The Effects of Massage by Mothers on Mother-Infant Attachment.

Context • Transferring a newborn to the intensive care unit due to a premature birth is a major obstacle in the establishment of emotional attachment between a mother and her child. Researchers believe that the formation and continuation of such an attachment have a profound effect on the child's mental development and behavior in the coming years of life. Not all studies have agreed, however, that skin contact alone, such as massage provides, can improve attachment. Objective • The aim of this study was to determine the effects on maternal attachment behaviors of infants hospitalized in a neonatal intensive care unit (NICU) of massage provided by mothers for their premature neonates. Design • The research team designed a randomized, controlled trial. Setting • The study took place at the Hazrat Ali Asghar Hospital of the Iran University of Medical Sciences (Tehran, Iran). Participants • Participants were 40 mothers and 40 newborns admitted to the NICU at the hospital. Intervention • The study divided participants randomly into a massage (intervention) group and a control group receiving no massages. Mothers in the intervention group trained by watching educational videos and practicing the massage on infant manikins. Subsequently, the intervention group massaged its infants according to a 5-d program, in which each neonate received a 15-min massage session per day. Outcome Measures • Mother-infant attachment behaviors were assessed in both groups 4 times. The maternal attachment scale was used for data collection. Results • According to the statistical analyses, the between-groups difference was not significant at baseline (P > .05). The study showed a statistically significant difference between baseline and postintervention in the mean frequencies of maternal attachment behaviors for both groups (P < .001). In addition, a significant between-group difference existed postintervention between the means for maternal attachment between the intervention and control groups (P = .000). Conclusion • Massage given to premature neonates by their mothers on a daily basis can promote and maintain emotional attachment between the mother and her infant. The findings of the present study can be used to investigate the effects of other family members massaging newborns on the emotional attachment between them.