Music Intervention for Pain and Anxiety Management of the Primiparous Women During Labour: a Systematic Review and Meta-analysis


Journal of Advanced Nursing




AIMS: To determine the effect of music on the management of pain and anxiety in primiparous women during labour. BACKGROUND: Music is cost-effective intervention in clinical practice to reduce pain, stress, and anxiety. However, a systematic review with meta-analysis for investigating its effects during labour is still lacking. DESIGN: A systematic review with meta-analysis. DATA SOURCES: MEDLINE, EMBASE, and CINAHL databases. REVIEW METHODS: Randomized controlled trials or quasi-experimental trials concerning the effects of music among primiparous women who were expected to give normal spontaneous delivery were searched and screened up to 31 July 2017. The recruited trials for this review were compliant with the standards of the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS: A total of 392 primiparous pregnant women (197 in the music intervention group and 195 in the routine care group) from five studies were included in this review. Music as an intervention seemed to lower the pain scores for primiparous women during labour, but the effect was not statistically significant. However, there was a significant benefit of music intervention compared with routine care for primiparous women during labour. In the sensitivity analysis, music intervention showed significant effect on the improvement of pain and anxiety for primiparous women during labour. CONCLUSION: Music intervention may be an effective intervention for the management of pain and anxiety for primiparous women during labour.

Music and Health Institute Terms

Anxiety; Childbirth; Gender Disparities; Hospital Setting; Hospitalized Patients; Labor Pain; Mental Health; Mental Health Management; Music Listening; Music Medicine; Pain; Pain Management and Control; Pain Score or Rating; Pregnancy; Recorded Music Listening; Stress

Indexed Terms

Analgesia, Obstetrical; Anxiety; Labor Pain; Parity; Pregnancy; Prenatal Care; Randomized Controlled Trials as Topic; anxiety; labour pain; meta-analysis; nursing; systematic review

Study Type

Meta-Analysis; Quantitative Methods; Systematic Review

Document Type