The Effect of Lullaby Intervention on Anxiety and Prenatal Attachment in Women with High-Risk Pregnancy: A Randomized Controlled Study

Abstract

<b><i>Background:</i></b> Women with high-risk pregnancy experience anxiety and low mother-fetal attachment when faced with signs of danger and health problems. This study aimed to investigate the effects of lullaby intervention on anxiety and prenatal attachment in women with high-risk pregnancy. <b><i>Materials and Methods:</i></b> This randomized controlled trial was conducted in the perinatology clinic of a state maternity hospital in Turkey. Seventy-six women with high-risk pregnancy were included. The intervention group listened to lullabies for 20 min once a day, and accompanied by lullabies touched their abdomen and thought about their babies, but the control group did not. Data were collected using the Pregnant Information Form, the State Anxiety Inventory, and the Prenatal Attachment Inventory. <b><i>Results:</i></b> Baseline anxiety did not differ in the intervention versus control group (47.83 ± 10.74 vs. 44.10 ± 8.08, mean difference 3.73 [95% Cl –1.18 to 8.64], <i>p</i> = 0.13), but after the 2nd day lullaby intervention anxiety was lower in the intervention group versus control group (33.66 ± 9.32 vs. 43.06 ± 8.10, mean difference –9.40 [95% Cl –13.91 to –4.88], <i>p</i> < 0.01). Baseline prenatal attachment did not differ in the intervention versus control group (56.03 ± 10.71 vs. 53.86 ± 9.98, mean difference 2.16 [95% Cl –3.18 to 7.51], <i>p</i> = 0.42), but after the 2nd day lullaby intervention prenatal attachment was higher in the intervention group versus control group (66.70 ± 7.60 vs. 54.36 ± 9.52, mean difference 12.33 [95% Cl 7.87 to 16.78], <i>p</i> < 0.01). In the within-group analysis the intervention group had lower anxiety and better prenatal attachment (<i>p</i> < 0.01), but not in the control group (<i>p</i> > 0.05). <b><i>Conclusion:</i></b> Lullaby intervention can play an effective role in reducing anxiety and improving prenatal attachment. The use of this integrative, noninvasive, non-pharmacologic, time-efficient, and natural intervention is suggested in the care of pregnant women.

Virtual Reality Headset Simulating a Nature Environment to Improve Health Outcomes in Pregnant Women: A Randomized-Controlled Trial

“…Based on these findings, the hypothesis of “VR application increases the level of prenatal attachment in the intervention group, compared to the controls” was discredited. As opposed to our study findings, it has been reported in several studies that while the cognitive-behavioral therapy was effective on the prenatal attachment of pregnant women with depressive symptoms (Alhusen et al, 2021), the guided imagery and the lullaby intervention had positive effects on women with an unplanned pregnancy and those with high-risk pregnancy, respectively (Baltacı & Başer, 2022; Kordi et al, 2016). We consider that the difference between our study findings and those reported in these studies stemmed from the use of different methods and the differences between the groups examined.…”

Apego materno-fetal em gestantes de alto risco: uma revisão integrativa

“…Foram encontrados estudos dos seguintes países Turquia (n=4), Coréia do Sul (n=2), Finlândia (n=1), Chile (n=1), Estados Unidos (n=1), Inglaterra (n=1), Polônia (n=1) e Brasil (n=1), evidenciando escassez de pesquisas no território nacional. & Güneri, 2020;Mackie et al , 2020;Moore et al, 2019;Souza et al, 2022;Topan et al, 2022), dois tiveram como objetivo verificar a capacidade preditiva de determinados fatores na intensidade do AMF (Kucharska, 2020;Yoon & Sung, 2021), três compararam grupos de gestantes de alto e baixo risco (Dagla et al, 2022;Palma et al, 2020;Yesilcinar et al, 2023) promoção do AMF (Baltacı & Başer, 2022;Jussila et al, 2021;Kim & Chun, 2020).…”