Abstract
Background
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.
Results
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.
Conclusions
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.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ContraceptionAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Oral compared with intravenous sedation for first-trimester surgical abortion: a randomized controlled trial.Obstet Gynecol. 2009; 113: 276-283
- Pain of first-trimester abortion: a study of psychosocial and medical predictors.Pain. 1989; 36: 339-350
- Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial.Obstet Gynecol. 2009; 114: 1220-1226
- A randomized controlled trial of fentanyl for abortion pain.Am J Obstet Gynecol. 2001; 185: 103-107
- Pain control in first trimester surgical abortion.Cochrane Database Syst Rev. 2009; : CD006712
- The effect of lorazepam on pain and anxiety in abortion.Contraception. 2003; 67: 219-221
- 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
- Effect of music on patients undergoing outpatient colonoscopy.World J Gastroenterol. 2006; 12: 7309-7312
- Listening to music decreases need for sedative medication during colonoscopy: a randomized, controlled trial.Indian J Gastroenterol. 2006; 25: 3-5
- A music intervention to reduce anxiety prior to gastrointestinal procedures.Gastroenterol Nurs. 2003; 26: 145-149
- Music in the endoscopy suite: a meta-analysis of randomized controlled studies.Endoscopy. 2007; 39: 507-510
- Effect of music on procedure time and sedation during colonoscopy: a meta-analysis.World J Gastroenterol. 2008; 14: 5336-5343
- The use of music to reduce anxiety for patients undergoing colposcopy: a randomized trial.Gynecol Oncol. 2003; 91: 213-217
- 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
- Interventions for reducing anxiety in women undergoing colposcopy.Cochrane Database Syst Rev. 2007; : CD006013
- Auxiliary pain relief during suction curettage.Contraception. 1975; 11: 25-30
- Coping styles, psychosocial factors and adjustment processes in patients with type I and II diabetes.G Ital Med Lav Ergon. 2007; 29: B33-B43
- 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
- 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
- Effects of coping style on psychological reactions of low-income, minority women to colposcopy.J Reprod Med. 1994; 39: 711-718
- Matching pain coping strategies to the individual: a prospective validation of the cognitive coping strategy inventory.J Behav Med. 1992; 15: 611-625
- The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials.JAMA. 2001; 285: 1987-1991
- Assessment of pain during medical procedures: a comparison of three scales.Clin J Pain. 1998; 14: 343-349
- A randomized trial of tramadol versus ibuprofen as an adjunct to pain control during vacuum aspiration abortion.Contraception. 2008; 77: 56-59
- 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
- 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
- Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat.J Pers Soc Psychol. 1987; 52: 345-353
- The PHQ-9: validity of a brief depression severity measure.J Gen Intern Med. 2001; 16: 606-613
- 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
- Hypnotic analgesia intervention during first-trimester pregnancy termination: an open randomized trial.Am J Obstet Gynecol. 2008; 199: 469e1-469e9
- Cognitive vulnerability and dental fear.BMC Oral Health. 2008; 8: 2
- Cognitive vulnerability: a model of the etiology of fear.Clin Psychol Rev. 2006; 26: 746-768
Article info
Publication history
Published online: November 14, 2011
Accepted:
September 30,
2011
Received in revised form:
August 4,
2011
Received:
May 18,
2011
Footnotes
���The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
