The effects of Iranian traditional music on cervical dilation and labor progress in the active stage of term pregnancy: A nonrandomized controlled trial

Author:

Jahromi Athar Rasekh1ORCID,Rahmanian Vahid2ORCID,Kiani Fatemeh3,Ansari Asra4ORCID,Taghipour Nikta3

Affiliation:

1. Department of Obstetrics and Gynecology Jahrom University of Medical Sciences Jahrom Iran

2. Department of Public Health Torbat Jam Faculty of Medical Sciences Torbat Jam Iran

3. Student Research Committee Jahrom University of Medical Sciences Jahrom Iran

4. Developmental Cell Biology Larestan University of Medical Sciences Larestan Iran

Abstract

AbstractBackground and AimsChildbirth is a multifaceted and distressing event that can profoundly affect mothers' psychological and physical well‐being. Noninvasive interventions like music therapy have been explored to improve labor outcomes by decreasing pain and anxiety levels, promoting relaxation, and enhancing maternal–fetal health. This study aimed to investigate the effect of Iranian traditional music on cervical dilation and labor progress in the active stage of term pregnancy.MethodsThis study was a nonrandomized controlled trial that included pregnant women between 20 and 35, with a gravidity of two or three. Participants were assigned to either the intervention group, which received traditional Iranian music therapy during labor, or the control group, which received routine care without the music intervention. The primary outcome was the effect of music therapy on cervical dilation from 4 cm to full dilation (10 cm) during term pregnancy. The secondary outcomes included changes in fetal heart rate, maternal anxiety, and pain scores before and after the intervention. Statistical analyses were performed using appropriate methods, and the results were reported using descriptive and inferential statistics.ResultsThe mean age of the intervention group was 28.32 ± 6.13 years, and that of the control group was 28.31 ± 3.47 years (p = 0.890). The median duration of labor was not significantly different during the active stage, with 120 min in the intervention group and 137 min in the control group (p = 0.505). However, significant differences were observed in fetal heart rate, anxiety score, and pain score changes before and after the intervention between the two groups (p < 0.05).ConclusionUsing traditional Iranian music therapy as a noninvasive intervention during labor can potentially improve maternal and fetal outcomes by reducing anxiety and pain perception. Further research is needed to explore the potential benefits of traditional music therapy in clinical settings.

Publisher

Wiley

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