Jahromi Athar Rasekh, Rahmanian Vahid, Kiani Fatemeh, Ansari Asra, Taghipour Nikta
Department of Obstetrics and Gynecology Jahrom University of Medical Sciences Jahrom Iran.
Department of Public Health Torbat Jam Faculty of Medical Sciences Torbat Jam Iran.
Health Sci Rep. 2024 Sep 3;7(9):e70051. doi: 10.1002/hsr2.70051. eCollection 2024 Sep.
Childbirth is a multifaceted and distressing event that can profoundly affect mothers' psychological and physical well-being. Noninvasive interventions like music therapy have been explored to improve labor outcomes by decreasing pain and anxiety levels, promoting relaxation, and enhancing maternal-fetal health. This study aimed to investigate the effect of Iranian traditional music on cervical dilation and labor progress in the active stage of term pregnancy.
This study was a nonrandomized controlled trial that included pregnant women between 20 and 35, with a gravidity of two or three. Participants were assigned to either the intervention group, which received traditional Iranian music therapy during labor, or the control group, which received routine care without the music intervention. The primary outcome was the effect of music therapy on cervical dilation from 4 cm to full dilation (10 cm) during term pregnancy. The secondary outcomes included changes in fetal heart rate, maternal anxiety, and pain scores before and after the intervention. Statistical analyses were performed using appropriate methods, and the results were reported using descriptive and inferential statistics.
The mean age of the intervention group was 28.32 ± 6.13 years, and that of the control group was 28.31 ± 3.47 years ( = 0.890). The median duration of labor was not significantly different during the active stage, with 120 min in the intervention group and 137 min in the control group ( = 0.505). However, significant differences were observed in fetal heart rate, anxiety score, and pain score changes before and after the intervention between the two groups ( < 0.05).
Using traditional Iranian music therapy as a noninvasive intervention during labor can potentially improve maternal and fetal outcomes by reducing anxiety and pain perception. Further research is needed to explore the potential benefits of traditional music therapy in clinical settings.
分娩是一个多方面且令人痛苦的过程，会对母亲的心理和身体健康产生深远影响。人们已经探索了诸如音乐疗法等非侵入性干预措施，以通过降低疼痛和焦虑水平、促进放松以及增进母婴健康来改善分娩结局。本研究旨在调查伊朗传统音乐对足月妊娠活跃期宫颈扩张和产程的影响。
本研究为非随机对照试验，纳入年龄在20至35岁之间、孕次为2或3的孕妇。参与者被分为干预组，在分娩期间接受伊朗传统音乐疗法，或对照组，接受无音乐干预的常规护理。主要结局是音乐疗法对足月妊娠期间宫颈从4厘米扩张至完全扩张（10厘米）的影响。次要结局包括干预前后胎儿心率、母亲焦虑和疼痛评分的变化。使用适当方法进行统计分析，并使用描述性和推断性统计报告结果。
干预组的平均年龄为28.32±6.13岁，对照组为28.31±3.47岁（P=0.890）。活跃期的中位产程在两组之间无显著差异，干预组为120分钟，对照组为137分钟（P=0.505）。然而，两组之间在干预前后的胎儿心率、焦虑评分和疼痛评分变化方面存在显著差异（P<0.05）。
在分娩期间使用伊朗传统音乐疗法作为非侵入性干预措施，可能通过减轻焦虑和疼痛感知来改善母婴结局。需要进一步研究来探索传统音乐疗法在临床环境中的潜在益处。
