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Systematic Review

The Effects of Music-Based Interventions for Pain and Anxiety Management during Vaginal Labour and Caesarean Delivery: A Systematic Review and Narrative Synthesis of Randomised Controlled Trials

1
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
2
Mental Health Studies Programme, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AB, UK
3
Cambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge CB1 2LZ, UK
4
School of Clinical Sciences, Department of Psychiatry, Monash University, Clayton, VIC 3168, Australia
5
Department of Clinical and Experimental Medicine, University of Pisa, 56127 Pisa, Italy
6
Department of Clinical Nutrition, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
7
South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham BR3 3BX, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(23), 7120; https://doi.org/10.3390/ijerph20237120
Submission received: 21 September 2023 / Revised: 4 November 2023 / Accepted: 25 November 2023 / Published: 29 November 2023
(This article belongs to the Special Issue Music for Health Care and Well-Being)

Abstract

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.
Keywords: music; music therapy; labour; caesarean section; pain; anxiety music; music therapy; labour; caesarean section; pain; anxiety

Share and Cite

MDPI and ACS Style

Hunter, A.R.; Heiderscheit, A.; Galbally, M.; Gravina, D.; Mutwalli, H.; Himmerich, H. The Effects of Music-Based Interventions for Pain and Anxiety Management during Vaginal Labour and Caesarean Delivery: A Systematic Review and Narrative Synthesis of Randomised Controlled Trials. Int. J. Environ. Res. Public Health 2023, 20, 7120. https://doi.org/10.3390/ijerph20237120

AMA Style

Hunter AR, Heiderscheit A, Galbally M, Gravina D, Mutwalli H, Himmerich H. The Effects of Music-Based Interventions for Pain and Anxiety Management during Vaginal Labour and Caesarean Delivery: A Systematic Review and Narrative Synthesis of Randomised Controlled Trials. International Journal of Environmental Research and Public Health. 2023; 20(23):7120. https://doi.org/10.3390/ijerph20237120

Chicago/Turabian Style

Hunter, Amy Rose, Annie Heiderscheit, Megan Galbally, Davide Gravina, Hiba Mutwalli, and Hubertus Himmerich. 2023. "The Effects of Music-Based Interventions for Pain and Anxiety Management during Vaginal Labour and Caesarean Delivery: A Systematic Review and Narrative Synthesis of Randomised Controlled Trials" International Journal of Environmental Research and Public Health 20, no. 23: 7120. https://doi.org/10.3390/ijerph20237120

APA Style

Hunter, A. R., Heiderscheit, A., Galbally, M., Gravina, D., Mutwalli, H., & Himmerich, H. (2023). The Effects of Music-Based Interventions for Pain and Anxiety Management during Vaginal Labour and Caesarean Delivery: A Systematic Review and Narrative Synthesis of Randomised Controlled Trials. International Journal of Environmental Research and Public Health, 20(23), 7120. https://doi.org/10.3390/ijerph20237120

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