Virtual Reality Animation and Ice Massage on The Hoku Point

Study Overview
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Brief Summary
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The goal of this study was to compare the effects of ice massage and virtual reality animation on labor pain, duration, and satisfaction with delivery. The main questions aims to answer are: H1 There are differences between Ice massage group and/or virtual reality animation groups and the control group in women's' labor pain. H2 There are differences between Ice massage group and/or virtual reality animation groups and the control group in women's' labor duration. H3 There are differences between Ice massage group and/or virtual reality animation groups and the control group in women's' satisfaction. This randomized controlled trial (n = 94) includes three arms. Two intervention groups (ice massage (IMG); virtual reality animation (VRA)) and one control group, (CG). Personal information form, and Visual Analog Scale (VAS) and Birth Satisfaction Scale will used to collect data. Frequency and percentage calculations, Mann Whitney U, Kruskal Wallis test, chi-square test, Tukey's honestly significant difference test, and will used for data analysis.

Official Title
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Effect of Virtual Reality Animation and Ice Massage on The Hoku Point on Labor Pain, Duration of Labor, and Satisfaction

Conditions
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Labor Pain

Intervention / Treatment
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* Other: ice massage
* Other: virtual reality animation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Term primiparous and singleton pregnancies, Longitudinal and vertex position of the fetus, Body Mass Index (BMI) below 30, cervical dilatation of 0-3 cm, who agreed to participate in the study Exclusion Criteria: applying pharmacological intervention during labor, having a risky pregnancy, want to withdraw from the study, having ice allergy, being visually impaired.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

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: ice massage<br>ice massage to hoku point for labor pain for 20 minutes | Other: ice massage<br>* active phase when cervical dilatation was 6-8 cm. Ice will apply to the huko point (LI4 area) which is located on the dorsum of the hand, between the first and second metacarpal bones, between the thumb and the index finger for 20 minutes with an ice pack<br>* Other names: supportive care;|
| Experimental: virtual animation<br>watching virtual animation for 20 minutes for labor pain | Other: virtual reality animation<br>* cervical dilatation was 6-8 cm. Immediately after the second VAS application, the women will be asked about the video they wanted to watch of the sound of waves in the Ocean, rain falling or blooming trees with virtual reality glass. animation will show for a total of 20 min.<br>* Other names: supportive care;|
| No Intervention: Control Group<br>receiving standart care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| labor pain | Visual Analogue Scale (VAS)I | Change from Baseline cervical dilatation 0-3 cm (duration can change 8-9 hours) | 
| labor duration | Personal Information Form | Change from Baseline cervical dilatation 6-8 cm(duration can change 4-8 hours) | 
| labor duration | Personal Information Form | hour of latent phase ( duration can change 8-9 hour) | 
| labor duration | Personal Information Form | hour of placental expulsion (duration can change 10 minutes to 30 minutes) | 
| birth satisfaction | Birth Satisfaction Scale - Revised (BSS-R) | postpartum period up to 24 hours | 
| labor pain | Visual Analogue Scale (VAS) II | active phase up to 20 hours | 
| labor duration | Personal Information Form | hour of total delivery (can change 14-18 hours) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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birth pain,, satisfaction, ice massage, virtual reality