The effect of listening to music with or without patient selection on pain during cesarean section and its contribution to anesthesia technicians

Abstract

OBJECTIVE: To investigate the effect of listening to music of the patient’s own choice and others during cesarean section on the intraoperative pain of the expectant mother and its contribution to the practice of the anesthesia technicians. METHODS: It is a single center, controlled, randomized trial involving 92 patients. During cesarean section, pregnant women in the intervention group listened to music of their own or our choice with headphones on their ears. In the control group, headphones were placed on the patients' ears, but no music was played. Cesarean sections were performed under regional anesthesia. A variety of subjective (visual analog and numerical scale for pain) and objective parameters (heart rate, blood pressure, amount of medication left over from postoperative PCA) were collected during incision and suturing of the skin. RESULTS: No differences were found between the groups in terms of systolic-diastolic blood pressure and heart rate. However, the VAS scores in the group listening to music in the Acemashiran maqam (a melody type in Turkish classical music) were observed to be lower than in the control group (p=0.02). On the other hand, the VAS scores of patients listening to music of their own choice were not found to be different from that of the group listening to music in the Acemashiran maqam or from that of the control group (p>0.05). At the end of the study, the rate of patients’ liking the music preferences was 87.5%, and the rate of the desire to listen to music during the next cesarean section was 93.8%. DISCUSSION: Listening to music reduces patients' pain during cesarean section. Comparisons with the control group showed that the effect of music in the Acemashiran maqam on pain was even more pronounced than the effect of the music of the patient's own choice.

Keywords

• Cesarean section
• Pain
• Music therapy
• Visual analog pain scale

References

1. Referans1. Karabel MP, Demirbaş M, İnci MB. Türkiye’de ve Dünya’da Değişen Sezaryen Sıklığı ve Olası Nedenleri. Sakarya Tıp Dergisi, 2018;7(4): 158-163. doi.org/10.31832/smj.368600
2. Referans2. Özmen Ö, Arslan Z, Ekinci M, Tör İ, Kara D, Karakaya AK. Elektif ve acil sezaryen ameliyatlarında anestezi yönetimimiz: son on yılın retrospektif değerlendirilmesi. Medeniyet Med J. 2016; 31:245-249. doi:10.5222/MMJ.2016.245
3. Referans3. Aslan B, Arıkan M, Gedikli A, Horasanlı E. Gebe Hastalarda Preoperatif Anksiyete Sebepleri ve Değerlendirilmesi: STAI Skorlarının Karşılaştırılmaları. Ortadoğu Tıp Dergisi, 2014;6(3): 129-135.
4. Referans4. Sutton CD, Carvalho B. Optimal Pain Management After Cesarean Delivery. Anesthesiol Clin. 2017;35(1):107-124. doi:10.1016/j.anclin.2016.09.010
5. Referans5. Öztürk D. Sezaryen ile Doğum Yapan Kadınlara Uygulanan Progresif Gevşeme Egzersizleri ve Transkütan Elektriksel Sinir Stimülasyonunun Akut Ağrı, Emzirme Davranışı ve Konfor Düzeyine Etkisi; Randomize Kontrollü Çalışma. Doktora tezi, Hacettepe Üniversitesi, 2019.
6. Referans6. Farzaneh M, Abbasijahromi A, Saadatmand V, Parandavar N, Dowlatkhah HR, Bahmanjahromi A. Comparative Effect of Nature-Based Sounds Intervention and Headphones Intervention on Pain Severity After Cesarean Section: A Prospective Double-Blind Randomized Trial. Anesth Pain Med. 2019;9(2):e67835. Published 2019 Apr 23. doi:10.5812/aapm.67835
7. Referans7. Zimpel SA, Torloni MR, Porfírio GJ, Flumignan RL, da Silva EM.. Complementary and alternative therapies for post-caesarean pain. Cochrane Database Syst Rev. 2020;9:CD011216. Published 2020 Sep 1. doi:10.1002/14651858.CD011216.pub2
8. Referans8. Kühlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg. 2018;105(7):773-783. doi:10.1002/bjs.10853

9. Referans9. Garza-Villarreal EA, Wilson AD, Vase L, Brattico E, Barrios FA, Jensen TS, et al. Music reduces pain and increases functional mobility in fibromyalgia. Front Psychol.2014;5:90. doi:10.3389/fpsyg.2014.00090
10. Referans10. Mitchell LA, MacDonald RA. An experimental investigation of the effects of preferred and relaxing music listening on pain perception. J Music Ther. 2006;43(4):295-316. doi:10.1093/jmt/43.4.295
11. Referans11. Korhan EA, Uyar M, Eyigör C, Hakverdioğlu Yönt G, Çelik S, Khorshıd L. The effects of music therapy on pain in patients with neuropathic pain. Pain Manag Nurs. 2014;15(1):306-314. doi:10.1016/j.pmn.2012.10.006
12. Referans12. Lu X, Thompson WF, Zhang L, Hu L. Music Reduces Pain Unpleasantness: Evidence from an EEG Study. J Pain Res. 2019;12:3331-3342. doi:10.2147/JPR.S212080
13. Referans13. Salimpoor VN, Benovoy M, Larcher K, Dagher A, Zatorre RJ. Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nat Neurosci. 2011;14(2):257-262. doi:10.1038/nn.2726
14. Referans14. Dobek CE, Beynon ME, Bosma RL, Stroman PW. Music modulation of pain perception and pain-related activity in the brain, brain stem, and spinal cord: a functional magnetic resonance imaging study. J Pain. 2014;15(10):1057-1068. doi:10.1016/j.jpain.2014.07.006
15. Referans15. Birkan ZI. Müzikle tedavi, tarihi gelişimi ve uygulamaları. Ankara Akupunktur ve tamamlayıcı tıp dergisi. 2014;2(1):37-49
16. Referans16. Güvenç OR. Eski Türklerde Müzik ile Tedavi. Türkler. 1. Baskı, Cilt 3. Güzel HC (Ed), Çiçek K (Ed), Ankara: Yeni Türkiye Yayınları, 2002; s. 460-467.
17. Referans17. Selçuk K, Kolbaşı G. Anksiyete düzeyi yüksek bireylerde sufi müzik ve gregoryan müziğin rahatlama üzerine etkilerinin karşılaştırılması. Gevher Nesıbe Journal.2021;11:74-78. doi.org/10.46648/gnj
18. Referans18. Young JO. How Classical Music is Better than Popular Music. Philosophy. 2016;91(4):523-540. doi:10.1017/S0031819116000334
19. Referans19. Gokyildiz Surucu S, Ozturk M, Avcibay Vurgec B, Alan S, Akbas M. The effect of music on pain and anxiety of women during labour on first time pregnancy: A study from Turkey. Complement Ther Clin Pract. 2018; 30:96-102. doi:10.1016/j.ctcp.2017.12.015
20. Referans20. Kurdi MS, Gasti V. Intraoperative Meditation Music as an Adjunct to Subarachnoid Block for the Improvement of Postoperative Outcomes Following Cesarean Section: A Randomized Placebo-controlled Comparative Study. Anesth Essays Res. 2018;12(3):618-624. doi:10.4103/aer.AER_114_18
21. Referans21. Diri MA, Çetinkaya F, Gül M. The Effects of Listening to Music on Anxiety, Pain, and Satisfaction during Urodynamic Study: A Randomized Controlled Trial. Urol Int. 2019;103(4):444-449. doi:10.1159/000502298
22. Referans22. Drzymalski DM, Lumbreras-Marquez MI, Tsen LC, Camann WR, Farber MK. The effect of patient-selected or preselected music on anxiety during cesarean delivery: a randomized controlled trial. J Matern Fetal Neonatal Med. 2020;33(24):4062-4068. doi:10.1080/14767058.2019.1594766
23. Referans23. Fu VX, Oomens P, Klimek M, Verhofstad MHJ, Jeekel J. The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay: A Meta-analysis. Ann Surg. 2020;272(6):961-972. doi:10.1097/SLA.0000000000003506
24. Referans24. Sen H, Yanarateş O, Sızlan A, Kılıç E, Ozkan S, Dağlı G. The efficiency and duration of the analgesic effects of musical therapy on postoperative pain. Ağrı. 2010;22(4):145-150.
25. Referans25. Hepp P, Hagenbeck C, Gilles J, Wolf OT, Goertz W, Janni W, et al. Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study. BMC Pregnancy Childbirth. 2018;18(1):435. Published 2018 Nov 3. doi:10.1186/s12884-018-2069-6
26. Referans26. Handan E, Sahiner NC, Bal MD, Dissiz M. Effects of Music during Multiple Cesarean Section Delivery. J Coll Physicians Surg Pak. 2018;28(3):247-249. doi:10.29271/jcpsp.2018.03.247
27. Referans27. Ikonomidou E, Rehnström A, Naesh O. Effect of music on vital signs and postoperative pain. AORN J. 2004;80(2):269-278. doi:10.1016/s0001-2092(06)60564-4
28. Referans28. Kushnir J, Friedman A, Ehrenfeld M, Kushnir T. Coping with preoperative anxiety in cesarean section: physiological, cognitive, and emotional effects of listening to favorite music. Birth. 2012;39(2):121-127. doi:10.1111/j.1523-536X.2012.00532.x
29. Referans29. Polascik BA, Tan DJA, Raghunathan K, Kee HM, Lee A, Sng BL, et al. Acceptability and Feasibility of Perioperative Music Listening: A Rapid Qualitative Inquiry Approach. J Music Ther. 2021;58(1):43-69. doi:10.1093/jmt/thaa014
30. Referans30. Sármány J, Kálmán R, Staud D, Salacz G. A zene szerepe a szemészeti mutoben [Role of the music in the operating theatre]. Orv Hetil. 2006;147(20):931-936.