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The effects of virtual reality in maternity delivery: a systematic review and meta-analysis
  • +2
  • nuo xu,
  • Sijing Chen,
  • Yan Liu,
  • Yuewen Jing,
  • Ping Gu
nuo xu
Nanjing Medical University School of Nursing
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Sijing Chen
Nanjing Medical University School of Nursing
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Yan Liu
Nanjing Medical University School of Nursing
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Yuewen Jing
Nanjing Medical University School of Nursing
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Ping Gu
Nanjing Medical University School of Nursing

Corresponding Author:[email protected]

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Abstract

Background: As an emerging non-pharmacological method of analgesia, there are no uniform conclusions on the effect of virtual reality (VR) technology in labor. Objective: Exploring the effectiveness of VR technology in maternal delivery. Search strategy: We searched Pubmed, Embase, Web of Science, the Cochrane Library, CINAHL, China National Knowledge Infrastructure, Wan-Fang database from building to November 17, 2021. Selection Criteria: Randomized controlled trials (RCTs) that intervened the pregnant women aged 18-35 years with gestational age>34 weeks and without complications with VR technology were contained within this review. Data Collection and Analysis: Two researchers completed the study selection, data extraction, and assessment of study quality. MD or SMD used for quantitative data, and RR (risk ratio) for qualitative data. Random-effects model and 95% confidence interval (95% CI) were used. Main Results: 12 studies were included. Using VR could relieve pain during labor (MD=-1.81, 95% CI (-2.04, -1.57), P< 0.00001) and active period (SMD=-0.41, 95% CI (-0.68, -0.14), P= 0.003), reduce anxiety (SMD=-1.39, 95% CI (-1.99, -0.78), P< 0.00001) and improve satisfaction with delivery (RR = 1.32; 95% CI (1.10, 1.59); P = 0.003), but the effect on the duration of first (SMD=-1.12, 95% CI (-2.38, 0.13), P=0.08) and second (SMD=-0.22, 95% CI (-0.67, 0.24), P=0.35) stage of labor was not statistically significant. Conclusions: Compared with conventional care, VR technology can relieve labor pain and anxiety and improve satisfaction. However, extensive experimental validation is still needed. Funding: None. Keywords: Virtual reality technology, delivery, labor pain, anxiety, meta-analysis, systematic review