Effects of Music on Women's Pregnancy Related Stress and Maternal-Fetal Attachment in Taiwan

Monday, 30 July 2012

Yu-Hsiang Liu, MSN
College of Nursing, Fooyin University, Kaohsiung City, Taiwan
Chung-Hey Chen, PhD
Institute of Allied Health Sciences & Department of Nursing, Cheng Kung University, Tainan, Taiwan

Learning Objective 1: 1.Understand the specific wellness advantages for music therapy applied in pregnancy-related stress for women.

Learning Objective 2: 2.Identify the pregnant women’s preference of music type to decline their pregnancy related stress.


 This Taiwan study investigated what effect listening to pre-selected, relaxing music on a self-regulated basis at home, had on women’s pregnancy stress and maternal-fetal attachment during pregnancy.


A randomized clinical trial.A total of 296 prenatal women during their second or third trimester were randomly assigned to music group (n=145) and control (n=151) groups. The music therapy group received two weeks of music intervention. The control group received only routine prenatal care. The Chen’s Pregnancy Stress Rating Scale (PSRS) and Maternal-Fetal Attachment Scale (MAS) were used to measure outcomes. 


 No significant differences were identified between groups for demographic characteristics. Results of using repeated measures two-way ANOVA indicated that compared to the control group the experimental group had significantly lower pregnancy-related stress. No significant differences were found between the two groups in maternal-fetal attachment. The results also revealed a music preference for crystal baby music, followed by nature sounds and classical music.


This study provides evidence that two-week music listening can reduce women’s pregnancy related stress. Most participant women chose music which might represent wanting to listen with their unborn child or/and promote relaxation. Music is an effective mind-body intervention. The value of music to clinical staff yielded sufficient significance to justify its use as a regular component of prepared childbirth education.