Ignite Creation Date:
2024-05-06 @ 5:57 PM
Last Modification Date:
2024-10-26 @ 2:39 PM
Study NCT ID:
NCT05495009
Status:
COMPLETED
Last Update Posted:
2022-08-10
First Post:
2022-07-06
Brief Title:
Virtual Reality Labor Pain Anxiety Birth Perception
Sponsor:
Abant Izzet Baysal University
Organization:
Abant Izzet Baysal University
Study Overview
Official Title:
Birth Journey Through Virtual Reality Pain Anxiety and Birth Perception
Status:
COMPLETED
Status Verified Date:
2022-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The research was carried out in a randomized controlled trial to determine the effect of using virtual reality glasses on labor pain anxiety and labor perception of pregnant women 60 pregnant women participated in the study at the Maternity and Childrens Hospital located in the city center of Bolu The data were collected via Introductory information form Visual Comparison Scale-Pain Visual Comparison Scale-Anxiety labor follow-up form Mothers Perception of Birth Scale and virtual reality satisfaction evaluation form Number percentage mean standard deviation Pearson chi-square t-test for both groups were used to evaluate the data via the SPSS program Statistical significance was accepted as p005 Pregnant women in the experimental and control groups were found to be homogeneous in terms of sociodemographic and obstetric characteristics p005 At the beginning of labor both pregnant groups showed similar score of the mean pain and anxietyp005 After applying 20 minutes in the active phase and 10 minutes in the transitional phase the mean pain and anxiety scores of the experimental group were found to be lower and this difference was found to be statistically significantp0001 In the postpartum period it was determined that the birth Perception Scale mean scores of the groups were similar 90 of the pregnant women reported that they were satisfied with the virtual reality application and 93 of them reported that they would recommend this application As a result the use of virtual reality during birth reduces pain and anxiety at birth but does not affect the perception of birth
Detailed Description:
Childbirth is one of the important experiences in a womans life and this experience is affected by subjective psychological and physiological processes While birth is a positive life experience for some women it is a traumatic and negative experience for others
One of the factors that most affect women who experience many emotions together during the birth process is labor pain The perception and severity of labor pain which is part of the normal process varies from person to person In the literature it has been shown that 50-52 of women experience severe labor pain Severe labor pain may be associated with decreased uteroplacental perfusion prolongation of labor and labor with intervention postpartum depression and anxiety by causing an increase in maternal catecholamine levels This leads to a prolonged hospital stay difficulty in performing basic activities and consequently a negative birth experience It also leads women who want to avoid pain to prefer cesarean delivery instead of vaginal delivery
The birth process is also an important source of anxiety in women Studies have shown that women experience moderate anxiety about childbirth It is known that anxiety experienced at birth affects the health of the mother fetus and newborn negatively and increases the severity of labor pain Pain that comes at frequent and intense intervals increases the anxiety level of the woman leading to increased tension in the pelvic muscles fatigue and inadequate coping with pain There is a two-way relationship between anxiety and pain in childbirth and this vicious cycle between anxiety and pain negatively affects the course of labor reduces the self-confidence of the pregnant woman and causes her to feel helpless and unsuccessful
Pain and anxiety are important factors affecting birth perception and birth outcomes Effective management of pain and anxiety at birth for a positive birth experience is among the main goals of obstetric care The most effective strategies for a positive birth experience It has been reported that creating a positive birth environment supporting women during childbirth intrapartum care with minimal intervention preparation for childbirth relaxation and pain relief applications
Pharmacological and non-pharmacological methods are used to effectively cope with pain at birth Pharmacological methods require attention in their use because of their side effects application limitations and uncertainties of their effects on the mother and fetus
The use of non-pharmacological methods which are easy to apply safe and have various advantages in ensuring active participation and cooperation of women in the birth process without using any medication is becoming more common in pain management Studies have emphasized that non-pharmacological methods reduce pain and anxiety levels during the birth process increase maternal satisfaction at birth and strengthen mother-infant communication
Distraction focusing and relaxation by daydreaming are among the commonly used non-pharmacological methods in reducing pain However since dreaming and daydreaming can be difficult during the birth process it is recommended to use applications that will facilitate this For this purpose virtual reality glasses have been used in recent years With these glasses a visual experience environment is created through three-dimensional videos by creating a real-like virtual world for individuals
It has been shown that the clinical use of virtual reality glasses which can be used in many areas is useful and reliable These glasses are used in children during painful invasive procedures acute and chronic pain management burn treatments preoperative anxiety psychiatric diagnosis and treatment interventions physical therapy and rehabilitation applications are used
Although virtual reality has been shown to be an effective method in the management of pain and anxiety studies showing its effect on pain at birth and anxiety are limited Based on these data in this study it was aimed to determine the effect of the video watched by using virtual reality glasses during labor on labor pain anxiety and labor perception of pregnant women
Research Hypotheses H0 Watching video with virtual reality glasses has no effect on labor pain anxiety and birth perception
H1 Watching video with virtual reality glasses has an effect on labor pain H2 Watching video with virtual reality glasses has an effect on anxiety at birth
H3 Watching a video with virtual reality glasses has an effect on birth perception
One of the factors that most affect women who experience many emotions together during the birth process is labor pain The perception and severity of labor pain which is part of the normal process varies from person to person In the literature it has been shown that 50-52 of women experience severe labor pain Severe labor pain may be associated with decreased uteroplacental perfusion prolongation of labor and labor with intervention postpartum depression and anxiety by causing an increase in maternal catecholamine levels This leads to a prolonged hospital stay difficulty in performing basic activities and consequently a negative birth experience It also leads women who want to avoid pain to prefer cesarean delivery instead of vaginal delivery
The birth process is also an important source of anxiety in women Studies have shown that women experience moderate anxiety about childbirth It is known that anxiety experienced at birth affects the health of the mother fetus and newborn negatively and increases the severity of labor pain Pain that comes at frequent and intense intervals increases the anxiety level of the woman leading to increased tension in the pelvic muscles fatigue and inadequate coping with pain There is a two-way relationship between anxiety and pain in childbirth and this vicious cycle between anxiety and pain negatively affects the course of labor reduces the self-confidence of the pregnant woman and causes her to feel helpless and unsuccessful
Pain and anxiety are important factors affecting birth perception and birth outcomes Effective management of pain and anxiety at birth for a positive birth experience is among the main goals of obstetric care The most effective strategies for a positive birth experience It has been reported that creating a positive birth environment supporting women during childbirth intrapartum care with minimal intervention preparation for childbirth relaxation and pain relief applications
Pharmacological and non-pharmacological methods are used to effectively cope with pain at birth Pharmacological methods require attention in their use because of their side effects application limitations and uncertainties of their effects on the mother and fetus
The use of non-pharmacological methods which are easy to apply safe and have various advantages in ensuring active participation and cooperation of women in the birth process without using any medication is becoming more common in pain management Studies have emphasized that non-pharmacological methods reduce pain and anxiety levels during the birth process increase maternal satisfaction at birth and strengthen mother-infant communication
Distraction focusing and relaxation by daydreaming are among the commonly used non-pharmacological methods in reducing pain However since dreaming and daydreaming can be difficult during the birth process it is recommended to use applications that will facilitate this For this purpose virtual reality glasses have been used in recent years With these glasses a visual experience environment is created through three-dimensional videos by creating a real-like virtual world for individuals
It has been shown that the clinical use of virtual reality glasses which can be used in many areas is useful and reliable These glasses are used in children during painful invasive procedures acute and chronic pain management burn treatments preoperative anxiety psychiatric diagnosis and treatment interventions physical therapy and rehabilitation applications are used
Although virtual reality has been shown to be an effective method in the management of pain and anxiety studies showing its effect on pain at birth and anxiety are limited Based on these data in this study it was aimed to determine the effect of the video watched by using virtual reality glasses during labor on labor pain anxiety and labor perception of pregnant women
Research Hypotheses H0 Watching video with virtual reality glasses has no effect on labor pain anxiety and birth perception
H1 Watching video with virtual reality glasses has an effect on labor pain H2 Watching video with virtual reality glasses has an effect on anxiety at birth
H3 Watching a video with virtual reality glasses has an effect on birth perception
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None