Evidence map›Paper›PMID 41735173›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2026

Effectiveness of Virtual Reality for Pain Relief in Procedures Related to Obstetrics and Gynaecology: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.

Jhia Jiat Teh, Filipa Campos, Adam Koczoski, Trisha Valencia, Michael P Rimmer, Bassel H Al Wattar

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jhia Jiat TehSt Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.ORCID https://orcid.org/0000-0002-7086-0546
Filipa CamposUniversity of Cambridge, Cambridge, UK.ORCID https://orcid.org/0009-0007-5392-5161
Adam KoczoskiFaculty of Medicine, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.ORCID https://orcid.org/0009-0002-9516-4747
Trisha ValenciaFaculty of Medicine, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Michael P RimmerCentre for Reproductive Health, Institute of Regeneration and Repair, Edinburgh BioQuarter, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-3295-8753
Bassel H Al WattarUniversity College London, London, UK.ORCID https://orcid.org/0000-0001-8287-9271

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmersive virtual reality (VR) technology offers a non-invasive, non-pharmacological approach to reduce pain perception in patients undergoing diagnostic or interventional procedures.

objectiveTo systematically evaluate the efficacy of immersive VR technology in reducing pain perception during obstetric and gynaecological procedures. SEARCH STRATEGY: We searched MEDLINE, EMBASE, CENTRAL, and CINAHL databases from inception to January 2025. SELECTION CRITERIA: We included randomised controlled trials (RCTs) evaluating VR interventions in women undergoing obstetric or gynaecological procedures. DATA COLLECTION AND ANALYSIS: We performed meta-analyses using random-effects models and assessed risk of bias using the Cochrane risk-of-bias tool for randomised trials. MAIN

results49 RCTs (5355 participants) were included. Due to clinical heterogeneity, data were analysed separately. VR resulted in a larger, consistent reduction in pain scores compared with standard care in labour (11 studies; SMD -0.93, 95% CI -1.25 to -0.60) compared to minor procedures (29 studies; SMD -0.64, 95% CI -0.97 to -0.32). VR also significantly reduced anxiety scores in both labour (8 studies; SMD -1.13, 95% CI -1.80 to -0.45) and minor procedures (17 studies; SMD -0.74, 95% CI -1.18 to -0.29). Our analysis was limited by high levels of heterogeneity and variability in procedural protocols.

conclusionImmersive VR technology appears effective for reducing pain and anxiety during obstetric and gynaecological procedures, particularly during childbirth, despite substantial statistical heterogeneity. Further research is needed to optimise implementation strategies and establish clinical practice guidelines.

Indexed as

Gynecologic Surgical ProceduresPain ManagementVirtual RealityFemaleHumansPain MeasurementPregnancyRandomized Controlled Trials as Topicanalgesiagynaecologyobstetricspainsystematic reviewvirtual reality

Identifiers

PMID41735173
PMCPMC13143552

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.