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<p>Amniocentesis is the most commonly used invasive prenatal diagnostic test. This study aimed to investigate the effect of video-based multimedia information <i>(MMI)</i> on the anxiety and pain levels of patients undergoing amniocentesis. This randomized controlled study included all consecutive women aged 18–45 years scheduled for amniocentesis. Subjects were assigned to receive video-based MMI or standard written information. Anxiety levels were assessed pre-procedure and post-procedure using the State and Trait Anxiety Inventory-State (STAI-S). All patients underwent standard amniocentesis by the same perinatologists. After amniocentesis, Likert scale was used to evaluate the ease of the procedure and patient satisfaction, and a visual analog scale was used to evaluate pain. Pregnancy results and amniocentesis results were noted. Eighty-four patients were randomized to receive video-based MMI, and 76 were randomized to receive written information. The post-procedure STAI-S score was significantly lower in both the video group and the control group compared to the pre-procedure STAI-S score <i>(47.8 ± 5.23 vs. 45.86 ± 5.02</i>,<i> 95% CI: [2.38–1.52]</i>,<i> p &lt; 0.001</i>,<i> and 46.75 ± 7.35 vs. 44.82 ± 6.85</i>,<i> 95% CI: [2.33–1.51]</i>,<i> p &lt; 0.001).</i> The satisfaction rate of the video group was significantly higher than controls <i>(69.05% vs. 48.68%</i>,<i> p = 0.01).</i> Procedure pain, ease of procedure, and pregnancy outcomes were similar for both groups <i>(p &gt; 0.05)</i>. Performing video-based MMI before the amniocentesis procedure is associated with higher patient satisfaction than standard written information. Video-based MMI was not associated with reductions in pain and anxiety in patients undergoing amniocentesis.</p>

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The effect of video-based multimedia information before amniocentesis on pain, anxiety, and pregnancy outcomes

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月5日

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  • Nihal Callioglu,
  • Zeynep Kayaoglu Yildirim,
  • Guray Tuna

摘要

Amniocentesis is the most commonly used invasive prenatal diagnostic test. This study aimed to investigate the effect of video-based multimedia information (MMI) on the anxiety and pain levels of patients undergoing amniocentesis. This randomized controlled study included all consecutive women aged 18–45 years scheduled for amniocentesis. Subjects were assigned to receive video-based MMI or standard written information. Anxiety levels were assessed pre-procedure and post-procedure using the State and Trait Anxiety Inventory-State (STAI-S). All patients underwent standard amniocentesis by the same perinatologists. After amniocentesis, Likert scale was used to evaluate the ease of the procedure and patient satisfaction, and a visual analog scale was used to evaluate pain. Pregnancy results and amniocentesis results were noted. Eighty-four patients were randomized to receive video-based MMI, and 76 were randomized to receive written information. The post-procedure STAI-S score was significantly lower in both the video group and the control group compared to the pre-procedure STAI-S score (47.8 ± 5.23 vs. 45.86 ± 5.02, 95% CI: [2.38–1.52], p < 0.001, and 46.75 ± 7.35 vs. 44.82 ± 6.85, 95% CI: [2.33–1.51], p < 0.001). The satisfaction rate of the video group was significantly higher than controls (69.05% vs. 48.68%, p = 0.01). Procedure pain, ease of procedure, and pregnancy outcomes were similar for both groups (p > 0.05). Performing video-based MMI before the amniocentesis procedure is associated with higher patient satisfaction than standard written information. Video-based MMI was not associated with reductions in pain and anxiety in patients undergoing amniocentesis.