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The purpose of this study is to determine if non-invasive distracting devices (Virtual Reality headsets) are non-inferior to conventional therapy (nitrous oxide) for addressing maternal needs during labor who desire non-epidural pain relief.
The investigators will use a commercially available consumer-grade virtual reality (VR) device and nitrous oxide, a standard of care therapy for laboring women desiring non-epidural analgesic, to determine satisfaction with pain relief with each therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual Reality then Nitrous Oxide | Active Comparator | 30 minute exposure to virtual reality, 5 minute washout period, then 30 minute exposure to nitrous oxide |
|
| Nitrous Oxide then Virtual Reality | Active Comparator | 30 minute exposure to nitrous oxide, 5 minute washout period, then 30 minute exposure to virtual reality |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oculus Quest 2 Virtual Reality Device | Device | 30 min VR experience exposure for labor analgesia. VR experiences include swimming in the ocean, walking through forests, engaging in 3D puzzles, exploring virtual lands, or interacting with musical objects |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | Patient satisfaction with pain relief on a scale of 0-10 | 70 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Pain level on a scale of 0-10 | 70 minutes |
| Anxiety | Anxiety level on a scale of 0-10 | 70 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University School of Medicine | Stanford | California | 94305 | United States |
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| ID | Term |
|---|---|
| D048949 | Labor Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D009609 | Nitrous Oxide |
| ID | Term |
|---|---|
| D009589 | Nitrogen Oxides |
| D005740 | Gases |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
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Comparing VR to an "active control" of nitrous oxide as a current standard of care for non-epidural analgesic in a crossover design
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| Nitrous oxide | Drug | 30 min exposure for labor analgesia |
|
| Nausea | Nausea level on a scale of 0-10 | 70 minutes |
| Dizzy | Dizziness level on a scale of 0-10 | 70 minutes |
| Effectiveness | Effectiveness of device in relieving pain on a scale of 0-10 | 70 minutes |
| Cope with Pain | Ability to cope with pain on a scale of 0-10 | 70 minutes |
| D010087 |
| Oxides |
| D017601 | Oxygen Compounds |