This study is a four-arm randomized controlled trial designed to evaluate the effectiveness of non-pharmacological interventions for pain management during episiotomy repair among women undergoing vaginal birth. Participants will be allocated to one of four groups: virtual reality, stress ball, combined virtual reality plus stress ball, or control. The virtual reality intervention is intended to provide immersive distraction, while the stress ball offers tactile distraction; the combined group receives both interventions simultaneously. The control group receives routine care only. The primary outcome is pain intensity measured during the procedure using the Visual Analog Scale. Outcome data will be compared across groups to identify the most effective intervention for reducing pain during episiotomy repair. This study may provide evidence for practical, safe, and low-cost supportive strategies that can improve maternal comfort during childbirth procedures.

Inclusion Criteria

1. Women aged 18 to 42 years
2. Able to communicate and understand the study procedures
3. No vision, hearing, or perception problems
4. No physical problems preventing squeezing a stress ball
5. No diabetes mellitus
6. Undergoing episiotomy repair after vaginal birth
7. Willing to participate and provide informed consent

Exclusion Criteria

1. Pre-existing chronic pain conditions
2. Severe perineal tear (3rd or 4th degree)
3. Development of any complication during the procedure
4. Women who did not consent to participate in the study
5. Women undergoing episiotomy repair with local anesthetic infiltration

Individual participant data will not be shared.