Intraoperative Meditation Music as an Adjunct to Subarachnoid Block for the Improvement of Postoperative Outcomes Following Cesarean Section: A Randomized Placebo-controlled Comparative Study.
Madhuri S Kurdi, Vinod Gasti
Anesthesia, essays and researches 2018 DOI: 10.4103/aer.aer_114_18 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Placebo-controlled Peer reviewed |
|---|---|
| Sample size | 189 |
| Population | Women aged over 18 years with American Society of Anaesthesiologists physical status classes 1E and 2E undergoing emergency cesarean section under spinal anesthesia |
| Interventions | Soothing meditation music Binaural beat meditation music |
| Topics | Anxiety Meditation |
| Keywords | Music therapy Nausea Pain Postoperative Vomiting |
| Key findings | Both intraoperative meditation music groups (soothing meditation music and binaural beat meditation music) had significantly less postoperative pain and anxiety and better overall psychological wellbeing than the control group. There was no significant difference in postoperative nausea and vomiting across groups. The authors conclude that intraoperative meditation music is a good adjunct to spinal anesthesia for improving the cesarean section recovery experience. |
Abstract
Music therapy is a nonpharmacological modality which can provide promising results for postcesarean section recovery. The aim of this study was to compare the effects of two types of intraoperative meditation music with control group on postcesarean section pain, anxiety, nausea, vomiting, and psychological maternal wellbeing. A prospective, randomized, controlled study was conducted on 189 patients. The inclusion criteria were the American Society of Anaesthesiologists physical status classes 1E and 2E women aged over 18 years posted for emergency cesarean section under spinal anesthesia. The exclusion criteria were patients with hearing/ear abnormalities and psychiatric disorders. Patients were randomly allocated into three groups - soothing meditation music (M) group, binaural beat meditation music (B) group, and control (C) group - where no music was played. After intervention, data were collected and statistically analyzed. Student's t-test was applied for calculation of normative distribution and Mann-Whitney U-test for nonnormative distribution. Nominal categorical data between the groups were compared using Chi-squared test. P <0.05 indicated a statistically significant difference. Both intraoperative meditation music groups had statistically significant less postoperative pain and anxiety and a better overall psychological wellbeing as compared to the control. There was no statistically significant difference in the occurrence and severity of postoperative nausea and vomiting across all three groups. Intraoperative meditation music as good adjunct to spinal anesthesia can improve a cesarean section patient's postoperative experience by reducing postoperative pain, anxiety, and psychological wellbeing.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |