Centre for Research in Eating and Weight Disorders (CREW), Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
Mental Health Studies Programme, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London SE5 8AB, UK.
Int J Environ Res Public Health. 2023 Nov 29;20(23):7120. doi: 10.3390/ijerph20237120.
Music-based interventions are not physically invasive, they usually have minimal side effects, and they are increasingly being implemented during the birthing process for pain and anxiety relief. The aim of this systematic review is to summarise and evaluate published, randomised controlled trials (RCTs) assessing the effects of music-based interventions for pain and anxiety management during vaginal labour and caesarean delivery. Following the PRISMA guidelines, a systematic search of the literature was conducted using: PsychInfo (Ovid), PubMed, and Web of Science. Studies were included in the review if they were RCTs that assessed the effects of music on pain and anxiety during vaginal and caesarean delivery by human mothers. A narrative synthesis was conducted on 28 identified studies with a total of 2835 participants. Most, but not all, of the included studies assessing music-based interventions resulted in reduced anxiety and pain during vaginal and caesarean delivery. Music as part of a comprehensive treatment strategy, participant-selected music, music coupled with another therapy, and relaxing/instrumental music was specifically useful for reducing light to moderate pain and anxiety. Music-based interventions show promising effects in mitigating pain and anxiety in women during labour. However, the long-term effects of these interventions are unclear.
音乐干预措施不会对身体造成侵犯，通常副作用极小，并且越来越多地在分娩过程中用于缓解疼痛和焦虑。本系统评价的目的是总结和评估已发表的随机对照试验（RCT），以评估音乐干预措施在阴道分娩和剖宫产期间缓解疼痛和焦虑的效果。根据 PRISMA 指南，使用：PsychInfo（Ovid），PubMed 和 Web of Science 对文献进行了系统搜索。如果 RCT 评估了人类母亲在阴道分娩和剖宫产过程中音乐对疼痛和焦虑的影响，则将这些研究纳入综述。对 28 项确定的研究进行了叙述性综合分析，共有 2835 名参与者。大多数（但不是全部）评估音乐干预措施的纳入研究结果表明，在阴道分娩和剖宫产过程中，焦虑和疼痛减轻。作为综合治疗策略的一部分的音乐、参与者选择的音乐、与其他疗法结合的音乐以及放松/器乐音乐对于减轻轻度至中度疼痛和焦虑特别有用。音乐干预措施在减轻分娩期间女性疼痛和焦虑方面显示出有希望的效果。然而，这些干预措施的长期效果尚不清楚。
