Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
Hepp P, Hagenbeck C, Gilles J, Wolf OT, Goertz W, Janni W, Balan P, Fleisch M, Fehm T, Schaal NK
BMC pregnancy and childbirth · 52 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Nonprofit
- Anton-Betz-Stiftung
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2018-11-03 · BMC Pregnancy Childbirth · vol. 18 · issue 1 · p. 435
- Publisher
- BioMed Central
- Cited
- 89 citations · more than 98% of similar papers · 8.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 36 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Music Therapy and Health · Maternal Mental Health During Pregnancy and Postpartum · Infant Development and Preterm Care
- Keywords
- Medicine, Reproductive medicine, Anxiety, Intervention (counseling), Obstetrics, Randomized controlled trial, Caesarean section, Pregnancy, Physical therapy, Gynecology, Psychiatry, Internal medicine
- MeSH
- humans, treatment outcome, music therapy, cesarean section, stress, psychological, anxiety, pregnancy, parturition, adolescent, adult, middle aged, female, obstetric labor complications, young adult
10 authors
From DE
- Philip Gm Hepp · correspondingHelios Universitätsklinikum Wuppertal; Heinrich Heine University Düsseldorf
- Carsten HagenbeckHeinrich Heine University Düsseldorf
- Julius GillesHeinrich Heine University Düsseldorf
- Oliver Tobias WolfRuhr University Bochum
- Wolfram GoertzHeinrich Heine University Düsseldorf
- Wolfgang JanniUniversity Hospital Ulm
Abstract
Background
Stress and anxiety during pregnancy and childbirth have negative consequences for both mother and child. There are indications that music has a positive effect in this situation. The present study investigates the influence of music during the caesarean on anxiety and stress of the expectant mother.
Methods
The SAMBA study is a single-centre, controlled, randomized study including 304 patients. Women in the intervention group heard music via loudspeakers from one of four self-selected genres. The control group had standard treatment without music. The caesarean was performed in regional Anesthesia. At admission, at skin incision, during skin suture and two hours after completion of surgery, different subjective (State-Trait Anxiety Inventory, visual analogue scale for anxiety) and objective parameters (salivary cortisol/amylase, heart rate, blood pressure) were collected. Mixed-factorial Analysis of variances as well as independent sample t-tests were applied for data analysis.
Results
At skin suture, significantly lower anxiety levels were reported in the intervention group regarding State anxiety (31.56 vs. 34.41; p = .004) and visual analogue scale for anxiety (1.27 vs. 1.76; p = .018). Two hours after surgery, the measured visual analogue scale for anxiety score in the intervention group was still significantly lower (0.69 vs. 1.04; p = .018). The objective parameters showed significant differences between the groups in salivary cortisol increase from admission to skin suture (12.29 vs. 16.61 nmol/L; p = .043), as well as systolic blood pressure (130.11 vs. 136.19 mmHg; p = .002) and heart rate (88.40 vs. 92.57/min; p = .049) at skin incision.
Conclusions
Music during caesarean is an easy implementable and effective way of reducing stress and anxiety of the expectant mother.
Trial registration
German registry for clinical trials ( DRKS00007840 ). Registered 16/06/2015. Retrospectively registered.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
Community trust
Loading…
How much do you trust this study's findings?
Comments
Sign in to rate, comment on or flag this study.Sign inSomething wrong here?
Flag this study if its information, labels or funding look wrong. An editor reviews every flag.
Sign in to rate, comment on or flag this study.Sign inEducational information about published research. Not medical advice, and not a recommendation to start or stop anything.