The effect of sound therapy in women under cesarean section with spinal anesthesia on neonates Apgar score in Motahhari Hospital in 2019 (2024)

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Protocol summary

Study aim

The effect of sound therapy in women under cesarean section with spinal anesthesia on neonates Apgar score in Motahhari Hospital in 2019

Design

This is a double-blind randomized study. The study group consisted of 92 women referred to Jahrom Motahhari Hospital who underwent cesarean section. Individuals are divided into intervention and control groups by throwing dice.

Settings and conduct

This study will be carried out at Jahrom university in 2020. On the surgery day, the case will be asked to listen to the sound of nature playing through headphones for 20 minutes until her infant will be born. After the infant's birth, at the minutes 1, 5, 10, 15, 20 the Apgar score will be recorded by a researcher who will be unaware of the control and intervention groups.

Participants/Inclusion and exclusion criteria

Patient Satisfaction to Participate in the Study;All patients undergoing cesarean section at Motahari Hospital of Jahrom University of Medical Sciences;Spinal anesthesia for the mother approved by the anesthesiologist; Term pregnancy; Non-emergency surgery;Individuals in need of any non-routine medication (like painkillers) or treatment during surgery (before birth); instability of hemodynamic state; ptient dissatisfaction to remain in research; If any sign of meconium aspiration is observed by diagnosis of the specialist, the case will be removed from the study .

Intervention groups

On surgery day, calming nature audios including the sounds of the forest, rain, river waterfall, etc. will be played through a Marshal headphone model Major and the Sony MP3 player model NWZ-B183F with the sound ratio of 25-50 decibel. After the infant is born a trained researcher, who is unaware of the allocation of patients to control or intervention group, will record the Apgar score at the minutes 1, 5, 10, 15 and 20.

Main outcome variables

Apgar score in infants 1،5،10،15،20 minutes after birth

General information

Reason for update
Acronym
IRCT registration information

IRCT registration number:IRCT20130718014049N9

Registration date:2020-03-03, 1398/12/13

Registration timing:prospective

Last update:2020-03-03, 1398/12/13

Update count:0

Registration date
2020-03-03, 1398/12/13
Registrant information

Name

Ali Abbasi Jahromi

Name of organization / entity

Jahrom University of Medical Sciences

Country

Iran (Islamic Republic of)

Phone

+98 79 1334 1501

Email address

abbasija@jums.ac.ir

Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-03-29, 1399/01/10
Expected recruitment end date
2020-06-30, 1399/04/10
Actual recruitment start date

empty

Actual recruitment end date

empty

Trial completion date

empty

Scientific title
The effect of sound therapy in women under cesarean section with spinal anesthesia on neonates Apgar score in Motahhari Hospital in 2019
Public title
The effect of sound therapy in women under cesarean section with spinal anesthesia on neonates apgar score
Purpose
Supportive
Inclusion/Exclusion criteria

Inclusion criteria:

Patient satisfaction to participate in the studyAll patients undergoing cesarean section at Motahari hospital of Jahrom University of Medical Sciences.Spinal anesthesia for the mother has been permitted by the anesthesiologist.Term pregnancyNon-emergency surgery

Exclusion criteria:

Individuals in need of any non-routine medication (like painkillers) or treatment during the surgery (before birth) instability of hemodynamic stateDissatisfaction of patient to participate in the researchIf any sign of meconium aspiration is observed by diagnosis of the specialist, the case will be removed from the study

Age
From 18 years old to 35 years old
Gender
Female
Phase
N/A
Groups that have been masked
  • Participant
  • Investigator
  • Outcome assessor
Sample size

Target sample size:92

Randomization (investigator's opinion)
Randomized
Randomization description

Patients are simply randomly divided into two groups of intervention and control if they meet the inclusion criteria and consent to participate in the study. In this case, once a dice is thrown for each patient, the patient with will be in the even number will be in intervention group, and patient with odd number will be in the control group.

Blinding (investigator's opinion)
Double blinded
Blinding description

The neonatal Apgar Scale measure assessor will not be aware of the intervention or control groups.

Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee

Name of ethics committee

Ethic Committee of Jahrom University of Medical Sciences

Street address

Ethic committee, Jahrom University of medical science, martyr Motaharie Blvd, Jahrom

City

Jahrom

Postal code

4619974148

Approval date
2020-02-25, 1398/12/06
Ethics committee reference number
IR.JUMS.REC.1398.095

Health conditions studied

1

Description of health condition studied
Apgar score scale after sound therapy
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Apgar score
Timepoint
Apgar score in infants1،5،10،15،20 minutes after birth
Method of measurement
Based on Apgar Scale

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group:On surgery day, calming nature audios including the sounds of the forest, rain, river waterfall, etc. will be played through a Marshal headphone model Major and the Sony MP3 player model NWZ-B183F with the sound ratio of 25-50 decibel. After the infant is born a trained researcher, who is unaware of the identity of the control and intervention groups of mothers and infants, will record the Apgar score at the minutes 1, 5, 10, 15 and 20.
Category
Treatment - Devices

2

Description
Control group:In the control group routine spinal anesthesia will be performed and no action will be taken until the infants is born, then the infant's apgar will be recorded at 1, 5, 10, 15, 20 minutes.
Category
N/A

Recruitment centers

1

Recruitment center

Name of recruitment center

Martyr Motaharie hospital

Full name of responsible person

Saman Siasi

Street address

Master Motaharie Blvd, Jahrom

City

Jahrom

Province

Fars

Postal code

74157-13597

Phone

+98 71 5433 3001

Email

sobhansaman9871@gmail.com

Sponsors / Funding sources

1

Sponsor

Name of organization / entity

Jahrom University of Medical Sciences

Full name of responsible person

Kavoos Solh joo

Street address

Research deputy, Jahrom University of medical science, martyr Motaharie Blvd, Jahrom

City

Jahrom

Province

Fars

Postal code

7414846199

Phone

+98 71 5434 0406

Email

sobhansaman9871@gmail.com

Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Jahrom University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact

Name of organization / entity

Jahrom University of Medical Sciences

Full name of responsible person

Ali Abasi Jahromi

Position

Faculty

Other areas of specialty/work

Anesthesiology

Street address

Research deputy, Jahrom University of Medical science, martyr Motaharie Blvd, Jahrom

City

Jahrom

Province

Fars

Postal code

7414846199

Phone

+98 71 5434 0406

Email

aliabbasijahromi@yahoo.com

Person responsible for scientific inquiries

Contact

Name of organization / entity

Jahrom University of Medical Sciences

Full name of responsible person

Ali Abasi Jahromi

Position

Science Committee

Latest degree

Master

Other areas of specialty/work

Anesthesiology

Street address

Research deputy, Jahrom University of medical science, martyr Motaharie Blvd, Jahrom

City

jahrom

Province

Fars

Postal code

7414846199

Phone

+98 71 5434 0406

Email

aliabbasijahromi@yahoo.com

Person responsible for updating data

Contact

Name of organization / entity

Jahrom University of Medical Sciences

Full name of responsible person

Saman Siasi

Position

Student

Latest degree

Bachelor

Other areas of specialty/work

Anesthesiology

Street address

Research deputy, Jahrom University of medical science, martyr Motaharie Blvd, Jahrom

City

Jahrom

Province

Fars

Postal code

7414846199

Phone

+98 71 5434 0406

Email

sobhansaman9871@gmailc.om

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD

There is no further information

Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document

IPD collected for the primary outcome measure only

When the data will become available and for how long

Six months after printing results

To whom data/document is available

Only available for people working in academic institutions

Under which criteria data/document could be used

Only scientific and practical use is allowed

From where data/document is obtainable

Jahrom university of medical sciences

What processes are involved for a request to access data/document

Apply to university and receive information

Comments
The effect of sound therapy in women under cesarean section with spinal anesthesia on neonates Apgar score in Motahhari Hospital in 2019 (2024)

FAQs

What are the side effects of spinal anesthesia for C section? ›

Nausea and vomiting occur significantly more frequently during spinal anaesthesia for caesarean section compared to non-obstetric surgery, and are primarily caused by hypotension. Acute hypotension reduces cerebral perfusion, induces transient brainstem ischemia and activates vomiting centres (14).

What is the difference between local and spinal anesthesia? ›

Neuraxial anesthesia refers to the placement of local anesthetic in or around the CNS. Spinal anesthesia is a neuraxial technique in which local anesthetic is placed directly in the intrathecal (subarachnoid) space.

Why is anesthesia given in the spinal cord? ›

Spinal anesthesia is often used for genital, urinary tract, or lower body procedures. Epidural anesthesia is often used during labor and delivery, and surgery in the pelvis and legs. Epidural and spinal anesthesia are often used when: The procedure or labor is too painful without any pain medicine.

How long is the recovery time for spinal anesthesia? ›

Sensation returned in about 100 minutes after the injection of the spinal anesthesia, motor function after 120 minutes, and the first urination was in about 6 hours after the injection of the spinal anesthesia.

What are the long term side effects of spinal anesthesia? ›

Nerve damage– this is a rare complication of spinal anaesthesia. Temporary loss of sensation, pins and needles and sometimes muscle weakness may last for a few days or even weeks but almost all of these make a full recovery in time. Permanent nerve damage is rare (approximately 1 in 50,000 spinals).

What is the most serious adverse effect of spinal anesthesia for a client? ›

Rare but possible risk of nerve injury with spinal anesthesia, especially if needle trauma occurs. Perioperative nerve damage is a known side effect, but severe or permanent neurologic consequences are uncommon. Improper patient placement can lead to peripheral nerve damage.

What is the most common post-operative complication of spinal anesthesia? ›

Serious neurological complications after spinal anesthesia are rare, but do occur. The most common are postdural puncture headache and hypotension. Hypotension after spinal anesthesia is a physiological consequence of sympathetic blockade. The diagnoses and management of these sequelae are discussed.

Why spinal anesthesia is preferred in C-section? ›

Spinal anesthesia allows the pain medication to quickly reach the nerve receptors that transmit pain signals, providing rapid pain relief lasting up to two hours. Only a small amount of local anesthetic is needed for a spinal block which lowers the risk of complications from the medication for both mother and baby.

What are the physiological effects of spinal anesthesia? ›

Patients often describe perineal, then lower limb, sensory changes (typically warmth) within seconds of spinal anesthetic injection. This is followed by loss of temperature sensation, pain, and two-point discrimination, then loss of vibration sense, proprioception, and motor function over several minutes.

Which is safer, spinal or general anesthesia? ›

These side effects may delay hospital discharge or result in unplanned readmission. Spinal anesthesia is a simple and reliable technique with a success rate of over 90% [3–6]. However, general anesthesia is commonly preferred because of its faster onset of action [2].

How long does spinal anesthesia last after a C-section? ›

For a spinal block, an anesthesiologist injects medication into the spinal fluid through a needle inserted in the lower back. After the medication is administered, the needle is removed. The relief from pain is immediate and lasts from an hour and a half to three hours.

How long does spinal anaesthetic stay in your system? ›

How long does it last? The effect usually takes between 2 and 4 hours to wear off, depending on the dose your procedure required. When can I go home? Before you go home the spinal anaesthetic must have completely worn off.

What is the most common complication after spinal anesthesia? ›

The most common are postdural puncture headache and hypotension. Hypotension after spinal anesthesia is a physiological consequence of sympathetic blockade. The diagnoses and management of these sequelae are discussed.

Which is better general anesthesia or spinal anesthesia for C-section? ›

According to ASA practice guidelines, a spinal block or epidural is preferred for most cesarean deliveries because the baby is exposed to the lowest amount of medication and the mother can still actively participate in the baby's birth.

What is the most feared complication of total spinal anesthesia? ›

Total spinal is a very rare but life-threatening complication. It usually occurs when an epidural dose of local anaesthetic is mistakenly injected into the spinal space. The patient becomes very hypotensive and bradycardic as all sympathetic nerves are blocked.

What are the risks of anesthesia during C-section? ›

In general anesthesia, there is a risk of the woman vomiting while unconscious and the vomit getting into her lungs (called aspiration of stomach contents). Although this is very rare, it can be life-threatening. Women who have an epidural or a spinal block occasionally experience a sudden major drop in blood pressure.

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