
Inclusion criteria: It will consist of primigravida mothers with preterm infants (30- 36 completed weeks of gestation) born through normal vaginal delivery and who will be able to understand English or Kannada with anxiety as per the Perinatal Anxiety Screening Scale (PASS- preliminary screening tool)
Exclusion criteria
Exclusion criteria: 1. Those who will not consent to participate in the study 2. Those who will have known psychiatric illness 3. Those who will have severe or profound hearing loss 4. Those who will have postpartum complications in intensive care 5. Those who will have Preterm twins, with major congenital malformations, or on invasive ventilatory support 6. Those who will have prior experience of practicing yoga or other relaxation techniques
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean change in maternal anxiety scores as measured (pre- and post-intervention) by the State-Trait Anxiety Inventory (STAI) Rationale: Anxiety in mothers of preterm neonates in the NICU is common and can negatively impact maternal well-being and infant care. STAI is a well-validated questionnaire that measures anxiety levels, distinguishing between state anxiety (anxiety about an event/situation, which in this case is the NICU experience) and trait anxiety (general predisposition).Timepoint: Day 1 to Day 7 | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean change in maternal anxiety scores as assessed by the Perinatal Anxiety Screening Scale (PASS) pre- and post-intervention Rationale: PASS for assessing anxiety specific to the perinatal period. It includes factors such as the baby s health, NICU stress, self-doubt, perfectionism, and breastfeeding concerns, all of which are closely linked to the study design and are therefore relevant to outcome generation.Timepoint: Baseline (Day 1) to Day 7.;Mean change in the Postpartum Bonding Questionnaire (PBQ) scores as measured (pre-intervention) Rationale: Multiple RCTs and meta-analyses in NICU mothers support a positive correlation between music exposure and increased oxytocin levels.Timepoint: Baseline (Day 1) to Day 7 (post-intervention).;Mean change in the volume of breast milk expressed Rationale: Maternal anxiety and NICU separation can impair milk production, while music has been shown to increase oxytocin (facilitating milk letdown), reduce cortisol (stress hormone), and, as demonstrated by RCTs, enhance both breast milk volume and breastfeeding frequency.Timepoint: on Day 2 and Day 7;Mean change in maternal vital signs (blood pressure, pulse rate, and respiratory rate) measured pre- and post-intervention Rationale: Physiological parameters such as blood pressure, respiratory rate, and pulse rate serve as indicators of autonomic nervous system response, and multiple RCTs and meta-analyses report that music-based interventions modulate these measures.Timepoint: from Day 1 and Day 7;Mean change in neonatal weight in grams Rationale: Neonatal weight is included as a secondary outcome to explore the indirect impact of the maternal music intervention on infant health, specifically through its potential effects on maternal lactation and caregiving behaviors. Weight gain in the first week of life is a recognized indicator of adequate nutrition and overall neonatal well-being, particularly relevant for preterm infants in NICU settings. Timepoint: Day 1 and | — |
Countries
India
Contacts
Public ContactDr Bishnupriya Mukherjee MBBS
Kasturba Medical College Mangalore
Outcome results
None listed