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Synchronization of a Virtual Reality Scenario to Uterine Contractions for Labor Pain Management: Development Study
Antonio Melillo1, Sarah Rachedi2, Giuseppe Caggianese3
1Department of Mental and Physical Health and Preventive Medicine, "Luigi Vanvitelli" University of Campania, Naples, Italy.
Games for Health Journal
|June 11, 2024
Summary
Virtual reality (VR) significantly reduced labor pain, anxiety, and fear. This biofeedback VR system, synchronized with uterine activity, offers a promising non-pharmacological approach to enhance childbirth experiences.
Area of Science:
- Obstetrics and Gynecology
- Pain Management
- Digital Health
Background:
- Labor pain is a significant challenge for women, characterized by unique rhythmic fluctuations.
- Non-pharmacological pain relief methods are sought to complement traditional analgesia during childbirth.
- Virtual reality (VR) presents a novel modality for pain and anxiety management.
Purpose of the Study:
- To evaluate the efficacy of biofeedback-based virtual reality (VR) interventions synchronized with uterine activity for labor pain.
- To assess the impact of this VR system on anxiety and fear associated with childbirth.
- To explore VR as a personalized, non-pharmacological analgesic technique during active labor.
Main Methods:
- Development of a VR system synchronized with uterine contractions via cardiotocographic equipment.
- Randomized controlled trial comparing 74 cases receiving VR intervention with 80 controls.
- Pain scores, anxiety levels, and fear of childbirth were assessed pre- and post-intervention.
Main Results:
- Significant reduction in pain scores compared to pre-intervention and control groups.
- Significant decrease in anxiety levels compared to pre-intervention and control groups.
- Significant reduction in fear of labor experience compared to the control group.
Conclusions:
- Biofeedback-synchronized VR is an effective non-pharmacological analgesic technique for managing labor pain, anxiety, and fear.
- The developed VR system allows for personalized care by modulating sensory stimulation based on labor progression.
- Further research is recommended to compare synchronized VR with unsynchronized VR interventions.

