The Impact Langgams Music Instrumental of Javanese Style to Reduce Anxiety and Labor Pain

Emy Suryani, Lutfiana Puspita Sari, Irene Natalia


Anxiety is a psychological factor that contributes to labor pain. The prevalence of mothers who experience anxiety before labor is 10-50%. Intervention to reduce anxiety and increase relaxation by listening to music. The research purpose is to analyze labor anxiety and pain to the group given intervention Langgam, music instrumental of Javanese style, with midwifery care routine. The research method used by Randomized Controlled Trial Experimental is an experimental study using random procedure to allocate various research factors to the research subject, so only the chance factor places the research subject into the intervention or control groups. There are 60 research subjects, the primiparous mothers, in the labor phase in Surakarta Hospital from December 2nd, 2019 - February 27th, 2020, with simple random sampling. Data analysis by Mann Whitney test and independent simple T-test. Result: For anxiety level, there is a significant difference between Javanese style Instrumental music (mean: 33.9) and midwifery care routine (mean: 37.9) with p value = 0.000. For labor pain, there is a significant difference between Javanese style Instrumental music (mean: 64.83) and midwifery care routine (mean: 76.13) with p value = 0.000. Conclusion: Langgam Music Instrumental of Javanese Style can reduce labor anxiety and pain in primiparous mothers in the first phase of active labor.

Full Text:



Abbasi, P., Mohammad-Alizadeh Charandabi, S., & Mirghafourvand, M., 2020. Comparison of the Effect of Educational Software and Booklet on Anxiety and Pain During Labour: A Randomised Controlled Clinical Trial. Journal of Obstetrics and Gynaecology, 2020, pp.1–8.

Akadri, A.A., & Odelola, O.I., 2018. Labour Pain Perception: Experiences of Nigerian mothers. Pan African Medical Journal, 30, pp.1–7.

Aksoy, H., Yücel, B., Aksoy, U., Acmaz, G., Aydin, T., & Babayigit, M.A., 2016. The Relationship Between Expectation, Experience and Perception of Labour Pain: An Observational Study. SpringerPlus, 5(1).

Boaviagem, A., Melo- Junior, E., Lubambo, L., Sousa, P., Aragão, C., Albuquerque, S., & Lemos, A., 2017. The Effectiveness of Breathing Patterns to Control Maternal Anxiety During the First Period of Labor: A Randomized Controlled Clinical Trial. Complementary Therapies in Clinical Practice, 26, pp.30–35.

Çelebi, D., Yılmaz, E., Şahin, S.T., & Baydur, H., 2020. The Effect of Music Therapy During Colonoscopy on Pain, Anxiety and Patient Comfort: A Randomized Controlled Trial. Complementary Therapies in Clinical Practice, 38, pp.1–6.

Cox, E.Q., Stuebe, A., Pearson, B., Grewen, K., Rubinow, D., & Meltzer-Brody, S., 2015. Oxytocin and HPA Stress Axis Reactivity in Postpartum Women. Psychoneuroendocrinology, 55, pp.164–172.

Dolker, H.E., & Basar, F., 2019. The Effect of Music on the Non-stress Test and Maternal Anxiety. Complementary Therapies in Clinical Practice, 35, pp.259–264.

Floris, L., Irion, O., & Courvoisier, D., 2017. Influence of Obstetrical Events on Satisfaction and Anxiety During Childbirth: A Prospective Longitudinal Study. Psychology, Health and Medicine, 22(8), pp.969–977.

Gokyildiz, Surucu, S., Ozturk, M., Avcibay Vurgec, B., Alan, S., & Akbas, M., 2018. The Effect of Music on Pain and Anxiety of Women During Labour on First Time Pregnancy: A Study from Turkey. Complementary Therapies in Clinical Practice, 30, pp.96–102.

Gonzalez, J.G., Ventura-Miranda, M.I., Requena-Mullor, M., Parron-Carreño, T., & Alarcon-Rodriguez, R., 2018. State-trait Anxiety Levels During Pregnancy and Foetal Parameters Following Intervention with Music Therapy. Journal of Affective Disorders, 232, pp.17–22.

Hepp, P., Hagenbeck, C., Gilles, J., Wolf, O.T., Goertz, W., Janni, W., Balan, P., Fleisch, M., Fehm, T., & Schaal, N.K., 2018. Effects of music intervention duringcaesarean delivery on anxiety and stress ofthe mother a controlled, randomised study. BMC Pregnancy and Childbirth. 18(1), pp.435-442.

Koelewijn, J.M., Sluijs, A.M., Vrijkotte, & T.G.M., 2017. Possible Relationship Between General and Pregnancy-related Anxiety During the First Half of Pregnancy and the Birth Process: A Prospective Cohort Study. BMJ Open, 7(5).

McCaffrey, T., Cheung, P.S., Barry, M., Punch, P., & Dore, L., 2020. The Role and Outcomes of Music Listening for Women in Childbirth: An Integrative Review. Midwifery, 83.

McCauley, M., Actis Danna, V., Mrema, D., & Van Den Broek, N., 2018. We Know It’s Labour Pain, So We Don’t Do Anythingâ€: Healthcare Provider’s Knowledge and Attitudes Regarding the Provision of Pain Relief During Labour and After Childbirth. BMC Pregnancy and Childbirth, 18(1), pp.1–9.

Murti, B., 2013. Desain Dan Ukuran Sampel Untuk Penelitian Kuantitatif Dan Kualitatif Di Bidang Kesehatan. Yogyakarta: Gadjah Mada University Press.

Rados, S.N., Tadinac, M., & Herman R., 2018. Anxiety During Pregnancy and Postpartum: Course, Predictors and Comorbidity with Postpartum Depression. Acta Clinica Croatica, 57(1), pp. 39.51.

Redding, J., Plaugher, S., Cole, J., Crum, J., Ambrosino, C., Hodge, J., & Cowan, L., 2016. “Where’s the Music?†Using Music Therapy for Pain Management. Federal Practitioner : for the Health Care Professionals of the VA, DoD, and PHS, 33(12), pp.46–49.

Rondung, E., Thomten, J., & Sundin, O., 2016. Psychological Perspectives on Fear of Childbirth. Journal of Anxiety Disorders, 44, pp. 80-91.

Rossi, A., Molinaro, A., Savi, E., Micheletti, S., Galli, J., Chirico, G., & Fazzi, E., 2018. Music Reduces Pain Perception in Healthy Newborns: A Comparison Between Different Music Tracks and Recoded Heartbeat. Early Human Development, 124, pp.7–10.

Surucu, G.S., Ozturk, M., Avcibay Vurgec, B., Alan, S., & Akbas, M., 2018. The Effect of Music on Pain and Anxiety of Women During Labour on First Time Pregnancy: A Study from Turkey. Complementary Therapies in Clinical Practice, 30, pp.96–102.



  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.