Original Articles

Comparison of the Effects of Two Auditory Methods by Mother and Fetus on the Results of Non-Stress Test (Baseline Fetal Heart Rate and Number of Accelerations) in Pregnant Women: A Randomized Controlled Trial

Abstract

Objective: To compare the effects of two auditory methods by mother and fetus on the results of NST in 2011-2012.
Materials and methods: In this single-blind clinical trial, 213 pregnant women with gestational age of
37-41 weeks who had no pregnancy complications were randomly divided into 3 groups (auditory intervention for mother, auditory intervention for fetus, and control) each containing 71 subjects. In the intervention groups, music was played through the second 10 minutes of NST. The three groups were compared regarding baseline fetal heart rate and number of accelerations in the first and second
10 minutes of NST. The data were analyzed using one-way ANOVA, Kruskal-Wallis, and paired T-test.
Results: The results showed no significant difference among the three groups regarding baseline fetal heart rate in the first (p = 0.945) and second (p = 0.763) 10 minutes. However, a significant difference was found among the three groups concerning the number of accelerations in the second 10 minutes. Also, a significant difference was observed in the number of accelerations in the auditory intervention for mother (p = 0.013) and auditory intervention for fetus groups (p < 0.001). The difference between the number of accelerations in the first and second 10 minutes was also statistically significant (p = 0.002).
Conclusion: Music intervention was effective in the number of accelerations which is the indicator of fetal health. Yet, further studies are required to be conducted on the issue.

Cunningham FG, Leveno KJ, Bloom SL, William’s JW. Intrapartum assessment In: William’s Obstetrics. 22th Ed. New York: Mc Graw–Hill Publishers; 2005:443-71.

Scott JR, Gibbs R, Karlan B, Haney AF. Danforth's Obstetrics and Gynecology, 9th Ed, Lippincott Williams & Wilkins Publishers; 9th edition; 2003: 1230-5

Baskett TF. Gestational age and fetal biophysical assessment. Am J Obstet Gynecol 1988;158: 332-4.

Velarques MD, Rayburn WF. Antenatal evaluation of the fetus using fetal movement monitoring. Clin Obstet Gynecol 2002; 45: 993-1004.

Kim SY, Khandelwal M, Gaughan JP, Agar MH, Reece EA. Is the Intrapartum biophysical profile useful. Obstet Gynecol 2003; l02: 471-6.

Tsubokura H. Clinical significance of general movements. No to Hattatsu 2002; 34:122-8.

Devoe LD. Antenatal fetal assessment: contraction stress test, nonstress test, vibroacoustic stimulation, amniotic fluid volume, biophysical profile, and modified biophysical profile--an over view. Seminars in prinatalogy 2008; 32:247-52.

Hijazi ZR, East CE. Factors affecting maternal perception of fetal movement. Obstet Gynecol Surv 2009; 64: 489-97.

Kumar C, Sanjay L. Vibroacoustic stimulation and modified fetal biophysical profile for early intrapartum fetal assessment. Obstetrics and Gynecology of India 2011; 61: 291-5.

Piyamongkol W, Trungtawatchai S, Chanprapaph P, Tonqsong T. Comparison of the manual stimulation test and the nonstress test. J Med Assoc Thai 2006;89: 1999-2002.

Tan kH, Sabapathy A, wei x. Fetal manipulation for facilitating tests of fetal wellbeing. Cochrane Database Syst Rev 2013; (12):CD003396.

Druzin ML, Foodim J. Effect of maternal glucoses ingestion compared with maternal water ingestion on the nonstress test. Obstet Gynecol 1986;67:425-6.

Bolnick JM, Garcia G, Fletcher BG, Rayburn WF. Cross- over trial of fetal heart rate response to halogen light and vibroacoustic stimulation. J Matern Fetal Neonatal Med 2006; 19:215-9.

Chittacharoen A, Herabutya Y, Tungsagonwattana S, Suthutvoravut S. Maternal perception of sound provoked fetal movement for antepartum assessment of fetal well-being. J Obstet Gynaecol Res 1997; 23:

-41.

Dipietro JA, Costigan KA, Nelson p, Gurewitsch ED, Laudenslager ML. Fetal responses to induced maternal relaxation during pregnancy. Biological Psychology 2008; 77: 11-19.

Scholer M. Receptive music therapy with persons suffering from a physical handicap. Bull Soc Sci Med Grand Duche Luxemb 2010; 1:193-203.

Fredriksson AC, Hellstrom L, Nilson U. Patients` perception of music versus ordinary sound in a post anaesthesia care unit. Intensive Crit Care Nurs 2009;25:208-13.

Cooke M, Chaboyer W, Hiratos MA. Music and its effect on anxiety in short waiting periods. J Clin Nurs 2005;14: 145-55.

Buffum MD, Sasso C, Sands LP, Lanier E, Yellen M, Hayes A. A music intervention to reduce anxiety before vascular angiography procedures. J Vasc Nurs 2006; 24:68-73.

Okada K, Kurita A, Takase B, Otsuka T, Kodani E, Kusama Y, et al. Effect of music therapy on autonomic nervous system activity, incidence of heart failure events, and plasma cytokine and catecholamine level in eldery patients with cerebrovascular disease and dementia. Int Heart J 2009; 50: 95-110.

Smith CV, Phelan JP, Platt LD, Broussard P, Paul RH. Fetal acoustic stimulation testing. A randomized clinical comparison with the nonstress test. Am J Obstet Gynecol 1986;155:131-4.

Chitacharoen A, Chaitum A, Suthutvoravust S,

Herabutya Y. Fetal acoustic stimulation for early intrapartum assessment of fetal well-being. Int J Gynaecol Obstet 2000; 69: 275-7.

Kim J, Wigram T, Gold C. Emotional, motivational and interpersonal responsiveness of children with autism in improvisational music therapy. Autism 2009; 13:

-409.

Davidson DM, Winchester MA, Taylor CB, Alderman EA, Ingels NB Jr. Effects of relaxation therapy on cardiac performance and sympathetic activity in patients with organic heart disease. Psychosom Med 1979;41:303-9.

Kafali H, Derbent A, Keskin E, Simavli S, Gözdemir E. Effect of maternal anxiety and music on fetal movements and fetal heart rate patterns. J Matern Fetal Neonatal Med 2011;24:461-4.

Al-Qahtani NH. Foetal response to music and voice. Aust N Z J Obstet Gynaecol 2005;45:414-7.

Goonewardene M, Hanwellage K. Fetal acoustic stimulation test for early intrapartum fetal monitoring. Ceylon Med J 2011;56:14-8.

krout RE .Music listening to facilitate relaxation and promote wellness:Integrated aspects of our neurophysiological responses to music. The Arts in Psychotherapy 2007;34:134-41.

DiPietro JA, Costigan KA, Nelson P, Gurewitsch ED, Laudenslager ML. Fetal responses to induced maternal relaxation during pregnancy. Biol Psychol 2008;77:11-9.

Kim JS, Cho KJ. The effect of mother-fetus interaction promotion program of talking and tactile stimulation on maternal-fetal attachment. Korean Journal of Child Health Nursing 2004; 10: 153-64.

Nickel C, Lahmann C, Muehlbacher M, Pedrosa Gil F, Kaplan P, Buschmann W, et al. Pregnant women with bronchial asthma benefit from progressive muscleRelaxation. Psychother Psychosom 2006; 75:237-43.

Yang M, Li L, Zhu H, Alexander IM, Liu S, Zhou W, Ren X. Music therapy to relieve anxiety in pregnant women on bed rest. MCN Am J Matern Child Nurs 2009; 34: 316-23.

Files
IssueVol 10, No 1 (March 2016) QRcode
SectionOriginal Articles
Keywords
Auditory Fetus Non Stress Test Mother

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Khoshkholgh R, Keshavarz T, Moshfeghy Z, Akbarzadeh M, Asadi N, Zare N. Comparison of the Effects of Two Auditory Methods by Mother and Fetus on the Results of Non-Stress Test (Baseline Fetal Heart Rate and Number of Accelerations) in Pregnant Women: A Randomized Controlled Trial. J Family Reprod Health. 2016;10(1):27- 34.