Music for surgical abortion care study: a randomized controlled pilot study

Wu, Justine; Chaplin, William F.; Amico, Jennifer; Butler, Mark J.; Ojie, Mary Jane; Hennedy, Dina; Clemow, Lynn

doi:10.1016/j.contraception.2011.09.018

Cited by 23 publications

(40 citation statements)

References 26 publications

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“…Control arms of studies provided standard medical care without (28, 30 per cent) or with (11, 12 per cent) a resting period, reported no music (13, 14 per cent), reported no intervention (17, 18 per cent), used a device with sham sounds (8, 9 per cent), provided headphones without music (6, 7 per cent) or with noise‐blocking features (2, 2 per cent), used midazolam (1, 1 per cent) or had an unclear description (5, 5 per cent). Eleven RCTs (12 per cent) did not report on quantitative data and could not therefore be included in the quantitative analyses ( Table S1 , supporting information).…”

Section: Resultsmentioning

confidence: 99%

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

226

191

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BackgroundThis study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.MethodsEleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double‐screened and extracted independently. Random‐effects meta‐analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.ResultsNinety‐two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta‐analysis. Music interventions significantly decreased anxiety (MD –0·69, 95 per cent c.i. –0·88 to –0·50; P < 0·001) and pain (MD –0·50, –0·66 to –0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100‐mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD –1·41 (–1·89 to –0·94; P < 0·001) for anxiety and –0·54 (–0·93 to –0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD –0·41, –0·64 to –0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.ConclusionMusic interventions significantly reduce anxiety and pain in adult surgical patients.

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Section: Resultsmentioning

confidence: 99%

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

226

191

View full text Add to dashboard Cite

show abstract

“…Two randomized controlled trials evaluated the use of music for pain control during surgical abortion. In Wu and colleagues’ pilot study, all participants received paracervical block and NSAIDs plus support of a “health care assistant,” who gave guidance on breathing exercises and provided physical support (hand‐holding, etc). Those randomized to the intervention also listened to music on a handheld MP3 player, choosing from preloaded tracks.…”

Section: Resultsmentioning

confidence: 99%

Nonpharmaceutical Pain Control Adjuncts During First‐Trimester Aspiration Abortion: A Review

Tschann¹,

Salcedo²,

Kaneshiro³

2016

J Midwife Womens Health

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“…The percentage of women reporting no or mild pain was higher in the music group (94%) than in the group receiving methoxyflurane (73%) or the control group (80%). More recent studies on music for surgical abortion have not shown an objective benefit in reducing pain [82,83]. In an RCT of 101 women undergoing first-trimester surgical abortion, participants were randomized to music through headphones or to usual care only [83].…”

Section: Are Oral Opioids Effective For Pain Control In Surgical Abormentioning

confidence: 99%

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

Allen

Singh

2018

Contraception

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Satisfactory pain control for women undergoing surgical abortion is important for patient comfort and satisfaction. Clinicians ought to be aware of the safety and efficacy of different pain control regimens. This document will focus on nonpharmacologic modalities to reduce pain and pharmacologic interventions up to the level of minimal sedation. For surgical abortion without intravenous medications, a multimodal approach to pain control may combine a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesia to the cervix with buffered lidocaine and a preoperative nonsteroidal anti-inflammatory drug. Oral opioids do not decrease procedural pain. Oral anxiolytics decrease anxiety but not the experience of pain. Further research is needed on alternative options to control pain short of moderate or deep sedation.

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Music for surgical abortion care study: a randomized controlled pilot study

Cited by 23 publications

References 26 publications

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Nonpharmaceutical Pain Control Adjuncts During First‐Trimester Aspiration Abortion: A Review

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

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