Inclusion Criteria:  singleton gestations; term pregnancy spontaneous labor diagnosis of active phase of labor; nulliparous between 37 and 42 gestation weeks with cephalic presentation ;  Exclusion Criteria:  multiple gestations; preterm labor; preterm premature rupture of membranes induction to delivery labor; hipertensive disorders; fetal abnormalities; diabetes mellitus; intrauterine growth retardation; post-term pregnancy; multiple vaginal delivery; women with an altered state of consciousness, severely ill, mentally disabled; women with sight and/or hearing impairment; women at risk of epileptic seizures; women with predisposition to motion sickness; women under the age of 18 years or over the age of 45 years; Women who refuse to sign informed informed consent form.