Music Therapy for Labor Pain and Anxiety

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorUniversity Tunis El Manar

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Music Therapy During Labor

    Other intervention

    This 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

70 Participants
are divided into 2 treatment groups
Group A: Music groupExperimental treatment 1 intervention
Group B: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

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.

Time frame
30 minutes after completing the music session
2

Anxiety level

Anxiety level will be measured using the State-Trait Anxiety Inventory, Form Y (STAI-Y), with higher scores indicating greater anxiety.

Time frame
30 minutes after completing the music session

Secondary outcomes

1

Maternal pulse rate

Maternal pulse rate will be maesured in beat per minute 30 mn after listening to the musioc selection

Time frame
30 minutes after completing the music session
2

Maternal arterial pressure

Maternal arterial pressure will be maesured in mmHg

Time frame
30 minutes after completing the music session
3

Apgar score

the foetal pgar score was maesures on a scale from 0 to 10 five minutes after delivery

Time frame
5 minutes after delivery
4

Maternal satisfaction

Maternal satisfaction was maesured by a likert scale from 1 to 10 2 hours after delivery

Time frame
2 hours after delivery

Other outcomes

Sponsors and contacts

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