Music's Effects on Anxiety During Epidural Placement

Study Overview
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Brief Summary
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The objective of the study is to determine if playing the song Weightless by Marconi Union during labor epidural placement, decreases laboring parturient anxiety and improves satisfaction with the experience.

Official Title
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A Randomized Controlled Trial of Playing The Most Relaxing Song in the World During Labor Epidural Placement and Its Effects on Anxiety and Satisfaction

Conditions
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Anxiety, Satisfaction

Intervention / Treatment
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* Other: Song Weightless by Marconi Union
* Other: No Song


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Females ages 18 years and older committed to delivery by the obstetrical team (natural labor or induction of labor) English speaking Able to give informed consent Having an epidural placed Exclusion Criteria Patient refusal Intrauterine fetal demise Imminent delivery Existing music use

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>The song Weightless by Marconi Union will be playing during subjects labor epidural placement. | Other: Song Weightless by Marconi Union<br>* Patients will be randomized to the intervention group (the song Weightless by Marconi Union will be playing) during subjects labor epidural placement. The intervention in this study is solely the addition of music.<br>|
| Other: Non Intervention Group<br>No song will be played during subjects labor epidural placement. | Other: No Song<br>* No song will be played during subjects labor epidural placement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Score of Anxiety Before Epidural Placement | 3 different measures of anxiety prior to the procedure based on the State Trait Anxiety Inventory: 1) Numeric Rating Scale from 0-10 with 0 representing no anxiety and 10 representing worst anxiety possible. 2) Asking patient response to the question Are you calm with options scaling from very much, moderately, somewhat, or not at all. 3) Asking the patient to answer the question are you relaxed? with options scaling from very much, moderately, somewhat, or not at all. Very much will be treated as a positive finding and moderately, somewhat, or not at all as negative. The short form of the State Trait Anxiety Inventory with these three measures has been shown to be a reliable measure of anxiety. A fourth measure used will be a Visual Analog Scale from 0-100 of overall anxiety with 0 representing no anxiety and 100 representing the worst anxiety possible. | Immediately prior to procedure | 
| Mean Score of Anxiety After Epidural Placement | As soon as the epidural has been placed and appropriate documentation for the procedure is completed, both groups will take the same surveys again. | Immediately after procedure |