Effect Of Classical Music And Progressive Muscle Relaxation On Anxiety Levels In Laboring Mothers
DOI:
https://doi.org/10.55018/janh.v7i2.365Keywords:
Anxiety, Maternity, Progressive Muscle Relaxation, Music TherapyAbstract
Background: Anxiety is a feeling that is most commonly experienced by pregnant women when approaching childbirth; what's more, childbirth is already known to require a cesarean surgery. Anxiety during pregnancy can harm the mother and fetus, such as increasing the risk of premature birth, impaired fetal development, and psychological disorders in the mother. The purpose of this study was to determine the effect of classical music therapy and progressive muscle relaxation on anxiety levels in pre-section cesarean patients in the delivery room of Tuban Hospital..
Methods: This study employed a pretest-posttest quasi-experimental design. The sample consisted of 44 pre-section cesarean patients from two hospitals in Tuban Regency in January and February 2024, selected using simple random sampling. Respondents were divided into two groups: classical music therapy (n = 22) and progressive muscle relaxation (n = 20). Anxiety level was measured with HARS and analysed using the Wilcoxon test. This study underwent ethical review by the Health Research Ethics Institute of IIK NU Tuban.
Results: The results showed that classical music therapy and progressive muscle relaxation effectively reduce anxiety in pre-section cesarean delivery mothers. The Wilcoxon test in both groups showed a value of ρ <0.001 (<0.05), indicating a significant effect on reducing anxiety levels at Tuban Regency Hospital.
Conclusion: Both interventions proved to be significantly effective in reducing anxiety. Based on the results of this study, classical music therapy and progressive muscle relaxation are expected to be non-pharmacological alternatives to reduce anxiety levels in pre-section cesarean patients.
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Abera, M., Hanlon, C., Daniel, B., Tesfaye, M., Workicho, A., & ... (2024). Effects of relaxation interventions during pregnancy on maternal mental health, and pregnancy and newborn outcomes: A systematic review and meta …. Plos One.
Akbaş, P., & Sözbir, Ş. Y. (2023). The effect of progressive muscle relaxation exercise on the intensity of symptoms and quality of sleep and quality of life in pregnant women with restless leg syndrome. Patient Education and Counseling.
Apryanti, Y. P. (2023). Kneading Techniques And Deep Breathing Relaxation Against Pain Reduction In First Time Maternity. Jurnal Aisyah: Jurnal Ilmu Kesehatan.
Aswitami, N., Darma, I., & ... (2021). The Effect of progressive muscle relaxation technique (PMRT) on the quality of life of third trimester pregnant women at Public Health Centre II, West Denpasar District. Jurnal Profesi Medika ….
Billy Anoraga, A., Nurwijayanti, N., Prasetyo, J., & Indasah, I. (2024). Menurunkan Stres pada Penderita Hipertensi dengan Kombinasi Terapi Swedish Massage dan Aromaterapi Lavender: Reducing Stress in Hypertension Sufferers with a Combination of Swedish Massage Therapy and Lavender Aromatherapy. Jurnal Abdi Kesehatan Dan Kedokteran, 3(2 SE-Articles), 91–100. https://doi.org/10.55018/jakk.v3i2.55
Cao-Lei, L., van den Heuvel, M. I., Huse, K., Platzer, M., Elgbeili, G., Braeken, M. A. K. A., Otte, R. A., Witte, O. W., Schwab, M., & Van den Bergh, B. R. H. (2021). Epigenetic modifications associated with maternal anxiety during pregnancy and children’s behavioral measures. Cells, 10(9). https://doi.org/10.3390/cells10092421
Duman, M., Ozan, Y. D., Derya, Y. A., & Taşhan, S. T. (2022). The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial✰. Explore.
Fan, S., Guan, J., Cao, L., Wang, M., Zhao, H., Chen, L., & Yan, L. (2021). Psychological effects caused by COVID-19 pandemic on pregnant women: A systematic review with meta-analysis. Asian Journal of Psychiatry, 56(October 2020), 102533. https://doi.org/10.1016/j.ajp.2020.102533
Farrag, J. M., Mahmoud, S. A., Salem, E. M. M. A., & ... (2021). Effect of mothers’ implementing progressive muscle relaxation technique on anxiety and sleep quality among children with Covid-19. Port Said Scientific ….
Fathian-Dastgerdi, Z., Tavakoli, B., & Jaleh, M. (2021). Factors associated with preventive behaviors of COVID-19 among adolescents: Applying the health belief model. Research in Social and ….
Hakimi, S., Hajizadeh, K., Hasanzade, R., & ... (2021). A systematic review and meta-analysis of the effects of music therapy on postpartum anxiety and pain levels. Journal of Caring ….
Hall, H., Munk, N., Carr, B., Fogarty, S., Cant, R., Holton, S., & ... (2021). Maternal mental health and partner-delivered massage: A pilot study. Women and Birth.
Hu, Y., Wang, X., Zhu, S., Chen, D., Ma, H., & Liang, Z. (2025). Various forms of pregnancy losses and risks of depression and anxiety in later life. 389(June).
Id, D. E. (2024). Docusign Envelope ID: 47552A27-92C0-4E90-804D-238975BA0B59 “. 1–179. https://doi.org/10.5281/zenodo.15487932
Jaya, N., & Kadhim, S. (2022). Classic Mozart And Murrotal Alquran Therapy Music For Increasing Body Weight In LBW Infants. Journal of Applied Nursing and Health, 4(2 SE-Articles), 277–282. https://doi.org/10.55018/janh.v4i2.112
Ji, C., Zhao, J., Nie, Q., & Wang, S. (2024). The role and outcomes of music therapy during pregnancy: a systematic review of randomized controlled trials. Journal of Psychosomatic Obstetrics …. https://doi.org/10.1080/0167482X.2023.2291635
Kaeni, K. (2021). The Pregnancy Workbook: Manage Anxiety and Worry with CBT and Mindfulness Techniques. books.google.com.
Khir, S. M., & ... (2024). Efficacy of progressive muscle relaxation in adults for stress, anxiety, and depression: a systematic review. Psychology Research …. https://doi.org/10.2147/PRBM.S437277
Kusumawati, E., & Andini, R. D. (2024). Literature Review: Differences in the Level of Anxiety in Primigravida and Multigravida in the Active Phase of Labor. Atlantis Press International BV. https://doi.org/10.2991/978-94-6463-461-7_6
Malange, V., Mohaissen, T., Conway, K. M., Rhoads, A., Morris, J. K., Ailes, E. C., Hedley, P. L., Cragan, J. D., Nestoridi, E., Papadopoulos, E. A., Scholz, T. D., Sidhu, A., Christiansen, M., & Romitti, P. A. (2025). Influenza vaccination during early pregnancy and risk of major birth defects, US Birth Defects Study To Evaluate Pregnancy exposureS, 2014–2019. Vaccine, 59(May). https://doi.org/10.1016/j.vaccine.2025.127297
Mokaberian, M., Dehghanpouri, H., Faez, N., & ... (2021). … of progressive muscle relaxation with imagery-based relaxation on the mental health and maternal-fetal attachment in women with a first unwanted pregnancy. Shahroud Journal of ….
Mueller, S. M., & Grunwald, M. (2021). Effects, side effects and contraindications of relaxation massage during pregnancy: a systematic review of randomized controlled trials. Journal of Clinical Medicine.
Oyarzabal, E. A., Seuferling, B., Babbar, S., & ... (2021). Mind-body techniques in pregnancy and postpartum. Clinical Obstetrics and ….
Pratiwi, R. D., Sunarjo, L., & Adi, M. S. (2021). Changes of anxiety scores in pregnant women with hypertension after progressive muscle relaxation therapy. STRADA Jurnal Ilmiah Kesehatan.
Rahmawati, R., Junuda, J., Saida, S., & Akifah, A. (2025). Interventions to address baby blues among postpartum mothers: A systematic review of effectiveness and implementation. African Journal of ….
Shimada, B. M. O., Cabral, M. A., Silva, V. O., & ... (2021). Interventions among pregnant women in the field of music therapy: a systematic review. Revista Brasileira de …. https://doi.org/10.1055/s-0041-1731924
Sitiyaroh, N. (2022). Effectiveness of classical music therapy and the use of lavender aromatherapy on anxiety during childbirth in maternity. International Journal of Health and Pharmaceutical ….
Sugijantoro, A. C., Anggraini, R., & Afiyah, R. K. (2022). The Effect of Combination Of Progressive Muscle Relaxation And Nature Sound Music Therapy On Sleep Quality Of Menopaused Women. Journal of Applied Nursing and Health, 4(2 SE-Articles), 340–348. https://doi.org/10.55018/janh.v4i2.107
Sulistyowati, N. (2023). Music Therapy Reduces Pain In Labor. Jurnal EduHealth, 14(02), 940–943. https://doi.org/10.54209/jurnaleduhealth.v14i02.2310
Toker, E., Demirel, G., Doganer, A., & ... (2021). Effects of Turkish Classical Music on Postpartum Pain and Anxiety in Cesarean Deliveries: A Randomized Controlled Trial. … Therapies in Health & ….
Toqan, D., Malak, M. Z., Ayed, A., Fashafsheh, I., & ... (2022). Effect of progressive muscle relaxation exercise on anxiety among male nursing students undergoing maternity clinical training. SAGE Open …. https://doi.org/10.1177/23779608221136644
Weingarten, S. J., Levy, A. T., & Berghella, V. (2021). The effect of music on anxiety in women undergoing cesarean delivery: a systematic review and meta-analysis. American Journal of Obstetrics & ….
Winarni, L. M., Nurjannah, S., & ... (2022). The Effect of Progressive Muscle Relaxation (PMR) on The Mother’s Anxiety Level Before Sectio Caesarea at Dinda’s Hospital at Tangerang City. … NURSING JOURNAL OF ….
Zendehdel, M., Elyasi, F., Jahanfar, S., & ... (2022). Effectiveness of progressive muscle relaxation technique on anxiety caused by Covid‐19 in pregnant women: A randomized clinical trial. …. https://doi.org/10.1002/npr2.12241
Zenouzi, A., Moghadam, Z. B., Babayanzad, S., & ... (2022). The effect of benson relaxation technique on stress, anxiety, and depression in pregnant women. Holistic Nursing ….
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