The Effect of Music Therapy for Childbirth: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHOU Wenji

HOPE School of Nursing, Wuhan University, Wuhan 430071, China;

Corresponding author：

ZHOU Wenji, Email: fujiwaranosaki@yahoo.com.cn

Keywords：

Music; Childbirth; Stage of labor; Labor pain; Anxiety; Efficacy analysis

DOI：

10.7507/1672-2531.20110073

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To evaluate the effect of music therapy for childbirth.
Methods 　Such databases as The Cochrane Library, PubMed, EMbase, EBSCO host, SpringerLINK Online Journals, CBM and WanFang Data were searched from January of 2000 to December of 2010 to collect randomized controlled trials (RCTs) of music therapy for childbirth. The quality of RCTs was appraised and the data were extracted. Meta-analyses were conducted with RevMan5.02 software for the standarded RCTs.
Results 　A total of nine RCTs were included. Five RCTs indicated the music therapy could alleviate the labor pain; five RCTs indicated the music therapy could reduce the event risk of cesarean section due to the failure of transvaginal trial labor; three RCTs indicated the music therapy could shorten the first stage of labor; two RCTs indicated the music therapy could stabilize the systolic pressure and heart rate when complete cervical dilation was done, and three RCTs indicated the music therapy could relieve anxiety. In addition, music therapy had no influence on neonate Apgar’s score; and the result of meta-analyses on postpartum hemorrhage was not reliable through sensitivity analyses.
Conclusion 　The music therapy applied during childbirth can relieve the labor pain and anxiety, stabilize the heart rate and systolic pressure when complete cervical dilation is done, reduce the event risk of cesarean section due to the failure of transvaginal trial labor, shorten the first stage of labor, and is beneficial to the mind and body of parturient.

Citation： ZHOU Wenji. The Effect of Music Therapy for Childbirth: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2011, 11(4): 419-426. doi: 10.7507/1672-2531.20110073 Copy

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15.	马新梅, 彭顺平, 彭秀, 等. 应用放松性音乐对第一产程待产妇实施护理干预的效果研究. 吉林医学, 2004, 25(3): 1-2.
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1. 1 Abushaikha LA. Methods of coping with labor pain used by Jordanian women. Journal of Transcultural Nursing , 2007, 18 (1): 35-40.
2. Taghinejad H, Delpisheh A, Suhrabi Z. Comparison between massage and music therapies to relieve the severity of labor pain. Women’ Health , 2010, 6(3): 377-381.
3. Albaladejo P, Bouaziz H, Benhamou D. Epidural analgesics: How can safety and efficacy be improved. CNS Drugs , 1998, 10(2): 91-104.
4. Hadley RT, Hadley WH, Dickens V, et al . Music therapy: A treatment modality for special-needs populations. International Journal for the Advancement of Counseling , 2001, 23: 215-221.
5. Steven K. Patients perceptions of music during surgery. Journal of Advance Nursing , 1990, 15: 1045-1051．.
6. 孙珂, 关北平, 黄宝琴. 导乐陪伴配合音乐放松对分娩影响的临床研究. 全科护理, 2008, 6(12): 3299-3301.
7. 欧再娥, 许世美, 邝素芳. 放松性音乐疗法对产妇产程及焦虑心理的影响. 海南医学, 2009, 20(6): 66-67.
8. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.2 [updated September 2009]. The Cochrane Collaboration, 2009. Available from: http:// www.cochrane-handbook.org.
9. Liu YH, Chang MY, Chen CH. Effects of music therapy on labour pain and anxiety in Taiwanese first-time mothers. Journal of Clinical Nursing , 2010, 19: 1065-1072.
10. Phumdoung S, Marion G. Music reduces sensation and distress of labour pain. Pain Management Nursing , 2003, 4(2): 54-61.
11. 王忠轩, 夏卫红, 林艳红. 导乐陪伴音乐伴随哼鸣助产的临床研究. 国际医药卫生导报, 2010, 16(1): 94-96.
12. 王建英, 吴可萍, 石少权, 等. 音乐干预疗法对产妇分娩期焦虑心理的影响及分析. 中国实用医药, 2009, 4(30): 210-211.
13. 党蓉芳, 李珊, 宁晓娥, 等. 音乐减轻产痛加速产程105例临床观察. 中国实用妇科与产科杂志, 2003, 19(7): 446-447.
14. 赵然英. 音乐疗法对产妇产程及焦虑抑郁的影响. 中国民康医学, 2007, 19(9): 731-739.
15. 马新梅, 彭顺平, 彭秀, 等. 应用放松性音乐对第一产程待产妇实施护理干预的效果研究. 吉林医学, 2004, 25(3): 1-2.
16. Melzack R. The future of pain. Nature Reviews Drug Discovery , 2008, 7(8): 629-629.

Chinese Journal of Evidence-Based Medicine

The Effect of Music Therapy for Childbirth: A Meta-analysis

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