Virtual Reality Effect on Labor Pain and Satisfaction

Study Overview
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Brief Summary
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The primiparous women wore virtual glasses during labor, playing games and exercising. pregnant women were divided into two groups. Experimental and control groups each consisted of 60 pregnant women.

Detailed Description
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Aim: The research was carried out to determine the effect of virtual reality application in labor on perceived labor pain and satisfaction levels in primiparous. Material and Method: The study was conducted in a randomized controlled manner with a total of 120 primiparous women who applied to the delivery room of Elazig Fethi Sekin City Hospital between June 2020 and June 2021 (60 Experiments, 60 Controls). The pregnant women in the experimental group were played by the researcher during the active and transitional phases of labor with virtual reality glasses, which were designed for research and included methods used to cope with labor pain. Except for routine care, no application was made to the pregnant women in the control group. In order to determine the pain level of the pregnant women, SDS and SCS were applied four times, before and after the Virtual Reality applications. After delivery, DME-C was applied to both groups.

Official Title
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The Effect of Virtual Reality Applications in Travail on Perceived Labor Pain and Satisfaction in Primiparous: A Design Based Study

Conditions
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Satisfaction, Labor Pain

Intervention / Treatment
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* Other: Virtual Reality Application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All pregnant women who were able to communicate verbally Between 37-42 weeks of pregnancy Single, live fetus and head presentation Cervical opening <4 cm based on the labor follow-up form at admission to the delivery room, were included in the sample Exclusion Criteria: Women with a risky pregnancy diagnosis (such as preeclampsia, placenta previa, gestational diabetes) Obstetric complications in labor (such as fetal distress, bleeding) Visual and hearing problems Any pharmacological pain-reducing method applied, were excluded from the study
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experimental group<br>virtual reality application | Other: Virtual Reality Application<br>* The pregnant women in the experimental group were played by the researcher during the active and transitional phases of labor with virtual reality glasses, which were designed for research and included methods used to cope with labor pain<br>|
| No Intervention: control group<br>standard care group | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in pain score within one hour during the latent phase | In order to determine the pain level of the pregnant women, SDS was applied four times, before and after the Virtual Reality applications in the latent and active phases. SDS is rated from Scale 0 (zero) to 10 (ten). In the scale, 0 (zero) means no pain, 10 (ten) means unbearable pain. The person can mark according to the severity of the pain on this scale. | SDS was applied as a pre-test to all pregnant women in both groups in the latent phase. One hour later, it was applied to all pregnant women in both groups as a post-test. | 
| change in pain score within one hour during the the active phase | In order to determine the pain level of the pregnant women, SDS was applied four times, before and after the Virtual Reality applications in the latent and active phases. SDS is rated from Scale 0 (zero) to 10 (ten). In the scale, 0 (zero) means no pain, 10 (ten) means unbearable pain. The person can mark according to the severity of the pain on this scale. | SDS was applied as a pre-test to all pregnant women in both groups in the active phase. One hour later, it was applied to all pregnant women in both groups as a post-test. | 
| change in pain score within one hour during the latent phase | In order to determine the pain level of the pregnant women, SCS was applied four times, before and after the Virtual Reality applications in the latent and active phases. This scale is based on the person choosing the most appropriate word to describe the pain condition. Pain intensity ranges from mild to unbearable. The severity of pain is defined in five categories and is scored as (1) mild, (2) disturbing, (3) severe, (4) very severe, and (5) unbearable. The advantages of the scale are that it is easy to apply and simple to classify. | SCS was applied as a pre-test to all pregnant women in both groups in the latent phase. One hour later, it was applied to all pregnant women in both groups as a post-test. | 
| change in pain score within one hour during the the active phase | In order to determine the pain level of the pregnant women, SCS was applied four times, before and after the Virtual Reality applications in the latent and active phases. This scale is based on the person choosing the most appropriate word to describe the pain condition. Pain intensity ranges from mild to unbearable. The severity of pain is defined in five categories and is scored as (1) mild, (2) disturbing, (3) severe, (4) very severe, and (5) unbearable. The advantages of the scale are that it is easy to apply and simple to classify. | SCS was applied as a pre-test to all pregnant women in both groups in the active phase. One hour later, it was applied to all pregnant women in both groups as a post-test. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primiparous, Birth Pain, Birth Satisfaction, Virtual Reality, Midwifery