A Randomized Longitudinal Trial About the Effects of Music on Fear of Childbirth and Outcome of Delivery
试验速览
- 阶段
- 不适用
- 入组人数
- 800
- 试验地点
- 2
- 主要终点
- spontaneous vaginal delivery
研究概览
简要总结
The aim of this trial is to find out if active music listening during pregnancy and delivery reliefs fear of childbirth, pain in delivery, need for analgesia during delivery and if there is an effect on delivery complications. Also we try to find out if there is any influence on mother-baby relationship.
详细描述
In Finland fear of childbirth is one of the common reasons for consultation of obstetrician and mother´s demand on elective caesarean section. Approximately 5-8% of pregnant women suffer from severe fear of childbirth, which disturbs their family-life and working and prevents normal preparation to childbirth and parenthood.
Listening or playing music is very common in all cultures. Even fetuses are able to hear and recognize music and babies are interested in voices and sounds of music.
Music therapy has been used in other purposes widely. It is known that music stimulates the synthesis of dopamine in brain and it has been shown that music has an influence on hypertensive rats, lowering their blood pressure. In human beings there has been pleasurable responses to music correlate with activity in brain. It has also been shown that music listening enhances cognitive recovery and mood after middle cerebral artery stroke.
A strong attachment between mother and infant is essential to child's normal developement. Mothers who suffer from very strong fear of childbirth often have difficulties in mother-infant relationship and pronounced risk of puerperal depression.
Many features in listening and playing music have something to do in bonding together in societies. Lullabies are good example of communication between parent and infant.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •fear of childbirth in arms 1 and 2,
- •nulliparous in arms 3 and 4
排除标准
- •not able to answer the questionnaires
结局指标
主要结局
spontaneous vaginal delivery
时间窗: day of delivery
delivery data collected from the patient records afterwards
次要结局
- Delivery satisfaction(within three days after delivery (before leaving the postpartum ward))
研究者
Assi Sten
Principal investigator
Helsinki University Central Hospital
