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

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....

Full description

Saved in:

Bibliographic Details
Published in:	BMC pregnancy and childbirth Vol. 18; no. 1; p. 435
Main Authors:	Hepp, Philip, Hagenbeck, Carsten, Gilles, Julius, Wolf, Oliver T, Goertz, Wolfram, Janni, Wolfgang, Balan, Percy, Fleisch, Markus, Fehm, Tanja, Schaal, Nora K
Format:	Journal Article
Language:	English
Published:	England BioMed Central 03-11-2018 BMC
Subjects:	Adolescent Adult Anxiety Anxiety - etiology Anxiety - psychology Anxiety - therapy Blood pressure Caesarean Cesarean section Cesarean Section - psychology Childbirth & labor Clinical trials Female Heart rate Hormones Humans Intervention Middle Aged Music intervention Music therapy Music Therapy - methods Obstetric Labor Complications - etiology Obstetric Labor Complications - psychology Obstetric Labor Complications - therapy Pain management Parturition - psychology Patients Pregnancy Stress Stress, Psychological - etiology Stress, Psychological - psychology Stress, Psychological - therapy Surgery Treatment Outcome Womens health Young Adult Germany Music intervention Anxiety Caesarean Stress
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	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. 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. 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. Music during caesarean is an easy implementable and effective way of reducing stress and anxiety of the expectant mother. German registry for clinical trials ( DRKS00007840 ). Registered 16/06/2015. Retrospectively registered.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	1471-2393 1471-2393
DOI:	10.1186/s12884-018-2069-6