Maternal Music Exposure During Pregnancy Influences Neonatal Behaviour (PEXMUSIC)
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Purpose
Auditory stimulation during pregnancy has been found to influence foetal behaviour with a potential of being carried forward to neonatal period. This study evaluated the effect of ante-natal music exposure to primigravida healthy mothers on the behaviour of their term appropriate-for-date newborns. This was a single centre, randomized, open-label controlled trial. Primigravida mothers aged 19-29 years, free of chronic medical diseases or significant deafness, with singleton pregnancy, with a gestation of 20 weeks or less were randomized to listen to a pre-recorded music cassette for approximately 1 hour/day in addition to standard ante-natal care (intervention arm) or standard care only (control arm). Peri-natal factors with adverse effect on neonatal behaviour were deemed as protocol violations. The infants born to mothers exposed to music during pregnancy performed significantly better on 5 of the 7 BNBAS clusters. The maximal beneficial effect was seen with respect to orientation and habituation.
Conclusion:
Music exposure to mother during pregnancy significantly influences neonatal behaviour.
| Condition | Intervention | Phase |
|---|---|---|
|
Normal Healthy Term Appropriate-for-date Newborn |
Other: "Garbh Sanskar" audio cassette (Times Music Inc., Mumbai, India) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Supportive Care |
| Official Title: | Effect of Maternal Ante-natal Music Exposure on Neonatal Behavior Measured Using Brazelton Neonatal Behavioral Scale: A Randomized Open-label Study |
- Performance on Brazelton Neonatal Behavioral Assessment Scale (BNBAS) [ Time Frame: Day 2 or 3 of life ] [ Designated as safety issue: No ]Outcome measures consisted of the performance on Brazelton Neonatal Behavioral Assessment Scale (BNBAS). The BNBAS is a means of scoring interactive behaviour for term and stable preterm infants. The scale consists of 27 behavioural items, each scored on a 9-point scale, and 20 elicited responses, each scored on a 3-point scale. In most cases, the infant's score is based on the best performance, not an average performance.
| Enrollment: | 339 |
| Study Start Date: | January 2003 |
| Study Completion Date: | December 2005 |
| Primary Completion Date: | December 2005 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Music
Mothers in the music group were provided a pre-recorded "Garbh Sanskar" audio cassette (Times Music Inc., Mumbai, India) with a running duration of approximately 50 minutes and a cassette player with headphones. They were asked to listen to the recorded music daily in the evening just before going to the bed with a minimum of ambient noise.
|
Other: "Garbh Sanskar" audio cassette (Times Music Inc., Mumbai, India)
Approximate playing time = 50 minutes. Mothers advised to listen to it once every day.
|
|
No Intervention: Control
Standard routine ante-natal care.
|
Detailed Description:
Objective:
Auditory stimulation during pregnancy has been found to influence foetal behaviour with a potential of being carried forward to neonatal period. This study evaluated the effect of ante-natal music exposure to primigravida healthy mothers on the behaviour of their term appropriate-for-date newborns assessed using Brazelton Neonatal Behavioral Assessment Scale (BNBAS).
Methods:
This was a single centre, randomized, open-label controlled trial. Primigravida mothers aged 19-29 years, free of chronic medical diseases or significant deafness, with singleton pregnancy, with a gestation of 20 weeks or less were randomized to listen to a pre-recorded music cassette for approximately 1 hour/day in addition to standard ante-natal care (intervention arm) or standard care only (control arm). Peri-natal factors with adverse effect on neonatal behaviour were deemed as protocol violations. Outcome measure included scores on 7 clusters of BNBAS. Primary analysis was per protocol.
Results:
One hundred and 26 newborns in the music group and 134 in the control group were subjected to BNBAS assessment. The infants born to mothers exposed to music during pregnancy performed significantly better on 5 of the 7 BNBAS clusters. The maximal beneficial effect was seen with respect to orientation (ES 1.13, 95% CI 0.82-1.44, p<0.0001) and habituation (ES 1.05, 95% CI 0.53-1.57, p=0.0001).
Conclusion:
Music exposure to mother during pregnancy significantly influences neonatal behaviour.
Eligibility| Ages Eligible for Study: | 19 Years to 29 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All consecutive primigravida mothers of 19 to 29 years of age with singleton pregnancy attending the ante-natal clinic of the study institution first time, before 20 weeks of gestation were eligible for inclusion.
Exclusion Criteria:
- Mothers with significant co-existing medical diseases or severe to profound hearing loss were excluded
Contacts and Locations More Information
No publications provided
| Responsible Party: | Maya Chansoria, NSCB Medical College, Jabalpur, MP, India |
| ClinicalTrials.gov Identifier: | NCT01278329 History of Changes |
| Other Study ID Numbers: | PEXMUSIC |
| Study First Received: | January 14, 2011 |
| Last Updated: | January 14, 2011 |
| Health Authority: | Department of Health and Family Welfare, Government of Madhya Pradesh : India |
Keywords provided by NSCB Medical College:
|
Music Foetal learning Brazelton Neonatal Behavioral Assessment Scale |
ClinicalTrials.gov processed this record on May 22, 2013