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



      The study objective was to explore the effect of music as an adjunct to local anesthesia on pain and anxiety during first-trimester surgical abortion. Secondary outcomes included patient satisfaction and coping.

      Study Design

      We conducted a randomized controlled pilot study of 26 women comparing music and local anesthesia to local anesthesia alone. We assessed pain, anxiety and coping with 11-point verbal numerical scales. Patient satisfaction was measured via a 4-point Likert scale.


      In the music group, we noted a trend toward a faster decline in anxiety postprocedure (p=.065). The music group reported better coping than the control group (mean��S.D., 8.5��2.3 and 6.2��2.8, respectively; p<.05). Both groups reported similarly high satisfaction scores. There were no group differences in pain.


      Music as an adjunct to local anesthesia during surgical abortion is associated with a trend toward less anxiety postprocedure and better coping while maintaining high patient satisfaction. Music does not appear to affect abortion pain.


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        • Allen R.H.
        • Fitzmaurice G.
        • Lifford K.L.
        • Lasic M.
        • Goldberg A.B.
        Oral compared with intravenous sedation for first-trimester surgical abortion: a randomized controlled trial.
        Obstet Gynecol. 2009; 113: 276-283
        • Belanger E.
        • Melzack R.
        • Lauzon P.
        Pain of first-trimester abortion: a study of psychosocial and medical predictors.
        Pain. 1989; 36: 339-350
        • Cansino C.
        • Edelman A.
        • Burke A.
        • Jamshidi R.
        Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial.
        Obstet Gynecol. 2009; 114: 1220-1226
        • Rawling M.J.
        • Wiebe E.R.
        A randomized controlled trial of fentanyl for abortion pain.
        Am J Obstet Gynecol. 2001; 185: 103-107
        • Renner R.M.
        • Jensen J.T.
        • Nichols M.D.
        • Edelman A.
        Pain control in first trimester surgical abortion.
        Cochrane Database Syst Rev. 2009; : CD006712
        • Wiebe E.
        • Podhradsky L.
        • Dijak V.
        The effect of lorazepam on pain and anxiety in abortion.
        Contraception. 2003; 67: 219-221
        • Allen R.H.
        • Kumar D.
        • Fitzmaurice G.
        • Lifford K.L.
        • Goldberg A.B.
        Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
        Contraception. 2006; 74: 407-413
        • Bechtold M.L.
        • Perez R.A.
        • Puli S.R.
        • Marshall J.B.
        Effect of music on patients undergoing outpatient colonoscopy.
        World J Gastroenterol. 2006; 12: 7309-7312
        • Harikumar R.
        • Raj M.
        • Paul A.
        • et al.
        Listening to music decreases need for sedative medication during colonoscopy: a randomized, controlled trial.
        Indian J Gastroenterol. 2006; 25: 3-5
        • Hayes A.
        • Buffum M.
        • Lanier E.
        • Rodahl E.
        • Sasso C.
        A music intervention to reduce anxiety prior to gastrointestinal procedures.
        Gastroenterol Nurs. 2003; 26: 145-149
        • Rudin D.
        • Kiss A.
        • Wetz R.V.
        • Sottile V.M.
        Music in the endoscopy suite: a meta-analysis of randomized controlled studies.
        Endoscopy. 2007; 39: 507-510
        • Tam W.W.
        • Wong E.L.
        • Twinn S.F.
        Effect of music on procedure time and sedation during colonoscopy: a meta-analysis.
        World J Gastroenterol. 2008; 14: 5336-5343
        • Chan Y.M.
        • Lee P.W.
        • Ng T.Y.
        • Ngan H.Y.
        • Wong L.C.
        The use of music to reduce anxiety for patients undergoing colposcopy: a randomized trial.
        Gynecol Oncol. 2003; 91: 213-217
        • Danhauer S.C.
        • Marler B.
        • Rutherford C.A.
        • et al.
        Music or guided imagery for women undergoing colposcopy: a randomized controlled study of effects on anxiety, perceived pain, and patient satisfaction.
        J Low Genit Tract Dis. 2007; 11: 39-45
        • Galaal K.A.
        • Deane K.
        • Sangal S.
        • Lopes A.D.
        Interventions for reducing anxiety in women undergoing colposcopy.
        Cochrane Database Syst Rev. 2007; : CD006013
        • Shapiro A.G.
        • Cohen H.
        Auxiliary pain relief during suction curettage.
        Contraception. 1975; 11: 25-30
        • Poerio V.
        • Merenda M.T.
        • Congedo M.L.
        Coping styles, psychosocial factors and adjustment processes in patients with type I and II diabetes.
        G Ital Med Lav Ergon. 2007; 29: B33-B43
        • Miller S.M.
        Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management.
        Cancer. 1995; 76: 167-177
        • Miller S.M.
        • Mangan C.E.
        Interacting effects of information and coping style in adapting to gynecologic stress: should the doctor tell all?.
        J Pers Soc Psychol. 1983; 45: 223-236
        • Miller S.M.
        • Roussi P.
        • Altman D.
        • Helm W.
        • Steinberg A.
        Effects of coping style on psychological reactions of low-income, minority women to colposcopy.
        J Reprod Med. 1994; 39: 711-718
        • Rokke P.D.
        • al'Absi M.
        Matching pain coping strategies to the individual: a prospective validation of the cognitive coping strategy inventory.
        J Behav Med. 1992; 15: 611-625
        • Moher D.
        • Schulz K.F.
        • Altman D.
        The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials.
        JAMA. 2001; 285: 1987-1991
        • Jensen M.P.
        • Miller L.
        • Fisher L.D.
        Assessment of pain during medical procedures: a comparison of three scales.
        Clin J Pain. 1998; 14: 343-349
        • Romero I.
        • Turok D.
        • Gilliam M.
        A randomized trial of tramadol versus ibuprofen as an adjunct to pain control during vacuum aspiration abortion.
        Contraception. 2008; 77: 56-59
        • Wong C.Y.
        • Ng E.H.
        • Ngai S.W.
        • Ho P.C.
        A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation.
        Hum Reprod. 2002; 17: 1222-1225
        • Knight R.G.
        • Waal-Manning H.J.
        • GF S.
        Some norms and reliability data for the State Trait Anxiety Inventory and the Zung Self-Rating Depression Scale.
        Brit J Clin Psychol. 1983; 22: 245-249
        • Miller S.M.
        Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat.
        J Pers Soc Psychol. 1987; 52: 345-353
        • Kroenke K.
        • Spitzer R.L.
        • Williams J.B.
        The PHQ-9: validity of a brief depression severity measure.
        J Gen Intern Med. 2001; 16: 606-613
        • Guerrero J.
        • Casta��o P.
        • Rosaria L.
        • Westhoff C.
        Music as an auxiliary analgesic during first trimester surgical abortion: a randomized controlled trial. Oral abstract presentation.
        in: Reproductive Health 2010; 2010 Sept 22-25; Atlanta, Georgia, USA. Contraception. 82. 2010: 184
        • Marc I.
        • Rainville P.
        • Masse B.
        • et al.
        Hypnotic analgesia intervention during first-trimester pregnancy termination: an open randomized trial.
        Am J Obstet Gynecol. 2008; 199: 469e1-469e9
        • Armfield J.M.
        • Slade G.D.
        • Spencer A.J.
        Cognitive vulnerability and dental fear.
        BMC Oral Health. 2008; 8: 2
        • Armfield J.M.
        Cognitive vulnerability: a model of the etiology of fear.
        Clin Psychol Rev. 2006; 26: 746-768