The Effect of Patient-selected or Preselected Music on Anxiety During Cesarean Delivery: A Randomized Controlled Trial

Journal

Journal of Maternal-Fetal & Neonatal Medicine

Year

2020

Abstract

Background: Women undergoing cesarean delivery may have significant anxiety prior to surgery. Nonpharmacological approaches to anxiety reduction are favored in this patient population.Objective: The aim of this study was to determine the effects of patient-selected or preselected music on anxiety in parturients undergoing scheduled cesarean delivery.Materials and methods: This is a prospective, randomized controlled trial (IRB protocol #2015P002043; ClinicalTrials.gov, NCT02732964), of 150 parturients undergoing elective cesarean delivery. Parturients were randomized to patient-selected music (Pandora(®)), preselected music (Mozart), or no music (control). The primary outcome was anxiety after music exposure (versus no music) in the preoperative holding room. Secondary outcomes included postoperative anxiety, postoperative pain, and patient satisfaction.Results: Baseline anxiety and anxiety following preoperative exposure did not differ in the Pandora versus control group (3.8?±?2.4 versus 4.6?±?2.6, mean difference -0.8 [95% CI -1.8 to 0.2], p?=?.12), but was lower in the Mozart group versus control group (3.5?±?2.5 versus 4.6?±?2.5, mean difference -1.1 [95% CI -2.2 to -0.1], p?=?.03). Postoperative anxiety did not differ in the Pandora versus control group (1.0?±?1.4 versus 1.3?±?2.0, mean difference -0.3 [95% CI -1.0 to 0.4], p?=?.43), or in the Mozart versus control group (0.8?±?1.3 versus 1.3?±?2.0, mean difference -0.5 [95% CI -1.2 to 0.2], p?=?.15). Postoperative pain was not different in the Pandora group versus control group (0.8?±?1.5 versus 1.4?±?1.9, mean difference -0.6 [95% CI -1.3 to 0.1], p?=?.10), but was lower in the Mozart versus control group (0.6?±?1.3 versus 1.4?±?1.9, mean difference -0.8 [95% CI -1.4 to -0.1], p?=?.03). Total patient satisfaction scores were not different among the control, Pandora, and Mozart groups.Conclusion: While preselected Mozart music results in lower anxiety prior to cesarean delivery, patient-selected Pandora music does not. Further investigation to determine how music affects patients, clinicians, and the operating room environment during cesarean delivery is warranted.Clinical trial registration: NCT02732964.

Music and Health Institute Terms

Anxiety; Anxiety Scales; Gender Disparities; Hospital Setting; Hospitalized Patients; Music Listening; Music and Medicine; Obstetrical/Gynecological Surgery; Pain; Pain Management and Control; Pain Score or Rating; Patient Satisfaction; Postoperative Pain; Postoperative Patients; Pregnancy; Procedural Pain; Recorded Music Listening; Self-Report Measures; Surgery; Surgical Patients

Indexed Terms

Anxiety; Cesarean Section; Postoperative Pain; Pregnancy; Prospective Studies; Anxiety; Mozart sonatas; cesarean delivery; pain; patient satisfaction

Study Type

Quantitative Methods; Randomized Controlled Trial

PubMed ID

30880522

Document Type

Article

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