The effect of music on pregnancy-related insomnia: A systematic review and meta-analysis

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2025-01-14 DOI:10.1016/j.midw.2025.104294

Camilla Solgaard Hoffmann , Nadia Flensted Hoegholt , Peter Vuust , Morten Kringelbach , Kira Vibe Jespersen

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Abstract

Background

Pregnancy is associated with physical, physiological and hormonal changes, that significantly influence sleep. Pregnancy-related insomnia is associated with a higher risk of complications during pregnancy and labor as well as postpartum depression. Music is widely used to promote sleep, as it is easily accessible, non-pharmacological and without side effects, but the effect of music-listening for pregnancy-related insomnia is unclear.

Methods

Eight electronic databases were searched for RCTs investigating the effect of music listening on pregnant women with insomnia. Two researchers independently screened the identified studies for eligibility and post-intervention data were extracted. We assed risk of bias using the Cochrane risk of bias assessment (RoB1). A random-effects meta-analysis was conducted to assess changes in subjective sleep quality following a music-based intervention compared to controls.

Results

Four RCTs (348 participants) were included in the systematic review and meta-analysis. Music interventions significantly reduced sleep problems (MD -1.38, 95 % CI -2.56 to -0.19; p = 0.02) compared to no treatment or treatment as usual. Since it is not possible to blind participants to the music interventions, all the studies were rated with high risk of bias in at least one domain.

Conclusion

This review suggests that listening to music at bedtime may improve sleep quality in pregnant women with symptoms of insomnia, but more studies are needed to fully establish the effect.

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音乐对妊娠相关失眠的影响：一项系统回顾和荟萃分析。

背景：怀孕与身体、生理和荷尔蒙变化有关，这些变化对睡眠有显著影响。与怀孕有关的失眠与怀孕和分娩期间并发症以及产后抑郁症的风险较高有关。音乐被广泛用于促进睡眠，因为它容易获得，非药物和无副作用，但听音乐对怀孕相关失眠的影响尚不清楚。方法：检索8个电子数据库，收集调查孕妇听音乐对失眠症影响的随机对照试验。两名研究人员独立筛选了确定的研究的合格性，并提取了干预后的数据。我们使用Cochrane偏倚风险评估（RoB1）来评估偏倚风险。进行了随机效应荟萃分析，以评估与对照组相比，以音乐为基础的干预后主观睡眠质量的变化。结果：系统评价和荟萃分析纳入4项随机对照试验（348名受试者）。音乐干预显著减少睡眠问题(MD -1.38, 95% CI -2.56至-0.19；P = 0.02)。由于不可能让参与者对音乐干预视而不见，所有的研究都至少在一个领域被评为高偏倚风险。结论：这篇综述表明，睡前听音乐可能会改善有失眠症状的孕妇的睡眠质量，但需要更多的研究来充分证实这种效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.