IRCT20191221045832N1 IRCT 2020-01-09 Esfarayen University of Medical Sciences The effect of virtual reality on labor pain Comparison of virtual reality and acupressure on pain intensity and duration of the first stage of labor on primiparous 2020-01-21 anticipated 33 Complete https://irct.ir/trial/44525 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Sampling is done by random permutation blocks. So that 6 blocks of 20 and one of 12 blocks are specified. Within 5 blocks, 5 replicates and 3 replicates in each block were randomly assigned using unbiased coin method. After specifying the samples in each block, the blocks are also randomly selected. N/A labor pain. Intervention 1: Intervention group: Virtual Reality Group: 33 people with inclusion criteria turn their eyes on the active phase of the virtual reality headset that will use distracting three-dimensional landscapes such as beach, river and waterfall. Intervention 2: Intervention group: Acupuncture group: With the onset of the first contraction, points L14 and SP6 are gently pressed for 30 seconds and gradually added to the pressure level to become completely intense. The thumb is then held in place for 1 minute and then the pressure is gradually lowered, releasing the point within 30 seconds. This intervention is performed for 20 minutes only during contractions. Intervention 3: Intervention group: Combining Acupuncture and Virtual Reality Interventions. Intervention 4: Control group: Routine childbirth care. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information