Music therapy as part of integrative neonatology: 20 years of experience - 3 case reports and a review.

BACKGROUND

Numerous varieties of interventions have decreased the mortality and morbidity of preterms. Due to the fact that more infants survive, developmental care has become a crucial topic. In this context, music therapy offers some interesting aspects for parents and children. Starting as an emotional approach, music therapy has developed towards a systematic therapeutic option in neonatal care.

OBJECTIVES

To assess the relevance of music therapy for neonates.

METHODS

We present 3 typical case reports and give an overview of the current literature regarding music therapy in neonatology.

CASE REPORTS

Case 1: Focus on the child, especially the respiratory system. Case 2: Focus on care and assistance for the mother. Case 3: Focus on mother-father-child interaction.

DISCUSSION

These cases show the varieties of indications and possible effects of music therapy. We discuss our own experience ranging over 20 years and give a review on the literature concerning the different aspects of music therapy in neonates.

CONCLUSION

Probably without any severe adverse effects, music therapy has positive effects on basic vital signs, the reduction of pain and on neurological development. Furthermore, it grants the parents' wish to participate in the well-being of their child. Nevertheless, the need for a specific setting, its methods, and its positive as well as possible negative effects are still open issues and need scientific evaluation.