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BMC Pregnancy Childbirth. 2018 Nov 3;18(1):435. doi: 10.1186/s12884-018-2069-6.

Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study.

Author information

1
Clinic for Gynecology and Obstetrics, Helios University Hospital Wuppertal, University Witten/Herdecke, Heusnerstr 40, 42283, Wuppertal, Germany. science@dr-hepp.de.
2
Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Germany. science@dr-hepp.de.
3
Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Germany.
4
Department of Cognitive Psychology, Institute of Cognitive Neuroscience, Faculty of Psychology, Ruhr-University Bochum, Bochum, Germany.
5
Musikerambulanz, Heinrich-Heine-University, Düsseldorf, Germany.
6
Clinic for Gynecology and Obstetrics, University Hospital Ulm, Ulm, Germany.
7
Clinic for Gynecology and Obstetrics, Helios University Hospital Wuppertal, University Witten/Herdecke, Heusnerstr 40, 42283, Wuppertal, Germany.
8
Department of Experimental Psychology, Heinrich-Heine-University, Düsseldorf, Germany.

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.

KEYWORDS:

Anxiety; Caesarean; Music intervention; Stress

PMID:
30390639
PMCID:
PMC6215648
DOI:
10.1186/s12884-018-2069-6
[Indexed for MEDLINE]
Free PMC Article

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