Impact of audio assisted relaxation technique on stress, anxiety and milk output among postpartum mothers of hospitalized neonates: A randomized controlled trial

Dabas, Suman; Joshi, Poonam; Agarwal, Ramesh; Yadav, Raj Kumar; Kachhawa, Garima

doi:10.1016/j.jnn.2019.03.004

Cited by 28 publications

(82 citation statements)

References 34 publications

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“…Population: most trials were conducted in upper-middle-income countries (Brazil, Chile, China, Iran, Lebanon, Malaysia, Mexico and South Africa) (Langer et al, 1998;Bastani et al, 2006;Aracena et al, 2009;Carvalho et al, 2009;Cooper et al, 2009;Le Roux et al, 2013;Le Roux et al, 2014; Rotheram-Borus et al, 2014a; Rotheram-Borus et al, 2014b; Tomlinson, 2014; Karamoozian and Askarizadeh, 2015;Murray et al, 2015;Tomlinson et al, 2015;Tomlinson et al, 2016b;Tomlinson et al, 2016a;Zhao et al, 2017, Rotheram-Fuller et al, 2018Mohd Shukri et al, 2019;Nabulsi et al, 2019;Rotheram-Borus et al, 2019;Guo et al, 2020;Zhao et al, 2020) followed by lower-middle-income (India, Nigeria and Pakistan) (Rahman et al, 2008;Tripathy et al, 2010;Maselko et al, 2015;Dabas et al, 2019;Fuhr et al, 2019;Gureje et al, 2019;Sikander et al, 2019;Rajeswari and SanjeevaReddy, 2020), low-income (Pakistan) (Rahman et al, 2008;Maselko et al, 2015) and a multi-site trial of lower-middle (Cuba) and upper-middle-income countries (Argentina, Brazil and Mexico) (Villar et al, 1992) (Table 1). Most trials enrolled pregnant women in their second and/or third trimester (Villar et al, 1992; Epidemiology and Psychiatric Sciences Langer et al, 1998;Bastani et al, 2006;Rahman et al, 2008;Aracena et al, 2009;Co...…”

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

“…Most trials enrolled pregnant women in their second and/or third trimester (Villar et al, 1992; Epidemiology and Psychiatric Sciences Langer et al, 1998;Bastani et al, 2006;Rahman et al, 2008;Aracena et al, 2009;Cooper et al, 2009;Le Roux et al, 2013;Le Roux et al, 2014;Tomlinson, 2014;Rotheram-Borus et al, 2014a;Rotheram-Borus et al, 2014b;Maselko et al, 2015;Murray et al, 2015;Tomlinson et al, 2015;Tomlinson et al, 2016a;Tomlinson et al, 2016b;Fuhr et al, 2019;Gureje et al, 2019;Kola et al, 2019;Mohd Shukri et al, 2019;Oladeji et al, 2019;Sikander et al, 2019;Guo et al, 2020;Rajeswari and SanjeevaReddy, 2020;Zhao et al, 2020). Four trials enrolled women that had recently given birth (Carvalho et al, 2009;Tripathy et al, 2010;Le Roux et al, 2013;Le Roux et al, 2014;Rotheram-Borus et al, 2014b;Tomlinson, 2014;Tomlinson et al, 2015;Tomlinson et al, 2016a;Tomlinson et al, 2016b, Rotheram-Fuller et al, 2018Dabas et al, 2019;Rotheram-Borus et al, 2019). Some trials enrolled specific subgroups of pregnant women including adolescents or young adults (Aracena et al, 2009), low-income (Cooper et al, 200...…”

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

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Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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Aims Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). Methods We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. Results We identified 21 trials with 28 284 mother–child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13–1.71, ten trials, N = 4749 mother–child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02–0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. Conclusions These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.

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Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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“…Dabas et al. (2019) applied a sound‐assisted relaxation technique on a computer in a room in a sitting position (Dabas et al., 2019). In another study, mothers listened to local language music on CD players (Kittithanesuan et al., 2017).…”

Section: Resultsmentioning

confidence: 99%

“…In the last study, mothers breastfed their babies while playing an instrument and singing and therapists also played music to the participating mothers (Vianna et al., 2011). The trials employed flute playing (Ak et al., 2015), audio‐assisted relaxation (Dabas et al., 2019), relaxing music in a native language (Kittithanesuan et al., 2017), a relaxation therapy audio‐recording (Mohd Shukri et al., 2019), and both passive and active music (Vianna et al., 2011).…”

Section: Resultsmentioning

confidence: 99%

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The effects of music ıntervention on breast milk production in breastfeeding mothers: A systematic review and meta‐analysis of randomized controlled trials

Düzgün

Özer

2020

Journal of Advanced Nursing

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Aims The aim of this study was to investigate the effect of music intervention on breast milk production in breastfeeding mothers. Design A systematic review and meta‐analysis of randomized controlled trials following Cochrane methods were conducted. Data Sources We performed a literature search in Web of Science, Science Direct, PubMed, MEDLINE, Cochrane Library, CINAHL, the Networked Digital Library of Theses & Dissertations, Ovid and ProQuest without year limitation. The review period covered January 1978–March 2020. Review Methods Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria according to the PICOS criteria. Result Of 2,081 randomized controlled trials, 5 were included in this systematic review and meta‐analysis. The total sample of the five trials was 554 participants. Active and passive music lasting 11–60 min was played in 1–14 sessions. No publication bias was noted. Cochran's Q test results pointed to a low level of heterogeneity among the randomized controlled trials. Overall, the results showed that music intervention had a low and positive effect on breast milk production in breastfeeding mothers. Conclusion A systematic review and meta‐analysis conducted on five trials showed that music can be an effective way to increase breast milk production. Impact This systematic review and meta‐analysis investigated the effect of music on breast milk production in breastfeeding mothers and found sound evidence supporting its positive effects. Nurses, academics, mothers, and their children and society can benefit from these results. Nurses who give counselling to breastfeeding mothers can use music intervention to help them increase breast milk production.

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Relaxation Therapy and Human Milk Feeding Outcomes

Levene,

Mohd Shukri,

O’Brien

et al. 2024

JAMA Pediatr

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ImportanceHuman milk feeding is a key public health goal to optimize infant and maternal/parental health, but global lactation outcomes do not meet recommended duration and exclusivity. There are connections between lactation and mental health.ObjectiveTo appraise all available evidence on whether the provision of relaxation interventions to lactating individuals improves lactation and well-being.Data SourcesEmbase, MEDLINE, CINAHL, Allied and Complementary Medicine Database, Web of Science, and the Cochrane Library were searched on September 30, 2023, and topic experts were consulted.Study SelectionTwo independent reviewers screened for eligibility. Inclusion criteria were full-text, peer-reviewed publications with a randomized clinical trial design. Techniques that were entirely physical (eg, massage) were excluded. A total of 7% of initially identified studies met selection criteria.Data Extraction and SynthesisTwo independent reviewers extracted data and assessed risk of bias with the Cochrane Risk of Bias 2 tool. Fixed-effects meta-analysis and Grading of Recommendations, Assessment, Development, and Evaluations guidelines were used to synthesize and present evidence.Main Outcomes and MeasuresPrespecified primary outcomes were human milk quantity, length and exclusivity of human milk feeding, milk macronutrients/cortisol, and infant growth and behavior.ResultsA total of 16 studies were included with 1871 participants (pooled mean [SD] age for 1656 participants, 29.6 [6.1] years). Interventions were music, guided relaxation, mindfulness, and breathing exercises/muscle relaxation. Provision of relaxation was not associated with a change in human milk protein (mean difference [MD], 0 g/100 mL; 95% CI, 0; 205 participants). Provision of relaxation was associated with an increase in human milk quantity (standardized mean difference [SMD], 0.73; 95% CI, 0.57-0.89; 464 participants), increased infant weight gain in breastfeeding infants (MD, z score change = 0.51; 95% CI, 0.30-0.72; 226 participants), and a slight reduction in stress and anxiety (SMD stress score, −0.49; 95% CI, −0.70 to −0.27; 355 participants; SMD anxiety score, −0.45; 95% CI, −0.67 to −0.22; 410 participants).Conclusions and RelevanceResults of this systematic review and meta-analysis suggest that provision of relaxation was associated with an increase in human milk quantity and infant weight gain and a slight reduction in stress and anxiety. Relaxation interventions can be offered to lactating parents who would like to increase well-being and improve milk supply or, where directly breastfeeding, increase infant weight gain.

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Impact of audio assisted relaxation technique on stress, anxiety and milk output among postpartum mothers of hospitalized neonates: A randomized controlled trial

Cited by 28 publications

References 34 publications

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

The effects of music ıntervention on breast milk production in breastfeeding mothers: A systematic review and meta‐analysis of randomized controlled trials

Relaxation Therapy and Human Milk Feeding Outcomes

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