Music for Patient Satisfaction During Cesarean Delivery

Overseen By Awathif D Mackeen, MD

Age: Any Age

Sex: Female

Trial Phase: Academic

Sponsor: Geisinger Clinic

Disqualifiers: Fetal anomaly, Multifetal gestation, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

Duration: 6 hours

48 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this interventional study is to determine whether listening to music during cesarean delivery increases the participants satisfaction. Participants and their support person will be asked to fill out a short survey and mark their satisfaction on a visual analog scale. Vital signs will be recorded during their procedure.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Music, Music Therapy, Auditory Stimulation for patient satisfaction during cesarean delivery?

Research shows that music therapy can reduce anxiety and increase satisfaction for women undergoing cesarean delivery. In one study, women who received music therapy reported feeling less anxious and more satisfied with their experience compared to those who did not receive music therapy. ^{1 2 3 4 5}

Is music therapy safe for use during cesarean delivery?

Music therapy is generally safe for use during cesarean delivery, as studies have shown it can reduce anxiety and improve satisfaction without causing significant changes in physiological measures. ^{1 2 4 6 7}

How does music therapy differ from other treatments for improving patient satisfaction during cesarean delivery?

Music therapy is unique because it uses sound to help reduce anxiety and increase satisfaction during cesarean delivery, unlike other treatments that might focus on medication or physical interventions. It involves listening to music, which can create a calming environment and enhance the overall experience without altering physiological measures. ^{1 2 3 4 6}

Research Team

Awathif D Mackeen, MD

Principal Investigator

Geisinger Clinic

Eligibility Criteria

This trial is for English-speaking individuals with a single pregnancy, who are scheduled for their second or third cesarean delivery at Geisinger Medical Center and are at least 37 weeks along. They must be able to give consent.

Inclusion Criteria

Scheduled cesarean delivery at Geisinger Medical Center

Able and willing to provide consent

Singleton pregnancy

Exclusion Criteria

I am scheduled for surgery under general anesthesia.

Intrauterine fetal demise

Participants that present in labor or require urgent/emergent cesarean delivery

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants undergo cesarean delivery with or without music played during the procedure

6 hours

1 visit (in-person)

Follow-up

Participants and their support person complete satisfaction surveys and vital signs are monitored

1 day

1 visit (in-person)

Treatment Details

Interventions

• Music

Trial Overview The study is testing if listening to music during cesarean delivery can improve patient satisfaction. Participants will listen to music and then rate their satisfaction using a survey and visual scale while vital signs are monitored.

Participant Groups

Group I: Music Experimental Treatment 1 Intervention

Participants who undergo cesarean delivery will have music of their choice played through bone conduction headphones.

Group II: No music Active Control 1 Intervention

Participants who undergo cesarean delivery will not have music available to listen to during the procedure.

Who Is Running the Clinical Trial?

Geisinger Clinic

Lead Sponsor

Trials

159

Recruited

1,976,000+

Findings from Research

Listening to music for 30 minutes before elective cesarean delivery significantly reduced anxiety levels and pain scores in women, as shown by heart rate variability analysis and self-reported measures.

The study involved 60 women, and those who listened to music experienced a notable decrease in anxiety and pain compared to the control group, highlighting the potential benefits of music as a non-invasive intervention in surgical settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Preoperative music intervention for patients undergoing cesarean delivery. Li, Y., Dong, Y.[2022]

In a study of 64 women undergoing cesarean delivery, those who received music therapy alongside routine care reported significantly lower anxiety levels and higher satisfaction with their experience compared to those who received only routine care.

While music therapy improved emotional outcomes, it did not have a significant impact on physiological measures during the cesarean delivery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of music therapy on women's physiologic measures, anxiety, and satisfaction during cesarean delivery. Chang, SC., Chen, CH.[2022]

In a systematic review of 15 randomized controlled trials involving 1261 patients, music significantly reduced intraoperative anxiety during cesarean deliveries, with various assessment tools showing consistent results.

Patients who listened to music also experienced lower postoperative opioid requirements, suggesting that music may not only help with anxiety but also contribute to pain management after surgery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effect of music on anxiety in women undergoing cesarean delivery: a systematic review and meta-analysis. Weingarten, SJ., Levy, AT., Berghella, V.[2021]

A new clinical music therapy program for labor and delivery showed promising results, with 13 women receiving music therapy achieving significantly higher success scores in their childbirth experience compared to a control group of 7 women (p < .05).

The study found a moderate correlation between the frequency and duration of music practice at home and successful childbirth outcomes, suggesting that engaging with music therapy before delivery can positively influence the labor experience.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Music therapy-assisted labor and delivery. Clark, ME., McCorkle, RR., Williams, SB.[2019]

In a study of 150 women undergoing scheduled cesarean delivery, listening to preselected Mozart music significantly reduced preoperative anxiety compared to no music, while patient-selected music (Pandora) did not show a similar effect.

Postoperative pain was also lower in the Mozart group compared to the control group, suggesting that preselected music may have beneficial effects on both anxiety and pain management during cesarean deliveries.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effect of patient-selected or preselected music on anxiety during cesarean delivery: a randomized controlled trial. Drzymalski, DM., Lumbreras-Marquez, MI., Tsen, LC., et al.[2021]

Music therapy during labor significantly reduced levels of pain in women undergoing vaginal delivery, with lower scores in latent, active, and transition-phase pain compared to a control group that received usual care.

Participants who listened to music reported a more positive childbirth experience, suggesting that music therapy is a safe and effective non-pharmacological intervention for improving labor outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study. An, SY., Park, EJ., Moon, YR., et al.[2023]

In a study of 108 parturients undergoing elective cesarean delivery, music listening significantly reduced postoperative anxiety and pain catastrophizing scores, indicating its efficacy as a non-pharmacological intervention.

While music listening did not significantly affect acute pain scores, over 95% of participants reported high satisfaction with the experience, suggesting it is a safe and well-received option for managing anxiety in the obstetric setting.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of music listening on perioperative anxiety, acute pain and pain catastrophizing in women undergoing elective cesarean delivery: a randomized controlled trial. Kakde, A., Lim, MJ., Shen, H., et al.[2023]

References

1. United States pubmed.ncbi.nlm.nih.gov

Preoperative music intervention for patients undergoing cesarean delivery. [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Effects of music therapy on women's physiologic measures, anxiety, and satisfaction during cesarean delivery. [2022]

3. United States pubmed.ncbi.nlm.nih.gov

The effect of music on anxiety in women undergoing cesarean delivery: a systematic review and meta-analysis. [2021]

4. England pubmed.ncbi.nlm.nih.gov

Music therapy-assisted labor and delivery. [2019]

5. England pubmed.ncbi.nlm.nih.gov

The effect of patient-selected or preselected music on anxiety during cesarean delivery: a randomized controlled trial. [2021]

6. Korea (South) pubmed.ncbi.nlm.nih.gov

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study. [2023]

7. England pubmed.ncbi.nlm.nih.gov

Effect of music listening on perioperative anxiety, acute pain and pain catastrophizing in women undergoing elective cesarean delivery: a randomized controlled trial. [2023]