Coping with Preoperative Anxiety in Cesarean Section: Physiological, Cognitive, and Emotional Effects of Listening to Favorite Music

Jonathan Kushnir, Ahuva Friedman, Mally Ehrenfeld, Talma Kushnir

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Background: Listening to music has a stress-reducing effect in surgical procedures. The effects of listening to music immediately before a cesarean section have not been studied. The objective of this study was to assess the effects of listening to selected music while waiting for a cesarean section on emotional reactions, on cognitive appraisal of the threat of surgery, and on stress-related physiological reactions. Methods: A total of 60 healthy women waiting alone to undergo an elective cesarean section for medical reasons only were randomly assigned either to an experimental or a control group. An hour before surgery they reported mood, and threat perception. Vital signs were assessed by a nurse. The experimental group listened to preselected favorite music for 40 minutes, and the control group waited for the operation without music. At the end of this period, all participants responded to a questionnaire assessing mood and threat perception, and the nurse measured vital signs. Results: Women who listened to music before a cesarean section had a significant increase in positive emotions and a significant decline in negative emotions and perceived threat of the situation when compared with women in the control group, who exhibited a decline in positive emotions, an increase in the perceived threat of the situation, and had no change in negative emotions. Women who listened to music also exhibited a significant reduction in systolic blood pressure compared with a significant increase in diastolic blood pressure and respiratory rate in the control group. Conclusion: Listening to favorite music immediately before a cesarean section may be a cost-effective, emotion-focused coping strategy.

Original languageEnglish
Pages (from-to)121-127
Number of pages7
JournalBirth
Volume39
Issue number2
DOIs
StatePublished - 1 Jun 2012

Keywords

  • Cesarean section
  • Emotion-focused coping
  • Music
  • Preoperative anxiety
  • Vital signs

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