Matan Friedman, Liat Mor, Irit Segman, Yossi Mizrachi, Noa Ben Shushan, Hagit Eisenberg, Tamar Shieldkrot, Eran Weiner, Giulia Barda
{"title":"The impact of an Informative video on anxiety levels in women undergoing term induction of labor: A randomized controlled trial.","authors":"Matan Friedman, Liat Mor, Irit Segman, Yossi Mizrachi, Noa Ben Shushan, Hagit Eisenberg, Tamar Shieldkrot, Eran Weiner, Giulia Barda","doi":"10.1016/j.ajogmf.2025.101667","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Induction of labor (IOL) is frequently performed worldwide. While IOL is often medically necessary to improve maternal and neonatal outcomes, the process can be associated with considerable anxiety, particularly for nulliparous women.</p><p><strong>Objective: </strong>To evaluate the impact of an informative educational video on anxiety levels among women undergoing term induction of labor (IOL).</p><p><strong>Methods: </strong>This randomized controlled trial included 167 women who underwent term IOL at a single medical center between April 2024 and August 2024. Participants in the 'video group' (n=81) watched an 8-minute animated video detailing IOL methods and risks in addition to standard counselling. Participants in the control group (n=86) only received standard counselling. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) before and after the procedure. The primary outcome was the change in STAI scores. Secondary outcomes including patient satisfaction, as reported on a scale of one to five.</p><p><strong>Results: </strong>Baseline STAI scores before receiving any counselling regarding IOL were similar between the study groups. Post-procedure, women allocated to the video group demonstrated lower anxiety levels compared to women in the control group (38.9 ± 11.0 vs 44.1 ± 11.3, p=0.002). Moreover, the decrease in STAI scores was greater in the video group (4.4 ± 7.9 vs 0.6 ± 10.0, p=0.007). Multivariate analysis confirmed that the video intervention was independently associated with reduced anxiety (β -7.8, 95% CI -15.1 to -0.5). Finally, Patient satisfaction was also higher in the video group (4.4 ± 0.6 vs 4.1 ± 0.9, p=0.018).</p><p><strong>Conclusion: </strong>An informative educational video prior to IOL is an effective, low-cost intervention for reducing patient anxiety and improving satisfaction during labor induction.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101667"},"PeriodicalIF":3.8000,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Obstetrics & Gynecology Mfm","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajogmf.2025.101667","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Induction of labor (IOL) is frequently performed worldwide. While IOL is often medically necessary to improve maternal and neonatal outcomes, the process can be associated with considerable anxiety, particularly for nulliparous women.
Objective: To evaluate the impact of an informative educational video on anxiety levels among women undergoing term induction of labor (IOL).
Methods: This randomized controlled trial included 167 women who underwent term IOL at a single medical center between April 2024 and August 2024. Participants in the 'video group' (n=81) watched an 8-minute animated video detailing IOL methods and risks in addition to standard counselling. Participants in the control group (n=86) only received standard counselling. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) before and after the procedure. The primary outcome was the change in STAI scores. Secondary outcomes including patient satisfaction, as reported on a scale of one to five.
Results: Baseline STAI scores before receiving any counselling regarding IOL were similar between the study groups. Post-procedure, women allocated to the video group demonstrated lower anxiety levels compared to women in the control group (38.9 ± 11.0 vs 44.1 ± 11.3, p=0.002). Moreover, the decrease in STAI scores was greater in the video group (4.4 ± 7.9 vs 0.6 ± 10.0, p=0.007). Multivariate analysis confirmed that the video intervention was independently associated with reduced anxiety (β -7.8, 95% CI -15.1 to -0.5). Finally, Patient satisfaction was also higher in the video group (4.4 ± 0.6 vs 4.1 ± 0.9, p=0.018).
Conclusion: An informative educational video prior to IOL is an effective, low-cost intervention for reducing patient anxiety and improving satisfaction during labor induction.
期刊介绍：
The American Journal of Obstetrics and Gynecology (AJOG) is a highly esteemed publication with two companion titles. One of these is the American Journal of Obstetrics and Gynecology Maternal-Fetal Medicine (AJOG MFM), which is dedicated to the latest research in the field of maternal-fetal medicine, specifically concerning high-risk pregnancies. The journal encompasses a wide range of topics, including:
Maternal Complications: It addresses significant studies that have the potential to change clinical practice regarding complications faced by pregnant women.
Fetal Complications: The journal covers prenatal diagnosis, ultrasound, and genetic issues related to the fetus, providing insights into the management and care of fetal health.
Prenatal Care: It discusses the best practices in prenatal care to ensure the health and well-being of both the mother and the unborn child.
Intrapartum Care: It provides guidance on the care provided during the childbirth process, which is critical for the safety of both mother and baby.
Postpartum Issues: The journal also tackles issues that arise after childbirth, focusing on the postpartum period and its implications for maternal health. AJOG MFM serves as a reliable forum for peer-reviewed research, with a preference for randomized trials and meta-analyses. The goal is to equip researchers and clinicians with the most current information and evidence-based strategies to effectively manage high-risk pregnancies and to provide the best possible care for mothers and their unborn children.
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