What this article is about
In brief
This study found that pregnant women who listened to relaxing music experienced less life distress and stronger maternal-fetal attachment than a control group. The intervention involved twelve 45-50 minute sessions of music.
For nursing students
Study summary
This article explores how listening to relaxing music can help pregnant women feel less stressed and more connected with their babies. The study was done in Iran, at a hospital called Laleh Hospital in Tehran City, during the year 2020. Researchers wanted to find out if playing calming music could make pregnancy easier for mothers-to-be.
The main problem this research addresses is that pregnancy can be very stressful and cause emotional distress for many women. This stress can affect both their health and how they bond with their unborn child, which is called Maternal-Fetal Attachment (MFA). The authors frame the nursing issue as needing to find gentle ways to support pregnant women's mental well-being alongside standard medical care.
For students reading this paper, it's important to understand a few key things. First, the study used two groups: one group listened to relaxing music for twelve sessions of about 45-50 minutes each (these were done in the morning and during regular midwife visits), while the other group did not receive any special intervention – they just continued their normal routine. The researchers measured stress levels using something called the Life Distress Inventory (LDI) and how connected mothers felt to their babies using the Maternal-Fetal Attachment Scale (MFAS). These are specific tools used by professionals to assess these feelings.
Before diving into what was found, it's crucial for students to be aware of some source/rights cautions. The paper is available under a Creative Commons license (cc-by-nc), which means you can read and share it freely as long as you give credit to the authors and don't use it commercially without permission. You should always check the publisher’s website or the DOI link for any updates on access rules.
Now, let's think about how a nurse might reason from this evidence in their practice. If a pregnant woman is feeling very stressed or anxious, listening to relaxing music could be offered as an easy and non-invasive way to help her feel better. It doesn't replace medical advice but can complement it by providing comfort. Nurses should also remember that individual responses may vary; what works for one person might not work the same way for another.
The study found some interesting results. The group of pregnant women who listened to relaxing music reported feeling less stressed after the sessions compared to those who didn't listen to any special music. They also felt more connected with their babies, which is a good sign because strong maternal-fetal attachment can be important during pregnancy and early motherhood.
However, it's also important to remember what this study did *not* do or find out about. We don't know if these effects last long after the music sessions stop, or how they compare to other ways of reducing stress in pregnant women (like exercise or talking with a counselor). The number of people involved was relatively small – only 30 women total were studied, which means while the results are promising, more research would be needed before we could say this is definitely effective for everyone.
In summary, this study suggests that relaxing music might be a helpful tool to support pregnant women's emotional well-being and their connection with their babies. It’s one of many things nurses can consider when trying to help expecting mothers feel as comfortable and positive as possible during pregnancy.
Original publication
Source abstract and study details
Read the source abstract
Background: Although pregnancy and motherhood are enjoyable experiences, they are associated with numerous biopsychological changes requiring adaptation. The present study aimed to assess the effects of relaxing music on life distress and Maternal-Fetal Attachment (MFA) in pregnant women. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The research population included all Iranian pregnant women referring to Laleh Hospital in Tehran City, Iran, in 2020. In total, 30 women were selected using the convenience sampling method and randomly assigned into the intervention and control groups (n=15/group). The required data were collected using the Life Distress Inventory (LDI) and the Maternal-Fetal Attachment Scale (MFAS). The intervention group listened to relaxing music for twelve 45-50-minute sessions in the morning and during routine midwifery visits; however, the controls received no intervention. The collected data were analyzed using Multivariate Analysis of Covariance (MANCOVA) in SPSS V. 22. Results: The obtained results indicated that the intervention group reported a lower level of life distress in the post-test, compared to the controls (P=0.0001, F=15.860). The intervention group also achieved a higher mean score on MFA, than the control group (P=0.0001, F=35.872). Conclusion: According to the present research findings, reproductive health, nursing professionals, and psychologists could recommend music as a complementary therapy to reduce stress and distress experienced by expecting mothers and to improve MFA.
Reviewed findings
Main findings
- Relaxing music significantly reduced life distress in pregnant women compared to a control group.
- The intervention group showed higher mean scores on Maternal-Fetal Attachment (MFA) than the control group.
- Music therapy was associated with improved maternal-fetal attachment outcomes.
- Pregnant women who listened to relaxing music reported lower levels of stress post-intervention.
- The study found statistically significant positive effects of music on both life distress and MFA.
Using the findings
Practice considerations
- Nurses can consider recommending relaxing music as a non-pharmacological intervention for managing stress in pregnant patients.
- Music therapy could be integrated into routine prenatal care to potentially enhance maternal-fetal bonding.
- This evidence supports the use of complementary therapies alongside standard medical advice during pregnancy.
- Healthcare providers should discuss various coping strategies, including music listening, with expectant mothers experiencing distress.
- The findings highlight a potential low-cost and accessible method for improving psychological well-being in pregnant women.
For educators
Teaching and appraisal notes
This quasi-experimental study investigated the impact of relaxing music on life distress and maternal-fetal attachment (MFA) in pregnant women, a common concern in reproductive health nursing practice. Conducted at Laleh Hospital in Tehran City, Iran, in 2020, it employed a pre-test/post-test design with an intervention group (n=15) receiving twelve 45-50 minute relaxing music sessions and a control group (n=15) receiving no specific intervention. Data were collected using the Life Distress Inventory (LDI) and Maternal-Fetal Attachment Scale (MFAS), analyzed via Multivariate Analysis of Covariance (MANCOVA). The findings indicated that pregnant women exposed to relaxing music experienced significantly lower levels of life distress post-intervention compared to controls, with a highly significant p-value (P=0.0001, F=15.860) suggesting the intervention's efficacy in this domain. Furthermore, these women also reported higher mean scores on MFA measures than their counterparts who did not receive music therapy, again showing statistical significance (P=0.0001, F=35.872). These results are valuable for nursing professionals and psychologists as they suggest that complementary therapies like music can play a role in managing stress during pregnancy and fostering positive maternal-fetal relationships. The study's strengths include its clear methodology and measurable outcomes using validated instruments. However, limitations such as the small sample size (n=30) and reliance on self-reported measures warrant caution when generalizing these findings to broader populations or considering long-term effects.
Critical appraisal
Limitations
- Small sample size (n=30) limits generalizability of the results.
- Self-reported measures may introduce bias or subjectivity into the data.
- The study duration was limited, so long-term effects are unknown.
Classroom use
Discussion Questions
- How can nurses effectively integrate music therapy into their practice with pregnant patients?
- What other non-pharmacological interventions could be combined with music to enhance stress reduction and maternal-fetal attachment?
- Are there specific types of relaxing music that might be more effective than others for this population?
- How do cultural factors influence the acceptance and effectiveness of music as a therapeutic tool in different regions, such as Iran versus Western countries?
- What are the potential mechanisms by which relaxing music reduces stress and improves maternal-fetal attachment? Is it purely psychological or could there be physiological components?
- Could individual differences (e.g., personality traits, baseline stress levels) moderate the effectiveness of this intervention for pregnant women?
Knowledge check
Quiz
1. How many participants were selected for the study?
- 30
- 15
- 45-50
- 2
Show answer and rationale
Rationale: The abstract's Methods section states: 'In total, 30 women were selected using the convenience sampling method...'
2. What was the conclusion regarding music as an intervention?
- Music can be recommended as a complementary therapy to reduce stress and distress experienced by expecting mothers and to improve MFA.
- The study found no significant effects of music on pregnancy outcomes.
- Further research is needed before recommending music.
- Music should replace conventional medical treatments.
Show answer and rationale
Rationale: The abstract's Conclusion section states: 'According to the present research findings, reproductive health, nursing professionals, and psychologists could recommend music as a complementary therapy...'
3. Which two instruments were used for data collection?
- Life Distress Inventory (LDI) and Maternal-Fetal Attachment Scale (MFAS)
- Prenatal Stress Questionnaire and Birth Experience Survey
- Fetal Heart Rate Monitor and Ultrasound Imaging
- Maternal Health History Form and Newborn Assessment Tool
Show answer and rationale
Rationale: The abstract's Methods section states: 'The required data were collected using the Life Distress Inventory (LDI) and the Maternal-Fetal Attachment Scale (MFAS).'
4. How many groups were participants randomly assigned to?
- Two groups.
- Three groups.
- Four groups.
- Five groups.
Show answer and rationale
Rationale: The abstract's Methods section states: 'randomly assigned into the intervention and control groups...'
5. What was the name of the hospital where the research population referred for recruitment?
- Laleh Hospital
- Tehran City General Hospital
- Iranian Maternity Care Center
- University Medical Center
Show answer and rationale
Rationale: The abstract's Methods section states: 'the research population included all Iranian pregnant women referring to Laleh Hospital in Tehran City, Iran...'