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Updated: Mar 31, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Newborn physiological responses to noise in the neonatal unit
Sandra Maria Schefer Cardoso1, Lorena de Cássia Kozlowski2, Adriana Bender Moreira de Lacerda3
1Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil; Hospital de Clínicas do Paraná (UFPR), Curitiba, PR, Brazil.
Introduction:
The incorporation of technologies in the care of infants has contributed to increased survival; however, this has turned neonatal unit into a noisy environment.
Objective:
To evaluate the physiological and functional effects resulting from the exposure to noise on low-weight newborns in incubators in a neonatal unit.
Methods:
Prospective, observational, quantitative, exploratory, descriptive study. The adopted statistical method included tables of frequency, descriptive statistics, and Student's t-test, with a 0.05 level of significance. As data collection tools, the environmental noise and the noise inside of the incubator were evaluated, and the Assessment of Preterm Infant Behavior scale was used to assess premature newborn behavior and projected specifically to document the neurobehavioral functioning of preterm infants. The data collection occurred from September of 2012 to April of 2013; 61 low-weight newborns admitted in the neonatal unit and in incubators were observed.
Results:
Significant differences in the variables heart rate and oxygen saturation were noted when newborns were exposed to noise.
Conclusion:
Low-weight neonates in incubators present physiological alterations when facing discomfort caused by environmental noise in neonatal units.

