Effect of Kangaroo Care Combined with Music on the Mother– premature Neonate Attachment: A Randomized Controlled Trial

Maryam Vahdati, Majid Mohammadizadeh, Sedigheh Talakoub


Background: Premature birth may complicate the development and quality of the mother–infant attachment relationship. Music and kangaroo care are two common complementary cares performed in the neonatal intensive care unit (NICU). The present study investigated the effect of kangaroo care combined with music on the mother–premature neonate attachment.

Materials and Methods: In this clinical trial, 64 mothers with premature neonates were selected and assigned to the control and study groups through random allocation. In the control group, kangaroo care, and in the study group,

kangaroo care combined with music was adopted. The level of mother–premature neonate attachment was measured and compared before and after the intervention in both the groups using Avant’s Maternal Attachment Assessment Scale.

Results: There was a significant increase in the mean overall score of attachment in the kangaroo care combined with music group (70.72 (11.46)) after the intervention compared to the kangaroo care without music group (53.61 (9.76)). Conclusions: The mean overall score of mother–neonate attachment in the kangaroo care combined with music group was higher than the kangaroo care group. This difference can be related to the effectiveness of music combined with kangaroo care.



Attachment; Kangaroo care; music; neonatal intensive care unit; premature neonate

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