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Not yet recruitingNCT07139574Updated Aug 24, 2025

Music Therapy for Labor Pain and Anxiety

An interventional study of Music Therapy During Labor in Labor Pain and Anxiety, sponsored by University Tunis El Manar. Not yet recruiting at 1 site in Tunisia. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-24.

Sponsored by University Tunis El Manar · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Nov 2025, 1 year ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This multicenter randomized controlled trial evaluates the effectiveness of music therapy in reducing pain and anxiety during the latent and active phases of labor in Tunisian women. Participants are randomized to receive either music therapy or standard care. Primary outcomes are pain (VAS) and anxiety (STAI-Y). Secondary outcomes include labor duration, maternal and fetal vital signs, neonatal outcomes, and maternal satisfaction.

Read the detailed description

This study investigates the impact of music therapy on pain and anxiety management during labor in Tunisian parturients. Given the limited access to pharmacological analgesia in many public maternity units, the trial explores music as a non-pharmacological, low-cost, and patient-centered intervention. Eligible women in labor are randomly assigned to either a music therapy group or a control group receiving standard care. Music is administered during the latent and active phases following established clinical guidelines (slow tempo, non-lyrical, patient-guided selection). The study evaluates changes in pain intensity, anxiety levels, labor progression, maternal-fetal physiological parameters, neonatal outcomes, and maternal satisfaction. Findings aim to inform labor care practices and promote integrative approaches in resource-limited settings.

02

Conditions studied

  • Labor Pain
  • Anxiety

Keywords

  • music therapy
  • anxiety
  • pain management
  • labor
  • randomized controlled trial
03

In context

Labor Pain

423 studies on the registry are indexed under Labor Pain; 74 are open to participants now.

This study's planned enrollment of 70 is below the median of 100 across 347 interventional studies indexed under Labor Pain.

Browse Labor Pain studies →

Lead sponsor

University Tunis El Manar is the lead sponsor of 74 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Married Tunisian women with a singleton, low-risk pregnancy.
  • Admitted in the latent phase of spontaneous labor, as diagnosed by a midwife or resident.
  • Planned vaginal delivery.
  • Parity \< 4.
  • Gestational age between 37 and 41 weeks of amenorrhea.
  • Attended at least 4 prenatal consultations.
  • Normal physical and mental health status.
  • No known fetal anomalies.
  • Estimated fetal weight between 2500-4000 g.
  • Cephalic presentation.
  • Normal fetal heart rate and uterine contraction tracings.
  • Able to read, write, and understand study-related information.
  • Provided written .

Exclusion criteria

Exclusion Criteria:

  • Women who received epidural analgesia during labor.
  • Presence of auricular malformations.
  • Difficulty in understanding or completing the VAS or STAI-Y assessments.
  • Serious medical or psychiatric disorders.
  • Multiple gestation or pregnancies requiring immediate intervention.
  • Preterm (\<37 weeks) or post-term (>41 weeks) pregnancies.
  • Premature rupture of membranes.
  • Clinical chorioamnionitis or other infections (including ).
  • History of severe obstetric complications (e.g., cephalopelvic disproportion, intrauterine fetal death )
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Music group

    The intervention consists of music therapy administered during the latent and active phases of labor. Music is delivered through headphones or speakers and includes slow, instrumental, non-lyrical tracks (60-80 beats per minute), selected in collaboration with the participant. The intervention is applied for a minimum duration of 30 minutes and follows established clinical guidelines for therapeutic music use. Standard monitoring of maternal and fetal well-being is maintained throughout the intervention.

    Other: Music Therapy During Labor

  • No intervention
    Control Group

    This group received routine care during labor (monitoring of labor progression, vital signs, and fetal heart rate monitoring). No specific pain management techniques were used for this group.

Interventions

  • OtherMusic Therapy During Labor

    This intervention involves the use of patient-selected, slow-tempo (60-80 bpm), non-lyrical instrumental music administered via headphones or speakers during the latent and active phases of labor. The music selection is guided to ensure therapeutic suitability (e.g., calming rhythm, absence of lyrics) and is delivered for a minimum of 30 minutes. The intervention is non-pharmacological, individualized, and adheres to WHO and clinical music therapy recommendations. It is distinguished by its personalized music choice, delivery timing, and structured application within labor progression monitoring.

06

What researchers measure

Primary outcomes

  1. Pain level

    Pain intensity will be measured using a 10-cm Visual Analogue Scale (VAS), ranging from 0 = no pain to 10 = worst imaginable pain.

    Time frame: 30 minutes after completing the music session

  2. Anxiety level

    Anxiety level will be measured using the State-Trait Anxiety Inventory, Form Y (STAI-Y), with higher scores indicating greater anxiety.

    Time frame: 30 minutes after completing the music session

Secondary outcomes

  1. Maternal pulse rate

    Maternal pulse rate will be maesured in beat per minute 30 mn after listening to the musioc selection

    Time frame: 30 minutes after completing the music session

  2. Maternal arterial pressure

    Maternal arterial pressure will be maesured in mmHg

    Time frame: 30 minutes after completing the music session

  3. Apgar score

    the foetal pgar score was maesures on a scale from 0 to 10 five minutes after delivery

    Time frame: 5 minutes after delivery

  4. Maternal satisfaction

    Maternal satisfaction was maesured by a likert scale from 1 to 10 2 hours after delivery

    Time frame: 2 hours after delivery

07

Study locations

1 site
08

References and documents

Publications

  • Vaid R, Fareed A, Farhat S, Hammoud Z, Asif MI, Ochani S, Jaber MH. Sounds of comfort: the impact of music therapy on labor pain and anxiety in primigravida women during vaginal delivery: a systematic review and meta-analysis. Reprod Health. 2025 May 9;22(1):67. doi: 10.1186/s12978-025-02023-z. PubMed 40346658 ↗
  • Santivanez-Acosta R, Tapia-Lopez ELN, Santero M. Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis. Medicina (Kaunas). 2020 Oct 10;56(10):526. doi: 10.3390/medicina56100526. PubMed 33050409 ↗
  • Guo H, Que M, Shen J, Nie Q, Chen Y, Huang Q, Jin A. Effect of Music Therapy Combined with Free Position Delivery on Labor Pain and Birth Outcomes. Appl Bionics Biomech. 2022 May 11;2022:8963656. doi: 10.1155/2022/8963656. eCollection 2022. PubMed 35600844 ↗

Individual participant data

Plan to share: Undecided — Individual participant data (IPD) will not be shared because of concerns regarding patient confidentiality and the absence of institutional infrastructure for secure data sharing.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2025; primary completion for Nov 2025, 2 months later.

Of 191 non-industry interventional studies with no phase under Labor Pain, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's planned 2 months is below that.

Counting every sponsor, half of 193 studies reached it within 9 months; a quarter within 5 and three quarters within 14.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2025
First posted
Aug 24, 2025
StartEst.
Sep 2025
Primary completionEst.
Nov 2025
CompletionEst.
Nov 2025
Last update
Aug 24, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07139574
Lead sponsor
University Tunis El Manar
Responsible party
Nesrine Souayeh (Associate Professor, University Tunis El Manar) — Principal investigator
First posted
Aug 24, 2025
Start date
Sep 2025 (estimated)
Primary completion
Nov 2025 (estimated)
Completion
Nov 2025 (estimated)
Last update
Aug 24, 2025

Study contacts

NESRINE SOUAYEH, Associate Professor
Contact
nesrine.souayeh@fmt.utm.tn
97816168 ext. +216

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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