{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T08:02:33Z","timestamp":1791014553855,"version":"4.1.0"},"reference-count":60,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>Recorded music risks overstimulation in NICUs. The live elements of music such as rhythm, breath, and parent-preferred lullabies may affect physiologic function (eg, heart and respiratory rates, O2 saturation levels, and activity levels) and developmental function (eg, sleep, feeding behavior, and weight gain) in premature infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A randomized clinical multisite trial of 272 premature infants aged \u226532 weeks with respiratory distress syndrome, clinical sepsis, and\/or SGA (small for gestational age) served as their own controls in 11 NICUs. Infants received 3 interventions per week within a 2-week period, when data of physiologic and developmental domains were collected before, during, and after the interventions or no interventions and daily during a 2-week period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Three live music interventions showed changes in heart rate interactive with time. Lower heart rates occurred during the lullaby (P &amp;lt; .001) and rhythm intervention (P = .04). Sucking behavior showed differences with rhythm sound interventions (P = .03). Entrained breath sounds rendered lower heart rates after the intervention (P = .04) and differences in sleep patterns (P &amp;lt; .001). Caloric intake (P = .01) and sucking behavior (P = .02) were higher with parent-preferred lullabies. Music decreased parental stress perception (P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>The informed, intentional therapeutic use of live sound and parent-preferred lullabies applied by a certified music therapist can influence cardiac and respiratory function. Entrained with a premature infant\u2019s observed vital signs, sound and lullaby may improve feeding behaviors and sucking patterns and may increase prolonged periods of quiet\u2013alert states. Parent-preferred lullabies, sung live, can enhance bonding, thus decreasing the stress parents associate with premature infant care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2012-1367","type":"journal-article","created":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T20:54:20Z","timestamp":1366059260000},"page":"902-918","source":"Crossref","is-referenced-by-count":340,"title":["The Effects of Music Therapy on Vital Signs, Feeding, and Sleep in Premature Infants"],"prefix":"10.1542","volume":"131","author":[{"given":"Joanne","family":"Loewy","sequence":"first","affiliation":[{"name":"The Louis Armstrong Center for Music & Medicine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Stewart","sequence":"additional","affiliation":[{"name":"The Louis Armstrong Center for Music & Medicine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Marie","family":"Dassler","sequence":"additional","affiliation":[{"name":"NICU, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"Telsey","sequence":"additional","affiliation":[{"name":"NICU, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Homel","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Beth Israel Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2013,5,1]]},"reference":[{"issue":"5\u20136","key":"2021120900114528000_B1","article-title":"The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success.","volume":"21","author":"Yildiz","year":"2012","journal-title":"J Clin Nurs"},{"issue":"10","key":"2021120900114528000_B2","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1089\/acm.2008.0283","article-title":"Live harp music reduces activity and increases weight gain in stable premature infants.","volume":"14","author":"Kemper","year":"2008","journal-title":"J Altern Complement Med"},{"key":"2021120900114528000_B3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1111\/j.0730-7659.2006.00090.x","article-title":"Live music is beneficial to preterm infants in the neonatal intensive care unit environment.","volume":"33","author":"Arnon","year":"2006","journal-title":"Birth"},{"issue":"2","key":"2021120900114528000_B4","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/1943862111400613","article-title":"Settle, M, Cronin, J. 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