THE LENGTH OF BREASTFEEDING: THE ROLE OF PRENATAL EDUCATION AND LISTENING TO CLASSICAL MUSIC

Introduction: The use of music in midwifery is a new research field and further studies and clear evidence are needed to make it a valuable element of midwifery care. The aim of the study was to prove the influence of education of pregnant women and listening to classical music on the frequency and length of breastfeeding at discharge from the maternity hospital and 6 weeks after delivery. ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ Subjects and methods: A prospective randomized controlled study was conducted in 2019. The sample consisted of pregnant women from the area of Hercegbosna County, 198 of them (N=198). Results: No significant difference was found in the frequency of exclusive breastfeeding and feeding with supplementation between the experimental and control groups at discharge (88.9% vs 92.2%). A significantly larger number of subjects in the experimental group were exclusively breastfed compared to the control group after 6 weeks (χ²=4.541; df=1; p-0.033). Conclusion: The results indicate that investments in the development of the competencies of pregnant women and the creation of conditions in maternity hospitals can significantly affect the duration of exclusive breastfeeding

RELATIONSHIP BETWEEN EDUCATION OF PREGNANT WOMEN AND LISTENING TO CLASSICAL MUSIC WITH THE EXPERIENCE OF PAIN IN CHILDBIRTH AND THE OCCURRENCE OF PSYCHOLOGICAL SYMPTOMS IN PUERPERIUM

Introduction: Pregnancy is a unique experience accompanied by significant physiological, biochemical, and psychological changes that may affect a women\u27s health status.With the development of a holistic approach midwives have became continuous support during pregnancy and childbirth. Childbirth education is an intervention that affects delivery outcomes and the experience of childbirth. Music therapy has been proven to be a safe and effective non - pharmacological method to gain in pregnancy and puerperium. The study aimed to prove the impact of educating pregnant women and listening to classical music on the experience of childbirth pains and the occurrence of psychological symptoms during puerperium. Methods: A prospective randomized controlled trial (n=198) was conducted. The experimental group of pregnant women was educated during pregnancy and listened to classical music the rest of the pregnancy, while the control group received the usual care. The VAS scale was used to assess pain, and the 90 - point scale was used to assess the incidence of psychological symptoms. Results: The difference in pain assessment between the experimental and control groups was significant (p<0.001). The experimental group rated their childbirth pain as moderate (M=5.98), while the control group experienced severe pain (M=8.42). A significant difference in the incidence of psychological symptoms between groups was found in the dimensions of interpersonal sensitivity, hostility, phobic anxiety, and paranoid ideations (p=0.042; p=0.014; p=0.013; p=0.008). Conclusion: This study demonstrated the impact of midwifery education and listening to classical music on the perception of childbirth pain and mental health in the puerperium. The experimental group rated childbirth pain significantly lower compared to the control group and had significantly fewer psychological symptoms 6 weeks after delivery

RELATIONSHIP BETWEEN EDUCATION OF PREGNANT WOMEN AND LISTENING TO CLASSICAL MUSIC WITH THE EXPERIENCE OF PAIN IN CHILDBIRTH AND THE OCCURRENCE OF PSYCHOLOGICAL SYMPTOMS IN PUERPERIUM

Introduction: Pregnancy is a unique experience accompanied by significant physiological, biochemical, and psychological changes that may affect a women\u27s health status.With the development of a holistic approach midwives have became continuous support during pregnancy and childbirth. Childbirth education is an intervention that affects delivery outcomes and the experience of childbirth. Music therapy has been proven to be a safe and effective non - pharmacological method to gain in pregnancy and puerperium. The study aimed to prove the impact of educating pregnant women and listening to classical music on the experience of childbirth pains and the occurrence of psychological symptoms during puerperium. Methods: A prospective randomized controlled trial (n=198) was conducted. The experimental group of pregnant women was educated during pregnancy and listened to classical music the rest of the pregnancy, while the control group received the usual care. The VAS scale was used to assess pain, and the 90 - point scale was used to assess the incidence of psychological symptoms. Results: The difference in pain assessment between the experimental and control groups was significant (p<0.001). The experimental group rated their childbirth pain as moderate (M=5.98), while the control group experienced severe pain (M=8.42). A significant difference in the incidence of psychological symptoms between groups was found in the dimensions of interpersonal sensitivity, hostility, phobic anxiety, and paranoid ideations (p=0.042; p=0.014; p=0.013; p=0.008). Conclusion: This study demonstrated the impact of midwifery education and listening to classical music on the perception of childbirth pain and mental health in the puerperium. The experimental group rated childbirth pain significantly lower compared to the control group and had significantly fewer psychological symptoms 6 weeks after delivery