Simavli Serap, Gumus Ilknur, Kaygusuz Ikbal, Yildirim Melahat, Usluogullari Betul, Kafali Hasan
Department of Obstetrics and Gynecology, Pamukkale University School of Medicine, Denizli, Turkey.
Gynecol Obstet Invest. 2014;78(4):244-50. doi: 10.1159/000365085. Epub 2014 Sep 16.
BACKGROUND/AIMS: The control of labor pain and the prevention of suffering are major concerns of clinicians and their patients. The aim of this study was to evaluate the effect of music on labor pain and anxiety, maternal hemodynamics, fetal-neonatal parameters and postpartum analgesic requirement in primiparous women.
Overall, 156 primiparous women who expected vaginal delivery were recruited and randomly assigned to a music group (n = 77) or a control group (n = 79). Women in the music group listened to music during labor. Pain intensity and anxiety level were measured using a visual analogue scale (0-10 cm). The two groups were compared in terms of pain severity, anxiety level, maternal hemodynamics, fetal-neonatal parameters and postpartum analgesic requirement.
Mothers in the music therapy group had a lower level of pain and anxiety compared with those in the control group at all stages of labor (p < 0.001). A significant difference was observed between the two groups in terms of maternal hemodynamics and fetal heart rate after intervention (p < 0.01). Postpartum analgesic requirement significantly decreased in the music therapy group (p < 0.01).
Listening to music during labor has a positive impact on labor pain and anxiety, maternal-fetal parameters and analgesic requirement.
背景/目的：控制产痛和预防痛苦是临床医生及其患者主要关注的问题。本研究的目的是评估音乐对初产妇产痛、焦虑、母体血流动力学、胎儿-新生儿参数及产后镇痛需求的影响。
总共招募了156名预计经阴道分娩的初产妇，并将她们随机分为音乐组（n = 77）和对照组（n = 79）。音乐组的女性在分娩期间听音乐。使用视觉模拟量表（0-10厘米）测量疼痛强度和焦虑水平。比较两组在疼痛严重程度、焦虑水平、母体血流动力学、胎儿-新生儿参数及产后镇痛需求方面的差异。
在分娩的各个阶段，音乐治疗组的母亲与对照组相比，疼痛和焦虑水平较低（p < 0.001）。干预后，两组在母体血流动力学和胎儿心率方面存在显著差异（p < 0.01）。音乐治疗组的产后镇痛需求显著降低（p < 0.01）。
分娩期间听音乐对产痛、焦虑、母婴参数及镇痛需求有积极影响。
