Music based intervention was highly effective in reducing preterm birth rates. There is currently not much music based intervention research, however, some of it has been done. Most research in this area is inconclusive and further study is necessary.
There is an increasing interest and implementation of new screening and prevention programs for prematurity in the United States. While the data are still limited, the overall prevalence of premature births has declined over the past few years. This reduction might be partially attributed to increasing prenatal care and improved neonatal care. However, the overall rate of premature births remains at 8-9% for most geographic areas.
Premature birth is not a disease. Unless there have been severe and long-lasting effects, children with severe premature birth can survive. The majority of children with premature birth have few symptoms, and most have little disability. As these children grow up, most are fully integrated into their family or community by their teenage years.
Many neonates remain in the neonatal intensive care unit for the first week after birth. It is very important that neonates receive the optimum care in this critical period and these signs should be taken into account. Severe signs include low blood flow or a rapid pulse. Other indications of premature birth include blue skin due to an insufficient amount of oxygen available, and an excessively low birth weight.
Although there are several possible risk factors, no single risk factor explains the full spectrum of premature birth. Preventing premature birth is a health strategy that will be an important component of public health programs to reduce premature birth rates in developed regions. Public health prevention strategies should target women at risk for premature birth and promote healthy childbearing while reducing the risk of developing diabetes.
Premature birth refers to births that occur before 37 weeks of gestation. The most common symptoms in mothers and neonates are respiratory distress and low birth weight. These birth defects are associated with an increased risk of developing heart disease, high blood pressure later in life, diabetes, and cancer. Studies have found that low birth weight can cause significant damage to brain development, and premature birth is a strong predictor of neurological compromise and later illness.
The authors' data are limited, but one in 10 babies born very low birthweight in Canada will not survive the first two years of life. They have provided important information for clinicians who manage preterm infant populations and offer clinical practice recommendations.
At 7-8 months (mean 2.9 and 95% C.I. 2.4-3.0), a low birth weight is one of the strongest risk factors for long-term disability; for a high birth weight, more than 20% of the cases of disability would be prevented if their birth weight were to match that of a term infant.
Musical intervention resulted in significant improvements in early language development, but more research is necessary to better define the optimum type, length, and target group to best affect language development in pre-lingually and premally deaf toddlers.
The use of music-based interventions to address the concerns of women with a history of preterm birth improves their QoL and can increase the chances of having a live preterm birth. However, there are some concerns about the high drop-out rate for the study group.
Exposure to moderate music therapy was not associated with adverse outcomes. Patients in the music intervention group were more likely to resume normal activities following treatment and the intervention had little adverse effect on recovery. Music therapy should be evaluated as an intervention for infants and young children after premature birth.
(1) No research has investigated the efficacy of music, other than a musical instrument, for premature infants. (2) No music based intervention has been shown to be non-inferior to a standard care/standard intervention based on the NICU standard of care.