Impact of Music on Satisfaction, Anxiety, and Hemodynamics During Spinal Anesthesia for Cesarean Delivery
Perioperative Music for Patients Undergoing Scheduled Cesarean Delivery: Impact on Satisfaction, Anxiety, and Hemodynamic Response to Spinal Anesthesia
1 other identifier
interventional
150
1 country
1
Brief Summary
The aim of this study is to evaluate the effect of perioperative music on maternal anxiety, hemodynamic response to spinal anesthesia, postoperative pain medication requirement, and overall maternal satisfaction. Investigators hypothesize that women exposed to perioperative music will have greater overall satisfaction with the delivery experience. Investigators also hypothesize that perioperative music will lower anxiety levels of women having a scheduled cesarean delivery, result in a less profound degree of spinal-induced hypotension prior to cesarean delivery, and result in a lower requirement of analgesics postpartum.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable anxiety
Started Nov 2015
Typical duration for not_applicable anxiety
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
April 1, 2016
CompletedFirst Posted
Study publicly available on registry
April 11, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2017
CompletedOctober 30, 2017
October 1, 2017
10 months
April 1, 2016
October 26, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
maternal anxiety level, VAS
assessed by VAS questionnaire
prior to surgery
maternal anxiety level, VAS
assessed by VAS questionnaire
30 minutes after surgery
Secondary Outcomes (11)
Change in maternal blood pressure after spinal anesthesia induction , compared to baseline blood pressure
within 30 minutes of spinal placement
maternal anxiety level, STAI
prior to surgery
maternal anxiety level, STAI
30 minutes after surgery
Overall patient satisfaction, questionnaire
prior to surgery
Overall patient satisfaction, questionnaire
30 minutes after surgery
- +6 more secondary outcomes
Study Arms (3)
Control
NO INTERVENTIONbaseline hemodynamics and anxiety screen; no music
Pandora Music
EXPERIMENTALA study investigator will create a station in the Pandora® music application based on the patient's preferred music genre or artist.
Mozart Music
EXPERIMENTALA study investigator will turn on a playlist of pre-selected Mozart music.
Interventions
Patients enrolled will be exposed to Pandora music for 30 minutes prior to their spinal anesthesia and cesarean delivery, and throughout their surgery.
Patients enrolled will be exposed to Mozart music for 30 minutes prior to their spinal anesthesia and cesarean delivery, and throughout their surgery.
Eligibility Criteria
You may qualify if:
- pregnant women
- years or older
- scheduled for elective cesarean delivery under spinal anesthesia.
You may not qualify if:
- absolute contraindications of neuraxial anesthesia including patient refusal
- uncorrected coagulopathy
- infection at the skin site of epidural placement
- increased intracranial pressure, or untreated hemodynamic instability.
- Patients in active labor, with impaired hearing, or who do not want to participate in the study will also be excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Related Publications (1)
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 Dec;33(24):4062-4068. doi: 10.1080/14767058.2019.1594766. Epub 2019 Mar 27.
PMID: 30880522DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 1, 2016
First Posted
April 11, 2016
Study Start
November 1, 2015
Primary Completion
September 1, 2016
Study Completion
October 1, 2017
Last Updated
October 30, 2017
Record last verified: 2017-10
Data Sharing
- IPD Sharing
- Will not share