Narisha Afifah Ramadhani, Ledia Restipa, Sari Indah Kesuma

The Effect Of Giving Mozart Classical Music On Anxiety Levels Of Mother In The First Stage Of Labor At The Independent Practice Of Midewifery Netti Sumarni Padang City

Introduction

The effect of giving mozart classical music on anxiety levels of mother in the first stage of labor at the independent practice of midewifery netti sumarni padang city. Discover how Mozart classical music therapy significantly reduces anxiety levels in mothers during the first stage of labor in Padang City. A quantitative study confirms its effect.

Abstract

Psychological factors are one of the inhibiting factors in childbirth, thus triggering birth complications. Anxiety is one of them. Based on 2018 West Sumatra RISKESDAS data’s the highest on complications were caused by prolonged labor (5.46%) and hypertension (1.85). The aim of the research was to determine the effect of giving Mozart Classical Music on the level of anxiety in mothers during the first stage of labor at Independent Practice of Midwife Netti Sumarni, Padang City. Research use quantitative with pre-experimental method One Group Pre Test And Post Test approach. Data collection was carried on May 21 - June 28, 2024, sampling technique used Quota Sampling as many 25 mothers in first stage of labor latent phase with direct interviews of ZSAR-S questionnaire, data analyzed univariately and bivariately using Wilcoxone test with p-value <0.05. The results of study showed the average level of anxiety before given Mozart Classical Music therapy was 57,08 (SD=6.654), after given therapy was 53,96 (SD=6.235) with a difference 3,12. The results also showed there was an effect before and after given Mozart Classical Music therapy p-value 0.000 (p<0.05) on level of anxiety of mothers in first stage of labor latent phase at Independent Practice of Midwife Netti Sumarni, Padang City. The conclusion of this research there is an effect of giving Mozart Classical Music on level of anxiety in mothers in the first stage of labor at Independent Practice of Midwife Netti Sumarni, Padang City. It’s recommended that health workers can facilitate and educate patients in controlling anxiety during the birth period.

Review

This study investigates the effect of Mozart classical music on anxiety levels in mothers during the latent phase of the first stage of labor, a relevant topic given the psychological factors that can impact childbirth. Employing a quantitative pre-experimental design with a one-group pre-test and post-test approach, the researchers found a statistically significant reduction in anxiety scores after mothers listened to Mozart music. The mean anxiety level decreased from 57.08 to 53.96, with a p-value of 0.000, suggesting that the intervention had a positive impact. The study's focus on a non-pharmacological intervention for anxiety management is commendable and offers a potentially accessible strategy for healthcare providers. However, the methodology presents several significant limitations that temper the strength of the conclusions. The one-group pre-test/post-test design, without a control group, makes it difficult to definitively attribute the observed anxiety reduction solely to Mozart music. Other factors, such as the natural progression of labor, the attention received from caregivers, or simply the passage of time, could also contribute to changes in anxiety. Furthermore, the small sample size of 25 mothers, recruited using quota sampling at a single independent midwifery practice, limits the generalizability of these findings to a broader population. While a reduction of 3.12 points in anxiety is statistically significant, the clinical significance and practical impact of this change are not thoroughly discussed, and the context of the ZSAS-S questionnaire's scoring range is not provided, making it difficult to interpret the magnitude of the effect. Despite these limitations, the research offers preliminary evidence supporting the potential utility of music therapy in labor. To build upon these findings, future research should adopt more rigorous methodologies, such as randomized controlled trials with a control group (e.g., standard care, another music genre, or no intervention). Expanding the sample size and conducting multi-center studies would enhance the external validity and generalizability of the results. Additionally, exploring the optimal duration and type of music intervention, alongside objective physiological markers of stress (e.g., heart rate, cortisol levels), could provide a more comprehensive understanding of the mechanisms at play. Nevertheless, this study highlights the ongoing need for simple, effective interventions to support maternal well-being during childbirth.

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