About this trial
This multicenter randomized controlled trial evaluates the effectiveness of music therapy in reducing pain and anxiety during the latent and active phases of labor in Tunisian women. Participants are randomized to receive either music therapy or standard care. Primary outcomes are pain (VAS) and anxiety (STAI-Y). Secondary outcomes include labor duration, maternal and fetal vital signs, neonatal outcomes, and maternal satisfaction.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Married Tunisian women with a singleton, low-risk pregnancy.
Admitted in the latent phase of spontaneous labor, as diagnosed by a midwife or resident.
Planned vaginal delivery.
Parity < 4.
Disqualifiers
Women who received epidural analgesia during labor.
Presence of auricular malformations.
Difficulty in understanding or completing the VAS or STAI-Y assessments.
Serious medical or psychiatric disorders.
Trial design
Parallel
Treatments tested in this trial
Music Therapy During Labor
Other interventionThis intervention involves the use of patient-selected, slow-tempo (60-80 bpm), non-lyrical instrumental music administered via headphones or speakers during the latent and active phases of labor. The music selection is guided to ensure therapeutic suitability (e.g., calming rhythm, absence of lyrics) and is delivered for a minimum of 30 minutes. The intervention is non-pharmacological, individualized, and adheres to WHO and clinical music therapy recommendations. It is distinguished by its personalized music choice, delivery timing, and structured application within labor progression monitoring.
Treatment groups
Trial outcomes
Primary outcomes
Pain level
Pain intensity will be measured using a 10-cm Visual Analogue Scale (VAS), ranging from 0 = no pain to 10 = worst imaginable pain.
Anxiety level
Anxiety level will be measured using the State-Trait Anxiety Inventory, Form Y (STAI-Y), with higher scores indicating greater anxiety.
Secondary outcomes
Maternal pulse rate
Maternal pulse rate will be maesured in beat per minute 30 mn after listening to the musioc selection
Maternal arterial pressure
Maternal arterial pressure will be maesured in mmHg
Apgar score
the foetal pgar score was maesures on a scale from 0 to 10 five minutes after delivery
Maternal satisfaction
Maternal satisfaction was maesured by a likert scale from 1 to 10 2 hours after delivery
Sponsors and contacts
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