J Caring Sci. 2021;10(4): 230-237.
doi: 10.34172/jcs.2021.033
  Abstract View: 192
  PDF Download: 183
  Full Text View: 25

Review Article

A Systematic Review and Meta-analysis of the Effects of Music Therapy on Postpartum Anxiety and Pain Levels

Sevil Hakimi 1 ORCID logo, Khadije Hajizadeh 2* ORCID logo, Robab Hasanzade 3 ORCID logo, Minoo Ranjbar 3 ORCID logo

1 Department of Midwifery, Research Center of Psychiatry and Behavioral Science, Tabriz University of medical science, Tabriz, Iran
2 Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Midwifery, Bonab Branch, Islamic Azad University, Bonab, Iran
*Corresponding Author: Khadije Hajizadeh, Email: Hajizade_k@yahoo.com


Introduction: Postpartum anxiety may be associated with depression, postpartum blues, and maternal mood disorders. This systematic review investigated the effects of music therapy on postpartum anxiety and pain levels.

Methods: English databases including Cochrane, Medline, Embase, Web of Science, Scopus, and PubMed and Persian databases including Scientific Information Database (SID) and the Iranian Registry of Clinical Trials (IRCT) were searched. The data were analyzed in RevMan 5.3 and reported as forest plots. The present study was conducted on postpartum women (i.e., the participants). All randomized controlled trials comparing the effects of music (i.e., the intervention) and placebo or routine care (i.e., the control) on postpartum anxiety and pain (i.e., the outcome) were included in the study.

Results: Out of a total of 60 retrieved articles, four eligible articles were selected and entered the meta-analysis process. According to the results, anxiety (MD=-0.68, 95% CI=-1.90 to -0.54, P<0.001) and pain (MD=-1.85, 95% CI=-3.96 to 0.26, P<0.001) levels of patients in the music therapy group were reduced more significantly than those in the control group.

Conclusion: The results showed that music therapy can significantly reduce both postpartum anxiety and pain scores. However, due to the high heterogeneity of the studies, more randomized trials using a standard tool such as the Consolidated Standards of Reporting Trials (CONSORT) statement are needed.

Keywords: Systematic review, Music therapy, Anxiety, Pain, Postpartum

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Submitted: 27 Feb 2021
Accepted: 09 Mar 2021
ePublished: 12 Oct 2021
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