Artigos de Investigação

Massagem ao bebé

Bárbara Figueiredo

Departamento de Psicologia. Universidade do Minho

Apresenta-se uma revisão da investigação desenvolvida no âmbito da massagem e da estimulação táctil-cinestésica ao bebé. Descrevem-se os estudos empíricos conduzidos no sen­tido de avaliar os efeitos no desenvolvimento, no bem-estar e em problemas específicos do bebé de termo e prematuro. Conclui-se a respeito do impacto positivo da massagem sobre a criança, os pais e na interacção entre ambos; nomeadamente porque beneficia dois objectivos primordiais dos cuidados de saúde do bebé prematuro: o ganho de peso e a redução dos dias de internamento em Unidade de cuidados intensivos neo­natais.

Palavras-chave: bebé, prematuridade, estimulação táctil e cinestésica, massagem.

Acta Pedíatr Port 2007;38(1):29-38

Infant Massage improves mother-infant interaction for mothers with postnatal depression

Research Report from the Journal of Affective Disorders 63 (2001) 201-207 Katsuno onozawa, Vivette Glover, Diana Adams, Neena Modi, R. Chnni Kumar


Background: Postnatal depression can have long term consequenees for the mother-infant relationship and the infant' s development. Improving a mother' s depression per se has been found to have little impaet on mother-infant interaetion. The aims ofthis study were to determine whether attending regular massage classes could reduee maternal depression and also improve the quality of mother­infant interaction.

Method: Thirty-four primiparous depre~sed mothers, median 9 weeks postpartum, identified as being depressed following completion ofthe Edinburgh Postnatal Depression Seale (EPDS) at 4 weeks postpartum, were randomly alloeated either to an infant massage class and a support group (massage group) or to a support group (control group). Eaeh group attended for five weekly sessions. Changes in maternal depression and mother-infant interaetion were assessed at the beginning and theend ofthe study by comparing EPDS se ores and ratings ofvideotaped mother-infant interaetion.

Results: The EPDS seores fell in both groups. Significant improvement ofhigh dropout. It was not possible to distinguish whieh aspects ofthe infant massage class contributed to the benefit.

Conclusion: This study suggests that learning the praetice of infant massage by mothers is an effective treatment for faeilitating mother-infant interaetion in mothers with postnatal depression.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

The Oxytocin Factor, Tapping the Hormone of Calm, Love and Healing by Kerstin Uvnas-Moberg Da Capo Press 2003, ISBN 0-7382-0748-9

Touching ~ The Hllman Significance ofthe Skin by Ashley Montague, Harper & Row 1986 ISBN: 0-06-015535-3 (essential reading)

Touch Points the Essential Reference ~ Your Childs Emotional & Behavioral Development by T Berry Brazelton, Perseus Books 1992, ISBN 0-201-62690-X (Pb) (extremely valuable resource)
Your Amazing Newbom by Marshall Klaus & Phyllis Klaus. Perseus Books 1998 ISBN: 0-7382-0013-1 (enehanting, informative & bealltifully illustrated)

The Social Baby ~ Understanding Babies' Communication from Birth by Lynne Murray & Liz Andrews, CP Publishing 2000 ISBN 1 903275 01 6

The Social Todd1er~ Promoting Positive Parenting by Helen & Clive Dorman, Bookprint, Barcelona 2002 ISBN paperbaek: 1 903275 38 5 ISBN Hardbaek: 1 903275 30 X

Loving Hands ~ The Traditional Art of Baby Massage by Frederiek Leboyer, Newmarket Press, NY. reprint 1997 ISBN: 1-55704-314-0

The Tao ofMotherhoodby VimalaMe Clure, New World Library 1997, ISBN: 1-57731-014-4

The Path of Parenting by Vimala Mc C1ure, New World Library 1999, ISBN: 1-57731-078-0
From Birth to Five Years by Mary Sheridan, Routledge 1997 (revised & updated version)

ISBN: 0-415-16458-3 (exp1aining, with illustrations, the stages ofdevelopment in young children)

Bonding by M. K1aus, 1. Kennell & P. Klaus, Mandarin Paperbaek 1995 ISBN: 0749322543

The Baby Bookby William Sears & Martha Sears, Little Brown & Co 1993 ISBN 0-316-77905-9 pb

The Earliest Relationship by T. Berry Braze]ton & B G Cramer, Wheatons Ltd. 19900 ISBN 1-85575-005-8

The Power of Touch by Phyllis Davis, Hay House reprint 1999, ISBN: 1-56170-574-8

Touch Therapy by Tiffany Field, Churehill Livingston 2000 ISBN O 443 05791 5

The Aware Baby (Revised Edition 2001) by A1etha J. Solter Shining Star Press, ISBN: 0-9613073-0-7 (excellent on Crying)

Pediatric Massage For the Child with Special Needs by Kathy Fleming Drehobl & Mary Gengler Fuhr Therapy Skill Builders 1991, ISBN: 0-88450-383-6

Parenting the Fussy Baby and High-Need Child by W. & M. Sears 1996 ISBN: 0-316-779]6-4 (pb)

Inside the Brain by Rona1d Kotu1ak, Andrew McMee1 Pub1ishing 1997 ISBN: 0-8362-3289-5
Emotionallntelligence by Daniel Goleman, Bloomsbury 1996 ISBN 0747528306

Liquid Sunshine- Vegetable Oils for Aromatherapy by Jan Kusmirek, F10ramicus, 2002, ISBN: 0-9543295-0-3