Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis
Santiváñez-Acosta R, Tapia-López ELN, Santero M
Medicina (Kaunas, Lithuania) · 38 citations
How it was studied
- Design
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
Based on full-text disclosure statement.
Publication
- Published
- 2020-10-10 · Medicina (Kaunas) · vol. 56 · issue 10 · p. 526
- Publisher
- Multidisciplinary Digital Publishing Institute
- Cited
- 85 citations · more than 83% of similar papers · 1.8× the field average
- References
- 28 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Music Therapy and Health · Infant Development and Preterm Care · Pediatric Pain Management Techniques
- Keywords
- Anxiety, Visual analogue scale, Medicine, Meta-analysis, Cochrane Library, Randomized controlled trial, Music therapy, Physical therapy, MEDLINE, Labor pain, Intensity (physics), Internal medicine, Psychiatry, Pregnancy
- MeSH
- humans, pain, music therapy, anxiety, pregnancy, labor, obstetric, female, pain management
3 authors
From PE, AR
- Rocio Santiváñez-Acosta · correspondingInstituto Nacional de Salud
- Elena de las Nieves Tapia-LópezUniversidad Peruana Cayetano Heredia
- Marilina SanteroUniversidad de Buenos Aires; Instituto de Efectividad Clínica y Sanitaria
Abstract
Background and Objective: The study of music therapy in labor is unknown. The main objective of this research was to evaluate the effectiveness of music therapy to manage pain and anxiety during labor. Materials and Methods: A search strategy was used with PubMed/MEDLINE, LILACS, Cochrane, TRIPDATABASE, and Google Scholar. The selection criteria were based on randomized clinical trials; quasi-experimental research on pain intensity and anxiety during labor was evaluated. The primary outcomes were measured by the Visual Analogue Scale (VAS). A meta-analysis of the fixed effects was performed using mean differences (MD). Twelve studies were included for the final analysis, six (778 women) of which were meta-analyzed. Results: Decreased VAS scores for pain intensity associated with music therapy were found in the latent (MD: -0.73; 95% CI -0.99; -0.48) and active (MD: -0.68; 95% CI -0.92; -0.44) phases of labor. VAS scores for anxiety decreased both in the latent (MD: -0.74; 95% CI -1.00; -0.48) and active (MD: -0.76; 95% CI -0.88; -0.64) phases. Conclusion: Music therapy seems to have beneficial effects on pain intensity and anxiety during labor, especially for women giving birth for the first time. However, the evidence is qualified as low.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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