The Effects of Music on Fear of Childbirth and Outcome of Delivery

NCT ID: NCT01687907

Last Updated: 2012-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2015-12-31

Brief Summary

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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.

Detailed Description

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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.

There has been some trials about music therapy and pregnancy but not systematic randomized trials about listening to music and its influence on pain experience, length of delivery or complications of delivery. Music has a relaxing influence on human beings and we assume that it has a positive influence on pregnant women also.

We try to find out if active listening to music has any influence on physical and mental wellbeing of pregnant women or is there any influence on fear of childbirth, outcome of delivery or mother-baby relationship.

Pregnant women referred to the outpatient clinic because of fear of childbirth have also normal appointments with obstetrician and/or midwife as needed and participating this trial has no influence on those appointments.

Conditions

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Fear of Childbirth

Keywords

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fear of childbirth outcome of delivery music mother-baby relationship

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Fear of childbirth, music

Patients referred to the motherhood out-patient clinic because of fear of childbirth. Advised to active music listening. Followed up by weekly and monthly diaries and three questionnaires (when recruiting, just after the delivery and 6 months after the delivery).

Group Type ACTIVE_COMPARATOR

Music

Intervention Type BEHAVIORAL

Fear of childbirth, control

Patients referred to the motherhood out-patient clinic because of fear of childbirth. No intervention. Followed up by three questionnaires (when recruiting, just after the delivery and 6 months after the delivery).

Group Type NO_INTERVENTION

No interventions assigned to this group

Nulliparous, music

300 nulliparous women recruited from the ultrasound screening. Advised to active music listening. Three questionnaires like the other arms, weekly and monthly diaries like the other music group. Screening questionnaires about fear of childbirth.

Group Type ACTIVE_COMPARATOR

Music

Intervention Type BEHAVIORAL

Nulliparous, control

300 nulliparous women recruited from ultrasound screening. No intervention. 3 Questionnaires as all the other groups. Screening questionnaire about fear of childbirth.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Music

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* fear of childbirth in arms 1 and 2,
* nulliparous in arms 3 and 4

Exclusion Criteria

* not able to answer the questionnaires
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Helsinki University Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Assi Sten

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Terhi Saisto, MD,PhD

Role: STUDY_DIRECTOR

Helsinki University Central Hospital

Assi Sten, MD

Role: PRINCIPAL_INVESTIGATOR

Helsinki University Central Hospital

Locations

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Helsinki University Central Hospital

Helsinki, HUS, Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Assi Sten, MD

Role: CONTACT

Phone: +358504284700

Email: [email protected], [email protected]

Terhi Saisto, MD,PhD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Assi Sten, MD

Role: primary

References

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O'Connell MA, Khashan AS, Leahy-Warren P, Stewart F, O'Neill SM. Interventions for fear of childbirth including tocophobia. Cochrane Database Syst Rev. 2021 Jul 7;7(7):CD013321. doi: 10.1002/14651858.CD013321.pub2.

Reference Type DERIVED
PMID: 34231203 (View on PubMed)

Other Identifiers

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18/2.9.2009, 178/13/03/03/2009

Identifier Type: -

Identifier Source: org_study_id