Active Phase Of Labor Research Articles

Comparison of two labor induction regimens with intravaginal misoprostol 25 μg and adverse perinatal outcomes.

The aim of the study was to compare two labor induction regimens (4 and 6 h), to determine predictors of successful labor induction with intravaginal misoprostol 25 μg tablets, and to evaluate the association with adverse perinatal outcomes. This was a retrospective cohort study that included singleton pregnancies undergoing induction of labor with an intravaginal misoprostol 25 μg tablet between 37 and 42 weeks of gestation. The pregnant women were divided into two groups: Group 1-intravaginal misoprostol 25 μg every 4 h and Group 2-intravaginal misoprostol 25 μg every 6 h. Pregnant women were divided into Group 1 (n=289) and Group 2 (n=278). Group 1 had a higher median number of intravaginal misoprostol 25 μg tablets (3.0 vs. 2.0 tablets, p<0.001), a lower prevalence of postpartum hemorrhage (7.6 vs. 32.7%, p<0.001), and a higher need for oxytocin (odds ratio [OR]: 2.1, 95%CI: 1.47-2.98, p<0.001) than Group 2. Models including intravaginal misoprostol 25 μg tablets every 4 and 6 h [x2(1)=23.7, OR: 4.35, p<0.0001], parity [x2(3)=39.4, OR: 0.59, p=0.031], and Bishop's score [x2(4)=10.8, OR: 0.77, p=0.019] were the best predictors of failure of labor induction. A statistically significant difference between groups was observed between the use of the first intravaginal misoprostol 25 μg tablet at the beginning (Breslow p<0.001) and the end of the active labor phase (Long Hank p=0.002). Pregnant women who used intravaginal misoprostol 25 μg every 4 h had a longer time from the labor induction to the beginning of the active phase of labor and higher rates of adverse perinatal outcomes than women who used intravaginal misoprostol 25 μg every 6 h.

Comparison of Dinoprostone versus Oxytocin with Dinoprostone for the Induction of Labour: A Retrospective Case-control Study in a Tertiary Clinic in Türkiye

Aim: Even though the number of inductions is still rising, limited information is available about the results of subsequent pregnancies following induction. The current study was aimed at comparing the effectiveness of dinoprostone and low-dose oxytocin with dinoprostone in the induction of labour for term pregnancies to assess the need for additional uterotonic agents. Material and methods:In this retrospective study, 99 patients with full-term pregnancies (completed 37 weeks or more of pregnancy) who had unripe cervixes underwent labour induction for different reasons were evaluated. BISHOP score was performed to predict the patient who required labour induction. All participants were given either only a sustained-release dinoprostone vaginal insert or low-dose administration of oxytocin to the dinoprostone. Two patient groups’ clinical characteristics were compared. Results: No statistically significant differences were found between the two groups based on age, gravity, parity, and gestation weeks. However, there was a significant difference between the two groups in terms of the duration of the active phase of labour and time from admission until the end of the second stage of labour (p=0.04). Labour and birth occurred in a significantly shorter time in the dinoprostone + oxytocin group. Common indications for induction of labour were post-term pregnancy (77.14%). The cesarean section ratio was found to be similar in both groups (p=0.084). There was no statistically significant difference between the two groups in terms of adverse events such as tachysystole and hyperstimulation of the uterus and infant outcomes (p&gt;0.05). Conclusion: Sustained-release dinoprostone and dinoprostone with low-dose oxytocin were both found to be effective augmentations in the management of delay in labour. Our results supported that administration of oxytocin with dinoprostone vaginal insert dramatically shortened induction to delivery times, and no significant increase of cesarean section rate had been found.

Warm Compresses on Reducing the Intensity of the Pain Scale in Parting Women

Labor is the process of opening and thinning the cervix and the fetus will descend into the birth canal. Normal delivery care is clean and safe care during labor until the baby is born, as an effort to prevent complications, especially post-natal bleeding, hypothermia and newborn asphyxia. During the first active phase of labor, there is a descent of the lowest part of the fetus into the pelvic cavity which causes pain due to contractions, where pain management is needed. Non-pharmacological methods of reducing pain in women in labor can be done, one of which is by giving warm compresses. This study aimed to determine the effect of giving warm compresses on back pain in women giving birth during the first active phase. This research design used a Quasy Experiment with a Non-Equivalent Control Group design. The research subjects were 30 mothers giving birth during one active phase, taken by accidental sampling. The instrument used was a pain scale observation sheet which was analyzed using the paired t-test. The results study showed there was an effect of warm compresses on back pain in women giving birth during the first active phase with a p-value=0,000 (p-value?0,05). Based on the research results above, can be concluded that gived a warm compress using a belt can reduce back pain in mothers during labor during the active phase of labor.

The Influence of Sehat Jiwa Education on the First Active Phase of Labor in Community Health Centers across Makassar City

During pregnancy, women commonly experience both psychological and emotional changes, leading to concerns about childbirth and potential labor complications. Therefore, education programs became essential for preparing mothers mentally for delivery with the engagement of health workers and families. This study aimed to assess the effectiveness of Sehat Jiwa education on the length of the first active stage of labor. Using a Quasi-experimental design with a two-group control approach, the sample comprised 64 respondents (34 in the intervention group and 30 in the control group). The instruments adopted were the Sehat Jiwa (English: Soul Health) education module, questionnaires, and partograph sheets. The results showed that there was no significant difference in the length of the first active phase between the intervention and control groups, with a p-value of 0.061 &gt; 0.05. However, the average duration for the intervention group (5.88 hours) was slightly shorter than the control group (6.40 hours). Emphasizing Sehat Jiwa-based education for pregnant women was crucial, fostering smoother delivery processes and reducing the likelihood of increased labor complications.&#x0D;

Effect of Remifentanil on Active Phase Duration of Labor in Nulliparous Pregnant Women: A Cross-sectional Study

Objectives: Due to the increase in elective cesarean section and its high complications, epidural analgesia is the gold standard for reducing the pain of vaginal delivery. In contraindication cases, other effective and safe analgesic methods such as remifentanil are suggested. The present study aimed to compare the duration of active phase of labor at stages I and II, as well as neonatal Apgar score following the use of remifentanil analgesia. Materials and Methods: In this study, 120 healthy primiparous women who were candidates for vaginal delivery were selected. After matching for age and body mass index (BMI), the participants were assigned into two equal groups (n=60 each) of intervention (receiving remifentanil) and control. We compared the duration of active phase of labor at stages I and II, neonatal Apgar scores, and the cesarean section rate between the groups. Statistical analysis was performed using SPSS software (version 23). Results: There was no statistically significant difference between the two groups in terms of the duration of active phase in the first and second stages of labor (P=0.84 and P=0.78, respectively), 1-minute Apgar score (P=0.95), 5-min Apgar score (P=0.92), and the rate of cesarean section (P=0.067). Moreover, we observed no maternal complications with remifentanil. Conclusions: According to our results, remifentanil did not increase the duration of labor, rate of cesarean section, and maternal complications. Hence, it can be a good alternative in cases where epidural analgesia is contraindicated.

The Effect of The Use of Birthball on The Intensity of First Stage Active Phase Labor Pain

Research in the United States around 70% to 80% of mothers who give birth expect the birth to take place without feeling pain. Currently, 20% to 50% of deliveries in private hospitals in Indonesia are carried out by Caesarean section. The current trend is for mothers to choose to give birth via cesarean section to avoid pain during normal birth. This study was to determine the effect of using a birthball on the intensity of labor pain during the first active phase. This type of research is quasi-experimental with a pretest-posttest two-group design. The population of this study is all mothers giving birth normally at the Az-Zahra clinic. The sample in the study consisted of 30 respondents. The research instrument uses the Numeric Rating Scale (NRS) sheet. Data were analyzed using the Paired T-test and Independent T-test. The average pretest labor pain score in the experimental group was 7.13, while the post-test was 3.33, and the p-value was 0.489. The average pretest labor pain score in the control group was 6.53, while the post-test was 7.80, and the p-value was 0.044. The results of the Independent T-test showed a p-value of 0.489. Giving the Birthball method can reduce the intensity of labor pain during the first active phase. It is hoped that the Birthball method can be applied in all maternity clinics or independent midwives in Indonesia.

UTILITY OF PAPERLESS PARTOGRAM IN LABOR MANAGEMENT

Objective: To compare WHO-modified partograph and paperless partogram in the effective management of labor. Methods: A prospective analytical study was carried out in the Department of Obstetrics and Gynecology, Pannadhay Zanana Hospital at RNT Medical College, Udaipur. A sample of 400 pregnant women was recruited by random sampling from the labor room, for 1 year (June 01, 2021, to May 31, 2022). Women fulfilling inclusion criteria were randomly assigned for monitoring of labor in an active phase of labor ≥ 4 cm of cervical dilatation. Results: The mean age was 26.46 ± 3.90 years with an age range of 18–37 years, 65% were rural. 11% crossed alert line and 1.5% crossed action line. 94.75% had a normal vaginal delivery and 21 (5.25%) cases had lower segment cesarean section (LSCS). As indication for LSCS 16 (76.19%) had fetal distress and 5 (23.81%) had secondary arrest of dilatation and descent head. 17 (4.25%) had APGAR &lt;7 at 5 min and no stillbirth was reported. Conclusion: We concluded that the paperless partogram was effective and user-friendly in the management of labor and prevention of abnormal or prolonged labor when compared to the WHO partogram in low-risk cases.

Exploring a Novel Approach to Monitoring Labor Progression: Can the Distance Between the Fundus of the Uterus and the Xiphoid Process During Contractions Serve as a Predictive Index for Cervical Dilation?

Background: Digital vaginal examination is a well-known method for determining the progress of labor. Although, there is a limited amount of literature on indicators that predict whether labor will result in vaginal delivery. Objectives: This study aimed to identify an alternative method for determining cervical dilation in labor by assessing the distance between the fundus and the xiphoid process of the sternum during uterine contraction. This is an indirect and noninvasive method for determining cervical dilation. Methods: This cross-sectional study was conducted on pregnant women admitted for vaginal delivery. Among them, 352 women were selected using a convenient sampling method at an academic center. Two data collection tools were used: An interview questionnaire to gather information on age and gestational age and a measure of the distance between the uterine fundus and the xiphoid process during uterine contraction and comparing it with cervical dilation. Results: The study population had a mean age of 27.39 ± 0.71 and a gestational age of 38.9 ± 0.14 weeks. There was a significant inverse relationship between the distance from the uterine fundus to the sternal xiphoid process during contraction and cervical dilation in both the latent and active phases of labor (P = 0.000, r = - 0.45). Conclusions: Using the distance between the uterine fundus and the xiphoid process to estimate cervical dilation can be an innovative and practical index for determining labor progress. However, further studies are needed to determine this method's accuracy.

The Supportive Role of Companion Midwife on Maternal and Newborn Outcomes in Primiparous Women: A Retrospective Cost Analysis in Yazd

Background: The World Health Organization recommends that women be continuously supported by a favorite companion during labor. Currently, there is no strong evidence on specific support measures by midwifery in relation to improving the delivery process.&#x0D; Methods: The present retrospective cost analysis study was conducted during 2021-2022. The reports of 243 deliveries were checked in the patients’ files in selected hospitals of Yazd city. Data analysis was done using SPSS26.&#x0D; Results: According to the study objectives, the desired delivery outcomes included type of delivery, postpartum complications, postpartum bleeding, and length of the active phase of labor, resuscitation of the newborn, hospitalization of the newborn, and Apgar score of the newborn in the first and fifth minutes. There was a statistically significant difference in delivery, postpartum complications, length of the active phase of labor and hospitalization of the newborn in the neonatal unit, resuscitation of the newborn, and the amount of nutrition of the exposed group compared to the non-exposed group. Among the desired performance indicators, patient length of stay and total cost per person between the exposure and non-exposure groups, the mean score of the cost per person had a statistically significant difference between the two groups (P&lt;0.001).&#x0D; Conclusion: Generally, the presence of a companion midwife next to the mother in the delivery room improves some of the outcomes of the mother and the baby. It is recommended to carry out studies in this field along with checking mothers' satisfaction with companion midwives.

Teknik Massage Counterpressure Berpengaruh Terhadap Penurunan Nyeri Kala I Fase Aktif Pada Ibu Bersalin

During labor, pain can lead to hyperventilation, increasing oxygen demand and blood pressure while reducing intestinal motility and bladder function. This situation triggers the release of catecholamines, potentially interfering with uterine contractions and causing uterine inertia, leading to prolonged labor. To address this, a pre-experimental study using a one-group pretest-posttest design was conducted among 30 birth mothers from the Rejoso Health Center, Pasuruan Regency. The study employed total sampling, and data analysis utilized the Independent sample t-test to evaluate the impact of counterpressure massage techniques on pain reduction during the first active phase of labor. The research revealed a significant effect, indicated by a p-value of 0.004 0.05, demonstrating the effectiveness of counterpressure massage in reducing pain during the initial active phase of labor for women in the Rejoso Health Center area. Consequently, it is recommended that laboring women experiencing pain be offered the counterpressure massage technique

Comparison of the effect of vaginal misoprostol alone and in combination with evening primrose capsules on the course of labor in pregnant women candidates for termination of pregnancy

Background: Induction of labor at any time before the spontaneous onset of labor is indicated when the benefits of termination of pregnancy for the mother and fetus outweigh the benefits of continued pregnancy. The aim of this study was to compare the effect of vaginal misoprostol alone and in combination with evening primrose capsule on the course of labor in pregnant women candidates for termination of pregnancy. Methods: In this double-blind randomized clinical trial, 30 pregnant women were candidates for termination of pregnancy. At the time of referral, the examination was performed to calculate the bishop score (primary outcome) and the partograph was recorded and plotted once every hour until the end of labor. Length of active phase of labor (from dilatation 3-6 cm to birth), type of labor, Apgar score of the first and fifth minute of the baby and volume of postpartum hemorrhage and pain intensity every 30 minutes was recorded in two groups for up to 2 hours using a ruler. Results: The mean length of the latent labor phase in the misoprostol and evening primrose groups was 9.07±0.96 and in the misoprostol group was 10.13±0.83 hours and this difference was significant. There was no significant difference in bishop score between the two groups at the beginning of the study but after the intervention was significant. Conclusions: Our study showed that using evening primrose oil capsule instead of misoprostol is effective in induction of labor.

Comparison of the Efficacy and Safety of Sublingual Versus Oral Misoprostol for the Induction of Labor: A Randomized Open-Label Study.

Introduction Misoprostol (prostaglandin E1 analog) is being used for the induction of labor by vaginal, oral, and sublingual routes. Oral misoprostol is the preferred route for induction of labor, but the use of sublingual misoprostol appears promising due to a faster onset of action. This study was done to compare the efficacy and safety of oral and sublingual misoprostol for induction of labor in term pregnancy. Materials and methods One hundred and sixty patients were randomly allocated to one of the two groups to receive 50 micrograms oforal and sublingual misoprostol four hourly for a maximum of six doses. Primigravida at 37-42 weeks of gestation with singleton pregnancy, cephalic presentation, Bishop score (<5), and reassuring fetal heart rate were included in the study. Misoprostol dose was withheldif the active phase of labor was reached or if the cervixwas favorable for amniotomy (Bishop score greater than or equal to eight). The change in the Bishop score with misoprostol was studied along with adverse effects and neonatal outcomes. Results The mean number of 50 mcg misoprostol doses required was significantly less in the sublingual group (2.94±0.97 versus 2.13±0.92; p<0.0001). The rate of change of the mean Bishop score was faster in the sublingual group. After four hours of the first dose, the mean Bishop score changed to 3.52±2.14 versus 4.68±2.34 (p=0.001), and, similarly, after eight hours, it was 10.48±2.59 versus 11.39±2.06, and this difference was statistically significant (p=0.015). The mean induction delivery interval was significantly lower in the sublingual group. The need for labor augmentation, mode of delivery, andadverse effects were similar in both groups. The incidence of meconium-stained liquor and NICU admission was also similar in both groups. Conclusion Sublingmisoprostolstol has a short induction delivery interval and comparable side effects when compared to omisoprostolstol. Sublingmisoprostolstol is recommended for induction of labor at term.

To study the clinical utility of WHO modified and paperless partograph in the management of labour and its outcome

Early detection of abnormal progress of labour and prevention of prolonged labour significantly improves pregnancy outcomes. Partograph is a simple and important tool which can provide a continuous pictorial overview of labour on a single sheet of paper and is essential to monitor labour. (1) To study the progress of labour using WHO modified partograph in terms of alert line and action line and using paperless partograph in terms of alert and action estimated time of delivery and detect any deviation from normal progress of labour. (2) To evaluate the duration of labour, mode of delivery and perinatal outcome in both the groups.It was a prospective observational study which was conducted over a period of 18months on 200 antenatal patients admitted to the Department of Obstetrics and Gynaecology at Christian Medical College and Hospital, Ludhiana. Antenatal patients with singleton term pregnancy with cephalic presentation in active phase of labour were included in the study. The WHO modified partograph was plotted for 100 cases (Group I) and the paperless partograph was recorded for the other group of 100 patients (Group II) and their outcomes were compared. The p value &amp;#60;0.05 was considered to be significant.In our study we noted that the findings were similar in the WHO modified partograph group and the paperless partograph group in terms of duration of labour, progress of labour, mode of delivery and neonatal outcomes with no statistically significant difference between both the groups.Our study concluded that the paperless partograph is as good as the WHO modified partograph in predicting the labour outcomes and identifying labour abnormalities. The paperless partograph does not need graphical representation and therefore can be adopted as an alternative to the WHO modified partograph in busy labour room settings.

Comparison of Umbilical Cord Arterial Blood Gas and Neonatal Outcomes in Women with and without Meconium-Stained Amniotic Fluid During Labor

Introduction: Meconium-stained amniotic fluid (MSAF) may increase maternal and neonatal complications. The favorable mode of delivery is controversial in women with MSAF. This study aimed to compare umbilical cord arterial blood gas (ABG) and neonatal outcomes in deliveries complicated by meconium and clear amniotic fluid during the active phase of labor. Materials and Methods: This observational study was performed on 144 term pregnant women (72 with MSAF and 72 with clear amniotic fluid) during the active phase of labor with ruptured membranes admitted to Al-Zahra and Taleghani hospitals in Tabriz, Iran, from June 2019 to June 2020. A checklist was used to record the ABG and neonatal outcomes. Results: The frequency of cesarean delivery in the MSAF group (25%) was significantly higher than in the women with clear amniotic fluid (20%) (P = 0.006). There was no statistically significant difference between the groups regarding pH, base excess, PCO2, 1- and 5- minute Apgar scores, and neonatal intensive care unit (NICU) admission of the newborn due to MSAF (P&gt; 0.05). There was no incidence of hypoxic-ischemic encephalopathy, sepsis, and seizure. Conclusion: Given the non-significant difference between two groups of women with and without MSAF during labor in terms of neonatal outcomes and umbilical cord ABG, it seems that MSAF alone is not an indication for cesarean delivery. Thus, vaginal delivery is recommended in pregnant women with MSAF.

Decreasing Labor Pain with Counter-Pressure Massage During the First Stage of Labor Active Phase

This study aims to determine whether counter-pressure massage reduces the intensity of labor pain in mothers who give birth in the first stage of the active phase of labor. This research method uses an experimental research type, a pre- and post-test design with a control group design. The research results showed that the average score on the pre-test pain scale reached 7 in both the intervention and control groups. Then, the average pain scale value in the post-test was 5.07 mg/dL in the intervention group and 6.67 mg/dL in the control group. Based on the Independent T-test, it can be concluded that there is a difference in the average level of pain between the intervention group and the control group. In conclusion, Counter-pressure Massage can reduce pain by suppressing pain signals and increasing blood and oxygen flow to all tissues. Midwives need to increase their knowledge about pain relief during childbirth, significantly counter-pressure massage.&#x0D; Keywords: Labor Pain, Counter-Pressure Massage, Active Phase First Stage of Labor

EP25.23: Posterior cervical angle, cervical length and cortisol level as possible predictors of time to active phase of labour in labour induction

EP25.23: Posterior cervical angle, cervical length and cortisol level as possible predictors of time to active phase of labour in labour induction

EFFECT OF PRELABOUR BMI ON THE MODE OF DELIVERY

Aim:To analyze the effect of Body Mass Index on the Mode of Delivery Design : Cross sectional study Methodology : Sample Size : 100 Patients Inclusion Criteria: Antenatal patients in Active phase of Labour proceeding for delivery Procedure: After ethical comittee approval and written consents from the patients, this comparative cross sectional study was conducted at a Tertiary hospital at CHRI and performed on a total of 100 antental patients who attended the pre labour unit. Their basic information such as age, height, weight, gestational age, and cervical dilatation were noted. Maternal Body Mass Index was noted from pre pregnancy weight from the pregnancy health card.This study is completely a non invasive study Study Duration : 4 months Results : The study population included 100 participants admitted in pre labour unit in a tertiary care hospital. The results obtained showed healthy Body mass Index group had the favourable outcome, whereas the antenatal patients with increased Prepregnancy Body Mass Index had the worst outcome like Cesarean delivery, increased duration of first stage labour, increased duration of second stage labour, APGAR 1to 5, NICU admission, postpartum hemorrhage. Conclusion : This study concludes that Antenatal patients with Increased Body Mass Index have poorer outcomes when compared to Antenatal Patients with normal values of Body Mass Index. This study can be useful in assessing and reducing the poorer materno-fetal outcomes.

KOMPRES AIR HANGAT DAN NYERI PERSALINAN

Labor pain is a physiological condition, pain comes from uterine contraction and cervical dilation. Labor pain can affect the mother’s condition in the form of fatigue fear, worry and stress, stress can cause weakening of unterine contractions and result in prolongen labor.Giving warm water compresses is one method to reduce labor pain in maternity mothers. The purpose of the preparation of this final project is to find out whether there is an effect of using warm water compresses in reducing labor pain in mothers during the active phase of labor at the Banggae 1 Majene public health center. This type of research uses a quasi experimental, and the desaign used in the study in two different groups, namely the control group and the experimental group. Whit the aim of knowing the scale of labor pain and the effect of using warm water compresses on mothers during the active phase of labor at the Banggae 1 Majene public health center, using an observation sheet pn primary data taken directly from respondents, with a total sample of 30 respondents, namely 15 as the control group, and 15 as the experimental group. Based on the results of this study, the respondent’s labor pain scale without being given warm water compresses, namely severe pain as many as 11 people (73,3%) and very severe pain as many as 4 people (26,6%). While the labor pain scale of respondents who were given warm water compresses, namely moderate pain as many as 13 people (86,6%) and severe pain as many as 2 people (13,3%). Conclusions from the effect of using warm water compresses on reducing labor pain in mothers during the active phase of labor at the Banggae 1 Majene public health center. There is an effect of giving warm water compresses to reducing labor pain with the results of hypothesis testing H0 being rejected and H1 being accepted with a significant value of 0,00&lt;0,05. So warm water compresses have an effect on reducing labor pain during the active phase at the Banggae 1 Majene health center 2022.

Pengaruh Aromaterapi Mawar Terhadap Nyeri Persalinan: Systematic Literature Review

Childbirth is an emotional experience encompassing physiological and psychological mechanisms undergone by pregnant women. Labor pain is one of the most commonly complained about experiences. The purpose of this study was to determine the effect of rose aromatherapy on labor pain. This research utilized the Systematic Literature Review method. Article searches were conducted on Google Scholar, PubMed, ProQuest, and GARUDA databases from 2017 to 2022, and the selection process employed the PRISMA diagram. Inclusion criteria encompassed research articles from 2017 to 2022 discussing the impact of rose aromatherapy on reducing labor pain, involving pregnant women participants, and available in English or Indonesian. Exclusion criteria included articles irrelevant to rose aromatherapy usage, insufficient information, inappropriate language, focusing on other essential oils, and irrelevant samples. The study yielded three articles demonstrating that rose aromatherapy can alleviate pain during labor. From these three articles, the utilization of rose aromatherapy has been shown to reduce the frequency of labor pain. Usage frequency of 3-4 drops mixed with 20-40 ml of water and ignited for 10-15 minutes during the active phase of labor (Phase I) was recommended. The study concludes that rose aromatherapy has an impact on reducing labor pain in delivering mothers, especially during Phase I. Rose aromatherapy can reduce the frequency of labor pain when applied at a minimum frequency of 4 drops mixed with 40 ml of water and ignited for 15 minutes during Phase I of active labor. Based on the results of this study, it is suggested that the appropriate usage frequency of rose aromatherapy during Phase I of active labor can serve as an effective alternative for alleviating labor pain in delivering mothers.

Effect of audio-visual therapy on pain and anxiety in labor: A randomized controlled trial

BackgroundBirth pain affects women at a physical and psychological level. Pain is subjective, and perception will vary among individuals depending on their health status, pain tolerance, and psychological state. Labor pain can drastically affect the birth process and delivery outcomes if not managed well, ranging from poor maternal satisfaction and impaired maternal-newborn bonding to prolonged labor and fetal distress. Since pharmacological pain relief methods harm the fetus, non-pharmacological pain relief methods are gaining popularity among laboring women and healthcare professionals. ObjectivesThe study aimed to evaluate the effect of audio-visual therapy on labor pain and maternal anxiety. MethodsA randomized, controlled, open-label, single-center trial was conducted among 76 primigravida women with no obstetrical complications during the active phase of labor (4–8 cm cervical dilatation). The participants were randomly assigned to an experimental group receiving 50 min of virtual reality intervention or a control group receiving standard care using a computer-generated random sequence. The data related to pain and anxiety were collected using the personal information form, anxiety assessment scale for pregnant women in labor, present behavioral intensity scale, numerical pain rating scale, and post-delivery birth satisfaction checklist. ResultsGroups were homogenous in terms of demographic and obstetric variables. The virtual reality intervention reduced the experimental group's reported pain intensity and anxiety score. However, no statistically significant difference was noted in maternal vital signs and labor and neonatal outcomes between the groups. ConclusionThe virtual reality intervention reduced labor pain intensity and anxiety among laboring women compared to standard care.