The effect of listening to music with or without patient selection on pain during cesarean section and its contribution to anesthesia technicians

OBJECTIVE: To investigate the effect of listening to music of the patient’s own choice and others during cesarean section on the intraoperative pain of the expectant mother and its contribution to the practice of the anesthesia technicians. METHODS: It is a single center, controlled, randomized trial involving 92 patients. During cesarean section, pregnant women in the intervention group listened to music of their own or our choice with headphones on their ears. In the control group, headphones were placed on the patients' ears, but no music was played. Cesarean sections were performed under regional anesthesia. A variety of subjective (visual analog and numerical scale for pain) and objective parameters (heart rate, blood pressure, amount of medication left over from postoperative PCA) were collected during incision and suturing of the skin. RESULTS: No differences were found between the groups in terms of systolic-diastolic blood pressure and heart rate. However, the VAS scores in the group listening to music in the Acemashiran maqam (a melody type in Turkish classical music) were observed to be lower than in the control group (p=0.02). On the other hand, the VAS scores of patients listening to music of their own choice were not found to be different from that of the group listening to music in the Acemashiran maqam or from that of the control group (p>0.05). At the end of the study, the rate of patients’ liking the music preferences was 87.5%, and the rate of the desire to listen to music during the next cesarean section was 93.8%. DISCUSSION: Listening to music reduces patients' pain during cesarean section. Comparisons with the control group showed that the effect of music in the Acemashiran maqam on pain was even more pronounced than the effect of the music of the patient's own choice.

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