The impact of virtual reality on pain management during normal labor: A systematic review and meta-analysis of randomized controlled trials

Baradwan, Saeed; Khadawardi, Khalid; Badghish, Ehab; Alkhamis, Waleed H.; Dahi, Ali Abdelmoezz; Abdallah, Khaled M.; Kamel, Medhat; Sayd, Zainab Shehata; Mohamed, Mohamed Abdelsattar; Elhalim, Abd Elhalim Mohamed Abd; Mahmoud, Mohamed E.; Mohamed, Asmaa Abdelaal; Mohamed, Doaa Fathy; Shama, Ahmed A; Hagras, Ayman; Ali, H. M.; Abdelhakim, Ahmed Mohamed; Saleh, Mahmoud M.; Badawy, Mahmoud A.; Bakry, Mohamed Sobhy

doi:10.1016/j.srhc.2022.100720

Cited by 21 publications

(13 citation statements)

References 25 publications

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“…[7][8][9] Further, the therapeutic effects of VR may be most evident when VR is administered at the same time as the painful stimulus. 11 Other studies have used VR as an adjunct to spinal anesthesia for major surgery (eg, total knee arthroplasty, total hip arthroplasty, and hand surgery) or as monitored anesthesia care for minor procedures (cystoscopy), wherein we observe that VR may influence dose of propofol used but is not associated with pain or anxiety reduction. 12,13 Below, we discuss specific considerations and challenges pertaining to acute pain, and reflect on them to discuss the study by Araujo-Duran et al…”

Section: Summarizing the Published Evidence On The Use Of Vr For Acut...mentioning

confidence: 60%

“…A majority of acute pain studies (Table ) have highlighted that VR is an effective tool associated with modest to moderate reduction in pain intensity for minor painful procedures (dental procedures, pediatric venipuncture, pediatric port access, wound debridement or wound dressing changes for burns), [6][7][8][9] rehabilitation-induced pain after orthopedic surgery, 10 and labor-induced pain. 11 Significant reduction in anxiety and improvement in patient satisfaction were also observed with VR application for acute pain in some studies. In most settings, application of immersive VR was found to be superior to standard care only, but this was not observed with application of nonimmersive VR.…”

Section: Summarizing the Published Evidence On The Use Of Vr For Acut...mentioning

confidence: 87%

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How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

Shanthanna,

D’Souza,

Johnson

et al. 2024

Anesthesia &Amp; Analgesia

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GLOSSARYHSS = Hospital for Special Surgery Knee Score; LOS = length of stay; MAC = monitored anesthesia care; OMS = oral and maxillofacial surgery; PACU = postanesthesia care unit; PCA = patientcontrolled analgesia; RCT = randomized controlled trial; SA = spinal anesthesia; THA = total hip arthroplasty; TKA = total knee arthroplasty; USPSTF = United States Preventive Services Task Force; VAS = visual analog scale; VR = virtual reality; WOMAC = Western Ontario and McMaster Universities Arthritis Index

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Section: Summarizing the Published Evidence On The Use Of Vr For Acut...mentioning

confidence: 60%

Section: Summarizing the Published Evidence On The Use Of Vr For Acut...mentioning

confidence: 87%

How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

Shanthanna,

D’Souza,

Johnson

et al. 2024

Anesthesia &Amp; Analgesia

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“…presence of a caregiver). 4 Although pain during labour is a natural and physiological condition, it can affect the well-being and health of the woman and the foetus, the woman's emotional relationship with the new-born, as well as her prospects for future births. 5 National and international guidelines on the positive birth experience or respected motherhood advocate that pain relief is crucial to the provision of quality care.…”

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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“…17,18 In summary, so far, the evidence on the clinical value of VR is controversial, but some VR studies indicate a positive effect on pain and anxiety. 19 However, it is unclear what the relevant cofactors are determining the presence or the lack of a VR effect. In the field of gynecology, data on VR as an adjunct to diagnostic or therapeutic interventions are lacking (PubMed search; search terms: virtual reality, randomized, gynecology, colposcopy, anxiety; search date: July 26, 2022).…”

mentioning

confidence: 99%

“…In clinical studies, VR interventions have produced mixed results due to limited sample sizes and low-quality studies 17,18 . In summary, so far, the evidence on the clinical value of VR is controversial, but some VR studies indicate a positive effect on pain and anxiety 19 . However, it is unclear what the relevant cofactors are determining the presence or the lack of a VR effect.…”

mentioning

confidence: 99%

Virtual Reality for Anxiety Reduction in Women Undergoing Colposcopy: A Randomized Controlled Trial

Hecken,

Halagiera,

Rehman

et al. 2023

J Low Genit Tract Dis

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ObjectiveTo test whether headset-delivered virtual reality (VR) content affects satisfaction and/or anxiety in women with cervical squamous intraepithelial lesions undergoing colposcopy and colposcopically guided cervical biopsy.MethodsIn this single-center, randomized trial, the authors measured overall satisfaction (100-mm visual analog scale) and situation-specific anxiety (STAI-S) in 247 women with suspected cervical squamous intraepithelial lesions wearing either no VR headset (arm 1, control) or a VR headset before (arm 2) or before and during colposcopy (arm 3). Secondary endpoints were pain, discomfort, and anxiety during colposcopy, heart rate, and 72-hour follow-up parameters: overall satisfaction, bleeding severity, bleeding duration, pain, and use of analgesics. Analysis was by intention to treat.ResultsMedian values for overall satisfaction were 100 (interquartile range, 90–100) in controls (n = 83), 100 (95–100) in arm 2 (n = 82), and 100 (95–100) in arm 3 (n = 82), respectively (p = .92). The median Δ of situational anxiety (baseline vs after colposcopy) was −8 (−13 to −3), −8 (−16.5 to −4), and −10 (−20.5 to −4.5), respectively (p = .09). The secondary endpoints pain during colposcopy (20 [10–50] vs 20 [10–40] vs 30 [10–50]; p = .65), discomfort during colposcopy (30 [10–50] vs 30 [10–50] vs 20 [10–50]; p = .46), and anxiety during colposcopy (20 [0–50] vs 10 [0–40] vs 10 [0–30]; p = .44), were not different between arms. Follow-up data showed no improvement in the 2 VR arms compared with controls (overall satisfaction, p = .37; bleeding severity, p = .09; pain level, p = .89; duration of pain; p = .23; and use of analgesics; p = .39). Per-protocol analysis did not change the results.ConclusionsA VR headset showing a 360-degree surround vision film has no effect on satisfaction or anxiety in women undergoing colposcopy.

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The impact of virtual reality on pain management during normal labor: A systematic review and meta-analysis of randomized controlled trials

Cited by 21 publications

References 25 publications

How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

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

Virtual Reality for Anxiety Reduction in Women Undergoing Colposcopy: A Randomized Controlled Trial

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