Obstetric anesthesia

Virtual reality compared to nitrous oxide for labor analgesia: a feasibility pilot, prospective, randomized, cross-over, non-inferiority study

Int J Obstet AnesthPublished Randomised controlled trial

Primary result · Satisfaction with pain reliefResult — go to the resultDifference 0.65 90 % CI −0.66 to 1.95

Authors' conclusion

Data from this pilot study suggest that VR is a promising non-pharmacological analgesic option that is non-inferior to N2O for labor pain management.

Study context

Population
Parturients in labor18 completed
Participants
20 participants
Comparison
Virtual reality (VR) vs nitrous oxide for labor analgesia
Primary endpoint
Satisfaction with pain relief (verbal NRS 0–10) post-intervention
Follow-up
30 minutes
Methodological detailsprospective, crossover, non-inferiority, feasibility pilot
  • Prospective
  • Crossover
  • Non-inferiority
  • Feasibility pilot

Primary result

Satisfaction with pain relief · 30 min

Difference

0.65

90 % CI −0.66 to 1.95

VR vs N2O
difference 0.65 (90 % CI −0.66 to 1.95)

As reported in the abstract

Secondary outcomes

OutcomeDifference (90 % CI)
Satisfaction with pain relief · 15 minNon-inferior−0.24 (−1.53 to 1.06)

Change in pain, anxiety, coping

VR non-inferior to nitrous oxide (N2O) for change in pain, anxiety, and coping

Original publication

Virtual reality compared to nitrous oxide for labor analgesia: a feasibility pilot, prospective, randomized, cross-over, non-inferiority study. Int J Obstet Anesth. Published 25 August 2025. doi:10.1016/j.ijoa.2025.104758

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