THE EFFECT OF LULLABY MUSIC ON ANXIETY LEVELS AND SLEEP QUALITY IN PREGNANT WOMEN IN THE THIRD TRIMESTER
DOI:
https://doi.org/10.70248/jophs.v3i3.4164Abstract
Sleep disturbances and anxiety are common problems experienced by pregnant women in their third trimester due to physiological and psychological changes before delivery. These conditions can impact the health of both the mother and the fetus, requiring safe, easy-to-implement, and side-effect-free treatment. One non-pharmacological intervention that can be used is lullaby music therapy. This study aims to determine the effect of lullaby music on sleep quality and anxiety levels in pregnant women in their third trimester. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 30 pregnant women in their third trimester selected using a purposive sampling technique. Data collection was carried out by measuring sleep quality and anxiety levels before and after lullaby music therapy using a predetermined questionnaire. Data analysis was performed using the Wilcoxon Signed Rank Test because the data were not normally distributed. The results showed that before the intervention, all respondents (100%) had poor sleep quality, while after the intervention, 90.0% of respondents had good sleep quality. At the anxiety level, before the intervention, most respondents experienced moderate (60.0%) and severe (40.0%) anxiety, while after the intervention, 60.0% of respondents did not experience anxiety and 40.0% experienced mild anxiety. The results of the Wilcoxon test showed that there was an effect of lullaby music on sleep quality (Z = -2.377; p = 0.017) and anxiety levels (Z = -3.657; p < 0.001) in pregnant women in the third trimester. Lullaby music therapy was effective in improving sleep quality and reducing anxiety levels in pregnant women in the third trimester so that it can be used as an alternative non-pharmacological intervention in antenatal care.
References
Abouelazayem, M., et al. (2022). The global level of harm among surgical professionals during the COVID-19 pandemic: A multinational cross-sectional cohort study. Surgery, 171(6), 1494–1499. https://doi.org/10.1016/j.surg.2022.01.039
Altmetric. (2024). The effects of listening to lullabies and self-selected music at home on prenatal stress and anxiety in nulliparous pregnant women: A randomized-controlled study. Health Care for Women International.
Czekala, L., Simms, L., Stevenson, M., Tschierske, N., Maione, A. G., & Walele, T. (2019). Toxicological comparison of cigarette smoke and e-cigarette aerosol using a 3D in vitro human respiratory model. Regulatory Toxicology and Pharmacology, 103, 314–324. https://doi.org/10.1016/j.yrtph.2019.01.036
Harmat, L., Takács, J., & Bódizs, R. (2008). Music improves sleep quality in students. Journal of Advanced Nursing, 62(3), 327–335. https://doi.org/10.1111/j.1365-2648.2008.04602.x
Harahap, D. (2022). Literature Review: The Effect of Pregnancy Exercise on the Sleep Quality of Pregnant Women in the Third Trimester.
Hikmaradianti. (2024). The relationship between physical activity patterns and sleep quality of pregnant women in the third trimester at Pampang Community Health Center, 4, 48–53.
Ji, Y., Ma, Z., Peppelenbosch, M. P., & Pan, Q. (2020). Potential association between COVID-19 mortality and health-care resource availability. https://doi.org/10.1016/S2214-109X(20)30068-1
Konsam, M., et al. (2023). Effectiveness of Music on Perinatal Anxiety Among Pregnant Women and Newborn Behaviors: A Systematic Review and Narrative Synthesis. 45(6), 565–572. https://doi.org/10.1177/02537176231167077
Li, D. (2022). Mitigating motion sickness in automated vehicles with vibration cue system. Ergonomics.
Lin, C., et al. (2019). Music Interventions for Anxiety in Pregnant Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Liu, Y.-H., Lee, C. S., Yu, C.-H., & Chen, C.-H. (2016). Effects of music listening on stress, anxiety, and sleep quality for sleep-disturbed pregnant women. Women & Health, 56(3), 296–311. https://doi.org/10.1080/03630242.2015.1088116
Medical, S. (2026). Editor of the Southern Medical Record.
Öztürk, P. B. M. (2021). Possums-based parental education for infant sleep: cued care resulting in sustained breastfeeding. European Journal of Pediatrics.
Putri, O., & Tamar, M. (2025). The Effect of Pregnancy Exercise on Sleep Quality of Pregnant Women in the Third Trimester, 20(3), 174–178.
Rosyada, S. F. S. (2023). The Effect of Lavender Aromatherapy and Warm Water Foot Soaks on Sleep Quality of Pregnant Women in the Third Trimester, 2(3).
Shafqat, N., Agrawal, A., Pushpalatha, K., Singh, B., Verma, R., & Podder, L. (2024). Effect of Music Therapy on Anxiety in Pregnancy: A Systematic Review of Randomized Controlled Trials. Cureus, 16(9), e69066. https://doi.org/10.7759/cureus.69066
Shim, I. H., Bahk, W.-M., Woo, Y. S., & Yoon, B.-H. (2018). Pharmacological Treatment of Major Depressive Episodes with Mixed Features: A Systematic Review. Clinical Psychopharmacology and Neuroscience, 16(4), 376–382. https://doi.org/10.9758/cpn.2018.16.4.376
Suciati, L., et al. (2020). Effectiveness of Classical Lullaby Music Therapy On, 6(2), 155–160.
Van Willenswaard, K. C., et al. (2017). Music interventions to reduce stress and anxiety in pregnancy: A systematic review and meta-analysis. https://doi.org/10.1186/s12888-017-1432-x
Xu, N., Hong, D., Liang, B., Qiu, L., Tian, Y., & Li, S. (2023). Lattice Vacancy Induced Energy Renormalization of Photonic Quasiparticles in Two-Dimensional Semiconductors. ACS Nano, 17(17), 16904–16911. https://doi.org/10.1021/acsnano.3c03996















