Background: Establishment of lactogenesis is an important determinant for a successful breastfeeding journey of first-time mothers. Breastfeeding is essential for provision of immunity and neurodevelopment. Primigravids commonly encounter issues with the initiation of lactation process. Music has been documented to have an impact on reducing anxiety, stress as well as pain perception during labour thereby benefiting lactating mothers. This current study had evaluated the effect of music therapy aiding on process of lactogenesis and breastfeeding in primigravids Objectives: To evaluate the effect of active music listening and singing lullabies on the establishment of lactogenesis and maternal breastfeeding satisfaction in new mothers. Methods: This is an exploratory randomized controlled trial with primigravids (n=62) randomized and allocated into two groups i.e. (music therapy/group A; n=33) and (control group/ group B; n=29) respectively. Music therapy intervention was provided to group A, while standard medical care was commonly given to both groups. The UNICEF breast feeding checklist and Maternal Breast-Feeding Evaluation Scale (MBFES) was used to evaluate initiation of lactation time and maternal breastfeeding satisfaction levels respectively. Results: There was statistically significant improvement in the initiation of lactation time, time of each feed and maternal breastfeeding satisfaction levels with a steady rise in time of each feed in music therapy group. There was also a significant difference in increase in time of feeds between the music therapy and control groups. Conclusion: Music therapy may be helpful as an effective coping strategy for first-time mothers and help them in establishing lactogenesis. Music therapy may also be helpful in enhancing the maternal breast-feeding satisfaction levels.