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CTRI Number  CTRI/2026/01/102333 [Registered on: 28/01/2026] Trial Registered Prospectively
Last Modified On: 25/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Using virtual reality to reduce anxiety and maintain stable vital signs in mothers undergoing Caesarean delivery under spinal anesthesia. 
Scientific Title of Study   The effect of virtual reality on anxiety and hemodynamic parameters during Caesarean section under spinal anaesthesia 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Patel Abhishek  
Designation  Postgraduate student  
Affiliation  Mahatma Gandhi Medical College And Hospital  
Address  OT complex Department of Anaesthesiology Mahatma Gandhi Medical College And Hospital Sitapura Jaipur Rajasthan

Jaipur
RAJASTHAN
302022
India 
Phone  9624596947  
Fax    
Email  patelabhishek2510@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priyamvada Gupta  
Designation  Professor of Anaesthesiology  
Affiliation  Mahatma Gandhi Medical College And Hospital 
Address  OT complex Department of Anaesthesiology Mahatma Gandhi Medical College And Hospital Sitapura Jaipur Rajasthan

Jaipur
RAJASTHAN
302022
India 
Phone  9413418336  
Fax    
Email  drpriyamvada@hotmail.co.uk  
 
Details of Contact Person
Public Query
 
Name  Dr Priyamvada Gupta  
Designation  Professor of Anaesthesiology  
Affiliation  Mahatma Gandhi Medical College And Hospital 
Address  OT complex Department of Anaesthesiology Mahatma Gandhi Medical College And Hospital Sitapura Jaipur Rajasthan

Jaipur
RAJASTHAN
302022
India 
Phone  9413418336  
Fax    
Email  drpriyamvada@hotmail.co.uk  
 
Source of Monetary or Material Support  
Mahatma Gandhi Medical College and Hospital Sitapura Jaipur Rajasthan 302022 
 
Primary Sponsor  
Name  Mahatma Gandhi Medical College and Hospital  
Address  Department of Anaesthesiology Mahatma Gandhi Medical College and Hospital Sitapura Jaipur Rajasthan 302022 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Patel Abhishek   OT COMPLEX DEPARTMENT OF ANAESTHESIOLOGY  OT COMPLEX DEPARTMENT OF ANAESTHESIOLOGY MAHATMA GANDHI MEDICAL COLLEGE AND HOSPITAL SITAPURA JAIPUR RAJASTHAN
Jaipur
RAJASTHAN 
9624596947

patelabhishek2510@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee MGMC Jaipur   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O94-O9A||Other obstetric conditions, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Standard Care  Participants will receive standard perioperative care without virtual reality intervention during caesarean section under spinal anaesthesia. 
Intervention  Virtual Reality Exposure   Participants in the intervention group will receive virtual reality exposure during cesarean section under spinal anaesthesia. A virtual reality headset with headphones will be used to display calming nature scenes or relaxing videos with soothing audio throughout the intraoperative period. The intervention aims to reduce perioperative anxiety and improve hemodynamic stability by distraction and relaxation. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1.ASA I and II parturients undergoing lower segment
2.cesarean section (LSCS) under spinal anaesthesia.
3.Age 18–40 years.
 
 
ExclusionCriteria 
Details  1.Claustrophobia
2.History of anxiety disorder
3.Severe visual impairment
4.Severe auditory impairment
5.History of motion sickness
6.History of Epilepsy
7.Facial injuries
8.Uncorrected vision problems
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Difference in perioperative anxiety scores between Virtual Reality(VR) and control groups.
 
Difference in perioperative anxiety scores between Virtual Reality(VR) and control groups.
 
 
Secondary Outcome  
Outcome  TimePoints 
Comparison of intraoperative hemodynamic stability between groups.
Patient satisfaction with the intraoperative experience.
 
 
 
Target Sample Size   Total Sample Size="108"
Sample Size from India="108" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This is a prospective randomized controlled study conducted in the Department of Anaesthesiology at Mahatma Gandhi Medical College and Hospital Jaipur. The study aims to evaluate the effect of virtual reality on perioperative anxiety and intraoperative hemodynamic parameters in patients undergoing cesarean section under spinal anaesthesia. A total of 108 ASA grade I and II parturients aged between 18 and 40 years scheduled for lower segment cesarean section will be enrolled. Participants will be randomly allocated into two groups using computer generated randomization. The virtual reality group will receive immersive virtual reality exposure using a headset with calming visual and audio content during surgery. The control group will receive standard routine perioperative care without virtual reality. Perioperative anxiety will be assessed using the State Trait Anxiety Inventory Six scale before and after surgery. Intraoperative hemodynamic parameters including heart rate blood pressure respiratory rate and oxygen saturation will be recorded at predefined intervals. Patient satisfaction will be assessed postoperatively using a Likert scale. The study aims to evaluate the effectiveness and safety of virtual reality as a non pharmacological method to reduce anxiety and improve patient comfort during cesarean section under spinal anaesthesia. 
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