The Effects of Virtual Reality in Maternal Delivery: Systematic Review and Meta-analysis

Xu, Nuo; Chen, Sijing; Liu, Yan; Jing, Yuewen; Gu, Ping

doi:10.2196/36695

Cited by 10 publications

(10 citation statements)

References 48 publications

(90 reference statements)

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“…Similarly, post hoc subgroup analysis based on the duration of the video did not yield significant differences (P = 0.76). Additionally, the heterogeneity in the estimate points of the included studies could be attributed to various factors, such as the use of different tools to measure preoperative anxiety, methodological factors, previous maternal experiences, women’s level of awareness of the educational video, fear of maternal death, and fear of surgical complications [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Informational video on preoperative anxiety and postoperative satisfaction prior to elective cesarean delivery: a systematic review and meta-analysis

Maghalian,

Mohammad-Alizadeh-Charandabi,

Ranjbar

et al. 2024

BMC Psychol

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Background Preoperative anxiety affects 60 to 80% of patients who are candidates for surgery. Reducing preoperative anxiety can improve surgical outcomes, shorten hospital stays, and minimize disruptions in lifestyle. Having information affects people ability to identify important points and improve their understanding, and lack of information causes fear and anxiety, which negatively affects decision-making. Studies have shown that the intervention of education before cesarean section has a beneficial effect on women anxiety level. Providing information before surgery can reduce patients’ anxiety. This study was conducted to determine the effect of information video before elective cesarean delivery on preoperative anxiety and post-operative satisfaction. Methods The search for relevant studies was systematically conducted in PubMed, Scopus, Web of Science, Cochrane Library, SID (Persian database), and Google Scholar (search engine) until July 4, 2023, in both English and Persian languages. The revised tool for assessing the risk of bias in randomized trials (RoB 2.0) and ROBIN-I were used to evaluate the risk of bias, and heterogeneity was assessed using I². In cases of high heterogeneity, a random effects model was used instead of a fixed effects model. Subgroup analysis was performed based on the duration of the video, and the type of intervention for the primary outcome. Sensitivity analysis was conducted based on the type of study. A random-effects meta-regression analysis was conducted to identify potential sources of high heterogeneity for preoperative anxiety. The certainty of the evidence was assessed using GRADE. Results A total number of 557 articles were found in databases. Three hundred sixty-eight studies were screened based on their titles, abstracts, and full texts. Of these, 16 studies were assessed for eligibility, and 7 were excluded. Ultimately, nine papers were included. Meta-analysis results showed that the information video before elective cesarean delivery compared to control group may have little or no effect on preoperative anxiety, but the evidence is uncertain (SMD − 0.22, 95% CI -0.51 to 0.06, 9 trials, 1020 participants, I2 = 80%; very low-certainty evidence). Also, it probably increases the post-operative satisfaction (SMD 0.26, 95% CI 0.10 to 0.42, 5 trials, 618 participants, I2 = 0%; Moderate-certainty evidence). The random effect meta-regression analyses indicated a significant correlation between the mean age of the intervention group (β = 0.137, P < 0.001) and the mean age of the control group (β = 0.150, P = 0.0246) with effect size. Conclusion This study found that watching an informational video prior to elective cesarean delivery resulted in a decrease in preoperative anxiety. However, it is important to note that the reduction was not statistically significant, and there was a high level of inconsistency among the results. Nonetheless, the intervention did lead to an improvement in women’s post-operative satisfaction. To determine the optimal time duration and content type of informational videos, further studies with more appropriate methodology are necessary.

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Section: Discussionmentioning

confidence: 99%

Informational video on preoperative anxiety and postoperative satisfaction prior to elective cesarean delivery: a systematic review and meta-analysis

Maghalian,

Mohammad-Alizadeh-Charandabi,

Ranjbar

et al. 2024

BMC Psychol

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“…The work of Xu et al aimed to determine the safety and effectiveness of VR technology as a distraction-based, non-medical intervention for pain and anxiety relief during labor and delivery and found the technology to be both safe and effective (Xu et al, 2022).…”

Section: Virtual Reality Based Prenatal Education and Stress Reductionmentioning

confidence: 99%

Innovative Models for Integrative Prenatal Care

Iacoban,

Piron-Dumitrascu,

Suciu

et al. 2024

BRAIN

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In the rapidly evolving healthcare landscape, integrative care delivery stands at the forefront of pioneering change, particularly in prenatal care. This comprehensive narrative review delves into the development of innovative models for integrative prenatal care, such as telemedicine-integrated home monitoring systems, mental health apps, virtual reality, artificial intelligence-powered predictive analytics and blockchain for secure health data management, proposing a paradigm shift from traditional methodologies to a more holistic, technology-empowered approach. We explore the interplay between cutting-edge technological advancements and interdisciplinary collaboration in crafting a care model that is patient-centric and adaptable to diverse healthcare settings. Moreover, key areas where integration can be significantly enhanced such as telemedicine, patient education, and continuous monitoring were identified, emphasizing the importance of synergy between medical expertise, patient engagement, and technology, aiming to improve outcomes for both mother and child and argue that the future of prenatal care lies in embracing innovation, flexibility, and inclusivity, setting a new standard in healthcare delivery. This work offers practical insights for healthcare professionals and policymakers aspiring to transform prenatal care into a more effective, accessible, and patient-friendly experience.

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“…12 In prenatal care, these aspects can be clarified and the development of the birth plan can be a good opportunity to do so. Despite its effectiveness in pain relief and the safety that its application allows, 26 VR is still not used in delivery rooms in Portugal. In this context, it is essential to identify the facilitating factors and barriers to the dissemination of the available know-how, in order to promote its dissemination during pregnancy in childbirth preparation courses and its accessibility to parturients.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality as a strategy for labour pain relief: scoping review protocol

Coelho,

Tereso

2023

Pensar Enf

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Introduction During labour, pain can affect the health of the mother and the foetus, and its relief is a right of the mother and a duty of the professionals. In the promotion of a positive experience of labour, it is crucial that nurses specialised in maternal and obstetric health give priority to pain assessment and the use of non-pharmacological methods for pain relief, providing the necessary resources and empowering parturients to use them. Among said methods, virtual reality stands out due to its ease of use and for allowing the reduction of pain levels by diverting attention from the real world, using computers and other devices. Since it is a new approach that is not yet implemented in delivery rooms in Portugal, it is important to map the facilitating factors and barriers associated with its use, so that the dissemination of existing knowledge and its transfer to skilled nursing care during the first stage of labour can be planned. Objective To map the research evidence on the facilitating factors and barriers in the use of VR as a non-pharmacological strategy for pain relief during labour in hospital settings. Methods This protocol follows the guidelines published by the Joanna Briggs Institute. The databases MEDLINE, CINAHL, Cochrane Database of Systematic Reviews and MedicLatina through the EBSCOhost platform, the Joanna Briggs Institute EBP Database, through the Ovid platform are considered for the search and, the grey literature is also included. As inclusion criteria, qualitative, quantitative and mixed studies that address virtual reality as a pain relief strategy during labour in hospital settings (based on the mnemonic PCC - Population, Concept and Context), published in Portuguese, French, Spanish or English language between 2017 and 2022 are considered. The titles and abstracts of identified references will be independently reviewed and assessed for eligibility by two reviewers. In the event of a tie, a third reviewer will be used. Full text studies and data will be extracted using a form. The data extraction table will show the mapped data in a descriptive way answering the research questions. Discussion The results will allow summarising the barriers and facilitating factors in the use of Virtual Reality for pain relief during labour and thus contribute to decision making in planning the dissemination of this strategy to pregnant women and health professionals and its implementation in delivery rooms. Systematic Review Record Open Science Framework : osf.io/4b2sj

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The Effects of Virtual Reality in Maternal Delivery: Systematic Review and Meta-analysis

Cited by 10 publications

References 48 publications

Informational video on preoperative anxiety and postoperative satisfaction prior to elective cesarean delivery: a systematic review and meta-analysis

Informational video on preoperative anxiety and postoperative satisfaction prior to elective cesarean delivery: a systematic review and meta-analysis

Innovative Models for Integrative Prenatal Care

Virtual reality as a strategy for labour pain relief: scoping review protocol

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