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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

Author

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  • Amy Rose Hunter

    (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)

  • Annie Heiderscheit

    (Cambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge CB1 2LZ, UK)

  • Megan Galbally

    (School of Clinical Sciences, Department of Psychiatry, Monash University, Clayton, VIC 3168, Australia)

  • Davide Gravina

    (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
    Department of Clinical and Experimental Medicine, University of Pisa, 56127 Pisa, Italy)

  • Hiba Mutwalli

    (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
    Department of Clinical Nutrition, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia)

  • Hubertus Himmerich

    (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
    South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham BR3 3BX, UK)

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.

Suggested Citation

  • Amy Rose Hunter & Annie Heiderscheit & Megan Galbally & Davide Gravina & Hiba Mutwalli & 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," IJERPH, MDPI, vol. 20(23), pages 1-26, November.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:23:p:7120-:d:1290455
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    References listed on IDEAS

    as
    1. Iwona Czech & Piotr Fuchs & Anna Fuchs & Miłosz Lorek & Dominika Tobolska-Lorek & Agnieszka Drosdzol-Cop & Jerzy Sikora, 2018. "Pharmacological and Non-Pharmacological Methods of Labour Pain Relief—Establishment of Effectiveness and Comparison," IJERPH, MDPI, vol. 15(12), pages 1-11, December.
    2. Thanh Phuong Anh Truong & Briana Applewhite & Annie Heiderscheit & Hubertus Himmerich, 2021. "A Systematic Review of Scientific Studies and Case Reports on Music and Obsessive-Compulsive Disorder," IJERPH, MDPI, vol. 18(22), pages 1-23, November.
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