Clinical Trials Logo

Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03588182
Other study ID # AAAR9073
Secondary ID
Status Terminated
Phase N/A
First received
Last updated
Start date May 18, 2019
Est. completion date December 6, 2023

Study information

Verified date May 2024
Source Columbia University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This will be a parallel design, nonblinded, randomized controlled superiority trial investigating the utility of a virtual reality (VR) experience to provide analgesia for external cephalic version (ECV).


Description:

Subjects will be: Pregnant women, age >18 years, with a singleton pregnancy at >36 weeks gestational age, healthy (American Society of Anesthesiologists physical status class II), with an otherwise uncomplicated pregnancy (i.e. no fetal abnormalities or significant maternal morbidity, scheduled for ECV at Columbia University Irving Medical Center (CUIMC) with a plan to receive no anesthesia for the procedure. Patients will be randomly assigned to either the VR or No VR group. The intervention will be provided for the duration of the ECV procedure (typically 15 - 30 mins).


Recruitment information / eligibility

Status Terminated
Enrollment 5
Est. completion date December 6, 2023
Est. primary completion date December 6, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years to 55 Years
Eligibility Inclusion Criteria: - Pregnant women, age >18 years, with a singleton pregnancy at >36 weeks gestational age, healthy (American Society of Anesthesiologists physical status class II), with an otherwise uncomplicated pregnancy (i.e. no fetal abnormalities or significant maternal morbidity, scheduled for ECV at CUMC with a plan to receive no anesthesia for the procedure. Exclusion Criteria: - 1) severe claustrophobia or other psychological/psychiatric disorder which would prevent the use of a VR headset; 2) history of severe motion sickness, which may lead to nausea and vomiting or other discomfort with use of the a VR headset; 3) severe visual impairment, which may prevent appreciation of the visual aspects of the VR environment presented; 4) severe auditory impairment, which may prevent full appreciation of the sounds presented in the VR environment; 5) facial skin or scalp open lesions which could be irritated or risk infection to the patient or others if the VR headset is used; 6) other viral/bacterial/fungal infectious illnesses that could easily be spread by sharing of the device e.g. viral or bacterial conjunctivitis, meningitis, influenza, common cold, and other upper respiratory tract infections; 7) severe or uncontrolled seizure disorder, as the VR experience could invoke seizures 8) bulky hairstyles which would significantly impair correct fitting of the VR headset.

Study Design


Related Conditions & MeSH terms

  • Analgesia Management for External Cephalic Version

Intervention

Other:
Virtual Reality Experience
Virtual reality visualization and experience of a 3-dimensional relaxing nature scene with the accompanying audio.

Locations

Country Name City State
United States Columbia University Irving Medical Center New York New York

Sponsors (1)

Lead Sponsor Collaborator
Columbia University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Mean maximal numerical rating scale (NRS) score ( scale 0 - 10) for pain during the ECV procedure. Verbal rating of pain (scale 0 - 10) during ECV procedure, rated every 5 minutes The maximal rated pain score will be determined within 5 minutes of the end of the ECV procedure.
Secondary Success of ECV procedure The successful manipulation of the fetus from the breech to cephalic position Within 5 minutes of the end of the ECV procedure
Secondary Rating of the likelihood of choosing the analgesia technique received again Verbal rating of likelihood to choose the analgesia technique received again (scale 1 - 5, where 1 = I would not utilize again, 5 = I would definitely utilize again) Within 2 hours of the end of the procedure