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

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 expec...

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Autores principales: Hepp, Philip, Hagenbeck, Carsten, Gilles, Julius, Wolf, Oliver T., Goertz, Wolfram, Janni, Wolfgang, Balan, Percy, Fleisch, Markus, Fehm, Tanja, Schaal, Nora K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215648/
https://www.ncbi.nlm.nih.gov/pubmed/30390639
http://dx.doi.org/10.1186/s12884-018-2069-6
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author Hepp, Philip
Hagenbeck, Carsten
Gilles, Julius
Wolf, Oliver T.
Goertz, Wolfram
Janni, Wolfgang
Balan, Percy
Fleisch, Markus
Fehm, Tanja
Schaal, Nora K.
author_facet Hepp, Philip
Hagenbeck, Carsten
Gilles, Julius
Wolf, Oliver T.
Goertz, Wolfram
Janni, Wolfgang
Balan, Percy
Fleisch, Markus
Fehm, Tanja
Schaal, Nora K.
author_sort Hepp, Philip
collection PubMed
description 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.
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spelling pubmed-62156482018-11-08 Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study Hepp, Philip Hagenbeck, Carsten Gilles, Julius Wolf, Oliver T. Goertz, Wolfram Janni, Wolfgang Balan, Percy Fleisch, Markus Fehm, Tanja Schaal, Nora K. BMC Pregnancy Childbirth Research Article 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. BioMed Central 2018-11-03 /pmc/articles/PMC6215648/ /pubmed/30390639 http://dx.doi.org/10.1186/s12884-018-2069-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hepp, Philip
Hagenbeck, Carsten
Gilles, Julius
Wolf, Oliver T.
Goertz, Wolfram
Janni, Wolfgang
Balan, Percy
Fleisch, Markus
Fehm, Tanja
Schaal, Nora K.
Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
title Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
title_full Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
title_fullStr Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
title_full_unstemmed Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
title_short Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
title_sort effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215648/
https://www.ncbi.nlm.nih.gov/pubmed/30390639
http://dx.doi.org/10.1186/s12884-018-2069-6
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