title: Music for surgical abortion care study: a randomized controlled pilot study.
abstract: BACKGROUND
  The study objective was to explore the effect of music as an adjunct to local anesthesia on pain and anxiety during first-trimester surgical abortion. Secondary outcomes included patient satisfaction and coping.
  
  
  METHODS
  We conducted a randomized controlled pilot study of 26 women comparing music and local anesthesia to local anesthesia alone. We assessed pain, anxiety and coping with 11-point verbal numerical scales. Patient satisfaction was measured via a 4-point Likert scale.
  
  
  RESULTS
  In the music group, we noted a trend toward a faster decline in anxiety postprocedure (p=.065). The music group reported better coping than the control group (mean±S.D., 8.5±2.3 and 6.2±2.8, respectively; p<.05). Both groups reported similarly high satisfaction scores. There were no group differences in pain.
  
  
  CONCLUSIONS
  Music as an adjunct to local anesthesia during surgical abortion is associated with a trend toward less anxiety postprocedure and better coping while maintaining high patient satisfaction. Music does not appear to affect abortion pain.
authors.affiliation: Department of Family Medicine and Community Health, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08903, USA. wuju1@umdnj.edu
authors.forename: Justine
authors.initials: J
authors.lastname: Wu
authors.forename: William
authors.initials: W
authors.lastname: Chaplin
authors.forename: Jennifer
authors.initials: J
authors.lastname: Amico
authors.forename: Mark
authors.initials: M
authors.lastname: Butler
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Ojie
authors.forename: Dina
authors.initials: D
authors.lastname: Hennedy
authors.forename: Lynn
authors.initials: L
authors.lastname: Clemow
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects* / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000554:Ambulatory Care Facilities; D000779:Anesthetics, Local / Q000627:therapeutic use; D001007:Anxiety / Q000517:prevention & control*; D003131:Combined Modality Therapy; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D009147:Music Therapy; D009515:New Jersey; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement; D017060:Patient Satisfaction; D010865:Pilot Projects; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011569:Psychiatric Status Rating Scales; D014619:Vacuum Curettage / Q000009:adverse effects* / Q000523:psychology*; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local