Lore Noben|Simone Maria Theresia Anna Goossens|Sophie E.M. Truijens|Marijn Marthe Georgine van Berckel|Christel W. Perquin|Gerrit D. Slooter|S. J. van Rooijen
A Virtual Reality Video to Improve Information Provision and Reduce Anxiety Before Cesarean Delivery: Randomized Controlled Trial
Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Máxima Medisch Centrum|Radboud University Nijmegen|Maastricht University
background anxiety levels cesarean delivery cd lead negative birth experience may influence several aspects womans life long term improving preoperative information may lower preoperative anxiety lead positive birth experience objective study aimed determine whether virtual reality vr video addition standard preoperative information decreases anxiety levels planned cd methods women scheduled undergo term elective cd recruited outpatient clinic randomized stratified based history emergency cd yes participants received standard preoperative information folder leaflets counseling obstetrician vr group additionally watched vr video showing aspects cd ward admission operating theater spinal analgesia moment birth primary outcome measure change score visual analogue scale anxiety vasa measured admission cd compared baseline vasa score results total 97 women included analysis baseline characteristics similar groups except significantly higher level education control group significant decrease vasa score women vr group n49 compared control group n48 vasa10 p08 95 ci 01 20 subgroup analysis group women history emergency cd showed trend toward decreased preoperative anxiety despite small sample size subgroup n17 p06 26 participants provided completed questionnaires 22 85 vr group reported feeling prepared seeing vr video 24 participants partners completed questionnaires 19 79 agreed participants discomfort motion sickness reported conclusions vr video may help patients partners feel better prepared planning cd study showed vr lead decrease preoperative anxiety however subgroups women history emergency cd may benefit vr videos trial registration international standard randomised controlled trial number isrctn 74794447 httpwwwisrctncomisrctn74794447 retrospectively registered