(284) The Impact of an informative video on patient anxiety at term induction-of-labor: Randomized Control Trail

Objective: Induction of Labor (IOL) is a medical intervention that is associated with discomfort and anxiety. Our aim was to study the impact of a detailed informative video presented prior to IOL on maternal anxiety and satisfaction

Study Design: In this randomized controlled trial, term women with an unfavorable cervix undergoing IOL between April-July 2024 were randomly assigned to either: a "video group", in which an informative video was presented prior to IOL and a "control group", in which women received standard counselling. Otherwise, all patients received the same medical care. A 5-minute video was produced by our staff and included detailed information about IOL methods, what to expect after insertion, and pain management. IOL was performed by either vaginal dinoprostone or extra-amniotic balloon, according to our protocol. The primary outcome was the difference between State-Trait Anxiety Inventory (STAI) score before and after IOL (ΔSTAI). Secondary outcomes included patient satisfaction rated between 1 and 5. The study was powered to detect a 25% difference in the primary outcome (ΔSTAI)

Results: Included were 167 participants: 81 in the video group and 86 in the control group. Demographics were comparable between the groups, as well as baseline STAI scores, indications and methods for IOL. The decrease in anxiety levels (ΔSTAI) was significantly higher in the video group, compared with the control group (4.4 vs. 0.6, p=0.007). Watching the informative video remained associated with anxiety reduction after adjusting for confounders (β 4.11, 95% CI 1.22-7.0). Furthermore, patients in the video group reported lower anxiety levels after IOL (mean STAI 44.1 vs. 38.9, p=0.002), and higher satisfaction of the overall IOL experience (4.4 vs. 4.1, p=0.018)

Conclusion: An informative video prior to IOL significantly reduced patient anxiety and Improved satisfaction. This technology offers a simple, cost-effective and non-pharmacological method to reduce anxiety and improve patient experience during IOL