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[Impact of HypnoVR© with local anesthesia on pain and anxiety during oocyte pick-up]. | LitMetric

[Impact of HypnoVR© with local anesthesia on pain and anxiety during oocyte pick-up].

Gynecol Obstet Fertil Senol

Service de gynécologie-obstétrique, CHU l'Archet 2, 151, route de Sainte-Antoine-de-Ginestière, 06200 Nice, France. Electronic address:

Published: November 2024

AI Article Synopsis

Article Abstract

Objective: Virtual reality with Snow World shows a 45% decrease in painful peaks during the care of burn victims. Hypnosis has anxiolytic effect and modulate the response to pain. HypnoVR© is based on many concepts recognized in medicine accessible without specific training. In our practice, 95% of oocyte pick-up are made with local anesthesia and simple premedication, whereas conscious sedation is recommanded in Europe. HypnoVR© is systematically offered during oocyte pick-up. Our study had to compare the pain felt between the 2 group with or without HypnoVR©, also anxiety, tolerance and satisfaction of patients.

Method: It was a prospective comparative, non-randomized, single-center, open-label study. We included all patients who were to benefit from an oocyte pick-up from 18 to 43 years-old. The usual protocol of pick-up was used and it was possible to add HypnoVR©. A questionnaire was distributed to each patient to collect their opinion.

Results: A total of 112 patients were included, 60 without HypnoVR© and 52 with HypnoVR©; 2 were excluded from the main analysis for missing data. There is no statistically significant difference in pain and anxiety between the groups. Patients are satisfied: 90.20% (n=46/52) would like to use it again and 98.04% (n=50/52) would recommend it.

Conclusion: Despite the absence of a statistically significant difference, patients are satisfied with HypnoVR© and tolerance is good. It seems interesting to be able to offer it during oocyte pick-up.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gofs.2024.10.011DOI Listing

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