Research Article
BibTex RIS Cite

Müzi̇ği̇n Postpartum Dönemdeki̇ Anneni̇n Kaygı Durumuna ve Emzi̇rme Başarısına Etkisi: Randomize Kontrollü Bir Çalışma

Year 2025, Volume: 8 Issue: 3, 223 - 228, 29.09.2025
https://doi.org/10.62425/esbder.1626122

Abstract

Amaç: Bu çalışma müziğin postpartum dönemdeki annenin kaygı durumuna ve emzirme başarısına etkisini değerlendirmek amacıyla yapıldı.

Gereç ve Yöntem: Çalışma Ocak – Haziran 2023 tarihlerinde İstanbul’daki bir eğitim ve araştırma hastanesinin yenidoğan yoğun bakım ünitesinde yürütüldü. Deney (n=34) ve kontrol grubuna (n=34) anneler rastgele seçim yöntemiyle atandı. Veriler; Kişisel Bilgi Formu, Spielberg Durumluk Kaygı Envanteri ve LATCH Emzirme Tanılama Ölçeği kullanılarak toplandı. Deney grubuna 4 gün boyunca, günde 2 kez, emzirme öncesi 15 dakika ve emzirme esnasında 15 dakika olmak üzere toplam 30 dakika, Türk müzik makamlarından Neva Makamı dinletildi. Kontrol grubundaki anneler ise müziksiz rutin bakım aldı.

Bulgular: Deney ve kontrol grupların öntest kaygı ve emzirme başarısı puanları arasında anlamlı farklılık yoktu (p>0,05). Deney grubunun son test durumluk kaygı puanları kontrol grubuna göre anlamlı olarak düşüktü (p<0,001). Deney grubunun son test emzirme başarı puanları kontrol grubuna göre anlamlı olarak yüksekti (p<0,001).

Sonuç: Bu araştırmada, Türk müziğinin postpartum dönemdeki annelerin kaygı durumunu azalttığı ve emzirme başarısını artırdığı belirlendi. Müzik müdahalesinin, Hemşire/Ebeler tarafından postpartum bakım planlarına entegre edilmesi anne ve bebek sağlığını geliştirecektir. Müzik müdahalesinin lisans müfredatına eklenmesi, maliyet etkin, kolay uygulanabilir ve yan etkisiz bir yaklaşım olarak büyük önem taşımaktadır.

References

  • Bernatzky, G., Presch, M., Anderson, M., & Panksepp, J. (2011). Emotional foundations of music as a non-pharmacological pain management tool in modern medicine. In Neuroscience and Biobehavioral Reviews 35(9), 1990-1999. doi.org/10.1016/j.neubiorev.2011.06.005
  • Bonacquisti, A., Geller, P. A., & Patterson, C. A. (2020). Maternal depression, anxiety, stress, and maternal-infant attachment in the neonatal intensive care unit. Journal of Reproductive and Infant Psychology, 38(3), 297-310. doi.org/10.1080/02646838.2019.1695041
  • Çoşar Çetin, F., Tan, A., & Doğan Merih, Y. (2017). The effects of Turkish music on pregnancy and newborn. Zeynep Kamil Tıp Bülteni, 48(3),124-130. doi.org/10.16948/zkti
  • Dağli, E., & Çelik, N. (2022). The effect of oxytocin massage and music on breast milk production and anxiety level of the mothers of premature infants who are in the neonatal intensive care unit: A self-controlled trial. Health Care for Women International, 43(5), 465-478. doi.org/10.1080/07399332.2021.1947286
  • Domínguez-Solís, E., Lima-Serrano, M., & Lima-Rodríguez, J. S. (2021). Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery (102), 1-10. doi.org/10.1016/j.midw.2021.103126
  • Düzgün, M. V., & Özer, Z. (2020). The effects of music ıntervention on breast milk production in breastfeeding mothers: A systematic review and meta-analysis of randomized controlled trials. In Journal of Advanced Nursing 76(12), 3307-3316. doi.org/10.1111/jan.14589
  • Gerçek, E., Sarıkaya Karabudak, S., Ardıç Çelik, N., & Saruhan, A. (2017). The relationship between breastfeeding self-efficacy and LATCH scores and affecting factors. Journal of Clinical Nursing, 26(7–8), 994-1994. doi.org/10.1111/jocn.13423
  • Hakimi, S., Hajizadeh, K., Hasanzade, R., & Ranjbar, M. (2021). A Systematic Review and Meta-analysis of the Effects of Music Therapy on Postpartum Anxiety and Pain Levels. In Journal of Caring Sciences 10(4), 230-237. doi.org/10.34172/jcs.2021.033
  • Jayamala, A. K., Lakshmanagowda, P. B., Pradeep, G. C. M., & Goturu, J. (2015). Impact of music therapy on breast milk secretion in mothers of premature newborns. Journal of Clinical and Diagnostic Research, 9(4), 4-6. 10.7860/JCDR/2015/11642.5776
  • Ji, C., Zhao, J., Nie, Q., & Wang, S. (2024). The role and outcomes of music therapy during pregnancy: a systematic review of randomized controlled trials. In Journal of Psychosomatic Obstetrics and Gynecology 45(1), 1-10.doi.org/10.1080/0167482X.2023.2291635
  • Karakoyunlu, Ö., Ejder Apay, S., & Gürol, A. (2019). The effect of pain, stress, and cortisol during labor on breastfeeding success. Developmental Psychobiology, 61(7), 979-987. doi.org/10.1002/dev.21873
  • Keith, D. R., Weaver, B. S., & Vogel, R. L. (2012). The effect of music-based listening interventions on the volume, fat content, and caloric content of breast milk-produced by mothers of premature and critically ill infants. Advances in Neonatal Care, 12(2), 112-119. doi.org/10.1097/ANC.0b013e31824d9842
  • Kohn, M.M. (2019). Music elements addressing selected physiological breastfeeding challenges: A systematic review. (Doctoral dissertation, North-West University).1-205.
  • Kostilainen, K., Mikkola, K., Erkkilä, J., & Huotilainen, M. (2021). Effects of maternal singing during kangaroo care on maternal anxiety, wellbeing, and mother-infant relationship after preterm birth:a mixed methods study. Nordic Journal of Music Therapy, 30(4), 357-376. doi.org/10.1080/08098131.2020.1837210
  • Midya, V., Valla, J., Balasubramanian, H., Mathur, A., & Singh, N. C. (2019). Cultural differences in the use of acoustic cues for musical emotion experience. PLoS ONE, 14(9), e0222380. doi.org/10.1371/journal.pone.0222380
  • Oner, N., & LeCompte, A. (1983). Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı (1st ed., Vol. 1). Boğaziçi Üniversitesi Yayınları.
  • Ribeiro, M., Alcântara-Silva, T., Oliveria, J. C. M., Paula, T. C., Dutra, J. B. R., Pedrino, G. R., Simões, K., Sousa, R. B., & Rebelo, A. C. S. (2018). Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial. BMC Psychology 6(57), 2-10. https://link.springer.com/article/10.1186/s40359-018-0271-y
  • Robb, S. L., Carpenter, J. S., & Burns, D. S. (2011). Reporting guidelines for music-based interventions. In Journal of Health Psychology, 16(2), 342-352. doi.org/10.1177/1359105310374781
  • Shimada, B. M. O., Da Silva Oliveira Menezes Dos Santos, M., Cabral, M. A., Silva, V. O., & Vagetti, G. C. (2021). Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review. In Revista Brasileira de Ginecologia e Obstetricia, 43(5), 403-413. doi.org/10.1055/s-0041-1731924
  • Somakci, P. (2003). Music therapy among Turks. In Erciyes Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 1(15), 131-140.
  • Toker, E., Demirel, G., Doganer, A., & Karakucuk, S. (2021). Effects of Turkish Classical Music on Postpartum Pain and Anxiety in Cesarean Deliveries: A Randomized Controlled Trial. Alternative Therapies in Health and Medicine, 27(S1),120-127.
  • Tseng, Y. F., Chen, C. H., & Lee, C. C. S. (2010). Effects of listening to music on postpartum stress and anxiety levels. Journal of Clinical Nursing, 19(7–8), 1049-1055.doi.org/10.1111/j.1365-2702.2009.02998.x
  • Varişoǧlu, Y., & Güngör Satilmiş, I. (2020). The Effects of Listening to Music on Breast Milk Production by Mothers of Premature Newborns in the Neonatal Intensive Care Unit: A Randomized Controlled Study. Breastfeeding Medicine, 15(7), 465–470.doi.org/10.1089/bfm.2020.0027
  • Yang, W. jiao, Bai, Y. mei, Qin, L., Xu, X. lan, Bao, K. fang, Xiao, J. ling, & Ding, G. wu. (2019). The effectiveness of music therapy for postpartum depression: A systematic review and meta-analysis. In Complementary Therapies in Clinical Practice, (37), 93-101. doi.org/10.1016/j.ctcp.2019.09.002
  • Yenal, K., Aluş Tokat, M., Durgun Ozan, Y., Çeçe, Ö., & Bakilan Abalin, F. (2013). Annelerin Emzirme Öz-yeterlilik Algıları İle Emzirme Başarıları Arasındaki İlişkinin İncelenmesi the relation between breastfeeding Self-efficacy and breastfeeding Success in Mothers, 10(2), 14-19.

The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study

Year 2025, Volume: 8 Issue: 3, 223 - 228, 29.09.2025
https://doi.org/10.62425/esbder.1626122

Abstract

Objective: This study was conducted to evaluate the effect of Turkish music on maternal anxiety and breastfeeding success in the postpartum period.
Methods: The study was carried out between January and June 2023 at the neonatal intensive care unit (NICU) of a research and training hospital in Istanbul. Mothers were randomly assigned to the experimental group (n=34) and the control group (n=34). Data were collected using the Personal Information Form, the Spielberger State-Trait Anxiety Inventory, and the LATCH Breastfeeding assessment Scale. The experimental group listened to 30 minutes of 'Neva' makam, a mode from Turkish classical music, for 4 consecutive days, with 15 minutes before breastfeeding and 15 minutes during breastfeeding, twice a day. The control group received routine care without music.
Results: There were no significant differences in the pre-test anxiety and breastfeeding success scores between the experimental and control groups (p>.05). The post-test state anxiety scores in the experimental group were significantly lower compared to the control group (p<.001). The post-test breastfeeding success scores of the experimental group were significantly higher than the control group (p<.001).
Conclusion: This research found that Turkish music reduced maternal anxiety and increased breastfeeding success in the postpartum period. Integrating music interventions into postpartum care plans by both nurses and midwives can enhance maternal and infant health. It is recommended that music interventions be included in undergraduate curricula to facilitate their implementation in clinical practice.

References

  • Bernatzky, G., Presch, M., Anderson, M., & Panksepp, J. (2011). Emotional foundations of music as a non-pharmacological pain management tool in modern medicine. In Neuroscience and Biobehavioral Reviews 35(9), 1990-1999. doi.org/10.1016/j.neubiorev.2011.06.005
  • Bonacquisti, A., Geller, P. A., & Patterson, C. A. (2020). Maternal depression, anxiety, stress, and maternal-infant attachment in the neonatal intensive care unit. Journal of Reproductive and Infant Psychology, 38(3), 297-310. doi.org/10.1080/02646838.2019.1695041
  • Çoşar Çetin, F., Tan, A., & Doğan Merih, Y. (2017). The effects of Turkish music on pregnancy and newborn. Zeynep Kamil Tıp Bülteni, 48(3),124-130. doi.org/10.16948/zkti
  • Dağli, E., & Çelik, N. (2022). The effect of oxytocin massage and music on breast milk production and anxiety level of the mothers of premature infants who are in the neonatal intensive care unit: A self-controlled trial. Health Care for Women International, 43(5), 465-478. doi.org/10.1080/07399332.2021.1947286
  • Domínguez-Solís, E., Lima-Serrano, M., & Lima-Rodríguez, J. S. (2021). Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery (102), 1-10. doi.org/10.1016/j.midw.2021.103126
  • Düzgün, M. V., & Özer, Z. (2020). The effects of music ıntervention on breast milk production in breastfeeding mothers: A systematic review and meta-analysis of randomized controlled trials. In Journal of Advanced Nursing 76(12), 3307-3316. doi.org/10.1111/jan.14589
  • Gerçek, E., Sarıkaya Karabudak, S., Ardıç Çelik, N., & Saruhan, A. (2017). The relationship between breastfeeding self-efficacy and LATCH scores and affecting factors. Journal of Clinical Nursing, 26(7–8), 994-1994. doi.org/10.1111/jocn.13423
  • Hakimi, S., Hajizadeh, K., Hasanzade, R., & Ranjbar, M. (2021). A Systematic Review and Meta-analysis of the Effects of Music Therapy on Postpartum Anxiety and Pain Levels. In Journal of Caring Sciences 10(4), 230-237. doi.org/10.34172/jcs.2021.033
  • Jayamala, A. K., Lakshmanagowda, P. B., Pradeep, G. C. M., & Goturu, J. (2015). Impact of music therapy on breast milk secretion in mothers of premature newborns. Journal of Clinical and Diagnostic Research, 9(4), 4-6. 10.7860/JCDR/2015/11642.5776
  • Ji, C., Zhao, J., Nie, Q., & Wang, S. (2024). The role and outcomes of music therapy during pregnancy: a systematic review of randomized controlled trials. In Journal of Psychosomatic Obstetrics and Gynecology 45(1), 1-10.doi.org/10.1080/0167482X.2023.2291635
  • Karakoyunlu, Ö., Ejder Apay, S., & Gürol, A. (2019). The effect of pain, stress, and cortisol during labor on breastfeeding success. Developmental Psychobiology, 61(7), 979-987. doi.org/10.1002/dev.21873
  • Keith, D. R., Weaver, B. S., & Vogel, R. L. (2012). The effect of music-based listening interventions on the volume, fat content, and caloric content of breast milk-produced by mothers of premature and critically ill infants. Advances in Neonatal Care, 12(2), 112-119. doi.org/10.1097/ANC.0b013e31824d9842
  • Kohn, M.M. (2019). Music elements addressing selected physiological breastfeeding challenges: A systematic review. (Doctoral dissertation, North-West University).1-205.
  • Kostilainen, K., Mikkola, K., Erkkilä, J., & Huotilainen, M. (2021). Effects of maternal singing during kangaroo care on maternal anxiety, wellbeing, and mother-infant relationship after preterm birth:a mixed methods study. Nordic Journal of Music Therapy, 30(4), 357-376. doi.org/10.1080/08098131.2020.1837210
  • Midya, V., Valla, J., Balasubramanian, H., Mathur, A., & Singh, N. C. (2019). Cultural differences in the use of acoustic cues for musical emotion experience. PLoS ONE, 14(9), e0222380. doi.org/10.1371/journal.pone.0222380
  • Oner, N., & LeCompte, A. (1983). Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı (1st ed., Vol. 1). Boğaziçi Üniversitesi Yayınları.
  • Ribeiro, M., Alcântara-Silva, T., Oliveria, J. C. M., Paula, T. C., Dutra, J. B. R., Pedrino, G. R., Simões, K., Sousa, R. B., & Rebelo, A. C. S. (2018). Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial. BMC Psychology 6(57), 2-10. https://link.springer.com/article/10.1186/s40359-018-0271-y
  • Robb, S. L., Carpenter, J. S., & Burns, D. S. (2011). Reporting guidelines for music-based interventions. In Journal of Health Psychology, 16(2), 342-352. doi.org/10.1177/1359105310374781
  • Shimada, B. M. O., Da Silva Oliveira Menezes Dos Santos, M., Cabral, M. A., Silva, V. O., & Vagetti, G. C. (2021). Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review. In Revista Brasileira de Ginecologia e Obstetricia, 43(5), 403-413. doi.org/10.1055/s-0041-1731924
  • Somakci, P. (2003). Music therapy among Turks. In Erciyes Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 1(15), 131-140.
  • Toker, E., Demirel, G., Doganer, A., & Karakucuk, S. (2021). Effects of Turkish Classical Music on Postpartum Pain and Anxiety in Cesarean Deliveries: A Randomized Controlled Trial. Alternative Therapies in Health and Medicine, 27(S1),120-127.
  • Tseng, Y. F., Chen, C. H., & Lee, C. C. S. (2010). Effects of listening to music on postpartum stress and anxiety levels. Journal of Clinical Nursing, 19(7–8), 1049-1055.doi.org/10.1111/j.1365-2702.2009.02998.x
  • Varişoǧlu, Y., & Güngör Satilmiş, I. (2020). The Effects of Listening to Music on Breast Milk Production by Mothers of Premature Newborns in the Neonatal Intensive Care Unit: A Randomized Controlled Study. Breastfeeding Medicine, 15(7), 465–470.doi.org/10.1089/bfm.2020.0027
  • Yang, W. jiao, Bai, Y. mei, Qin, L., Xu, X. lan, Bao, K. fang, Xiao, J. ling, & Ding, G. wu. (2019). The effectiveness of music therapy for postpartum depression: A systematic review and meta-analysis. In Complementary Therapies in Clinical Practice, (37), 93-101. doi.org/10.1016/j.ctcp.2019.09.002
  • Yenal, K., Aluş Tokat, M., Durgun Ozan, Y., Çeçe, Ö., & Bakilan Abalin, F. (2013). Annelerin Emzirme Öz-yeterlilik Algıları İle Emzirme Başarıları Arasındaki İlişkinin İncelenmesi the relation between breastfeeding Self-efficacy and breastfeeding Success in Mothers, 10(2), 14-19.
There are 25 citations in total.

Details

Primary Language English
Subjects Models of Care and Place of Birth, Clinical Midwifery
Journal Section Articles
Authors

Beyza Nur Ayten 0009-0009-2752-2179

Neriman Çağlayan Keleş 0000-0002-4607-2400

Publication Date September 29, 2025
Submission Date January 24, 2025
Acceptance Date August 13, 2025
Published in Issue Year 2025 Volume: 8 Issue: 3

Cite

APA Ayten, B. N., & Çağlayan Keleş, N. (2025). The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study. Journal of Midwifery and Health Sciences, 8(3), 223-228. https://doi.org/10.62425/esbder.1626122
AMA Ayten BN, Çağlayan Keleş N. The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study. Journal of Midwifery and Health Sciences. September 2025;8(3):223-228. doi:10.62425/esbder.1626122
Chicago Ayten, Beyza Nur, and Neriman Çağlayan Keleş. “The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study”. Journal of Midwifery and Health Sciences 8, no. 3 (September 2025): 223-28. https://doi.org/10.62425/esbder.1626122.
EndNote Ayten BN, Çağlayan Keleş N (September 1, 2025) The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study. Journal of Midwifery and Health Sciences 8 3 223–228.
IEEE B. N. Ayten and N. Çağlayan Keleş, “The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study”, Journal of Midwifery and Health Sciences, vol. 8, no. 3, pp. 223–228, 2025, doi: 10.62425/esbder.1626122.
ISNAD Ayten, Beyza Nur - Çağlayan Keleş, Neriman. “The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study”. Journal of Midwifery and Health Sciences 8/3 (September2025), 223-228. https://doi.org/10.62425/esbder.1626122.
JAMA Ayten BN, Çağlayan Keleş N. The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study. Journal of Midwifery and Health Sciences. 2025;8:223–228.
MLA Ayten, Beyza Nur and Neriman Çağlayan Keleş. “The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study”. Journal of Midwifery and Health Sciences, vol. 8, no. 3, 2025, pp. 223-8, doi:10.62425/esbder.1626122.
Vancouver Ayten BN, Çağlayan Keleş N. The Effect of Turkish Music on Maternal Anxiety and Breastfeeding Success in the Postpartum Period: A Randomized Controlled Experimental Study. Journal of Midwifery and Health Sciences. 2025;8(3):223-8.

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

2992931409