Clinical trial NCT06837350: Effects of Music on Post-Cesarean Pain, Anxiety, Breastfeeding and Mother Infant Attachment Impact
Official title: Music on Post-cesarean
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Cesarian Section
Bonding
Pain
Anxiety
Lead sponsor: Sinop University
Sponsor class: OTHER
First posted: 2025-02-20
Enrollment: 70
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized Control Study
Primary purpose: SUPPORTIVE_CARE

Brief summary: The physiological effects of music therapy include creating a behavioral change and changing the mood by reducing psychophysiological stress, pain, anxiety and isolation. Music has the ability to create deep relaxation. It is known to have relieving effects on insomnia. In addition, it has been reported that music therapy application before and during birth reduces labor pain and reduces postpartum anxiety and depression levels. The postpartum period, which begins with the birth of the newborn, covers the 6-8 week period that it takes for the changes that occur in the woman's body during pregnancy to return to its pre-pregnancy state. This period is an important transition period in which physical, social and emotional changes occur in mothers. In addition to rapid anatomical and physiological changes, mothers experience a difficult process in which the transition to motherhood is experienced, new roles and responsibilities are assumed, and relationships with their spouses and other family members are reorganized. Although a woman begins to feel the changes that having a baby creates in her daily life during pregnancy, she usually experiences the biggest change after the baby is born. The period when the first emotional bond between the newborn and her family is formed and a sense of trust develops is defined as mother-baby bonding. Many factors affect mother-baby bonding in the postpartum period, which is the most important time when the bond established between the expectant mother and the baby during pregnancy, referred to as prenatal bonding, is strengthened after birth. It is particularly affected by the mother's upbringing, as well as her experiences during pregnancy, birth, puerperium, and the baby's first months. Healthy and early interaction between mother and baby initiates a healthy bonding process.


Eligibility criteria: Inclusion Criteria:

* Being 18 years of age or older
* Being in the third trimester (up to 2 weeks before the planned cesarean delivery date)
* Being primigravida
* Having a single fetus
* Not having a hearing problem
* Voluntarily participating in the study

Exclusion Criteria:

* Having any chronic disease
* Having a risky pregnancy condition (gestational diabetes, gestational hypertension, preeclampsia, etc.)
* Having a psychiatric medical diagnosis and using medication.

Primary outcomes:
measure: Visual Analog Scale (VAS)-pain
timeFrame: On the second day after C-section and the end of the 1st week postpartum, change from first pain level an average of 20 minutes.
measure: Postpartum Specific Anxiety Scale (PSAS)
timeFrame: On the second day after C-section and the end of the 1st week postpartum, change from first pain level an average of 30 minutes.
measure: Mother and Newborn Information Form I and I
timeFrame: On the second day after C-section and end of the 1st postpartum week
measure: Mother Infant Attachment
timeFrame: On the second day after C-section and end of the 1st postpartum week
Secondary outcomes:
Other outcomes:
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