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 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Organización sin fines de lucro
- Anton-Betz-Stiftung
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-11-03 · BMC Pregnancy Childbirth · vol. 18 · número 1 · pág. 435
- Editorial
- BioMed Central
- Citado
- 89 citas · más que el 98% de estudios similares · 8.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 36 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Maternal Mental Health During Pregnancy and Postpartum · Infant Development and Preterm Care
- Palabras clave
- 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 autores
- Philip Gm Hepp🇩🇪 · autor de correspondenciaHelios Universitätsklinikum Wuppertal; Heinrich Heine University Düsseldorf
- Carsten Hagenbeck🇩🇪Heinrich Heine University Düsseldorf
- Julius Gilles🇩🇪Heinrich Heine University Düsseldorf
- Oliver Tobias Wolf🇩🇪Ruhr University Bochum
- Wolfram Goertz🇩🇪Heinrich Heine University Düsseldorf
- Wolfgang Janni🇩🇪University Hospital Ulm
- Percy Balan🇩🇪Heinrich Heine University Düsseldorf
- Markus C. Fleisch🇩🇪Helios Universitätsklinikum Wuppertal
- Tanja Natascha Fehm🇩🇪Heinrich Heine University Düsseldorf
- Nora K. Schaal🇩🇪Heinrich Heine University Düsseldorf
Resumen
El texto original del estudio, en el idioma en que se publicó.
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.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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