Virtual reality and anxiety in primiparous women during episiotomy repair

Nahid Jahani Shourab, Samira Ebrahimzadeh Zagami, Nahid Golmakhani, Seyed Reza Mazlom, Ali Nahvi, Ferial Pabarja, Mahdi Talebi, Sohaiela Mohamadi Rizi


Background: In recent studies, using virtual reality (VR) has been proposed as a nonpharmacological method for anxiety reduction, but until this time, its effects have not been assessed on anxiety during episiotomy repair. This study aimed to determine the effect of audiovisual distraction (VR) on anxiety in primiparous women during episiotomy repair.
Materials and Methods: This clinical trial was conducted on 30 primigravida from May to July 2012 in the maternity unit of the Omolbanin Hospital, Mashhad city, Iran. The samples were divided randomly into two groups with the toss of a coin. Anxiety were evaluated by the numeric 0‑10 anxiety self‑report, in the first and during labor. However, after delivery, anxiety was measured with the Spilberger scale. Mann–Whitney, Chi-square, Fisher tests, and repeated-measures analysis of variance were used to analyze data.
Results: Anxiety scores were not significantly different between the two groups (wearing video‑glass and receiving routine care), but anxiety scores were lower in the intervention group during and after repair (P = 0.000).
Conclusions: VR are safe, appropriate, and nonpharmacologic to decrease and manage the anxiety-associated episiotomy.


Anxiety; episiotomy; virtual reality therapy; Iran

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