Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study

Objective of the study: Anxiety can affect pregnancy rate following an in-vitro-fertilisation procedure. Hypnosis reduces emotional distress associated with medical procedures. Virtual reality (VR) is an immersive 3D experience, created using a visual headset and headphones. The goal of this study w...

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Main Authors: Céline Pirard, Pascale Laurent, Christine Wyns, Maria-Grazia Giudice, Christine Watremez, Mona Momeni, Fabienne Roelants
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Complementary Therapies in Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S0965229924001134
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author Céline Pirard
Pascale Laurent
Christine Wyns
Maria-Grazia Giudice
Christine Watremez
Mona Momeni
Fabienne Roelants
author_facet Céline Pirard
Pascale Laurent
Christine Wyns
Maria-Grazia Giudice
Christine Watremez
Mona Momeni
Fabienne Roelants
author_sort Céline Pirard
collection DOAJ
description Objective of the study: Anxiety can affect pregnancy rate following an in-vitro-fertilisation procedure. Hypnosis reduces emotional distress associated with medical procedures. Virtual reality (VR) is an immersive 3D experience, created using a visual headset and headphones. The goal of this study was to evaluate the effect of VR session with and without hypnosis before sedation for oocyte retrieval (OR) on anxiety levels and on pregnancy rate. Methods: After written informed consent, 342 women scheduled for OR under sedation were randomised in this double-blinded study (NCT03064061). A Visual Analogue Scale for anxiety (VAS) and a Spielberger State-Trait Anxiety Inventory (STAI) questionnaire before (baseline) and after VR session, and at hospital discharge were administered. VRD Group (n = 178) received a VR session (goal of distraction) and VRH group (n = 164) received the same VR session with hypnosis focused on slowing respiratory rhythm and suggestions of reusing the technique later as needed (AQUA Oncomfort/HypnoVR ™). The primary endpoint was ongoing pregnancy at 12 weeks. Mann Whitney, Wilcoxon signed rank test and Chi-square tests were used; p value < 0.05 considered significant. Results: Although anxiety scores decreased from baseline in both VRD and VRH groups (p < 0.001 baseline vs post VR session and baseline vs hospital discharge), there was no difference between them. Nor was there a difference in pregnancy rate (18,6 % VRD group vs 22,5 % VRH group). Conclusion: Although both VRD and VRH sessions before sedation for OR significantly reduced women's anxiety, the type of suggestions used during the hypnosis VR session did not influence the pregnancy rate.
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spelling doaj-art-2b101de828654847bdabac8e84e021322025-01-30T05:12:53ZengElsevierComplementary Therapies in Medicine0965-22992025-03-0188103125Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised studyCéline Pirard0Pascale Laurent1Christine Wyns2Maria-Grazia Giudice3Christine Watremez4Mona Momeni5Fabienne Roelants6Department of Gynecology-andrology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, BelgiumDepartment of Gynecology-andrology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, BelgiumDepartment of Gynecology-andrology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, BelgiumDepartment of Gynecology-andrology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, BelgiumDepartment of Anesthesiology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, BelgiumDepartment of Anesthesiology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, BelgiumDepartment of Anesthesiology, Cliniques universitaires Saint-Luc, 10 avenue Hippocrate, Brussels 1200, Belgium; Corresponding author.Objective of the study: Anxiety can affect pregnancy rate following an in-vitro-fertilisation procedure. Hypnosis reduces emotional distress associated with medical procedures. Virtual reality (VR) is an immersive 3D experience, created using a visual headset and headphones. The goal of this study was to evaluate the effect of VR session with and without hypnosis before sedation for oocyte retrieval (OR) on anxiety levels and on pregnancy rate. Methods: After written informed consent, 342 women scheduled for OR under sedation were randomised in this double-blinded study (NCT03064061). A Visual Analogue Scale for anxiety (VAS) and a Spielberger State-Trait Anxiety Inventory (STAI) questionnaire before (baseline) and after VR session, and at hospital discharge were administered. VRD Group (n = 178) received a VR session (goal of distraction) and VRH group (n = 164) received the same VR session with hypnosis focused on slowing respiratory rhythm and suggestions of reusing the technique later as needed (AQUA Oncomfort/HypnoVR ™). The primary endpoint was ongoing pregnancy at 12 weeks. Mann Whitney, Wilcoxon signed rank test and Chi-square tests were used; p value < 0.05 considered significant. Results: Although anxiety scores decreased from baseline in both VRD and VRH groups (p < 0.001 baseline vs post VR session and baseline vs hospital discharge), there was no difference between them. Nor was there a difference in pregnancy rate (18,6 % VRD group vs 22,5 % VRH group). Conclusion: Although both VRD and VRH sessions before sedation for OR significantly reduced women's anxiety, the type of suggestions used during the hypnosis VR session did not influence the pregnancy rate.http://www.sciencedirect.com/science/article/pii/S0965229924001134Preoperative periodIn vitro fertilisationAnxietyPregnancy rateVirtual realityHypnosis
spellingShingle Céline Pirard
Pascale Laurent
Christine Wyns
Maria-Grazia Giudice
Christine Watremez
Mona Momeni
Fabienne Roelants
Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study
Complementary Therapies in Medicine
Preoperative period
In vitro fertilisation
Anxiety
Pregnancy rate
Virtual reality
Hypnosis
title Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study
title_full Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study
title_fullStr Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study
title_full_unstemmed Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study
title_short Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study
title_sort impact of virtual reality with or without hypnosis before oocyte retrieval a randomised study
topic Preoperative period
In vitro fertilisation
Anxiety
Pregnancy rate
Virtual reality
Hypnosis
url http://www.sciencedirect.com/science/article/pii/S0965229924001134
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