Dataset Information

Effects of Benson Relaxation Technique and Music Therapy on the Anxiety of Primiparous Women Prior to Cesarean Section: A Randomized Controlled Trial.

ABSTRACT:

Background and aims

Primiparous women experience high levels of anxiety before cesarean section. Therefore, this research aimed to investigate the effects of the Benson Relaxation Technique (BRT) and Music Therapy (MT) on the anxiety of primiparous women prior to cesarean section.

Methods

A randomized controlled trial was carried out on 105 women scheduled for cesarean section. They were randomly assigned into three groups: BRT, MT, and control (n = 35 per group). The women in the BRT and MT groups performed exercises and listened to music, respectively, for 20 minutes prior to cesarean section. The State Anxiety Inventory was used to measure the women's anxiety in the groups before and after the intervention.

Results

Within-group comparisons showed that the women in the BRT (t = 5.61, p < 0.001, effect size (Cohen's d) = 0.94) and MT (t = 3.83, p = 0.001, d = 0.64) groups had significantly lower anxiety after the interventions compared to before the interventions. Also, between-group comparisons revealed that anxiety after the intervention was significantly lower in the BRT and MT groups compared to the control group (p = 0.007).

Conclusions

Although both of the BRT and MT helped with the reduction of anxiety among primiparous women before cesarean section, the BRT was shown more effective. These nonpharmacologic methods are safe and cost-effective and can improve well-being among women undergoing this invasive procedure. They can be used along with pharmacologic methods for reducing overreliance on medications.

SUBMITTER: Abarghoee SN

PROVIDER: S-EPMC9803568 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

Effects of Benson Relaxation Technique and Music Therapy on the Anxiety of Primiparous Women Prior to Cesarean Section: A Randomized Controlled Trial.

Abarghoee Sedigheh Nosrati SN Mardani Abbas A Baha Robabe R Aghdam Nasrin Fadaee NF Khajeh Mahboobeh M Eskandari Fatemeh F Vaismoradi Mojtaba M

Anesthesiology research and practice 20221223

<h4>Background and aims</h4>Primiparous women experience high levels of anxiety before cesarean section. Therefore, this research aimed to investigate the effects of the Benson Relaxation Technique (BRT) and Music Therapy (MT) on the anxiety of primiparous women prior to cesarean section.<h4>Methods</h4>A randomized controlled trial was carried out on 105 women scheduled for cesarean section. They were randomly assigned into three groups: BRT, MT, and control (<i>n</i> = 35 per group). The women ...[more]

PMID: 36589598

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Project description:IntroductionWomen living with overweight, or obesity are at risk of pregnancy and birth complications. This study investigated the trend and associations between overweight and obesity on cesarean births and their contribution to cesarean births among low-risk primiparous women in Australia.Material and methodsBody mass index data were obtained for 219, 950 primipara (aged 20─34 years) with singleton, term pregnancies without malpresentations from the Victorian Perinatal Data Collection registry (2010─2019). Women were grouped according to body mass index and logistic regression analyses were performed to assess the trend and associations of overweight and obesity with cesarean births. The contribution of overweight and obesity to cesarean births were estimated using population attributable fraction.ResultsThe prevalence of cesarean birth was 29.7%, and the prevalence increased by 20%, from 27.6% in 2010 to 33.2% in 2019. Being overweight or obese was independently associated with an increased likelihood of cesarean births in the overall sample (adjusted OR (AOR) 1.46; 95% CI 1.42-1.50 and AOR 2.05, 95% CI 1.98-2.11, respectively). However, overweight was not an independent risk factor when the analysis was limited to elective cesarean births. Induction of labor was significantly higher among women who were overweight (AOR 1.38; 95% CI 1.35-2.42), or obese (AOR 2.18 95% CI 2.12-2.25). The combined overweight and obesity contributed to 14.8% of cesarean births but the increasing trend of cesarean births was not explained solely by changes in overweight or obesity rates.ConclusionsObesity and overweight, combined, are responsible for a significant proportion of cesarean births. However, overweight and obesity alone do not provide enough insight into the increasing trend of cesarean birth. While further investigation of potential contributors is needed, initiatives to reduce cesarean births in Australia may benefit better by including measures, such as health education to prevent overweight and obesity prior to conception.

Project description:BackgroundThe emotional strains associated with impending cesarean sections pose significant challenges for primigravida women, potentially exacerbating anxiety levels and impacting overall well-being. Virtual reality (VR) technology has emerged as a nonpharmacological method for reducing preoperative anxiety.ObjectivesThis study aims to investigate the effectiveness of VR in reducing preoperative anxiety in primigravida women undergoing cesarean sections.DesignThis is a quasi-experimental study involving 38 first-time pregnant participants undergoing cesarean surgery.MethodIn this study, 38 first-time pregnant women undergoing cesarean surgery were divided into two groups: an intervention group (n = 19) and a control group (n = 19). The intervention group watched a VR video depicting various aspects of cesarean delivery, while the control group received no intervention and was instructed to consult their doctors or medical centers for information. Anxiety levels were assessed using the APAIS questionnaire before and after the intervention. Data analysis was performed using SPSS 25, including statistical tests like chi-square, Mann-Whitney, Wilcoxon, and logistic regression.ResultsThe intervention group experienced a significant reduction on average anxiety scores (11.63 ± 4.16) compared to the control group (14.78 ± 3.18) following the intervention. Within the intervention group, there was a statistically significant decrease in anxiety levels before and after the intervention (p < 0.05), indicating that the VR video intervention effectively reduced preoperative anxiety in pregnant women. Furthermore, there was a significant difference in anxiety levels between the control and intervention groups after the intervention (p = 0.02), whereas such a difference was not observed before the intervention (p = 0.21).ConclusionThis study demonstrates that VR technology is an effective and nonpharmacological method for reducing preoperative anxiety in primigravida women undergoing cesarean sections. The findings highlight the potential of VR interventions to improve patient well-being, offering an accessible, cost-effective solution for anxiety management in healthcare settings. These results underscore the transformative role of VR in enhancing the preoperative experience and supporting positive surgical outcomes.

Project description:BackgroundAnxiety may adversely impact mother and her newborn. Music listening is a safe and efficacious treatment that may to reduce perioperative anxiety. The effect on acute pain and pain catastrophizing scores remains unclear. We aimed to determine whether perioperative music listening reduces anxiety, acute pain, and pain catastrophizing scale (PCS) scores following elective cesarean delivery under spinal anesthesia.MethodsAfter randomization into music listening and control groups, baseline patient characteristics, visual analog scale-anxiety (VAS-A) scores, pain scores, PCS total and sub-scores, and music preferences were collected preoperatively. Before surgery, parturients in the experimental group listened to music of their own choice for 30 min. Music listening was continued during administration of spinal anesthesia and cesarean delivery, and for 30 min following surgery. Postoperative VAS-A score, acute pain score, PCS scores, music preferences, satisfaction score, and feedback were recorded.ResultsWe analyzed 108 parturients (music: n = 53; control: n = 55). Music listening was associated with reduced postoperative VAS-A (mean difference (MD) -1.43, 95%CI -0.63 to -2.22), PCS total score (MD -6.39, 95%CI -2.11 to -10.66), PCS sub-scores on rumination (MD -1.68, 95%CI -0.12 to -3.25), magnification (MD -1.53, 95%CI -0.45 to -2.62), and helplessness (MD -3.17, 95%CI -1.29 to -5.06) sub-scores. There was no significant difference in postoperative acute pain scores. The majority (> 95%) of parturients reported "excellent" and "good" satisfaction with music listening, and most provided positive feedback.ConclusionPerioperative music listening was associated with reduced postoperative anxiety and lower pain catastrophizing. Based on the good patient satisfaction and positive feedback received, the use of music listening in the obstetric setting is recommended.Trial registrationThis study was registered on Clinicaltrials.gov NCT03415620 on 30/01/2018.

Dataset Information

Effects of Benson Relaxation Technique and Music Therapy on the Anxiety of Primiparous Women Prior to Cesarean Section: A Randomized Controlled Trial.

Background and aims

Methods

Results

Conclusions

Publications

Effects of Benson Relaxation Technique and Music Therapy on the Anxiety of Primiparous Women Prior to Cesarean Section: A Randomized Controlled Trial.

Similar Datasets

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