Abstract

Introduction: In vitro fertilization (IVF) is a modern technology for the treatment of infertile couples. However, in women with pregnancies achieved using IVF technique, the stress levels are higher. Blood cortisol levels are elevated in stressful situations. Music has a potential of generating positive feelings and “medicinal music” has gained popularity especially in pregnant women. Hence, in addition to the conventional protocol based treatment to such women, music therapy can be considered as a complementary treatment to reduce the stress and to get better clinical outcomes. Present study is designed to scientifically evaluate the role of music therapy in women with pregnancy achieved through IVF technology.

Aims and Objectives: To study the effect of music therapy on blood cortisol level in pregnant women conceived by IVF technique

Materials and Methods: 30 pregnant women conceived by IVF with gestation more than 20 weeks were selected. After sensitizing them with three sessions of music therapy with a 20 minutes audio track of old Hindi film songs, they were subjected for the study. Pre and 30 minute post music therapy of listening the same audio track in the morning hours, the blood cortisol levels were estimated.

Results: As the patients achieved pregnancy through IVF, 26.67% of them were from elderly and perimenopausal age group. 73.34% patients had long standing infertility more than 10 years. The serum cortisol levels were found to be significantly reduced from mean 17.80 mcg/dl to 14.73 mcg/dl ( p value <0.05) after music therapy.

Conclusions: Music therapy can be used as a complementary treatment in women with IVF pregnancies to reduce the stress and associated raised blood cortisol levels to get good clinical maternal and perinatal outcome.

References

1. Yong P., et al. “A comparison of psychological functioning in women at different stages of in vitro fertilization treatment using the mean affect adjective checklist”. Journal of Assisted Reproduction and Genetics 17 (2000): 553-556.
2. Kolonoff-Cohen H., et al. “A Prospective study of stress among women undergoing in vitro fertilization or gamete intrafallopian transfer”. Fertility and Sterility 76 (2001): 675-687.
3. Bovin J., et al. “Reactions to infertility based on extent of treatment failures”. Fertility and Sterility 63 (1995): 801-807.
4. “Music and audio analgesia section B: clinical guidelines for obstetrics and midwifery” (2007).
5. Phumodoung S and Marion G. “Music reduces sensation and distress of labour pain”. Pain Management Nursing 4 (2003) 54-61.
6. Kolonoff-Cohen H and Natarajan L. “The concerns during assisted reproductive technologies scale and pregnancy outcomes”. Fertility and Sterility 81 (2004): 982-988.
7. Kudielka., et al. "HPA axis responses to laboratory psychosocial stress in healthy elderly adults, younger adults and children”. Psychoneuroendocrinology 29 (2004): 83-98.
8. Koelch S., et al. “Effects of music listening on cortisol levels and propofol consumption during spinal anesthesia”. Frontier Psychology 2 (2011): 58.
9. Asghaari H and Lotfi Mozhgan A. "Effect of preoperative nursing visiton serum cortisol levels in patients waiting for operation: a randomized study with control group”. Medical Journal of Tabriz University of Medical Sciences 30 (2009): 13-16.
10. Stefano G., et al. “Music alters constitutively expressed opiate and cytokine processes in listener”. Medical Science Monitor (2004): 10-18.
11. Allred K D., et al. “The effect of music on postoperative pain and anxiety”. Pain Management Nursing 11 (1010): 15-25.
12. Han., et al. “Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in china: a randomized controlled trial”. Journal of Clinical Nursing 19 (2010): 978-987.
13. Shivamurthy G and Anusha G. "Effect of music therapy on serum cortisol in primigravida in active labour”. IOSR Journal of Dental and Medical Sciences 15 (2016): 91-94.
14. Elaheh M., et al. “The effect of music on the level of cortisol, blood glucose and physiological variables in patients undergoing spinal anesthesia”. EXCL Journal 11 (2012): 556-565.
15. Yuan A., et al. “Relationship between psychological stress and reproductive outcome in women undergoing in vitro fertilization treatment: psychological and neurohormonal assessment”. Journal of Assisted Reproduction and Genetics 30 30 (2013): 35-41.

Citation

Citation: Satish Patki., et al. “The Effect of Music Therapy on the Level of Blood Cortisol in Pregnant Women Conceived by In Vitro Fertilization (IVF) Technology”. Acta Scientific Women's Health 2.4 (2020): 02-07.

Copyright

Copyright: © 2020 Satish Patki., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.