Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Clinical Epidemiological Unit, Office for Research and Development, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Breastfeed Med. 2021 Mar;16(3):200-214. doi: 10.1089/bfm.2020.0299. Epub 2021 Jan 11.
The objective of this research was to study the role of music listening by mothers during a cesarean section and the postpartum period to achieve exclusive breastfeeding in the first 6 months. This was a prospective, observational, randomized controlled trial study. A total of 185 singleton pregnant women, in at least 37 weeks of gestation, who were appointed for elective cesarean sections, were recruited. They were randomized into three groups, including pregnant women who did not listen to music (Group 1), listened to music during cesarean section (Group 2), and listened to music during cesarean section and the postpartum room for the first 2 days (Group 3). The breastfeeding results of all three groups were followed up at 7 days, 14 days, and then at months 1, 2, 3, and 6. Success in exclusive breastfeeding among Groups 1, 2, and 3 and Groups 1 and 2 + 3 was not different in every lactating period (7 days-6 months). From subgroup analysis, mothers who listened to music in a private ward had more success in exclusive breastfeeding than those in a common ward. Mothers who listened to music and had an income of <20,000 baht, an educational level lower than university, planned the pregnancy, had their first pregnancy, and stayed in a private ward had more successful exclusive breastfeeding in a 6-month period than those mothers who did not listen to music, and the difference was statistically significant. Music listening by mothers during a cesarean section and in the postpartum ward did not enhance exclusive breastfeeding during the first 6 months of the postpartum period. However, from subgroup analysis, mothers who listened to music in a private ward had more success in exclusive breastfeeding than those in a common ward. Thai Clinical Trials Registry number was TCTR20180712001.
本研究旨在探讨母亲在剖宫产术中和产后期间听音乐对实现产后 6 个月内纯母乳喂养的作用。这是一项前瞻性、观察性、随机对照试验研究。共招募了 185 名单胎妊娠妇女，妊娠至少 37 周，择期行剖宫产术。他们随机分为三组，包括不听音乐的孕妇（组 1）、剖宫产期间听音乐的孕妇（组 2）和剖宫产期间及产后前两天在病房听音乐的孕妇（组 3）。所有三组的母乳喂养结果均在第 7 天、第 14 天以及第 1、2、3 和 6 个月进行随访。在每个哺乳期（7 天至 6 个月），组 1、组 2 和组 1+2 之间的纯母乳喂养成功率以及组 1 和组 1+2 之间的纯母乳喂养成功率没有差异。亚组分析显示，在私人病房听音乐的母亲比在普通病房听音乐的母亲更成功实现纯母乳喂养。在私人病房听音乐、收入低于 20,000 泰铢、教育程度低于大学、计划妊娠、首次妊娠和在私人病房的母亲在 6 个月期间更成功实现纯母乳喂养，与未听音乐的母亲相比，差异有统计学意义。母亲在剖宫产术中和产后病房听音乐并没有增强产后 6 个月内的纯母乳喂养率。然而，从亚组分析来看，在私人病房听音乐的母亲比在普通病房听音乐的母亲更成功实现纯母乳喂养。泰国临床试验注册编号为 TCTR20180712001。
