A Randomized Controlled Trial of Music Use During Epidural Catheter Placement on Laboring Parturient Anxiety, Pain, and Satisfaction.

BACKGROUND: Although music is frequently used to promote a relaxing environment during labor and delivery, the effect of its use during the placement of neuraxial techniques is unknown. Our study sought to determine the effects of music use on laboring parturients during epidural catheter placement, with the hypothesis that music use would result in lower anxiety, lower pain, and greater patient satisfaction. METHODS: We conducted a prospective, randomized, controlled trial of laboring parturients undergoing epidural catheter placement with or without music. The music group listened to the patient's preferred music on a Pandora(R) station broadcast through an external amplified speaker; the control group listened to no music. All women received a standardized epidural technique and local anesthetic dose. The primary outcomes were 3 measures of anxiety. Secondary outcomes included pain, patient satisfaction, hemodynamic parameters, obstetric parameters, neonatal outcomes, and anesthesia provider anxiety. Intention-to-treat analysis with Bonferroni correction was used for the primary outcomes. For secondary outcomes, a P value of <.001 was considered statistically significant. results: a total of parturients were randomly assigned with included in the intention-to-treat analysis. patient characteristics similar both groups music group duration use minutes sd experienced higher anxiety as measured by numeric rating scale scores immediately after epidural catheter placement vs mean difference confidence interval p=".02)," and fewer being much relaxed hour odds ratio ci no differences pain or satisfaction overall experience observed however desire for future placements .0001 difficulty rate cesarean delivery observed. conclusions: during laboring is associated postprocedure improvement stronger further investigation needed to determine effect requesting using labor analgesia. international anesthesia research society>

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