Perinatal Stress Reduction, Music and Medical Cost Savings
The author uses his experience as an anesthesiologist involved in music medicine to discuss the psychophysiology of perinatal stress. The use of music as an adjunct to medical care for mother and child in the prenatal and postnatal period, as well as the implications for improved outcome and medical cost savings are addressed. The importance of the fetal auditory environment as a conduit for communication and learning is also examined.
Gaine, J. (1991). The effects on music on the selected stress behaviors, weight, calorie and formula intake, and length of hospital stay of premature and low birth weight neonates in a newborn intensive care unit. Journal of Music Therapy, 28(4), 180-192.
Cheek, D.B. (1995). Early use of psychotherapy in prevention of preterm labor: the application of hypnosis and ideomotor techniques with women carrying twin pregnancies. Pre- and Perinatal Psychology Journal, 10(1), Fall 1995, 5-19.
Clark, M., McCorkle, R. & Williams, S. (1981). Music therapy assisted labor and delivery. Journal of Music Therapy, 18, 88-100.
Coleman, J.M., Pratt, R.R., & Abel, H. (1996). The effects of male and female singing and speaking voices on selected behavioral and physiological measures of premature infants in the intensive care unit. Presented at the International Society for Music in Medicine symposium at San Antonio, 10/96.
Collins, S.K., & Kuck, K. (1991). Music therapy in the neonatal intensive care unit. Neonatal Network, 9(6), 23-26.
Devlin, B, Daniels, M. & Roeder, K. (1997). The heritability of IQ. Nature, 388, 468-471.
Ekholm, M.K., Piha, S.J., Antila, K.J., and Erkkola, U. (1993). Cardiovascular autonomic reflexes in mid-pregnancy. British Journal of Obstetrics and Gynaecology, 100, 177-182.
Gerhardt, K. J. & Abrams, R.M. (1996). Fetal hearing: characterization of the stimulus and response. Seminars in Perinatology, 20(1), 11-20.
Hanser, S.B., Larson, S.C., & O'Connell, A.S. (1983). The effect of music on relaxation of expectant mothers during labor. Journal of Music Therapy, 20(2), 50-58.
Hedegaard, M. Henriksen, T.B., Sabroe, S.& Niels, J.S. (1996). The relationship between psychological distress during pregnancy and birth weight for gestational age. Acta Obstetricia et Gynecologica Scandinavica, 75, 32-39.
Hepper, P.G. & Shahidullah, B.S. (1994). Development of fetal hearing. Archives of Disease in Childhood, 71, F81-F87.
Johnston, M.V. (1995). Neurotransmitters and vulnerability of the developing brain. Brain & Development, 17, 301-306.
Lewit, E.M., Baker, L.S., Corman, H., & Shiono, P.H. (1995). The direct cost of low birth weight, ch.3. Low birth weight. The Future of Children, The David and Lucille Packard Foundation 5(1), 35-56.
Liebman, S.S. & MacLaren A. (1991). The effects of music and relaxation on third trimester anxiety in adolescent pregnancy. Journal of Music Therapy, 28(2), 89-100.
McKinney, C.H., Antoni, M.H., Kumar, M., Tims, F.C. & McCabe, P.M. (1997). Effects of Guided Imagery and Music (GIM) therapy on mood and cortisol in healthy adults. Health Psychology, 16(4), 390-100.
McKinney, C.H., Tims, F.C., Kumar, A.M. & Kumar, M. (1997). The effect of selected classical music and spontaneous imagery on plasma beta-endorphin. Journal of Behavioral Medicine, 20(1), 85-99.
McKinney, C.H. (1990). Music therapy in obstetrics: A review. Music Therapy Perspectives, 8, 57-60.
Myers, R.E. & Myers, S.E. (1979). Use of sedative, analgesic, and anesthetic drugs during labor and delivery: Bane or boon? American Journal of Obstetrics Gynecology. 133: 83-104.
Nathanielsz, P. W. (1995). The role of basic science in preventing low birth weight, ch.4. Low birth weight. The Future of Children, The David and Lucille Packard Foundation 5(1), 57-70.
Omer, H, Friedlander, D. & Palti, Z. (1986). Hypnotic relaxation in the treatment of premature labor. Psychosomatic Medicine 48(5), 351-361.
Paneth, N.S. (1995). The problem of low birth weight, ch 2. Low birth weight. The Future of Children, The David and Lucille Packard Foundation 5(1), 19-34.
Rauscher, F.H., Shaw, G.L., & Ky, KN. (1995). Listening to Mozart enhances spatialtemporal reasoning: towards a neurophysiological basis. Neuroscience Letter 185(1), 44-17.
Rauscher, F.H., Shaw, G.L., Levine, L.J., Wright, E.L., Dennis, W.R., & Newcomb, R.L. (1997). Music trainging causes long-term enhancement of preschool children's spatialtemporal reasoning. Neurological Research 19(1), 218.
Righetti, P.L. (1996). The emotional experience of the fetus: a preliminary report. Preand Perinatal Psychology Journal, 11(1), 55-65.
Salk, L. (1973). The role of the heart in the relations between mother and infant. Scientific American, 228(5), 24-29.
Schwartz, F.J. & McDonald, M. (1996). Transitions Maternal and Fetal Wellness Program. Transitions Music (cassette tape). 1930 Monroe Drive, Atlanta, Georgia 30324.
Shahidullah, S. & Hepper, P.G. (1992). Hearing in the fetus: prenatal detection of deafness. International Journal of Prenatal and Perinatal Studies 4(3/4), 235-240.
Shetler, D.J. (1989). The inquiry into prenatal musical experience: A report of the Eastman Project 1980-1987. Pre- and Perinatal Psychology Journal 3(3). 171-189.
Shiono, P.H. & Behrman (1995). The problem of low birth weight, ch 1. Low birth weight. The Future of Children, The David and Lucille Packard Foundation 5(1), 4-18.
Simkin, P.T. (1986). Stress, pain, and catecholamines in labor: part 1. A review. Birth 13(4), 227-233.
Spintge, R. & Droh, R. (1987). Effects of anxiolytic music on plasma levels of stress hormones in different medical specialties. In R.R.Pratt (Ed.), The fourth international symposium on music: Rehabilitation and human well-being (pp. 88-101). Lanham, MD: University Press of America.
Standley, J.M. (1991). The role of music in pacification/stimulation of premature infants with low birthweights. Music Therapy Perspectives. 9, 19-25.
Standley, J.M., & Moore, R.M. (1995). Therapeutic effects of music and mother's voice on premature infants. Pediatric Nursing, 21(6), 509-574.
Standley, J.M. (1996). The effect of music and multimodal stimulation on physiologic and developmental responses of premature infants in neonatal intensive care. Presented at the International Society for Music in Medicine symposium at San Antonio, 10/96.
Sudsuang, R., Chentanez, V. & Veluvan, K. (1991). Effect of Buddhist meditation on serum cortisol and total protein levels, blood pressure, pulse rate, lung volume and reaction time. Physiology and Behavior. 50, 543-548.
Watters, Hetty (1997). Personal communication.
Wegman, M.E. (1996). Infant mortality: some international comparisons. Pediatrics 98(6), 1020-1027.
Winokur, M.A. (1984). The use of music as an audio-analgesia during childbirth. Unpublished master's thesis, The Florida State University, Tallahasee.
Zahr, L.K. & Traversay, J.D. (1995). Premature infant responses to noise reduction by earmuffs: effects on behavioral and physiologic measures. Journal of Perinatology. 15(6), 448-455.
Fred J. Schwartz, M.D.
Dr. Fred Schwartz is a board certified anesthesiologist, practicing at Piedmont Hospital in Atlanta, Georgia. He is a member of the International Society for Music in Medicine, the National Association for Music Therapy as well as APPPAH. He has used music in the operating room and delivery suite for over 20 years, and for the last 10 years has also produced music for pregnancy, childbirth and babies. Direct all correspondence to 314 Woodward Way NW, Atlanta, Georgia 30305 or email: email@example.com (Web Site: http://www.mindspring.com/~wombsnd).